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05378 (SFD).; P.O. BOX 1504 No. 45378 Building 78-105 CALLE ESTADO Address 11-a,` A LA QUINTA, CALIFORNIA 92253 I I� D I Owner 1/ BMRATiON BUILMS INC _.. Mailing . BUILDING: TYPE CONST. OCC: GRP. Address P.O. BOX 2401 � A.P. Number 774-243-1309 City Zip Tel. .> 7sm_ 9220 246:4614 Legal Description Contractor Project Description' Address City Date Zip Tela NOTICE TO APPLICANT: ff, after making this Certificate of Exemption you should become ZONE: State Lic. & Classif. 352211 City Lic. # 1230 Sq. Ft. Size ;A. No. No. Dw. Stories Units Arch_; Engr., " besigner New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Front Setback from Center Line Rear Setback from Rear Prop. Line City Zip State Lic. # I hereby affirm that there is a construction lending agency for the performance of the LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. work for which this permit is issued. (Sec. 3097, Civa code.) Side Setback from Property Line Lenders Name SIGNATURE DATE OWNER -BUILDER DECLARATION 1 hereby affirTn that 1 am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,tiiaimess and Professions Code: Any city or county which requires a permit to constrict, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to tae a signed statement that he R licensed pursuant to the provisions or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of `Division 3 of the Business and Professkms Code, or that. he is exempt therefrom, and the basis for the affeged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code. The Contractors License Law does not apply to an owner of property who builds or rrproves thereon and who does such work himself or through his own employees, provided that such irpmvements are not intended or offered for sale. Il, however, the building or improvement is sok/ within one year of completion, the owner -budder will have the burden of proving that he did not build or rrprove for the purpose of sale.) ❑ I, as owner of the property, am Exclusively contracting with licensed contractors to con" struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec B. & P.C. for this reason Estimated Valuation >a9+ g�2 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. <9175 Const. 594.50 Mech. Z - qn Electrical1,41 , Plumbing 157.50 S.M.I. Grading 11% Driveway Enc. (<60 i Date Owner Infrastructure 1+984.54 WORKERS! COMPENSATION DECLARATION I hereby affirm that I have a'certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. 1 CERTIFICATE OF EXEMPTION FROMf WORKERS' COMPENSATION INSURANCE (This section need not be campieted ff the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of alifornia California- TOTAL _ ^ REMARKS t r ,x J rmxm" ' v �'-•' t 4}� 3 :ki `f. : FSCs ,2 . 3 3 Date Owner NOTICE TO APPLICANT: ff, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' compensation provisions of the Labor Code, you must forthwith Distances: comply with such provisions or this permit shall be deemed revoked. Minimum Setback Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civa code.) Side Setback from Property Line Lenders Name Lenders Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certity that I have read this application and state that the above information is correct. Issued by: Date? -/22/89 Permit I agree to comply with all city and county ordinances and state laws relating to. building construction, and hereby authorize representatives of this city to enter the above-. mentioned property for inspection purposes. Validated by: Signature of applicant Date ' . Mailing•Addr -. .,;Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST EL. `� SO. FT. a $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM I. 2NU,FL. SQ. FT. ® FORMS SEWER OR SEPTIC TANK ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. Sp. FT. POWER OUTLET ROOF DRAINS 9 GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SQ. FT. GROUT WATER HEATER WALL Sp. FT. FINAL INSP. DRINKING FOUNTAIN. SQ FT a WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ®c BATH TUB LATHING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® IV* c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPIEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS k. GARDEN WALL FINAL t C&t�p 4 4 Qum' P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO fJN ZA LA QUINTA, CALIFORNIA 92253 Zip ' ITel. el.. I State Lic. City & Classif. 3,r-Lic. # 2 raj D Arch., Engr., Designer Address Tel. City IZip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section effect 7000) of Division 3 of the Business and Professions Code, and my license is in full force and SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Busiress and Professions Code: Any city or county which requires a permit to construct, alter, irprove, demolish, or repair any ,• structure, prior to its issuance also requires the applicant for such permit to fie a signed statement that he is licensed pursuant to the provisions of the Contractor's License law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or irproves thereon and who does such work himself or through his own employees, provided that such irprovernents are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or inprove for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec R. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff the perm is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any Cali ria ppeerson in any manner so as to become subject to the Workers' Compensation Laws of Date Owner NOTICE TO APPLICANT: ff, after making this Certificate of Exemption you should become subject to the Workers' Corrpensation provisions of the Labor Cade, you must forthwith comply with such provisions or this permit slag be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lenders Name Lenders Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 100 days. I certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes Signature of applicant -Date- Mailing ateMailing Add City, State, Zip BUILDING DIVISION BUILDING: TYPE CONST. OCC. GRP. A.P. Number - -t�'%W Legal Description Project Description Building No. No. Dw. Stories Units Address - Owner E M iling Address% n C&t�p 4 4 Qum' P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO fJN ZA LA QUINTA, CALIFORNIA 92253 Zip ' ITel. el.. I State Lic. City & Classif. 3,r-Lic. # 2 raj D Arch., Engr., Designer Address Tel. City IZip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section effect 7000) of Division 3 of the Business and Professions Code, and my license is in full force and SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Busiress and Professions Code: Any city or county which requires a permit to construct, alter, irprove, demolish, or repair any ,• structure, prior to its issuance also requires the applicant for such permit to fie a signed statement that he is licensed pursuant to the provisions of the Contractor's License law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or irproves thereon and who does such work himself or through his own employees, provided that such irprovernents are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or inprove for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec R. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff the perm is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any Cali ria ppeerson in any manner so as to become subject to the Workers' Compensation Laws of Date Owner NOTICE TO APPLICANT: ff, after making this Certificate of Exemption you should become subject to the Workers' Corrpensation provisions of the Labor Cade, you must forthwith comply with such provisions or this permit slag be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lenders Name Lenders Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 100 days. I certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes Signature of applicant -Date- Mailing ateMailing Add City, State, Zip BUILDING DIVISION BUILDING: TYPE CONST. OCC. GRP. A.P. Number - -t�'%W Legal Description Project Description Sq. Ft. Size ���,/j(j No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ r Estimated Valuation �D 2 PERMIT AMOUNT Plan Chk. Dep. a -D Plan Chk. Bal. Const. p Mech. 0 Electrical -3 / Plumbing O S.M.I. O Grading p _.Ma Driveway Enc. ZA - co Infrastructure A/ TOTAL Q v REMARKS 005182 10 4766 02•-14-89 10 __r.00 i J ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. [NG FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSft,A 2ND FL. SQ. FT. ®, FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ- FT- ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. FT. @ TEMP. POLE GROUT DRAINAGE PIPING CARP. SQ. FT. ® FINAL INSP. 'WALL SQ. FT. ® ' ' DRINKING FOUNTAIN GRADING cu. yd. $ plus -x$-=$ URINAL SQ. FT. ® FINAL INSP. FRAMING ESTIMATED CONSTRUCTION VALUATION- $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE - DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/. c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c HOUSE SEWER FINAL INSPECTION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus -x$-=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL