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003367 (SFD)d� Building Address 54 Owner th^ Mailing Address City Izip Contractor r I .. Address. State Lic. & Classif. Arch., Engr.,- Designer Address :SGOT' dido tint _ . Izip902025 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 00336? BUILDING-- TYPE CONST: OCC: GRP. A.P. Number • • 774-274+-418 el. Legal Description Project Description Single Family Dwelling 639 -745 -OMI City Lic. # Tel. Sq. Ft. No. Size 1240 Stories New ❑ Add ❑ Alter ❑ No. Dw. Units Repair ❑ Demolition ❑ or ess.) I certify that in the performance of thg work for which this permit is issued, I shall not �,e t r1•u 6 -YA'1'7 t :._-s '7- M'7 4 A employ any person in any manner so as to become subject to the Workers' Compensation _- Laws of California St3 t i1Jt l tib)j, i �:?v . t1S Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become City Zip State Lic. # Minimum Setback Distances: _ LICENSED CONTRACTOR'S DECLARATION. I hereby affirm that I 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... Front Setback from Center Line �+ • , , ._ ,.• - _ _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,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to*fts issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to theprovisions o/ the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 0/ the Business ariii Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 -*by 'any applicant tot a permit subjects the applicant to'a civil penalty of not more than five hundred dollars ($500). '4 ❑ 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 improves thereon and who does such work himself or through his own employees, provided that such improvements 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 o/ proving that he did not build or improve for the purpose o/ sale.) Q1, 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 A A 3 ii�lU PERMIT - ' AMOUNT Plan Chk. Dep. {t qC /� i9��25 .00 Plan Chk. Bal. � _ 4 s �� 44-63 6�y3■ COf1St. y7I/�i4� y40.UU Mech. - + 'Electrical This is a building permit when properly filled out, signed and validated, and is subject to Plumbing _ _- S.M.L. ` Grading2A, nn Driveway Enc. i n Date L! ' 74%•! -Owner ��`--,! . + - - H Infrastructure . construction, and hereby authorize representatives sof this city to enter the above- �1 WORKERS' COMPENSATION DECLARATION I hereby affirm that I'havea-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 O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation mentioned property for inspection purposes. Validated by: ' Signature of applicant Date TOTAL Validation: REMARKS v o v v ^ - - - or ess.) I certify that in the performance of thg work for which this permit is issued, I shall not �,e t r1•u 6 -YA'1'7 t :._-s '7- M'7 4 A employ any person in any manner so as to become subject to the Workers' Compensation _- Laws of California St3 t i1Jt l tib)j, i �:?v . t1S Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: ' subject' to the Workers' Compensation provisions of -the Labor Code, you must forthwith- comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from, Rear Prop. Line CONSTRUCTION LENDING AGENCY . Side Street Setback from Center Line Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR ' This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this that the information is + Date 9/14/87 Permit application and state above correct. Issued by: 1 agree to comply with all city and county ordinances and state laws relating to building . construction, and hereby authorize representatives sof this city to enter the above- mentioned property for inspection purposes. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip 1 5 HARD COPY L T CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL: SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. I SO. FT. ® GAS (FINAL) WALL SQ. FT. DRINKING FOUNTAIN SO. FT. ® WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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 SPARK ARRESTOR SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL (4t/' C _//ATHING SQ.FT.GAR ® 3/ac HOUSE SEWER MESH GAS PIPING PERMIT FEE —/ GNSULATIONISOUND VVV 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 APP./EQUIP. 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. RAM ING 7 `� � 0 tv ✓.1 FINAL INSP. ROOFING 3 REMARKS: REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL (4t/' C _//ATHING MESH —/ GNSULATIONISOUND VVV FINISH GRADING (NAL INSPECTIOf��1 Ol CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. \` GARDEN WALL FINAL RELIABLE TRUSS, INC. 10375 BEECH AVENUE, P.O. BOX 1587 • FONTANA, CA 92335 • (714) 350-1050 Bct! e)l 41 vt M _PROJECT: _ 9p,__ PLAN: SHEET 11-q4o ' OF ROOF MAT'L: SCALE: DATE: -- �l =_ wG - �-- CO� l E LEV?j- �i t Yel� DRAWN BY:----