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003112 (RC)Building Address 78-371 Righway- lil Owner Downey Savings Mailing - Address ig74 ri,rf 11.1 at -Wash' City Zip Tel. I La 3.n'ta 92253" Contractor P.O. BOX 1504 NU. UUJ:Llz 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. tOrl - A.P. Number- In .iia QuinA Plaza Legal Description Project Description Interior office Dartitians Address. BY: Minimum Setback Distances: Front Setback from Center. Line Indian Hills Box 34-f City. ... .. Mduntaf a Cent .Zip .. Z 92363 Tel.. -. ; 4.659.%-3961, _ Side Setback from Property Line State Lic. City INSPECTOR Issued by: &Classif.. 473969 Lic. # 990 Sq. Ft. 110 Ain, Mo.. ' Size Stories No. Dw. Units -Arch., Engr., - Designer New ❑ Add ❑ Alter O Repair ❑ Demolition ❑ Address Tel. © portable fire extinguishers will City Zip State need to bePTi before Job Will be. Lic. #.. .. a �c t �q 'fir3-lIea,,. #2A IQBC es"i9 minittum -• 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. ' _SIGNATURE DATE " OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for.the following 7031.5,Business..and Code: Any Estimated Valuation _ w. reason: (Sec.. Professions city or county which requires a 'permit to construct, alter, improve,:demolish, or repair any structure, prior. to its issuance also s >. • requires the applicant for such permit to file a signed statement. that -he isaicensed pursuant to PERMIT AMOUNT 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 - Plan Chl(. Dep. • ' -subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal. O. 1, 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 sales (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner. of, property who . Const. &"�' - r builds or improves thereon and who does such work himself or through his own employees, - McCh- - . provided that such improvements.are not intended or•offered for sale. If, however, the building. Electrical . 5 or improvement is sold within one year of completion, , the owner -builder will have the burden of proving that he did not. build or improve for the purpose.of sale.) . Plumbing' ' _ O 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 S.M.I: w does .not apply to an owner of property who builds or improves thereon, and who contracts for - such projects with a contractors) licensed pursuant to the Contractor's License taw.) - .. I Grading _.. ❑ I am exempt under Sec. B.-& P.C. for this reason Driveway Enc. F.f.srls°i -Y �i 1 Date � Owner � � �?"��^.>----� .•!�� .� r I _. >3°""'` Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that' I have A certificate of consent to selfoinsure,'or a Certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. ' Company 0 Copy is filed.with the city. O 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 (S 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 California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall 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.). Lender's Name Lender's Address 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 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 Address City, State, Zip HARD COPYI REMARKS 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 5114/ Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SQ. FT. ® POR. SQ. FT, ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SQ, FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 &5FINAL INSP. ` � �7 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL SO.FT.GAR @ 3/.c HOUSE SEWER VENTILATION GAS PIPING PERMIT FEE FIRE ZONE ROOFING 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 060UGH WIRING9 7 �' � DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. &5FINAL INSP. ` � �7 ZC—FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL :d WV 9 *t,40V,eAtf of �xrrtk m.g TiN of Ed Vauinta 1111itbing aub Safe 34tiltr5tion- This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 78-371 Hwy 111 Use Classificotion Office Bldg. Permit No. 3112 Group B2 Type Construction VN Fire Zone Use Zone CPS Owner of Building Downey Savings Address 78-371 Hwy 111 City La Quinta, CA 92253 Richard Kirkland By: 7�1?�t Building " Date; June 2, 1987 IN A CONe?ICUOU! PLACE