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10314 (RR)t P.O. BOX 1504k_� 4, 10314 g 78-105 CALLE ESTADO . Buildin 78 '477 Highway 111 LA QUINTA CALIFORNIA 92253 Address g 1 Owner Dale M. Elmer Mailing Address P. 0. Box 2046 cityZip Palmyesex� 92261 Contractor .Manogd3kian Dev. 340 -1108 i I I ./ 0_:)I BUILDING: TYPE CONST. OCC: GRP. - Aaaress I saute City Zip State Lic. I City & Classif.. B 312308 Lic. # Arch., Engr., Designer Kal.keren Hotel, SUPPl•y Address Tel. -2_34 M Fifth Ave 503%227-1161. Cityp State Portland, ORT'97'209 'Lic. # ,- LICENSED CONTRACTOR'S DECLARATION JI hereby affirm that I am licensed under.provisions of chapter"9�(commencing with Section 7 of Division 3 of the Business,and Professions•Code, and my±license is in full force and J OWNER -BUILDER DECLARATION y 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 its issuance also - - requires the applicant for such permit to file•a signed. statement that he is licensed pursuant to _. the provisions or the Contractor's License Law, Chapter 9 (commencing. with Section 7000) of ' Division 3 o 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 or 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 improves .thereon and who does such work himself or through his own. employees, provided that such improvements are not intended or offered. for safe. If, however, the building orImprovement is sold within one year or completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose or sale.) - 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 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.) ❑ 1 am exempt under Sec. &B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm'that I have a certificate of consent to self -insure, or a.certificate of Worker's Compensation Insurance, ora 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 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 sous to become subject to the Workers' Compensation Laws of California. Date Owrier 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 A.P. Number Legal Description ProjectDescription .relocate -4 Change 2 window exterior; interior framed garbs; patch paint dryw l,l.. renovate kitj yen � Sq. Ft. Size 3846.Stories No. No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolitiori ❑ Estimated Valuation , PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 154.44 Const. 215.00 Mech. 30.00 Electrical 64.63 Plumbing 51.0.0 L. S.M.I. 2. 10.. Grading Driveway Enc. i. Infrastructure TOTAL 518.17 REMARKS . f< f4k",t CI r`t '• R k:' 0y' t'�rTEb3'- G' 51 .TQ�J / a{�� { r, t� °, s 17 v [° 1 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. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CARP. SO. FT. WALL SO. FT. ® SO 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 STORAGE TANK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FOUND. REINF. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM REINF. STEEL 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. SO. FT. ® c BATH TUB FINAL INSP. SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1V4 c SEWAGE DISPOSAL FRAMING / P 7 SO.FT.GAR ® 34c HOUSE SEWER dVENTILATION W. IV . If 1/16 0/ iC��I /• _ � L Zl `L D l C / 1 Au - GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.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. 12/y/fI DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. / 2 ` r t$m GRADING cu. yd. plus -x$_=$ LUMBER GR. FRAMING / P 7 FINAL INSP. ROOFING dVENTILATION W. IV . If 1/16 0/ iC��I /• _ � L Zl `L D l C / 1 Au - REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINTTUILS GARDEN WALL FINAL -,, - ,, etit �/ (fftrt of I (Prl`rk, l jcu Tit� of Ed (Quinta llilttdbin� end s`5tiiet� 3441i'leiion 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 78-477 Highway 111 Use Classification Restaurant Bldg. Permit No. 10 314 Group A2-1 Type Construction V Fre Zone Use Zone Owner of Building Dale M. Elmer Address P • 0. Box 2846 City Palm Desert, CA 92261 By; Mark Harold Dote: December 23, 1991 Building Official AST IN A CONS-PICUOUS PLACE'