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14456 (SIGN)Building 78•-6 72 L''•wyy 111 Address o ""404_1 "- -. Card." Karcher f�Gl�GV:. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Mailing Address Same City Zip ITel- La Quiuta, M 92253 360-6460 Contractor - " DMZ Address .79-607 Country Club Dr.. Unit l ._ City Zi Tql `38=uda Dunes, �A 9220 ' .36©-�b+ 5fl State Lic. IC45 €:x.7385 City & Classif.. Lic. # Arch., Engr., " 'Designer, No. 14456 . BUILDING: TYPE CONST. •OCC: GRP. A.P. Number Legal Description Project Description illuminated Channel. Letters Green Burrito Sign Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ . Repair ❑ Demolition ❑ Address" Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION' ,I hereby affirm that I am licensed under, provisions -of Chapter 9 (commencing with Section _ wu7,1700) of Division,3,of the Business and Professions Code, effect... and my license is in full force and �Z 16 � 7 - SIGNATURE "' i°"C' DATE ' OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated. Valuation $10,,000.00 - reason: (Sec. 7031.5,Business and Professions Code: -Any city or county -which ,requires a permit'to construct, after, improve, demolish, or repair any.structure, prior to its issuance also I .• requires the,applicant for such permit to file a signed statement that he is licensed 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 703.1.5 by 'any- applicant for a permit Plan Chk. Dep. •subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal.. 0.1, 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 sale.•(Sec. 7044, Buisness and Const. ' Professions Code: The Contractor's license Law does not apply to an owner or property who , builds or improves thereon and who does such work himself or through: his own employees, Mech. .. 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 Electrical ' .. of proving that he did not build or inprove for the purpose of safe.). D I, as owner of the property, am exclusively contracting with licensed contractors to con: Plumbing - struct the project. (Sec. 7044; Business and Professions Code: The .Contractor's License Law does not apply to an, owner of propertywhobuilds or Improves thereon, and who contracts for • such projects with's contractors) #tensed pursuant to the Contractor's License Law.) - 'S.M.1: Grading ❑ I am exempt under Sec B. $ P.C.'for this reason Driveway Enc. •- Date owner Infrastructure nf� 11isisclIaneou 117.00 . .. 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. ' ;' TOTAL 11T.00. CERTIFICATE OF EXEMPTION FROM REMARKS WORKERW 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 p�erson in any manner sous to become'subject to the Workers' Compensation Laws of California _ 9 to 1_! f r Owner NOTICE To APPLICANT:,If, after making Mrs Certificate of Exemption you should become ONE: - BY: subject to the Workers' Compensation provisions, of the •Labor Code, you must forthwith comply with such provisions or this permit shall be deerriedrevoked. Minimum Setback Distances: - ' Front Setback from Center Line ' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES'AND CIVIL FINES UP' TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 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. thin city to enter the above-. mentioned property for inspection purposes. Signature of applicant— Date Mailing.Address ` City, State, Zip Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from_Property Line FINAL DATE INSPECTOR Issued by: Date Validated bv: Val CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CARP. SO. FT. GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN SO. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM REMARKS: 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/.c 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 ROCKSTORAGE 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 GRADING -CU. yd. $ plus x$ _$ LUMBER GR. ' AL INSP. 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 SIONATURESIINITIALS GARDEN WALL FINAL