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10248 (PLBG)Building 'Address 53-345 Rubio _ Owner Gonzalez Mailing e. Address same_ City LQuinta Zip La t92.253 Contractor Econo Sewer Services Address P. C. Box 192' City Zip - Pal: Desert 92260 State Lic P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Tel. & Classif. 480961 C42 Lic. # 3:42 Arch., Engr., i Designer i c Address I s Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I,hereby affirm that I am-licensild uAder provisions of Chapter 9 (commencing with 7000) of Division 3 of-the°Busine'ssrand Professions Code, and my.license is in full h No. 10248 iBUILDING: TYPE CONST. OCC: GRP.- A.P. Number ,Legal Description Project. Description SEWER HOOK UP Sq. Ft. No. No. Dw. 1 . Size ',Stories Units New ❑' Add' ❑ Alter ❑ Repair ❑ Demolitiori ❑ jar SIGNATURE 1 x DATE } OWNER -BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the. following Estimated Valuation . reason: (Sec. e a Professions 7031 5 Business and Pr l J Code: An cit 'or county which h - YVf; y y regmres a permit to construct, atter, 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 PERMIT .. the provisions of the Contractor's License Law, Chapter 9 (commencing with .Section 7000)w 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 fora permit Plan Chk. Dep. subjects the applicant to a civil penalty 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 Contractor's License Law does not apply_ to an owner, of. property who Plan Chk. Bal. Const. ' ' Mech. • 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 Electrical ' 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.) r. . - Plumbing - ❑ e, 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 S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O e am exempt under Sec. E. 8'P.C. for this reason - Grading Driveway Enc. ;Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that I' 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 ' 12 Copy is filed with the city. ❑ Certified copy is hereby furnished. t 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.) �.,NA I certify that in the performance of lhg work for which this permit is issued, I shale not employ any person in any manner so as to become subject to the Workers' Compensation' Laws of California. :Date Owner NOTICE TO APPLICANT., ff, alter making this Certificate or 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' " t 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 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 this .city to enter the above-. mentioned property for inspection purposes. Signature of applicant ---Date- Mail! ' ateMailing Address City, State, Zip TOTAL AMOUNT 36.00 30.00 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 Permit Validated by: Validation, ,ONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES' 'N 1ST FL. SO. FT. ® $ 2ND FL SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. 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 SLAB GRADE FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROUGH WIRING. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ROCK STORAGE LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEWPERM LAVATORY HEATING SYSTEM =ORCED 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 ® 11/4 c SEWAGE DISPOSAL WATER SYSTEM SO.FT.GAR ® V4c HOUSE SEWER GRADING cu. yd. $ plus x$ 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. 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 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 INSULATION/SOUND FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL • 1 [ _ •-•---•'-•••---_-r��;r---�.�"-' _' ��t�• TER y; r i.. ! t ''sf� �'� iil� �7sq3� •.'' CItELLA VALLEY WA tri* n ICDA CASH RECEIPT DETAIL - I "'" } / C� F� Vit. i; , *�•,r. i Y Received From: L � ;, f.,. Tract Address' Lot( ) G.A. Code w; Service Addre r Meter(s) ss ❑ service(s) ❑ Backllow(s) yy . p House Lateral(s) i p Detector Check(s) _ ❑ Meter Surcharge / itation Capacity Charge ❑ WS.B.F.C. p Temporary Construction Meter p Turn on Charge ❑ Uncollected Account -Name ❑ Inspection Fee -Tract Fee - R ees Water I Sewer - ❑ Plan Check F Tract_ ' Bond— ❑ Bond Payment - A.D. - . ❑ Customer DePosit NN u + ❑Other t 'TOTAL Remarks: �! i t - i . •- Water Service...,' ❑COPY to:P ��:, r: " 1 / r Cashier CWUD-438 (111& Check •{ '� % , '� .:. 1 " r . .. - , i•V `, • Oder ,.t �� M h ' .�•' ..' � " 11 • MUY•n Iyy,'.Y�Y ,�w'iry..v .,�•r..K•�,Mn\K1