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12352 (RPL)' f Building n uilding 54-960 Rubio Tdy/ %, P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner Sterling Homes Mailing Box 450 Address • City Zip Tel. La ouintal C 52253 564-1866 Contractor Lendel Ventures, Inc.. Address P.O. Box 450 CFIya. 0aintap CA Zip32253 TJ-i8fi16 State Lic. & Classjf. S 6.39535 City Lic. # 859 Arch., Engr., Designer Address Tel. 'ity (Zip (State +_ Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirmthat I am license under provisions of Chapter 9 (commencing with 7000) of Division 3 of the Busing sand Professions Code,(iand my license is in full fj effect., OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License w for the following reason: (Sec. 7031.5,Business and Professions Code: Any city unty which requires a permit to construct, alter, improve, demolish, or repair any stru& re, prior to its issuance also requires the applicant for such permit to rile a signed statemeW that he is licensed pursuant to 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 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 or 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 orImprovement 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.) ❑ 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, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company 5J `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 ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 12352 BUILDING: TYPE CONST. A.P. Number Legal Description Project Description OCC: GRP. pooh' Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 3' rear yarn setback approved by Setback Adjustment 93-200 Estimated Valuation$ PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. x.35 Const. 519. ou Mech. Ori .OU Electrical 3().. ou Plumbing 21.. UO S.M.I. Grading Driveway Enc. Infrastructure TOTAL ��• 5 i% REMARKS Ler el ventures is general contractor on above address. 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 y FINAL DATE Issued by: Validated Validation INSPECTOR CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES_ 1ST FL. SQ. FT. @ $ r�~ 2ND FL. SQ. FT. POR. SO. FT. @ GAR. SO. FT. @ CAR P. SO. FT. WALL SQ. 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 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ' GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR @ 3/ac HOUSE SEWER FINAL INSP. c}' (((VVV 6 ROOFING 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 _S 4INDERGROUND -D_s.rj$C 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 APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ =$ LUMBER GR. FINAL INS3-1 FRAMING FINAL INSP. c}' (((VVV 6 ROOFING �14Sr/� STPs' �� / o� 610 `c� �0 C L cy REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION ..-L�(�(j CERT. OCC. FENCE FINAL" INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL