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04909 (SFD)Building Address 49-040 Balada Court Owner P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BarCon Development Mailing Address 68 -713 Pews goad City Zip Tel. Cathedral City92234 1 793-9024 Same Address el State Lic. City &Classif. 337077 Lic.# 1219 Arch., Engr., Designer Address Tel. City I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am liounseclunder provisions of Chapter 9 (commencing with Section 7000) ofDivision-3of the Business and Professions Code, and myiicense is jn.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 reason: (Sec. 7031.5,Busness and Prdessbris Code: Any city or county which requires a permit to construct, after. improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to ft a signed statement 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 vioklion of section 7031.5 by -any applicant for a permit subjects the appikant to a civil penally 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, Suisness and Professions Code. The Contractors 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 Wended or offered for sale. If, however, the building or improvement is said within one year of completion, the owner -builder will have the burden of proving that he did not bulla irriprove for the purpose of sale.) ❑ I, as owner of the property, am exclusivey, contracting with licensed contractors to con- struct the project. (Sec. 7044, Business mord Professions Code: The Contractor's License Law does not apply to an owner of property who bolds or improves thereon, and who contracts for such projects with a contractor(s) icersed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sea w_ & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affinn 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 ❑ 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 pemrt is for one hundred dollars ($100) valuation or less.) I certify that in the performance of UV 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: B, after rrufoiig 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 pem* ,-*W 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 property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certity that I have read this application and state that the above information is correct. I agree to compy 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. 04909 BUILDING: TYPE CONST. OCC: GRP.- A.P. Number fare La Quinta Legal Description Project Description f l an 2017 " Lot 1 REMARKS AP, 1504- J 414,itj 1 IUJIIL. S arrl %rV.; ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Sq. Ft. 2017 Size No. 2 Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑- -,--Demolition ❑ Side Setback from Property Line FINAL DATE INSPECTOR 12/12/88 Issued by: Date Permit Validated by: Validation: Estimated Valuation $102,026 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. $ 118.85 Const. 440.50 Mech. 42.00 Electrical 79.50 Plumbing 94.00 S.M.I. 7.1100 Grading Driveway Enc. Infrastructure 2,295.59 TOTAL $3,327.62 REMARKS AP, 1504- J 414,itj 1 IUJIIL. S arrl %rV.; 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 12/12/88 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS r ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SQ. FT. 0 FORMS SWER OR SE?TICf ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) R LOOP f GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) IleTEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. GROUT r WATER HEATER WALL SD. FT. FINAL INSP. DRINKING FOUNTAIN, BOND BEAM WATER SYSTEM URINAL SQ FT ® _$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP.5/�A� WATER PIPING NOTE: Not to be used as property tax valuation �� FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRYTRAY AIR HANDLING UNIT CFM FIREPLACE 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. SQ. FT. ®c BATH TUB SQ. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 V. c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE ]!M4ECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK UND PLUMBING/—3:T UNDERGROUND A.C. UNIT COLL. AREA B GRADE — ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SWER OR SE?TICf ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) R LOOP f HEATING (FINAL) OTHER APPJEOUIP. INF. STEEL J— �� GAS (FINAL) IleTEMP. POLE GROUT r WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP.5/�A� R INGFINAL INSP. �� OOFING —22_-_<q REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GA FIREW iL ME TION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINTTIALS GARDEN WALL FINAL