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04928 (SFD)P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 49-070 Bala8a Court LA QUINTA, CALIFORNIA 92253. Bar Can Development Mailing Address 68-713 Pares Court CityZip Tel. t^�tthRdxhl cite 922.3G 1 773-9 Contractor No. 04828 11LDING: TYPE CONST. OCC: GRP. P. Number Pare La Ouinta Legal Description ., _. .. Project Description Plno t R04 — Lot-, 2 Address City Zip Tela State Lic. City & Classif_ 337077 Lic. # 12.19 Sq. Ft. 1604 No. No. Dw. Arch., Engr-, Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # Jr LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, andmylicense is in full force and effect ! • E r, r _S_IGNATURE - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,8usiness and Professions Code: Any city or county which requires a pemdf to construct, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to !7i e a signed statement that he is licensed pursuant to the provisions of the Contractor's License law, Chapter 9 (commencing with Section 7000), or 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 civ8 penalty of not more than Five hundred dollars ($500). ❑ 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 ., Professions Code. The Contractor's License Law does not appy 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 sale. If, however, the building n or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or inprove 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 appy to an owner of properly who builds or improves thereon, and who contracts for such projects with a contractors) 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 Workers 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 permit is for one hundred dollars (S100) valuation or less.) 1 certify that in the performance of the 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, alter 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.) Lenders Name Lenders 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 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line —.q�ear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR 12/19/88 Issued by: Date Permit Validated by: Estimated Valuation $93,604 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. 97.24 Const. 415.00 Mech. 33.00 Electrical` - 75.06 Plumbing 94.00 S.M.I. 6.55 Grading Driveway Enc. Infrastructure 2,106.09 TOTAL S3,076.92 REMARKS ��? ?. �..�.� .3�.•i f r�-�""��"as�i'�n est r� a r. r. rl V ZONE: BY: Minimum Setback Distances: Front Setback from Center Line —.q�ear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR 12/19/88 Issued by: Date Permit Validated by: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. a $ UNITS R H PLUMB. BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL SQ. FT. 0 DUCT WORK ROCK STORAGE UND. REINF./ MOBILEHOME SVC. BAR SINK FOR. SQ. FT. ® REINF. STEEL GAS (FINAL) .POLE POWER OUTLET ROOF DRAINS GAR. SO. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRAINAGE PIPING CAR P. SQ. FT. LU BER GR. FINAL INSP. WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN. !'�� /' 1�Q� Z�Zz V '(J l/✓ URINAL SOFT ® ESTIMATED CONSTRUCTION VALUATION $ 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(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM 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 INSPECTION - SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL FENCE FINAL SO.FT.GAR ® V4c HOUSE SEWER INSPECTOR'S SIGNATURESIINITIALS 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 QZMND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA B GRADE —� R H PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS EW ANK ROUGH WIRING DUCT WORK ROCK STORAGE UND. REINF./ GAS (ROUGH) yP( ER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) .POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING —CU. yd. $ plus x$ _$ LU BER GR. FINAL INSP. NG �� FINAL INSP. #1z 70OFNG � !'�� /' 1�Q� Z�Zz V '(J l/✓ REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL IN MESH TIONISOUND FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL