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04252 (SFD)Titit 414 Q" P.O. BOX 1504 Building 10-105 CALLS ESTADO Address 32-91; R=Ireu LA GUINTA, CALIFORNIA 92253 Owner M.» Mailing Address 24.7 E. Tahquitz Way 02 City lZip Tel. VEalm Springe 1 92262 1 322-1020 Starr Construotion ress City lZip I Tel. State Lic. 387924 City 895 & Classif. Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby=affirm that I am licensed under provisions of,Chapter 9 (commencing with Section 7000) of Division 3�the Business and Professions -Code, and my license is in full force and-, effec�� /+A -SF SIGNATURE F/' - DATE X OWNER -BUILDER DECLARATION "I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a permit to construct, alter, 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 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 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 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.) ❑ 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 contracfor(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 certifiedfcopyJNt b4of. (Sec. 3800, Labor Code.) Policy No. Company --Dir `-- O Copy is filed with the city. ❑Certified copy is hereby%fumishW..-,. 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 lhg 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 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 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 94,252 BUILDING: TYPE CONST..00C. OCC. GRP. A.P.,Number - . 773-323-:009 Legal Description Project Description Sq. Ft. �Q Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Garages 430t r Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. $4250600 Plan Chk. Bal. 39.14 Const. 3163440 Mech. 33 . ou Electrical 74.17 Plumbing 105.00 S.M.I. 5#36 Grading0. 00 Driveway Enc. 20,00 Infrastructure 1 * 696 86 TOTAL2y iS3, REMARKS f �_.' 44y, t d:ia_ fttl 41%610111 f 'tib' 4V.� 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 7/6/80 Issued by: Date Permit Validated by: Validation: 1 WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ISI FL SO FT (a $ 2ND FL SO FT. C POR SO FTa GARSO. FT. rp CAR P. SO FT. 6 WALL SO. Ff. Q7 SO. FT. a 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 WASH ER(AUTONDISH) APPLIANCE DRYER DUCT WORK 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. SO. FT. @ c BATH TUB BOND BEAM SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID a 11A c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR @ 3/4c HOUSE SEWER RAMIN � FINAL INSP. 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 8 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 APP.IEOUIP. 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. RAMIN � FINAL INSP. ROOFING ' REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH AL-4ASULATIONISOUNDO/ - FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Of R� OI f ICE Of E. LEON Sr'AUGY ,� • o:. CQttgS:�prE11 ? , � s AGRICU I URAL CONIMISSIONE 11 )AMES 0 WALLACE )j - AN O _1_.�•, �,CLEMENT BE`VENISIE MIG1 ITS S b.MEASURES SCALER }•''� 49-613 ilwy 86, Suite I1-12 ``•.�.,.00,Coachel.ln,' CA 92236 Mq ► v i q .61.9-342-829 L r DA,ICASE m. 0r; 20 Q DEVEiDPER' S N11MEtzy.. ADDRESS: .2-2-9 TELL•'PI IONE: QAC+/ Dear.Developer: After reviewilig your landscaping plans, all plant material: lister is lint in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ frau plant material listed, this office must be notified' :hurediately. Thank you for protecting and preserving the Coachella Valley's pest-free environment. U/e.1A Agricultural Cailuissi r is Office cc: .Indio and Riverside Office