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05050 (SFD)Building Ar1rlrPec 53-840 Ramirez Owner WsflI;tern American Cost. Address P. 0- O' City I Zip Contractor Address " P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 P. 0. Bois 807 Zip Tel.' Pallas 92276 3.46-040 State Lic. I City & Classif. 469157 Lic. # Arch., Engr., Designer Address I Tel. City I 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 of the Business and Professions Code, and my license is in full force and effect SIGNATURE - ,r DATE ," OWNER -BUILDER DECLARATION I hereby affirin that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,8rrsiness and Professions 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 app8cant for such permit to Me 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 rive hundred dollars (5500). ❑ 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 Prolessions Code: The Contractor's License Law does not apply to an owner of property who builds or inproves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for safe. If, however, the building or improvements sok/ within one year of completion, the owner -builder will have the burden of proving that he did not build or irprove for the purpose of safe.) ❑ 1, 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 taw.) ❑ 1 am exempt under Sec B. & P.C. for this reason No. 05050 BUILDING: TYPE CONST. OCC: GRP. ,A.P. Number 77A..1 A?_nn1 ,Legal Description Project Description @ . V - In Sq. Ft. 19 a 0 No. No. Dw. :Size -Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Pool not included in permit Estimated Valuation $105,969 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. 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 certifiedcopy 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 ($100) valuation or less:) I certify that in the performance of thg work for which this permit is issued, I shall not employ any per rniason in arty manner so as to become subject to the Workers' Compensation Laws of Califo. Date Owner NOTICE TO APPLICANT: ff. 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 Provsims or tiro Pemmft shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 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 certify that 1 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 TOTAL REMARKS AMOUNT S 5.6.54 .50 8$7.00 iy_^�4� ['- � ifs .:J 2.! .C5 . a:T..1-J'-Ri'�_ . i t..ri4yT 10ttv- A ?"cv.°VW 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: Dated 2 % 2 7 % 8 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL.SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE y.'? - ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. ® HEATING (ROUGH) STORAGE TANK FORMS SVC. BAR SINK POR. SQ. FT. @MOBILEHOME DUCT WORK ROCK STORAGE FOUND. REINF. ?� POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER DRINKING FOUNTAIN. WALL SQ. FT. FINAL INSP. BOND BEAM WATER SYSTEM URINAL SQ. FT. GRADING cu. yd. $,/ plus x$ =$ ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ILAUNDRY TRAY 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE n TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE Ln STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING ` UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE y.'? - ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR C ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. ?� S (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 INSP. FRAMING FINAL INSP. ROOFING �� -� S /�t�- �v REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH NJ - FINISH GRADING /FINAL INSPECTION �3- CERT. OCC. FENCE FINAL GARDEN WALL FINAL r P.O. BOX 1504 APPLICATION ONLY Building 78-105 CALLE ESTADO r Address 53-7800 Avenida Ramirez LA QUINTA, CALIFORNIA 92253 Owner Western American Construction Co Mailing Address P O Box 1379 City Zip Tel. La Quinta 192253 564-7411 Contractor I Gary Reynolds P 0 Box 807 Tel.. State Lic. City & Classif. I Lic. # Arch., Engr., I Designer Ed Diaz Address Tel. City (Zip ( State I Lic. # LICENSED CONTRACTOR'S DECLARATION. I hereby affirm that -I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 6f"the Business and<Professions Code, and my license is in full force and effect.yi 12/21/88 SIGNATU W; " `'' '" -n; DATE ZOWNER;BUILDER DECLARATION I hereby affirm that-1,'am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5(8uslness and Professions Code: Any city or county which requires a permit to construct, atter, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to rile 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 penatty of not more than five hundred dollars.($500). O I, as owner of the property, or my employees with wages as their sole compensation, will n the work, and the structure Is not Intended or offered for sale. (Sec. 7044, Bulsness and ofesslons Code: The Contractor's License Law, does not apply to an owner or property who lids or improves thereon and who does such work himself or through his own employees, rovlded that such Improvements are not intended or offered for sale. If, however, the building . r Improvement is sold within one year of completion, the owner -builder will have the burden I 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.) ❑ I 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. -/1 ]� �i_Company�-� �` -- ❑ Copy is filed with the city. . O Certified' opy is fieieby 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 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, after making this Certificate of Exemption you should become subjectto 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 BUILDING DIVISION BUILDING: TYPE CONST. OCC: GRP. A.P. Number. 774162003 ,Legal Description T.nt 91 9 _ ni k zA . gr (avT.n 41:11 Project Description SFR Sq. Ft. Size 1910 No. Stories 1 No. Dw. Units 1 New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ lug Estimated Valuation PERMIT. AMOUNT Plan Chk. Dep. 2s2 22 Plan Chk. Bal. Const. S fl Mech. Electrical Plumbing S.M.I. e �� Grading Driveway Enc. Infrastructure 7, as ly r.tSE PL 2� � TOTAL _Z: >_ 7 0 REMARKS s v 005iB10 3453 12-2i-88___ iU 1V Url.>n J. ILiiNL. 1 .:.9_f4VA, 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: CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. I CT 140 SQ. FT. ® $ 2ND FL. SQ. FT. POR. L too SQ. FT. l� �Z� Z'� GAR. d 3 SQ, FT. ® 17,400 CAR P. I yO �� ESQ. FT. WALL 6% SQ. FT. ® �� SQ. FT. ESTIMATED CONSTRUCTION VALUATION $ Z� I -z- 80 J 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 STORAGE TANK FORMS FLOOR DRAIN MECHANICAL FEES DUCT WORK ROCK STORAGE WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD METER LOOP SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (FINAL) TEMP. POLE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GROUT WATER HEATER LAUNDRYTRAY AIR HANDLING UNIT CFM BOND BEAM KITCHEN SINK ABSORPTION SYSTEM B.T.U. GRADING cu. yd. $ plus x$ TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP FINAL INSP. POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY ROOFING AMPERES SERV ENT SHOWER BOILER B.T.U. REMARKS: SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAR. FIREWALL GAS PIPING PERMIT FEE LATHING 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 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.IEQUIP. 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. 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(molaq ens) eel Bu!lg 9jcjRpur4ej-uou'V `Iso �lOayO pa4geue ayj uo pejeo!pu! se suoiielnoaiis Ajuno 03 urine ji (ajeos 0Z- j) uejtl Sold pa'leds"e';o sa!do� mo; yj!m wan; s!yl j!wgns :jueojldcIV w31sAs wsoisia 30VM3S . '3owunsens vU0:I N0IIV3IIddV IIWU3d 600/E00 — Z9T VLL S33IAM3S HX1V3H IVIN3YN0UIAN3 'ON 16w8d IUO8S988V HII V3H:10 IN3WIMVd3a3a(su*3AIU :10 AJLNnoo DATE DEVELOPER'S NAMEb WJE ADDRESS: TELEPI LONE: wac.heJjm,, -CA. '`92236 ,6.19-3/i1-' 829;1 CASE MA. Dear Developer:` After reviewing your landscap•uig plans, l phut material listed is not in violation of quararvOme Taws ';goverimig tlIe Coachella Valley. vlf substitutions do occur and they. differ frc�Ii'pI it ii�at'eri61 li.sled, this off Yce must tie notified hm>ediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. R • a ` SPnuGY �� . ��� 01 FIC E -OF A E LEON s �Glil t ULGI Uzi tn/1�.��C'1U,�1htI5Sl(�NLIZ• EU�t�gp it0.`•Eq 0 ' �, O AND .. .. In�iES'o WALLACE -ASS.SiA\t fqM}IISSIQ\EP,. WEIGI I I S...b., MEAS -S CLENIEVT EiFWEtiISrE S0M —it -:GLJ ,Ilw,y. 86; 5.uIt,e A1-12 DATE DEVELOPER'S NAMEb WJE ADDRESS: TELEPI LONE: wac.heJjm,, -CA. '`92236 ,6.19-3/i1-' 829;1 CASE MA. Dear Developer:` After reviewing your landscap•uig plans, l phut material listed is not in violation of quararvOme Taws ';goverimig tlIe Coachella Valley. vlf substitutions do occur and they. differ frc�Ii'pI it ii�at'eri61 li.sled, this off Yce must tie notified hm>ediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment.