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05703 (RPL)Building 54-145 i2AMPM Address Owner WESTERN BUILDERS Mailing Address SAME City Zip LA (�UINTA 92253 Contractor SYARKlE1 PLENTY T419� P.O. BOX 1504 No. €15703 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774-211-019 Tel. Legal Description • M Project Description PWL a SPA Address 09-4$1 tDION WAY CityZip Tela CATV --RAL Cy 92234 619/328-9260 State Lie. City & Classif. 522876 Lie. # 399 Arch., Engr., Designer Address I Tel. City (Zip I State Lie. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed urder'praViSions of Chapter 9 (commencing with Section ffect 7000) of Division 3 of the Business and Professions Code, and my license is in full force and SIGNATURE x DATE OWN6i8URDER DECLARATION I hereby affign that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.S.Bshess and Professions Code: Any city or county which requires a Permit to constrict. atter, uiuoo6 f or repair any structure, pnor to its issuance also requhes the aid far such pend to file a s fined 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 Halesstoris Code, or treat. he is exempt therefrom, and the basis for the alleged exemption. Any ve ktftn of Section 7031.5 by 'any applicant for a permit subjects the appI to a civipenaly of not more than five hundred dollars ($500). O 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and Ve structure is not hrternded or offered for sale. (Sec. 7044, Suisness and Professions Code. The Contractors Lyase Law does not apply to an owner of property who ba7ds or Lvproves thereon and aft does such work himself or through his own employees, provided that such improvements are not kYended or offered for safe. ff, however, the building or krprovement is said within one year of completion, the owner -builder will have the burden of proving.that he did not drill or -reprove Aar the purpose of sale.) O 1, as owner of the property, an asdusivey contracting with licensed contractors to torr .tract the project (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of ymperty who bu Aft or improves thereon, and who contracts for such projects with a contractor(s) icensi 1 pursuant to the Contractor's License Law.) O 1 am exempt under Sec a S P -C_ for this reason Date Owner WORKERS! COMPENSATION DECLARATION I hereby affirm that 1 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 O Copy is filed with the city- O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM TiORXERT COMPENSATION INSURANCE (This section need not be aripi f i the permit is for one hundred dollars ($100) valuation or less.) I certify that in the petforinauce, of ttvp work for which this permit is issued, I shall not employ any person in any manner so astobecame subject to the Workers' Compensation Laws of California Date Owner N077CE TO APPLICANT. f, after rnati sii- * CemTieate of Exemption you should become subject to the Mdrkas' Caapensa6on provisions of the Labor Code, you must forthwith comply wM such provisions or Mrs, shoe lie deurned 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 ISM 3097, Civil Code.) Lender's 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 far 18D days - I certify that 1 have read this apprication 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 atlhorfine representatives of this city to enter the above- mentioned property for inspection purposes Signature of applicant Date Mailing Address city, State, Trp REMARKS qq ll'��'��y y, pyh�i ��{{ ``;;qq . .Q I _, rs 40 ��'}iffAl� -Pq '�• .1 (�"4 1? l ion 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 5/4/89 Issued by: Date Permit Validated by: Validation: Sq. Ft. No. Size Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation1j,aG3.fla PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. -73 T. Const. 135-00 Mech. 24.00 Electrical 30.00 Plumbing 27.00 S.M.I. .84 Grading Driveway Enc. Infrastructure TOTAL REMARKS qq ll'��'��y y, pyh�i ��{{ ``;;qq . .Q I _, rs 40 ��'}iffAl� -Pq '�• .1 (�"4 1? l ion 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 5/4/89 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® 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 SD. 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 _(4 �p // �G WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER 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 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 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 _(4 �p // �G REMARKS: VENTILATION/0 FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL