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14541 (PLBG)�• r t No. 14541. P.O. BOX 1504 Builth 78-495 CALLE TAMPICO . ' Address 54-024 AVe. Bermudas LA QUINTA, CALIFORNIA 92253 Owner Yvonne Poppy Owen. Mailing BUILDING: TYPE CONST. OCC: GRP..' Address R.O. Box 252 A.P. Number City Zip Tel. La . otlinta.p CA 92253 Contractor 1=ch© 14irage, Cg 92270. Te�79-•3004 State Lic. City & Classif. g, 00'i Lic. # Arch., Engr: ;; :..',. ; •Desidner. Address Tel. Legal Description Project Description Sever Connect Sq. Ft. No. No. Dw Size... Stories ..Units New ❑ Add ❑: Alter ❑ :. Repair ❑. Demolition ❑ ATTORNEY'S FEES. This is at building permit when -properly filled out, signed and validated, and is subject to (expiration if work thereunder -is suspended for 160 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 FINAL DATE PECT ! R Issued by: Date rml Validated by: j t Validation: Zip State ,. Lic: # + LICENSED CONTRACTOR'S DECLARATION ' I hereby affiim that I am licensed under provisions of Chapter 9 (commencing with Section 70(10) of Division 3 of the Business and Professions Code, and my license is in full4orce and effect: SIGNATURE - DATE - _ ,- `OWNER -BUILDER DECLARATION gp ES1lmateds ValUatlOn $1000.0't%/� I hereby affirm that I am exempt from the ContractorLicense Law for the following ., reason: (Sec. 7031.5,Business•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 applicant for such permit to rile a signed statement that he is.licensed pursuant to- -. • PERMIT AMOUNT the- provisions of the Contractor's License Law, Chapter 9 (commencing* with Section 7000) of Dlvislon 3 o! the'Susiness and Professions Code, or that. he isexempt therefrom, and the basis 7031.5 -'any for Plan Chk. De p for the alleged. exemption. Any violation or Section by applicant a permit. " subjects the applicant to a civil penalty of not more than five hundred.dollars ($500).' - Plan Chk. Bal. -, ❑ 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 Const. 30.80 '.,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; Mech. ' . 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 Electrical of proving that he did not build orrnprove for the purpose of sale.) _ ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 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 - S.M.I. such projects with -a contractors) licensed pursuant to the Contractor's License Law.) .. Grading • O 1 am exempt under Sec B. & P.C. for this reason Driveway Eno. 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 certified copy thereof. (Sec. 3800, Labor Code:) ' .Policy440."' Company O Copy.is.filed with the city, ❑ Certified copy is hereby furnished. 30.00 TOTAL CERTIFICATE OF EXEMPTION FROM ' REMARKS 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 thq 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: lt, after making this Certificate .of Exemption you should become -subject _ 'ZONE: - - BY: - to. the Workers' Compensation provisions of the Labor _Code, you. must forthwith*. comply with such provisions or. this permit shalt be deemed revoked: - - ' Minimum Setback Distances:' Front Setback from Center Line, Rear Setback from Rea p. Llne> ' WARNING: FAILURE TO SECURE.WORKERS'COMPENSATIONCOVERAGE IS UNLAWFUL, AND' . SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Side Street -Set back - 0- en o HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Side Setback from P pe Llne l DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST AND ATTORNEY'S FEES. This is at building permit when -properly filled out, signed and validated, and is subject to (expiration if work thereunder -is suspended for 160 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 FINAL DATE PECT ! R Issued by: Date rml Validated by: j t Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. STORAGE TANK FORMS POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. ® I DRAINAGE PIPING WALL SO. FT. ® OTHER APPJEOUIP. DRINKING FOUNTAIN SO. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation I FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER _$ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED I LAUNDRY TRAY AIR HANDLING UNIT CFM i 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. ® cBATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SPARK ARRESTOR SQ.FT.GAR ® 3/ac HOUSE SEWER GAR. FIREWALL GAS PIPING PERMIT FEE PERMIT FEE f 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. UNI' COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWE RS ROUGH WIRING DUCTWORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 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 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL