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06448 (SFD)C&t!t 4 P.O. BOX 1504 No. 06448 Building 78-105 CALLE ESTADO Address 44-400 B1ttt4ivig Star Trait LA QUINTA, CALIFORNIA 92253 Owner Mailing A Ns n A Asa iAten BUILDING: TYPE CONST. OCC. GRP. Address 43-875 Nasbington St. A.P. Number Tract 22982 P%ase III City Zip Tel. Palter Desert 92200 345-7541 Legal Description COOtractor Project Description Plan 5158 Lot 7& E. G. WilliIu s Dev. Corz>'. Address City Zip Tela State Lic. City & Classif. 493919 Lic. # 1131 Sq. Ft. 2134 No. No. Dw. Ardx, Engr, Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby ailmm that I am licensed under provisions of Chapter 9 (commencing with Section =I* 3 of the Business and Professions Code, and my license is in full force and SKMATUM DATE Ot1NER•BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following $113.413 reason: tsar. 7031-5.ausihess and Professions Code: Any city or county which requires a porta- b eoratr'ucl. airer, irprove, demolish, or repair any structure, prior to its issuance also replies so appicaw tar such permit to hoe a signed statement that he is licensed pursuant to PERMIT", = ,N AMOUNT me prwi - of the Contractor's license Law. Chapter 9 (commencing with Section 7000) of �.. Rl®n 3 of the Bines and Professions Code• or that. he is exempt therefrom, and the basis kv she alleged exenption. Any violation of Section 7031.5 by any Vpficant for a permit Plan Chk. Dep. sutherraripe dvopenakyofnot more than rive hundred dollars ($5o0). Bal. O L as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. fi 570,32 do the work. and the structure is not intended or offered for sale. (Sec. 7044, Buisness and ten en Pral(`,O essions Cade., The Contractor's License Law does not apply to an owner of property who Const. "8.50 bill or improves Hereon and who does such work himself or through his own employees, Mech. phot. Bat such such irprovements are not intended or offered for sale. If, however, the building or 53.50 improvement is sold within one year of completion, He owner -builder will have the burden Electrical (� a/provig fiat he oldra not build or irprove for the purpose of sale.) El %as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing8 n st uct the project- fSec- 7044, Business and Professions Code: The Contractor's Ucense Law 4� dbes not apply to an owner of property who 1xiOds or improves thereon, and who contracts for S.M.I. subprojects with a contractor(s) ice nsedpursuant to the Contractor's License Law.) 111 an ererrpt under Sec- B. & P.C. for this reason Grading Driveway Enc. Isle per Infrastructure 2.551.79 WORKERS' COMPENSATION DECLARATION 1 hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of workers Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.) Policy Ito Company O Copy is filo with the city. O Certified copy is hereby furnished. - TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS? COMPENSATION INSURANCE !this svxtiI need not be completed ff the pemrt is for one hundred dollars ($100) valuation ], t 1 (,ri..i.) 1 ttn t . ► ores) 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 M0710E TD APPL1COWT. s, after making His Certirrcate of Exemption you should become ZONE: BY: subject to the %brims' Compensation Provisions of the Labor Code, you must forthwith comvy udh such Provsians or His Permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 1 hereby affirm that there is a construction lending agency for the performance of the work forwhian this permit is issued. (Sec. 3097. CM Code.) Side Setback from Property Line Landers Name Lewarxs Address FINAL DATE INSPECTOR This is a buikling permit when properly filled out, signed and validated, and is subject to / expiration it work thereunder is suspended for 180 days. 104/89 1 certify that I have read this application and state that the above information is correct. Issued by: Date Permit 1 ogee to campy 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. bove- m ntionedpropertyforinspectionpurposes. Validated by: Signahme of applicant Date Ma�rng Address Validation: City. State; zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL SQ. FT. @ DUCT WORK ROCK STORAGE FOUND. REINF, J`J )Z ` MOBILEHOME SVC. BAR SINK POR. SQ. FT, ® REINF. STEEL GAS (FINAL)�� TEMP. POLE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS WATER HEATER 00, SERVICE FINAL INSP. DRAINAGE PIPING CAR P. SQ. FT. WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$ WALL SQ. FT. LUMBER GR. FINAL INSP. DRINKING FOUNTAIN. SQ FT ® URINAL 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, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 % c SEWAGE DISPOSAL SQ.FT.GAR r@ 3Yac 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 PLLrMfBlNfG �' , UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 10 C{� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF, J`J )Z ` GAS (ROUGH) Z/7 9v METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL)�� TEMP. POLE GROUT WATER HEATER 00, SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FINAL INSP. FRAMING E �j gl/� FINAL INSP. ROOFING VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL //yy LATHING /1 L✓ ( % Y�� MESH .L INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. =Mrc Muei REMARKS: INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL