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06459 (SFD)Building Address 44-430 Blazing Star Trail Owner La Quints Associates Mailing Address Q-875 Washingtou St. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 CityZip Tel. Palm Desert 9226© 1 34-7541 Contractor Address E. G. Williams Dev. Zip State Lic.4939I9 I City I23I & Classif. Lic. # Arch., Engr., Designer Address cityI Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 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 DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Brsrness and Professions Code: Any city or county which requires a permit to construct. after, knprove, demolish, or repair any structure, prior to its issuance also readres 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 afteged exemption. Any violation or Section 7031.5 by *any applicant for a permit srrb%ects the applicant to a avi pernafty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my not 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 krprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year or completion, the owner -builder will have the burden of proving that he did not build or irprove for the purpose of sale.) ❑ 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 contractors) 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 certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company O Copy is filed with the city. ❑ Certified copy is hereby fumished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) vatuation or less.) I certify that in the performance of thg work for which this permit is issued, 1 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, tl, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions or 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.) Lenders Name Lenders Address This is abuilding permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 1 certity 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 No. ©6459 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Tract 22982 Phase III Legal Description Project Description Plan 2BR Lot 75 Sq. Ft. 1621 Size -No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 87.514 PERMIT+ ` AMOUNT Plan Chk�Dep. Plan Chk. Bal. $ 488.77 Const. 585.50 Mech., - 53.30 Electrical 104.00 Plumbing 123.00 S.M.I. 6.66 Grading Driveway Enc. Infrastructure 1,969.07 TOTAL $3.330.00 'f '1• � • i REMARKS ' r,a a n• a A +.i r s :" s m n n �O 1 f, io l.iiJ1`r 1 IU111L 1 �..1r1,tdV 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 10/3109 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE/� �AXOUGH PLUMB. BONDING HEATING (ROUGH) YARD SPKLR SYSTEM 2ND FL. SQ. FT. SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK MOBILEHOME SVC. BAR SINK POR. SO, FT. @ AS (ROUGH)- QD ETER LOOP HEATING (FINAL) GAR. SO. FT, ® POWER OUTLET ROOF DRAINS IZIT GAS (FINAL) N /+% L ��4 MP. POLE DRAINAGE PIPING CAR P. SQ. FT. WATER HEATER SERVICE WALL SO. FT. ® DRINKING FOUNTAIN WATER SYSTEM URINAL SO. FT. ® LUMBER GR. FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation f / FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE LAUNDRY TRAY 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/<c HOUSE SEWER FELECT.FEE GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBINGi�5i UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE/� �AXOUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. AS (ROUGH)- QD ETER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL IZIT GAS (FINAL) N /+% L ��4 MP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING oor f / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING I q� MESH INSULATION/SOUND IF FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINRIALS GARDEN WALL FINAL