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06469 (SFD)T4'yl 4 4 Q" Building 44--405 Buttercup Lane Address La Quinta Anaftiateu P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address 43-875 'Washington St. City Zip Tel. Pain Desert 1 92260 1 345--7541 Address E. G. Willis= Dev. co". Tel. State Lic I City a Classit_ 493919 Lic. # 1231 ArCk. EnSr " Designer Address Tel. City IZip I State Lic. # LICENSED CONTRACTORS DECLARATION 1herr�r aifnm 012111 am ioeosed under provisions of Chapter 9 (commencing with Section 4afbivrsian309goBtainessand Professions Code, and my license is in full force and _5110"TURE DATE Owl12311- EA DECLARATION 1 tlerebr affipr Drat 1 am e:errpt from the Contractor's License Law for the following reasa¢ iSee. 7031.5;,®moes and Ptalins ins Lode: Any city or county which requires a p unit b cousImM oiler, dle®oI f or re)afr any structure. prior to its issuance also Me a ftW Por sock prsmit b fila a suyred statement that he is licensed pursuant to he proiwoos d — Looiace w s r - Law Chapter9 (commencing with Section 7000) or Ehisto 3 of Me 9 1 aad Plol assimrs Cade, of than he is exempt therefrom, and the basis /or fie aryed Awry riafaGoew of Section 7031.5 by 'any applicant for a permit syeeu tie appfm0 b a ddpenW y dint more than five lxR7drod dollars ($500). 0 k as owner of t he property, or my employees with wages as their sole compensation, will do the wadi, and the sbuctae is not intended or offered for sale. (Sec. 7044, Buisness and Play Code The (bmrloclo'S license law does not apply to an owner or property who bulft or fr8rores bsuch eoeoo and I" does suwork hinsell or through his own employees, pworided oda sQ8 iwprwr®eaf are not iralded or offered far sale. lf, however, the building err iproowwent B Sid awati 2 ape yea of cenpktfion, the owner -bolder will have the burden arplowog oat ie did uW amild m inpa we for the purpose of sale.) Cl k as owner of the preperty, am exclusively contracting with licensed contractors to con- sbuO the pmieei (Sec 7044, Business and Professions Code: The Contractor's license Law does nor appy b an owner of property who builds or improves thereon, and who contracts for so*-rorcu wilb a aohalmN fcaaed pwrsraM to the Confractoes License Law.) El I am - I under Sec R b P.C. for this reason Dale Owner WORIGEW CORS BMTION DECLARATION 1 hereby affnm ,hail 1 have a certificate of consent to self -insure, or a certificate of YMakers Compensation I nsuanog, or a certified ropy thereof. (Sec. 3800, Labor Code.) Policy "41—Company El Color is fled with the city. El Certified copy is hereby furnished. t331T�1t ATE OF EXEMPTION FROM �ORItHIS OOIWEIISATION INSURANCE phis secom need not be oawpt4ed d the pend is for one hundred dollars ($100) valuation I certify that in the peafamiance of tltg work for which this permit is issued, I shall not employ �a a in any manner so as to become subject to the Workers' Compensation Laws Oaie owner A0710E 70 APPE ANF_ O, allr awatirg this Certilkwe of Examptnon you should become sneliou b she Nudore r provisions of the Labor Code, you must forthwith cawpy mom sooh , fi - or 96 permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby aff� Wild (here is a construction lending agency for the performance of the work 1Q whidn Suis permit is issued (sac 3097, Civil Code.) Lenders Name LEvdo's Adaess This is abulddg puanwiR wtderl properly filled out, signed and validated, and is subject to enpiatial it wort thereumbw is sluperded for 180 days. 1 Catifr Hilal 1 mare read This application and state that the above information is correct. agree 10 Co ply with all city and county ordinances and state laws relating to building constructim% and �y representatives of this city to enter the above- Purposes- Date— maillim Aduf�s CI% Staip, Zip No. 06469 11LDING: TYPE CONST. OCC. GRP. P. Number Tract 22982 Phase III Legal Description Project Description Plat 5CR L©t 62 Sq. Ft. 2= 2134 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. $ AM. 32 Const. 688.50 Mech. 53.30 Electrical 120.17 Plumbing 138.50 S.M.I. 7.99 Grading Driveway Enc. Infrastructure 2,551.79 TOTAL !M,130.76 REMARKS ...1 ... ..z 1: :„ + t. I -A c v! ` t 'tit I f,f: 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 INOS13CrTOR 89 Issued by: Date J Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE Zfire',%�HOUGH PLUMB. BONDING HEATING (ROUGH) YARD SPKLR SYSTEM 2N0 FL SQ. FT. @ SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK MOBILEHOME SVC. BAR SINK POR. SO. FT, ® GAS (ROUGH) ( - �� ( METER LOOP HEATING (FINAL) GAR. SQ, FT_ @ POWER OUTLET ROOF DRAINS GAS (FINAL) 'L /Fj/�j`d TEMP. POLE ( r DRAINAGE PIPING CAR P. SQ. FT. WATER HEATER SERVICE WALL SQ. FT. DRINKING FOUNTAIN SQ FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ LUMBER GR. FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation 7 -d FLOOR DRAIN MECHANICAL FEES REMARKS. 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, 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. SQ. FT. RESID ® t Vi c SEWAGE DISPOSAL SO.FT.GAR ® V4c 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 Zfire',%�HOUGH 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 l d t GAS (FINAL) 'L /Fj/�j`d TEMP. POLE ( r GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING -cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. A� FRAMING l�j (9 INAL INSP. ROOFING %( ,Z� VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING t "l• MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FFNCF FINAL 7 -d `V /J `�`' ` y� REMARKS. OWS SIGNATURES/INITIALS GARDEN WALL FINAL