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07368 (SFD)Building 44-090 Camino Azul Tit�144Q" P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner q - I iarinAdaw Venture Address 42-600 Cook Street, Suite 135 City Zip Tel. Palm Desert 92260 1 345-7541 Contractor Williams Develoment Coro. .UW City State Lic. I City & Classif. 493329 Lic. # 1232 Arch., Engr., Designer Address Tel. City IZIp IState# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I 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. ' f _SIGNATURE DATE OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following reason: (Sec. 7031.5,8usness and Professions Code: Any city or county which requires a permit to construct, after, improve, derrnish, or repair any structure, prior to its issuance also requires the applicant for such permit to lie a signed statement that he is licensed pursuant to the provisions of the Contractors 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 alleged exemption. Any viahaDn of Section 7031.5 by 'any applicant for a permit subjects the applicant to a clivi penally of not more than rive hundred dollars ($500). ❑ 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, Suisness and Professions Code: The Cadractoes 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 improvements are not intended or offered for sale. If, however, the building or improvement is sokf within one year of completion, the owner -builder will have the burden of proving that he did not build or irprove for the purpose of sale.) ❑ I, 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 contractorfs) 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff the permit is for one hundred dollars ($100) vatuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in arty manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: H, after makig this Certificate of Exemption you should become subject to the workers' Conversation provisions of the Labor Code, you must forthwith comply with such provisions or flus permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, CIO Code.) Lender's Name Lender's Address This is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certity that 1 have read this application and state that the above information is correct. 1 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. 4736:8 BUILDING: TYPE CONST. OCC'GRP.- A.P. Number Tract 24527 - Rancho Ocotillo egal Description roject Description Plan 3 R8 Lot 25 Sq. Ft.�� Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation !136,8" PERMIT Plan Chk. Dep. AMOUNT Plan Chk. Bal. J _ Const. Mech. 6T.50 Electrical IJ6.57 Plumbing 166,50 S.M.I. 9.59 Grading Driveway Enc. Infrastructure rr. TOTAL 44: /.L--tr._.,r REMARKS 10 t.ii:nf9 .t I V t1L L ..2 t _ 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 Issued by: - Date 3/19/90 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE S �� ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ FORMS j SEWER OR SEPTIC TA IJ ROUGH WIRING MOBILEHOME SVC. BAR SINK POR, SQ. FT. ® GAS (ROUGH)tl �7(w /� TTTT��[ �(/ METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL)' -- / TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN. BOND BEAM WATER SYSTEM URINAL SQ FT 0 =$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FRAMING 1 Gw / /°t O� 7.��✓�•l� WATER PIPING NOTE: Not to be used as property tax valuation /y ✓� 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 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. SO. FT. ® c BATH TUB MESH SQ. FT. ®c I WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL FINISH GRADING 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 S �� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS j SEWER OR SEPTIC TA IJ ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. !//➢ /1 i� GAS (ROUGH)tl �7(w /� TTTT��[ �(/ 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.! L (1j�j G FRAMING 1 Gw / /°t O� 7.��✓�•l� FINAL INSP.�/ ROOFING /y ✓� y h V (�I/ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL 41 LATHING D MESH INSULATIONISOUND� Ori FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL