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07367 (SFD)Building 44.120 Camino AM Tity/ at, P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 07367 Owner arIng-Adams Venture BUILDING: TYPE CONST. OCC: GRP. A.P. Number Tract 24517 - Rancho Ocotillo Add�ess42-600 Cook Street, Suite 135 CityZip Palm Desert 922b0 ITO. 345-7541 Legal Description Project Description plan 3 C Lot 24 Contractor Williams Deielopment Corp. Address Saiz City Zip Tela State Lic. City & Classif. 493919 Lic. # 1.231 Sq. Ft. 2550 Size No. No. Dw. Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair O Demolition ❑ Address Tel. City Zip State Lic. # 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- ? T�' _SIGNATURE DATE OWNEBUILDER DECLARATION I herebyaffirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,81usiness 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 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 alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civilpenalty of not more than two hundred dollars ($500).— O 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 Professions Code: The Contractors License Law does not apply to an owner of property who builds or rmproves 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 sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) O 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 contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec B. & P.C. for this reason Estimated Valuation $136.890 PERMIT Plan Chk. Dep. Plan Chk. Bala AMOUNT • r Const. • Mech. • Electrical Plumbing ti'• 50 S.M.1.• Grading Driveway Enc. Date Owner Infrastructure S4 •W WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 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. O Certified copy is hereby furnished. - — TOTAL CERTIFICATE OF EXEMPTION FROM 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 thg 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 REMARKS n4tm9 q S iii hCtt. 7. (1 I�'r11. Ctrs , fig X l,;iml T I iJ' t Ytt.. Y ' m ti.r • . w Date Owner NOTICE TO APPLICANT: d, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shah be deemed revoked. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name FINAL DATE INSPECTOR t4 E n/O .i 19/90 3/19/90 Lenders Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 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. Issued by: - Validated by: Date_Permit Signature of applicant Date - Mailing Address Validation: City,.. State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE s/g�Q� ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE FOUND. REINF. p QO POWER OUTLET ROOF DRAINS GAR. SO. FT. ® HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. I SO. FT. ® WALL SQ. FT. WATER HEATER DRINKING FOUNTAIN. FINAL INSP. URINAL SQ FT @ WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION $ GRADING yd. $ plus x$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. 2 / FLOOR DRAIN MECHANICAL FEES ROOFING 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. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER FINISH GRADING 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 PLUM I G / ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND P7LU UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE s/g�Q� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TA ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. p QO GAS (ROUGH) It[/lQ0 iC!61 l � METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING yd. $ plus x$ =$ LUMBER GR. FINAL INSP. 2 / / FRAMING / fib L FINAL INSP. /�/�. a�(� [ ROOFING ? /� a PCeL.i,-,L 10 4 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL HING (o q d LD MESH INSULATION/SOUND//] t FINISH GRADING FINAL INSPECTION 51!! A CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL YZiIiC Z n 4 X.LP laA►14 _ _h0 �y 5. _(rAC Ci `-__ �G���'�1JGE 'j�� ' C�D�.IG�ic" - 1 ' CITY-.OF. LA Q1It. TA IrJ ' - -61 0a' Wyk - - - -- --�' ��LflING &-_ A5-E- - D•ERAT`MENT- - =: - - . _ -- ----- '� ACCEPTED FSR C+B�BT9J�T10td - - - _. _ _ __ .____ ___. SUBJECT TO INSTALLATION AS PER .- - - - ANDAL'APPLI B DES­ DATE - t _ DATE 7����,.2 B �q)AI � ! -- - ---------- - -- -- ..—_ - -- -- - 1� - - -- - - 35c� _ x< _ I _._ — -616 Jj F___ AID r