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07366 (SFD)Buildin er;lrf—g 44.160 CaMino AZul Waring -Adams Venture Address 42-6100 Gook Street, Suite 135 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City Zip Tel. Palet Desert - 92260 345'-7541 Contractor .. Williams Development Corporation city State Lic.City & Classif. 49391 Lic. # 1231 Arch., Engr., .Designer 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 70 0) f Division 3 of the Business.and Professions Code, and my license is in full force and SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirin that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Busness and Professions Code: Any city or county which requires a permit to construct, ager, bwmve, demofsh, or repair any structure, prior to its Issuance also requires the applicant for such pemrrt to lie a signed statement that he is licensed pursuant to the provisions of the Conbactors Licmrse Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, of that. he is exempt therefrom, and the basis for the alleged exemption. Any vioAAbn of Section 7031-5 by 'any applicant for a permit subjects the applicant to a civ? penally of not more than five hundred dolkrs ($500). ❑ 1, 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 irprOves thereon and who does such work himself or through his own employees, provided that such improvements are nor idended or offered for sate. If, however, the building orimprovements said wilfrin one year of cortpk6m. the owner -builder will have the burden of proving that he did not bid or reprove 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 brads or iraoves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Conbactors License Law.) ❑ 1 am exempt under Sec B. & P -C_ for this reason Date Owner WORKERS' COMPENSATION DECLARATION I 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 No Company ❑ Copy is filed with the city. ❑ Certified copy is hereby fumished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 9 the pend is for one hundred dollars ($100) valuation or less.) I certify that in the performance of tfrp work for which this permit is issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT. 9, after mating the CertTicate 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 she/ be downed 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, Civil Code.) Lenders Name Lenders 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 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. Signature of applicant Date Mailing Address City,. State,,Zip No. ©7366 11LDING: TYPE CONST. OCC: GRP. P. Number Tract 24517 - Rancho Ocoti l I o Legal Description_ Project Description Plan 20 Lot 23 REMARKS -- _ i t?`31;,` ��,: 'moi Y. Iii 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 INS,PC'ryR- Issued by: —Date—Permit // Permit Validated by: Validation: Sq. Ft. 2344 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $125,428 PERMIT Plan Chk. Dep. Plan Chk. Bal. AMOUNT be4Q� - f Const. • 0 Mech. W. ST Electrical YLl .16 Plumbing 150.w S.M.I. • 82 Grading Driveway Enc. Infrastructure '1 TOTAL REMARKS -- _ i t?`31;,` ��,: 'moi Y. Iii 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 INS,PC'ryR- Issued by: —Date—Permit // Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE -9 117a YARD SPKLR SYSTEM 2ND FL. SO. FT. HEATING (ROUGH) STORAGE TANK POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. I SO. FT. ® �� DRAINAGE PIPING WALL SQ. FT. HEATING (FINAL) DRINKING FOUNTAIN. SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GRADING cu. yd. $ -plus-x$-=$ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP./' /Q DI ✓ LAUNDRY TRAY AIR HANDLING UNIT CFM ROOFING r cd 4,0 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. SO. FT. ® c BATH TUB FIREPLACE SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 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 r%4 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE -9 117a ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS OR SEPTIC TA K3 ?' ROUGH WIRING DUCT WORK ROCK STORAGE /SEWER FOUND. REINF. r �� GAS (ROUGH)fi //� !�Q �� l ( 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./' /Q DI ✓ FRAMING &7 h L 0 FINAL INSP. �-q ROOFING r cd 4,0 �^n v I / -7 /(�O L C l/ [ l l a to L REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL 1q F LATHING �p MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL