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07377 (SFD)T4,1f 4 4 a" P.O. BOX 1504 Building 44-215 CaMino AM LA QUINTA8-105 C Address CALIFORNIA 92253 Owner Waring -Adams Venture Mailin Address 42-500 Cook Street, Sul to 135 Cityp Tel. Palm €DesertZi92260 345-754i Contractor Williams Development Corp. Address City Izip Tela State Lic. City & Classif. 493919 Lic. # 1231 Arch., Engr., Designer Address Tel. CityI Zip I 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. j , / SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business 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 or 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 Dy 'any applicant for a permit subjects the applicant to a civil penalty of not more than Five hundred dollars ($500). O 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 Contractor's License Law does not apply to an owner or 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. ff, however, the building or improvement is sold within one year of completion, the owner -budder will have the burden of proving that he did not build or Improve 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 or property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers 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 if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not =any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: d, after making this Certificate or 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 properly filled out, signed and validated, and is subject to expiration it 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. 07377 11LDING: TYPE CONST. OCC: GRP. P. Number Tract 24517 - Rancho Ocotillo Legal Description Project Description Plan 38 lot 34 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: Sq. Ft. 2550 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $136,890 PERMIT Plan Chk. Dep. Plan Chk. Bal. AMOUNT _ 339.73 Const. 7.6-7.ucr Mech. 61.51) Electrical 1313.57 Plumbing 156.50 S.M.I. 9.5 Grading Driveway Enc. Infrastructure 310W103 TOTAL REMARKS i `) •% J 4l, M.;ri I � S r' I � l Y '' � CI� / a 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 �J � ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ FORMS SEWER OR SEPTIC A ��ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) O L METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS AS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER SERVICE WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN. BOND BEAM WATER SYSTEM URINAL SQ FT ® LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FRAMING `® rg 60 L WATER PIPING NOTE: Not to be used as property tax valuation PE�L.� 10l , �v L.p / C, 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 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER FINAL INSPECTION hlgo 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 ;2 SETBACK GROUND PL MBING NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �J � ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC A ��ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) O L METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL ( i%y�� AS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ —Plus—x$—=$ LUMBER GR. FINAL INSP. Q G FRAMING `® rg 60 L FINAL INSP. l —ieDl ROOFING v PE�L.� 10l , �v L.p / C, REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL l[ATHING 4 - MESH MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION hlgo CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS ' GARDEN WALL FINAL I 7� EXISTING ADOBE BLOCK WALL 3 SIDES ' • 3140 S3000 31d0llddd lld ON`s aid SV NOW 91VISNI 01103mns N011o(la . C0 80d (331d300V All NOWON00 1N3Alddd3a A13�VS V JNialin8 ViNin d� 5' 6" PERIM= 80' AREA = 336 SF DEEP = 370 5' DECK = 735 SF ACCESS REMOVE WALL 44 39' 6° EXISTING RESIDENCE 3 12' 011 28' 0° 5' 4' 3 1/4° DUANE AND JESSIE NISHIKUBO AND FAMILY 44-215 CAMINO AZUL LA QUINTA, CA 92253 360-1016 3' 16' 0° -� GAS AND ELECT IC EX 19' 0° PAD , NlSt�il�cv�3a. qtr_-S��N��..•,�. ,� ;� „�' ;� ��3�..� • x �all QU l i fL� CITY O F L� s osT BUILDING & SAFETY -DEPARTMENT C ONDMONALLY ACCEPTED FOR CONTAS ON SUBJECT TO INSTALLATION AND ALL APPLICABLE CODES /2 5 p F.c,� � BY DATE ,/ L�.s 6d Fr' ate" � G • . , • . • - .. 2x/Z 1��o7`n3�