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07364 (SFD)� � I 4� P.O. BOX 1504 No. 07364 Building 78-105 75,180 Camino Del Oro LA QUINTAC Address CALIFORNIA 92253 Owner faring-Adaos Venture Mailing BUILDING: TYPE CONST. OCC: GRP. - Address d2_500 Cook Streets Suite 135 A.P. Number Tract 24517 -Rancho Ocotillo City lZip ITel. Balks Desert 92250 341-7541 Contractor Hi'lliams pevelo n` Corp. Address . Same City lZip Tela State Lic. &-Classif. 493919 1 io L# 1231 Arch., Engr., I Designer Address I Tel. City (Zip( State I 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. /!- SIGNATURE 'DATE OWNEWBUILDER DECLARATION I hereby affirin that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,B,sf ness and Professions Code: Any city or county which requires a permit to construct, after, improve, demoish, or repair any structure, prior to its issuance also requires the app6Cant for such permit to Me 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 civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sale compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Suisness and Professions Code: The Contractors 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 sold within one year of Completion, the owner -budder will have the burden of proving that he did not buil or improve for the purpose of sale.) 0 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 inproves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec_ N. & 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 fumished. 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, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Nbdrers' Compensation provisions of the Labor Code, you must forthwith 'comply with such provisions or this pemrt shat) 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 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 1 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 ateMailing Address City, State, Zip Description Project Description D1an Ir Lot 21 Sq- Ft. 2175 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation i 4 it8 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 5N.19 _ Const. Mech. Aril, t% Electrical 193.11 Plumbing i6u.bU S.M.I. K 33 Grading Driveway Enc. Infrastructurecsbt?•, TOTAL �t1s3Lf.t7t1 j REMARKS 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 DATE3/19/90INSPECTTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® SEWER OR SEPTIC TAN ROUGH WIRING POWER OUTLET ROOF.DRAINS GAR. SQ. FT. ® ��-50 GAS (ROUGH) METER LOOP DRAINAGE PIPING CAR P. SQ. FT. REINF. STEEL WALL SQ. FT. TEMP. POLE DRINKING FOUNTAIN URINAL SD FT ® WATER HEATER SERVICE ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMING �� �,� GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ROOFING a� 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE I I MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE I SMI FEE PLUMB. FEE I - STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �u ��J!/ ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TAN ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. ��-50 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL ��aAS (FINAL) Esq 5 t7 TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-x$-=$ LUMBER GR. FINALINSP. It26 qat FRAMING �� �,� FINAL INSP. /�///r% ROOFING a� Q C—D /n d � C `G `—JJ• y/� `" ` `C Q � I REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL HING GV/ MESH INSULATIONISOUND Ol ( Ct L FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL I