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07352 (SFD)T4ht P.O. BOX 1504 No. 07352 352 Building 79-270 Camino Del Oro78-105 CALLE ESTADO A(i(irpcc LA QUINTA, CALIFORNIA 92253 Owner Waring -Adams Venture BUILDING: TYPE CONST. OCC: GRP. A.P. Number Tract 24517 - Rancho Ocotillo Mailing Address 42-600 Cook Street, Suite 135 City Zip Tel. Palm Desert 92260 345.7541 Legal Description Project Description P180 sC Loi 9 Contractor Ui l l i ams D vel opwilit Corp. Address Said City Zip Tela State Lic. City & Classif. 493919 Lic. # 1231 sq. Ft. 2654 Size No. No. Dw. Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ 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. +, SIGNATURE _ DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's 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, demofish, 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 civil penalty of not more than rive hundred dollars (5500).—' ❑ 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 Contractor's 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 -builder 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 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.) ❑ 1 am exempt under Sec. B. 8 P.C. for this reason Estimated Valuation X136 X94 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. _ }• % Const. Mech. bu Electrical • �� Plumbing lbb. 3u S.M.I.s Grading Driveway Enc. Date owner Infrastructure �� Q•U WORKERS' COMPENSATION DECLARATION I 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. TOTAL ��ifti� • t CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE his section need not be completed if the ( R mp pefmR is for one hundred dollars 5100) valuation or less.) I certify that in the performance of th0 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 Date Owner NOTICE TO APPLICANT: n, 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 shall 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 Lenders Name FINAL DATE Issued by: Validated by: INSPECTOR t 3/19 90 Date Permit Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 100 days. 1 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 Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE JW OUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SQ. FT. @ FORMS SEWER OR SEPTIC TA K� ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. Ff. ® GAS (ROUGH)V/?/Id CO METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SQ. Fr. GROUT WATER HEATER WALL SQ. Ff. FINAL INSP. DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SQ FT ® =$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FRAMING l WATER PIPING NOTE: Not to be used as property tax valuation J �q / l FLOOR DRAIN MECHANICAL FEES REMARKS: 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 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. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER FINAL INSPECTION )- j'r-q j LP 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 i ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBINGUNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE JW OUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TA K� ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.f// .,,y GAS (ROUGH)V/?/Id CO 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. &64AL INSP. �U-��' �C� FRAMING l FINAL INSP. _� �-al yJ ROOFING ..0 � VENTILATION J �q / l 7 4 L REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL 944 dn& MESH INSULATIONISOUND -8/11 /A. (To L46 FINISH GRADING FINAL INSPECTION )- j'r-q j LP CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS ' GARDEN WALL FINAL