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04918 (SFD)P.O. BOX 1504 Building78-105 CALLE ESTADO r Address � 9- 065 Puinera Court LA QUINTA, CALIFORNIA 92253 No. 04918 Bar Con Development BUILDING: TYPE CONST. OCC: GRP. Mailing Address 68-713 Perez Road A.P. Number 'Pare La. `)"1,nt A Cityp Cathedral CitZiTel. 92234 773-9024 Legal Description Contractor Project Description Plan 2017 Lot 28 Same Address City Zip Tela State Lic. 33?�77 City 3218 2017 2 S Classif. Lic. # w • Sq. Ft. No. No. Dw. Arch., Engr., Size - Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Address Tel. City Zip State Lic. # l LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 f the BBsiness and Professions Code, and my licenses in.full force and 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 file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Utikion 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 ch d penalty of not more than five hundred dollars ($500). ❑ 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, Suisness and Professions Code: The Contractor's License Law does not appy to an owner of property who bwlds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for safe. ff, however, the building Or improvement is sold within one year of completion, the owner -budder win have the burden of proving that he did not build or improve for the purpose or safe.) ❑ 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 omproves thereon, and who contracts for such projects with a contractors) ncensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec B. & 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 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 it the permit is for one hundred dollars ($100) valuationor ` 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: ff, after making Nis 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. 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 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. Signature of applicant - Date Mailing Address City, State, Zip tstlmateo valuation S102,026 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 368.85 Const. 440.50 Mech. 42.00 Electrical 79.50 Plumbing 94.00 S.M.I. 7.18 Grading Driveway Enc. Infrastructure 2,295.59 TOTAL $3,327.62 t REMARKS , � r� rc•L: x...n; rrrr a 4K �iF+4•*.r,,'A,�*;n=.�g5—�kt49F'�'r^ 5-��i"d7 1 �� 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 12119/88 Issued by: ate -Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO, F7. ® CAR P. SQ. FT. WALL SQ. FT. SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation HEATING (ROUGH) FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) METER LOOP GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED W-frEINF. STEEL 2� LAUNDRYTRAY AIR HANDLING UNIT CFM 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. SQ. FT. ® c BATH TUB ROOFING $ VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 41-t/ MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac 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 OUND PLUMBINGZZ UNDERGROUND A.C. UNIT COLL. AREA DE 2 _W ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. W-frEINF. STEEL 2� GAS (FINAL) MP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING _cu. yd. $ —Plus—x$—=$ / LUMBER GR. FINAL INSP. FRAMING NALINSP. ROOFING $ VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 41-t/ MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. i�� 6 r/per r-0 REMARKS: SIGNATURESIINITIALS GARDEN WALL FINAL