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002479 (SATT)P.O. BOX 1504 No. 002479 Building 78-105 CALLE ESTADO Address 55-530 Phizft LA QUINTA, CALIFORNIA 92253 Owner BUILDING: TYPE CONST. OCC:.GRP. Mailing Address 71T.-PITIMS Club 11jr A.P. Number CityZip Tel. Palm DeWft 9226-%872828 Legal Description Contractor g Project Description %.0 e��r�.�� • i� t Address . _.'a.�• Sam City Zip Tela Sam State Lia City IM93 3478 & Classif.. 2$8134 Lic. # 328 Sq. Ft. No. No. Dw. -Arch:, Engr.; . Size • - Stories Units ' Designer New ❑X 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,0 DATE , OWNER(BUILDER DECLARATION Estimated Valuation - I hereby affirm that I am exempt from the Contractor's License Law for the followingi�3�.0 reason: (Sec. 7031.5,Business and Professions Code: Any -city or county which requires a, permit to construct, alter, 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 .. PERMIT AMOUNT 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 n for the alleged exemption. Any violation of Section 7031.5 by 'any applicant. for 'a permit: Plan Chk. Dep.. ' • subjects the applicant to'a civil penalty of not more than dive hundred dollars'($500): . 34394 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will. Plan Chk. Bal...�J do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and 'Const. .� 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, Mech. ��9t58.0.3provided 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. Electrical - 140.73 of proving that he did not,build or improve for the purpose of sale.). $y� � ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing '- 14 4.:i0 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 S.M.I. ' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading O 1 am exempt under Sec. B. & P.C. for this.reason Driveway Enc. Date Owner Infrastructure 2,000.00 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 O 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 thg 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. Date Owner ' NOTICE TO APPLICANT: If, 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. 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.) Lender's Name 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 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 1 City, State, Zip HARD COPY TOTAL 3,665.02 3.4B.02 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 DATE INSPECTOR Issued by: Date 7 : .8fPermit Validated by: Validation: A6106. 7 31 5415G2 Cti CONSTRUCTION ESTIMATEdft, NO. ELECTRICP S NO. PLUMBING FEES IST FL. SQ. FT. ® 2ND FL. SQ. FT. FOR. SQ. FT. ® GAR. SQ. FT. @ CAR P. SQ. FT. WALL SQ. FT. ® SO. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FE PPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 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 APP.IEQUIP. 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. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL - LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL 1 VX'J biur4A 1 UKLWIN1I IALb. GARDEN WALL FINAL