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002227 (SATT)P.O. BOX 1504 No. 002227 Building 78-105 CALLE ESTADO Address 80-555 Pabble Beadh LA QUINTA, CALIFORNIA 92253 Owner �°•a,ca� `�""'"�F°'' Mailing Address 75 Cmm� ClUb Drive BUILDING: TYPE CONST. A.P. Number Legal Description Project Description OCC: GRP. PGA T PUM 40 °.,''1R S B CityZip F M 92260. Tel. . 568-2S28 Contractor Nail rkwujage and LarA Address .P.' Distances: comply with such provisions or this permit shall be deemed revoked -City - " Sam Zip Tel." Front Setback from Center Line State Lic. & Classif. �� City Lic. # 3 tM 3142- Sq. Ft. Size �- No. No. Dw. Stories Units Arch., Engr:; . Designer NewC�3 Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Lender's Address FINAL DATE City _ . . Zip State Lica# expiration it work thereunder is suspended for 180 days: . 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.- : z Permit I ceitify that I have read this application and state that the above information is correct. Issued by: Date SIGNATURE !! ° /-'Y:•/ ,✓ .DATE #COWNER;BUILDER DECLARATION i y i p g I heceb 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, 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 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 exemptio&,�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). ❑ 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 such4projects with a contractor(s)-licensed pursuant to the Contractor's License Law.) - ❑ 1 am exempt under Sec. -B. & P.C. for this reason Estimated Valuation 197,249400' - -PERMIT' AMOUNT - Plan 'Chk: Dep.'. .� - Plan Chk. Bal. f Signature of applicant_. d% %' �' 'c- - ✓ Date ' Const. �%� IIJ + Mech. r .3.00 Electrical' 4� ,i.l.�l e• Plumbing 140.50 S.W. j-3.43 Grading - Driveway Enc. Date owner Infrastructure 1,000.00 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 ❑ Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 4 . (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. TOTAL 3 5.1T REMARKS Date Owner NOTICE TO APPLICANT: If, alter making this Certificate of Exemption you should become ZONE: BY: subject to -the Workers' Compensation provisions of the Labor Code, you must forthwith Setback Distances: comply with such provisions or this permit shall be deemed revoked Minimum 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 ' Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days: Permit I ceitify that I have read this application and state that the above information is correct. Issued by: Date 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.l Validated by: f Signature of applicant_. d% %' �' 'c- - ✓ Date ' Mailing Address Validation: City, State, Zip ° A 5 1 1 9 4 8 558 17 CK HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEF " NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® 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 POUGH PLUMB. 'c'J FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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 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 _$ LUMBER GR. 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 feVbUND PLUMBINGG V/, UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE S /Q ®G �� POUGH PLUMB. 'c'J BONDING HEATING (ROUGH) STORAGE TANK kffrORMS F�MER OR P ,1G T G %7 OUGH WIRING ® +v DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. JAEINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM 2�L GRADING Cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. �� FRAMING 8 ` FINAL INSP. �� / IAOFING 61 -if: Z REMARKS: VENTILATION FIRE ZONE ROOFING - FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING ® A MESH hI SULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL j�tlYw� 11100 ,ee-