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06589 (SFD)-t4 4 P.O. BOX 1504 N O . 06589 Building 78-105 CALLE ESTADO Address 44--'030 Carman Place, LA QUINTA, CALIFORNIA 92253 Owner F Trifid Faelfie Da$8)Ct I)18K.# BUILDING: -TYPE CONST: OCC: GRP.- Mailing I!r:/- is/ / - 004bAddress 74-923 H*vle ##1130 A.P. Number La Ouinta ElAhla>ndsg Tl" 23259 City False DensrtZip .Tel. 2260 -:340-91-14 Legal Description ContractorProject Description Pla2i A—R. Lot 17 Address . . City Zip Tela State Lic. City & Classif. 505699 Lic. # 13$3,. , _ _ Sq. Ft.. 14.00 No. No. Dw. Arch., Engr., Size _ Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition'❑ Address Tel. CityJZip State rF Lic. # LICENSED CONTRA;CTOR'S DECLARATION I hereby affirm that I am°licensed: under Provisions of Chapter 9 (commencing with Seption 70pp) of Division 3 ofyythe Business and /P/roffees-siowCode, and my liter(se ais.in-f6liifoercee and effecI. . . lR ({ •T 1� /R'1,1r4 f W7 5.t�.' .f SIGNATURE r: v DAT rr OWNER 61.11 ER DECLARATION I hereby affirin that I am exempt from the Contractors License Law for the following reason:. (Sec. 7031.5,Busfness 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 Bea signed statement that he is licensed pursuant to the provisions of the Contractors 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 penally of not more than five hundred dollars ($500). O 1, 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 notapplyto'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 .Y r or improvement is said 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.) O 1, as owner of the property, am exclusively contracting with licensed contractors to corm struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bolds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date ` Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 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 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: ff, 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, Civet 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 IEstimated Valuation $78:627 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 458.50 Const. 565.00 Mech. 60.00 Electrical & Plumbing IZ005U S.M.I. 5.53 Grading Driveway Enc. Infrastructure 19 7 6 9 • I TOTAL t3r,053.42 REMARKS -,., P..,- I., r n-Ytf-` -1 4 }} {. 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 10/2518ftPermit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE (I ( YARD SPKLR SYSTEM 2ND'FL. SO. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® ROCKSTORAGE FOUND. REINF. l/ ✓�' ll POWER OUTLET ROOF DRAINS GAR. SO. FT. ® OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SO. FT. GROUT WALL SO. FT. ® WATER HEA R DRINKING FOUNTAIN FINAL INSP. URINAL SO FT ® WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FRAMING Z, 1 %lcw FLOOR DRAIN MECHANICAL FEES �� WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® 3Ac 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 GROUND PLUM44G UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE (I ( ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. l/ ✓�' ll GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) y� TEMP. POLE GROUT WATER HEA R SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING -cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING Z, 1 %lcw AL INSP. �l L ROOFING ��j/ jQ'�% �� �y+ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING J9(L") MESH INSULATIONISOUND 2 •1 (� FINISH GRADING FINAL INSPECTION Cl al L CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESJINITIALS GARDEN WALL FINAL 1.