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14143 (BLCK)i . •i T4ht u P.O. BOX 1504 Building 79-355 Caacadaz; Circle . 78-105 CALLS ESTADO Address LA QUINTA, CALIFORNIA 92253 T.D. Desert Development L.P. Mailing 'v I' v vw Address P.O. Box 1716 City Zip M iso. 14143 ILDING: TYPE CONST. OCC. GRP.; P. Number Iia Quip -tat SA_L 922153 (619) 771-1941 Legal Description Contractor kIZZICUC'CI'QY21 Manager Project Description Racquet dub perimeter Smirks Construction,. Inc. d ss. walls a 0. Box 1716 Ld Qulnta, CA 1— 92253 State Lic. H 674074 & Classif. 't-619)771-1941 City 2996 Lic. # - Arch. Engr:,R©bert Lamb Hart ASChitects Designer tj e li,fornia Street San Francisco, z& 94111 5)956-4260 State Lic. # C2711 I.herebyy affirrrtthat'l am licensed under provisions of Chapter 9 (commencing with Section 700) of Divisioriy,16f the Business and Professions Code, and my license Is in full,forca and rfect. -- , N ?.i r%� . i 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, atter, Improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to fire 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 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, Bulsness 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 -bulkier will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ 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 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. & 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 Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3600, Labor Code.) Pollcy,INo. Company 'tf/Copy Is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (This section need not be completed 9 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, alter making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply wilh 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 ateMailing Address City, State, Zip Sq. Ft. No. No. Dw. Size . Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $64,475.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. p �} ,.� Const. 48! . 00 Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure •REMARKS u i ��a.��+sanrs,_ V ZONE: BY: Minimum Setback Distances: IQQ I Front Setback from Centel't�i Rear Setback from Rear Prop. Line!'I Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT.,® $ UNITS j ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN. BOND BEAM WATER SYSTEM URINAL SQ FT. ® LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTErNot to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRY TRAY AIR HANDLING UNIT CFM FIREPLACE 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. SQ: FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ®. 3A 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 GOND. 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 APPJEQUIP. REIN F. 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:- EMARKS:VENTILATION VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. 00— M-1 �T1INSPECTOWS SIGNATURESIINITIALS WALL FINAL//- f/—gVl ' +.wa.rw_-.—r._.��r..., ._..r..rFw....--•_�._:.... 1'..� .r:.r r•:.1. �:....r•�- '•au�r_.._.r.w.r.•._._....w .w.r �=f� 1. _.•,,., � r TOO eq .w....a.•.�.v..._._....r«.�...F.rru._. �....w.T� „ r� .�,... .., �.d, - , i�..r......_.... �,.....,......,�..�._,R•.•mfr..S_....«F..�•u�__r_r.r.r.•+.6..ir.�����...r••.w�-.�.�w�..w•......,.. 65 __..,,.. C, l/AL uATio1/ i