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13166 (GRES)t P.O. BOX 1504 No. 13166 Building t'=`.`;a,. 78-105 CALLE ESTADO Address 49"045 Ce os' Circle LA QUINTA; CALIFORNIA 92253 Owner Robert Y©udale BUILDING: TYPE CONST. OCC: GRP. Mailing Address Same A.P. Number City Zip Tel. 2,a Quinta, 922-53 , Legal Description Contractor Project Description lac' rage Addition Craig Conklin Company Address 73-62.2 HWY 121 #7 Citx Zip Tela t Palm Dese.at, ICA 922643 . 346-8805 State Lic. City & Classif. 31€3634 Lic. # 203 Sq. Ft No. No. No. Dw. Arch., Engr., f Size Stories Units Designer t New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ ' Address Tel. City Zip State Lic' # LICENSED N AC3OR'S DECLARATION I h )rebyy affirm that I am li rise nde pros isions of Chapter 9y(commencing with Section 7000 ofrDivis on:3 oftI}Ae B sine srandfProf6ssions Code, and m license -is in full force and effect r %J SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation A I hereby affirm that I am exempt from the Contractor's License Law for the following , l71 • $� 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 AMOUNT requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT - 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 Plan Chk. Dep. m subjects the app:icanf 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 Plan Chk. Bal.29.25w do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 45.00 - 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. provided that such improvements are not intended or offered for sale. If, however, the building orimprovement is sold within one year of completion, the owner -builder will have the burden Electrical of proving that he did not build or improve for the purpose or sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing siruct 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...14 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 Grading Driveway Enc. Date Owner Infrastructure 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 o. Company Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 74.39, CERTIFICATE OF EXEMPTION FROM REMARKS V 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 lhg 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 ZONE: BY: subject to the Workers' Compensation provisions of fhe Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. 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 if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. Issued by: Date Permit I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives sof this city to enter the above-. mentioned property for inspection purposes. Validated by: Signature of applicant -Date- Mailing ateMailing Address Validation: City, State, Zip ".'m CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEESS' 1ST FL. SO. FT. p $ UNITS COLL. AREA SLAB GRADE / (10 ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. @ POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. I SQ. FT. ® GAS (FINAL) TEMP. POLE WALL SQ. FT. DRINKING FOUNTAIN GROUT WATER HEATER URINAL SO. FT. ® FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation GRADING cu. yd. $ plus x$ FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REMARKS: 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 SO. 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 INSULATION/SOUND GAS PIPING PERMIT FEE FINISH GRADING 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 PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE / (10 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 APPJEOUIP. 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 _ 3 FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION �r� i J CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL I SLANO S HOMEOWNERS AS SO C 2AT 2 ON NO- 1 ..................................................................................... P. 0. Box 1271 La Quinta CA 92253 July 12, 1993 Building & Safety Department CITY OF LA QUINTA P. 0. Box 1504 La Quinta CA 92253 RE: 49-045 Cedros Circle ROBERT VORDALE Gentlemen: The Architectural Committee of Islands Homeowners Association No. 1 has reviewed the plans submitted by Contractor Craig Conklin and find them meet all the required specifications of the. Rules and Regulations. If you have any additional questions, please contact the office at 564-2177. Thank you. Anne Tuttle Secretary for THE ARCHITECTURAL COMMITTEE A" ��kATA:A:ICA:A:iik 115vt A'A: j:A*A71�k'i:ikk kA�ki L*A: n.