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002723 (ELEC)4 44 tyl Qum& Building -18-435 &V4TICrogar Address Owner Mailing Address City Zip Tel. La. Quinta. 92253' .. Contractor Address 81-648 De 0M City Zip Tel. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 002723 BUILDING:. TYPE CONST: OCC: GRP. A.P. Number 617-051-00ri Legal Description TOt 45 Project Description 347-67'37 State Lic. City & Classif. 481413 Lic. # 617t Sq. Ft. No. No. Dw. -Size Stories - Units - Arch'., Engr., - Designer New Q Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Chamie to 240 =P sery1 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,ode, and my license is in full force and of. the B_.u�sirn�e�s�s�?a/ndfProfessi�onsr effect. f �/�✓".?�%s�e�.�+��rti '� lra9ri+F3 SIGNATURE DATE - - OWNER•BUILDER DECLARATION' hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation - reason: reason: (Sec. 7031.5,Susiness 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'thaLfie is exempttherefrom, and the basis for the alleged exemption. Any Section 7031.5 by 'any for Plan Chk. Dep. violation of applicant a permit subjects the'applicant to a civil penalty of not more than five hundred'dollars ($500). • ' Plan. Chk. Bal. .. ' - , O 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, Bussness and COr1St. 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. It, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden Electrical - 3 (�(� 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- Plumbing . 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. 1. ' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ❑ I am exempt under Sec. B. 1x P.C. for this reason 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 No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 35. CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE I . (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' *Com pensation 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 the 'Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from,Rear Prop..Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line Thereby 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. .a I certify that I have read this application and state that the above information is correct. ' ISSued.by: Date 71-18-86Permit I agree to comply with all city and county ordinarices•and state laws relating to building construction, and hereby authorize representatives -of this city to -enter the above. mentioned property for inspection purposes. Validated by: Signature of applicant•! Mailing Address A .017 V Validation: city, State, Zip t er A6%82 11 18 35.60 CK HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOMESVC. BAR SINK GAR. SQ, FT. ® POWER OUTLET- ROOF DRAINS CAR P. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SQ. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN SQ FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. / 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, 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. SQ. FT. RESID ® 11A c SEWAGE DISPOSAL GAR. FIREWALL SO.FT.GAR ® V4c HOUSE SEWER LATHING 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 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 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 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 INSPECTOR'S SIGNATURESANITIALS, GARDEN WALL FINAL