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07541 (SFD)4 4 Q�� P.O. BOX 1504 Building Citrus Course 79-855 Sande LA QUINTACCCALIFORNIA 92253 Address JM Peters Mailing I Address 12526 High Bluff City lZip ITel. Contractor Address Zip ITel. State Lia I City & Classif. 310M Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State n I Lic. # LICENSED CONTRACTOR'S DECLARATION I herebyy affirm -that , am licensedJunder provisions of Chapter 9 (commencing with Section 100) of Divisionofthj Busihess'and_Professions Code, and my license is in,full force and OWNER -BUILDER DECLARATION I hereby affirm thatll a , exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,B6siness and Professions Code: Any city or county which requires a permit to construct, letter, Improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to the provisions or 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 rive hundred dollars ($500). 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, 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 h, or Improvement Is sold within one year of completion, the owner -builder will have the burden 'y or proving that he did not build or improve for the purpose or sale.) . O 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 1^ does,nol apply to an owner or property who builds or improves thereon, and who contracts for ri such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O `tarn exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION i=CTION I hereby affirm that I have a certificate �f �conys t to s If -insure, or a certificate of Worker's Cc m pen sat i o n I n a u rance, or a ce rt i f i cbp ,t ereof. syec.380b;�LaborCode.) Policy No. Comp.— -.. 403 � 0 P Y,• --rte fu � a �-- O Copy is tiled with the city. O�CertifiedlEOMPTIONLROM py, is h reby furnished. CERTIFICATE OF E`i 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 the 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 or Exemption you should become subject to the Workers' Compensation provisions or the Labor Code, you must forthwith comply with such provisions or this permit shaft 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 it 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 No. 07541 BUILDING: TYPE CONST. OCC: GRP4det A.P. Number Legal Description Citrus Coarse Lot 27 Project Description ftdel 2A Sq. Ft. 33 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ (Estimated Valuation $239*388 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL` AMOUNT ma 19-4. 90.tio 159..916 158.50 16.80 5.386.23 REMARKS VD 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 4/13/90 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADES 'Q 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SQ. FT. OTHER APPJEQUIP. DRINKING FOUNTAIN SO 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. 1 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 SPARK ARRESTOR SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic 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 SETBACKROUND PLUMBING/ UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADES 'Q ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK 2� D ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. 9 `%)9 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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. 1 FRAMING T //// FINAL INSP.16 /i� ROOFING ✓ ) 9� ^ K l !Y '� 1�� O REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALLIf T G 'G D MESH INSULATIONISOUND�I FINISH GRADING FINAL INSPECTION11 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESJINITIALS GARDEN WALL FINAL rificate of Occupancy T Cert City "of La Quinta .. Building. and Safety Dep iarttlientoFti This Certificate issued pursuant to the requirements of Section 109 of the Uniform Bui/ding ,Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the fo%%wing: BUILDING ADDRESS: 79-855 SANDIA Use Classification: SFD Bldg. Permit No.: 07541 Occupancy Group: R3 Type of- Construction: VN Land Use Zone: RL Owner of -Building: JM PETERS Address: 12526 HIGH BLUFF City: SAN DIEGO CA 92130 By: LONIE DAY Date: 11-14-90 Building Official POST IN A CONSPICUOUS PLACE rt i