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002058 (GRES)P.O. BOX 1504 NO. •002058 Building 78-105 CALLE ESTADO Address 50-920 Cale MUM LA QUINTA, CALIFORNIA 92253 Owner Mailing Address CityZip Tel. ..L to 92253 564-3550' Contractor BUILDING: TYPE CONST. OCC: GRP. A.P. Number 769--074-005 Legal Description Project Description 22 X 22 Ln -a 0 ge to exi-stimg ..City _.. Zip Tel.- S$L=ie famuy &O-ellim State Lic. City & Classif. Lic. # Sq. Ft. Size C93.R 484 No. No. Dw. Stories- Units Arch.; Engr:, Designer New DA Add ❑ Alter ❑' Repair ❑ Demolition ❑ Address Tel. 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 of the Business and Professions Code, and my license is in full force and effect. .. z •. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following. reason: (Sec. T031.5,Business and Professions Code: Any city. or county which requires a Estimated Valuation �� ' . PERMIT ' AMOUNT, permit to construct, atter, improve, demolish, or repair any structure, pnor.to its issuance also requires the applicant for such permit to file a signed statement -that heislicensed 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 - Plan Chk: Dep.. •• Plan. Chk. Bal. - 40s 2 40.62 Cionst. ®,�� 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,MBCh. provided that such improvements are not intended or offered for sale. If,, however, the -building Electrical - . 12,50 or improvement is sold 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.) - - Plumbing O I, 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 S.M.1- A 0 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 ' ' h -r 7` • ; 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. TOTALQS. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS. (This section need not be completed if the permit is for one hundred dollars ($100) evaluation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employany 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 ' subject to the Workers' Compensation provisions of the Labor Code, you must forthwith. comply with such provisions or this permit shall be deemed revoked. ' ZONE: BY: 'Minimum Setback Distances: - ' 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 FINAL DATE Issued by: - Validated by: INSPECTOR 2-21--86I Date Permit 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.. certify that I have read this application and state that the above information is correct. 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 f S C .. ,. t Date Mailing Address Validation: 64341 2 21 11612 it " City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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. p c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: 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 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 O FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL 1 um'b biumA I uM[J/11VI 1 IALJ, GARDEN WALL FINAL RF .CF ® JAN 1996 CITY OF LA gUINTA BUILDING f1F..PnRT!� ANT ' Dennis &' Marie &orton 50920 Calle ,Paloma, .r Za�Quinta,s CA. 92253 January 31 , 1,98.6 To The City .of; '.La-. QUinta. Building and �Plann rig.1De<p:t. Ref: Garage and Driveway, "Tract 5 = Iot 6.2, To Whom it may concern; We. Dennis and Marie Horton have",the understanding- that we are to build a garage and put in a.,driveway on<said property. We agree that x4e. certainly will put :these. items in, as we also desire these two i.t'ems'. to up: grade .our property. We are proud to belong to the comnuhity=. o.f the. New, City of:'La..Qu nta. We agree that within a six month-per:od', we will'have these items established. We are now going thru the procn ess' of obta�ig- a construction loan to complete this project.. Information can be obtain from Deanna Rueger of Total Financial. services (619) 320-4018 in •Palm ,Springs:,. 169' E. Alejo Rd. The lgarage plan is submitted with thsletter. We do need our permanent electric on as -.soon as -,possible, my work depends on it.` we do, appreciate`.al1 you will do for us.. Thank You sincerely Dennis Horton h . -'Marie D,. Horton 4