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10683 (PAT)4 P.O. BOX 1504 No. 10683 Building78-105 CALLE ESTADO 1 /` Address 44-125 Ocotillo LA QUINTA, CALIFORNIA 92253 t i)/9Owner Sadri Mailing BUILDING: TYPE CONST. OCC: GRP. Address same A.P. Number City Zip Tel. 1,aQinta 92253 345-1090 Legal Description ContractorP p 83patio Covers & o0l/spa American Proal Construction Project Description Address 58-575 San Felipe Rd C Yat. City Zip 92.234 TeI.:322-6669 State Lic. City &Classif. C53 518742 Lic.# 1184 Sq. Ft. No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Patin Covers - 1 @ 197 ref/ 1 @ 430 sf City Zip State &1 @ n sg $9,325.50 Lic.# Pool/Spa = $120000 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. _SIGNATURE DATE OWNER -BUILDER DECLARATION io I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuati 32 5 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 - AMOUNT requires the applicant for such permit to rile 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. - subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). Plan Chk. Bal. ❑ 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, Bufsness and Const.• 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. • L%f� provided that' such improvements are not intended or offered. for sale. g, however, the building or improvement is sold within one year of completion, the owner -budder will have the burden Electrical 45.00 of proving that he did not build or improve for the purpose of sale.) q i, as* owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 27.00 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.I. 2 : 2U such projects with a contractors) licensed pursuant to the Contractor's License Law.) Grading O I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificat%. f consent to self -insure, or a certificate of Worker's Compensation Insurance; or a certified copy thereof: (Sec. 3800, Labor Code.) Policy No.—C- .mpany - E5tiCopy is filed with the city. O Certified copy is hereby fumish&- Jj f` TOTAL 469.45 /CERTIFICATE OF EXEMPTION FROM"_ ! REMARKS --4WORKERS' COMPENSATION INSURANCE (This section need not tie completed If the permit is loi one hundred dollars ($100) valuation �IPwik-"4-,��t8;4)�n_PAj-1.�r—yam ,,f,.��� or less.) - - ..� .. - .. _ .. _ I certify that in theiperfor lance of thg work for which this permit is issued, I shall not employ any erso in any manner so as to become subject to tWworkers' Compensation Laws of Ga1i orti''�% �.% Date r j f f x `Ownet' NOTICE TO APPLICANT., If, after makfng.,,thfs.Certirrcate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, youfmust forthwith r comply with such provisions or this permit shall be deemed revoked. i Minimum Setback Distances: Front Setback `rom Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Se'back 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 f -Om Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building permit when property 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. 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 of this city to enter the above-. mentioned property for inspection purposes. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. a $ 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 SLAB GRADE FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROUGH WIRING. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK LAUNDRYTRAY AIR HANDLING UNIT CFM GAS (ROUGH) 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 WATER HEATER SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL BOND BEAM SQ.FT.GAR ® V4c HOUSE SEWER $ GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE"MECHPLCK.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 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. FRAMING FINAL INSP. ROOFING /// V ,,/p �A � � ,may !! T)i .) �of����' REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION- CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL :d - Building 44-125 0i3tillo Dr. Address Owner Waring -Adams Venture `may °� •�W Qui«tw P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address42-600 Cook Street, Suite 135 City Zip Tel. Pain Desert 92260 345-7541 Contractor Hi 3,1 iams Devel opmvit Corp.. Address -City. Zip State Lic. JCity# &Classif. 493919 Lic. 1231 Arch., Engr., Designer Address I Tel. City IZip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 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. _SIGNATURE DATE OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason:. (Sec. 7031.5,8usfness and Professions Code: Any city or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to We a signed statement that he is licensed pursuant to the provisions of the Contractors 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 cirri penally or 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, Buisness and Professions Code: The Contractors 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 -builder will have the burden 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- 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. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM 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: ft, 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. 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 Address City,. State, Zip No. 07348 BUILDING: TYPE CONST. OCC:•GRP. A.P. Number Traci 24537 - Rancho Ocotillo Legal Description Project Description Plan, Mo Lot 5 REMARKS sti �yT,3I� �- iLt �,.�} •~. 1 :. ,'Yi'r� r �.,�. ZONE: BY: Minimum Setback Distances: . Front Setback 'rom Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback f-om Property Line FINAL DATE INSPECTOR 3/19/90 Issued by. Date Permit Validated by: Validation: Sq. Ft. �IS� Size • No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $136,890 EPMl a"+� t Plan Chk. Dep. Plan Chk. Bal. AMOUNT Y =- Const Mech. o• Electrical.p Plumbing Ibb. bu S.M.I. Grading Driveway Enc. Infrastructure J90bu.UJI TOTAL VZ L -(n.---; .1 r. 7 REMARKS sti �yT,3I� �- iLt �,.�} •~. 1 :. ,'Yi'r� r �.,�. ZONE: BY: Minimum Setback Distances: . Front Setback 'rom Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback f-om Property Line FINAL DATE INSPECTOR 3/19/90 Issued by. Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SQ. FT. ® $ 2ND FL SQ. FT. POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ 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 ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED AS:OUGH) 9 / � l [ LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SQ. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1Vi c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3Lc HOUSE SEWER FINAL INSP. 1 — Is -_C � ILO t ROOFING - �� t7 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 i UNDERGROUND A.C. UNIT LOLL AREA SLAB GRADE (� �� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. �� AS:OUGH) 9 / � l [ 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. Q Q (� FRAMING -0 FINAL INSP. 1 — Is -_C � ILO t ROOFING - �� t7 REMARKS. VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FI EWALL LA HING ` v� MESH INSULATIONISOUND ff i(% q8 FINISH GRADING FINAL INSPECTION . L CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL :d