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13004 (PAT)T 6 4tyl 4 4Q�rw P.O. BOX 1504 Building 78-105 CALLE ESTADO Address -9900 Avenida Fernando LA QUINTA, CALIFORNIA 92253 Owner maning Address game City Zip Tel. • Quinta, Ca 92253 Contractor Baxrile Construction; Address P.O.' Box 1540 , La Quinta, CAI"92253 1 564-0375 State Lic. City & Classif. 378318 Lic. # , 189 Arch., Engr., Designer Walling b ASSociates Address Tel. 45190 Club Drive City . 'An Wells, �Z � Lic. # % LICENSED CONTRACTOR'S DECLARATION I hereby affirm tha I am licensed under peovisiyyns gf%C,h Ater 9 (commencing with Section 7000) of Division 3 of`the,Bu/siness a d Profe s'bns Code,. and my license is in full force and effect. ; i/ ,+' /��,w��( SIGNATURE •6' F v DATE /'OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following 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 requires the applicant for such permit to file a signed statement that he is licensed 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 thathe 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). 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 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.) 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 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O 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 O Copy is filed with the city. O 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: 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. 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 ateMailing Address City, State, Zip ' No. 130 BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Project Description Add stucco sof fi tt 2 X 3 lattice peeler poles 81 with . 12* Stucco to match existing. install mist S•Ifitm. Sq. Ft. 96 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $L276.80 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 74.39 REMARKS 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 Issued by: Date Permit Validated by: • Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA r i ROUGH PLUMB. 2ND FL. + SO. FT. p HEATING (ROUGH) YARD SPKLR SYSTEM FORMS. .Gt MOBILEHOME SVC. BAR SINK POR. S0. FT. @ DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. I SO. FT. Q GAS (FINAL) WALL SO. FT. ® DRINKING FOUNTAIN SQ. FT. ® WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN " MECHANICAL FEES GRADING cu. yd. $ plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM REMARKS: 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. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR @ 3/ac 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 SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS. .Gt SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. xrxy GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REIN F. 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 y3 �� FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION 0�{ •/ CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL s. Elaine Lloyd esort Community Management oat pf ,f i_re Box 1.271.0 alm Desert, CA 92255 ;E= 76-900 AVENIDA FERNANDO �^ ")ear Elaine: have reviewed the attached plan for a patio cover with homeowner Toeplan a is s• hereby Based appthe roved roved design by the Losspecifications _Estados Architectural plan _,ommittee. I understand that Craig Williams will be coordinating `the onstruction. Sincerely, . Behrens Chair, Architectural Committee cc: Dick Reback (w/enclosure) Stephen Smith (w/enclosure) George Maguire (w/enclosure) Joe Bellwoar (w/o enclosure) QITY OF�� NT BUILDING & SAFETY DEPARTMENT - CONDITIONALLY ACCEPTED FOR CONSTRUCTION SUBJECT TO INSTALLATION AS PER AND ALL APPLICABLE CODES DATE t3 . �6 4cloo Wrus I I------ ' I ( RIS LEpGq) STULG.D-------- c+ ICorgN6c_rbs M i i rl 1 I -I I toPosr1Ds NEW STuLCO SbFFI'T---r8 MA`TLN f -X(5 0 1 x ams � ��LER � I � ,,�' I I I I d"-io'I r + PoLe ell,o �f IST 6E CrON CT.(t p) /S.. - [•� �•' • 1. / f i. �1 r: .�-� l 1 � l 4 W �y++� if.% !:' �,i � 1 'C �/��i� '�I � :Y � , Y✓� r i •./� y `�'' t. ( i . /� f �•�'-•{ �ii 7 - 1 �1 � '�' �fv ExsT?gTtU GLAD li E�.��-1—EV•s�+� • 'a�_ VERT: C �J — — — 1 Cl. so��f F�CTTa Bc T i J ( f�A I I x3" R�5 F—L-!E l,AMSE— ' 'I E , S Ttic.c.0 c o 11 .2'x4:' i,15 Mio_S i _Su xgi