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05743 (SFD)4 P.O. BOX 1504 Building 76-905 Farn=do LA QUINTA78-105 CCALIFORNIA 92253 Address ,- Owner La rine-nta Joint Venture . Address P. 0. 780 City Zip Tel.,ba tuinta 92253 564-1315 Contractor Sarnia Construction Address ^ Zip No. 05743 (e BUILDING: -TYPE CONST. OCC: GRP. A.P. Number Santa Rosa Cove Legal Description Tbt 27 Project Description Pian H, Tract 23813 State Lic. city & Classif. 3713318 Lic. # Sq. Ft. Size Arch., Engr., Designer New ❑ No. Stories No. Dw. Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line City Zip State Side Setback from Property Line Lic. # INSPECTOR Issued by: LICENSED CONTRACTOR'S DECLARATION $7,231.75 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 fort REMARKS <.r<A444+r;Ai*r1.r ,and effect. j _^- """ """` • �~ Z ?ec 4(I SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation L 1 hereby affirm that I am exempt from the Contractor's License Law for the following �216a5f3�3 reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a ev hropermitato demolish, orair cthat he s lirior censed issuancealso requires es tto heappl�tfor'sImprove, r, signed statementto 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 that. he is exempt therefrom, and the basis for Section 7031.5 'any for Plan Chk. Dep. the alleged exemption. Any violation of by applicant a permit `subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). Plan Chk. Bal. n f V $59.25 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do'4Ae work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.1.049.00 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. $li.i�� provided that such improvements are not intended or offered for sale.: If. however, the building ,^, or Improvement is sold withhn one year of completion, the owner -builder will have the burden Electrical 150.35of proving that he did not build or improve for, the purpose of sale.) ,u ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 202.50 struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does builds improves thereon, for - t 1.5.19 not apply to an owner of property who or and who contracts such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) vnS•M.I. Grading I ❑ 1 am exempt under Sec. B. & P.C. for this reason " ' Driveway Enc. I, Date Owner Infrastructure 4,871.46 WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 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 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' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: N, 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 1 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 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: TOTAL $7,231.75 REMARKS <.r<A444+r;Ai*r1.r t�1 Mt .s}'t..fa�t�-,-. ?ec 4(I 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 5/15/89 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO.' ELECTRICAL FEES NO, PLUMBING FEES IST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL SQ. FT. ® DUCT WORK ROCK STORAGE if FOUND. REINF. � Z y� GGG V MOSILEHOME SVC. BAR SINK POR. gQ, FT. ® REINF. STEEL GAS (FINAL) TEMP. POLE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS WATER HEATER SERVICE FINAL INSP. DRAINAGE PIPING CAR P. SO. FT. ® WATER SYSTEM FINAL INSP. FINAL INSP. GRADING Cu. yd. $ -Plus-X$-=$ WALL SO. FT. LUMBER GR. DRINKING FOUNTAIN. SO FT ® < G� URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation VENTILATION FLOOR DRAIN MECHANICAL FEES FIRE ZONE ROOFING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED li 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. SO. FT. ® c BATH TUB SQ. FT.® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FENCE FINAL 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 PLU 2 , Z ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING v UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 7 ri r �% ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE if FOUND. REINF. � Z y� GGG V AS (ROUGH) ,I METER LOOP fw ,•,+7 HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. GRADING Cu. yd. $ -Plus-X$-=$ LUMBER GR. FRAMING y �I ROOFING 1- < G� REMARKS., VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND �v FINISH GRADING FINAL INSPECTION6. CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL