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05208 (SFD)Building Address Owner Mailing Address T44VII. 4 4 Q" 76-990 Fernando La Quiata Joint Venture City I Zip ITel. Contractor ress City lZip I Tela P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 State Lic. City & Classif. 378318 Lic. # 189 Arch., Engr., Designer Address City (Zip ( State I 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- SIGNATURE ffectSIGNATURE •DATE OWNER -BUILDER DECLARATION I hereby affirTn that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,84sness and Professions Code: Any city or county which requires a permit to construct,' ager, improve, demolish. or repair any structure, prior to its issuance also requires the applicant for such perm to lie 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 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 app6oant to a cath p&iW of not more than two hundred dollars ($500). ❑ 1, 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 wflo 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-buider will have the burden of proving that he did not build or improve for the purpose of sale.) ;15 1'; CONSTRUCTION ESTIMATE NO. ELECTRICALFEES NO. PLUMBING FEES IST FL SO. FT. ® $ UNITS SLAB GRADE S ' jv ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SQ. FT. @ FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. $O, FT. ® GAS (ROUGH)3 QA ! F� METER LOOP GAR. gQ, FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN. SO. FT. WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation ING TV FLOOR DRAIN MECHANICAL FEES J• ©k WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 SO. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SO.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 w ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE S ' jv ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF., ' GAS (ROUGH)3 QA ! F� 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. 3 / ING TV FINAL INSP. OFING 1& J• ©k REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL ,{, y LATHING 4 DPV/� �/ G MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION- 3 / CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL '