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001627 (SATT)7 4 Q91144 P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 77-185 AVe7d& PbrT%MLA QUINTA, CALIFORNIA 92253 - Mailing Address P City La OU Contractor Address . Zip 92253 i fo Hyl �h I No. 001627 BUILDING: TYPE CONST. OCC: GRP. A.P. Number £31-720--049 Ict 49 564-1315 Legal Description Project Description P6'3 Tract 14496-3 S.P.S. State Lic. City,�>f}�(p & Classif. 333762 Lic. # Sq. Ft2-� 277 SiZA-Wn••.A" - No. No. Dw. Stories. - 2 Units 1., Arch., Engr.,v Designer New.O 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. i,reZ/Jx'+i c x%46" r _ _il SIGNATURE` - r DATE l 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, cfty or county which requires a i 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 i 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 /or the alleged exemption. Any violation o/ Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). -^• - O 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 Contractor's License Law does not apply to an owner of property who Estimated Valuation 105,699.40 '..PERMIT AMOUNT PIan.Chk. Dep. Plan Chk.-Bal. 349.00 COW, 448.00 Mech. - t 31.00 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 /or the purpose of,sale.) Electrical 'C 3lw � Plumbing 52.x/C�+ ❑ 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 I am exempt under Sec. B. & P.C. for this reason S.M.I. - 7.39 - Grading Driveway Enc. Date Owner Infrastructure 1.585.49 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.. 0 Certified copy is hereby furnished. t, TOTAL 2,504.63 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS (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 tho work for which this permit is issued, I shall not employ any p'erson,in any manner so as to be ome subject to the Workers' Compensation Laws of,California.'i Date +wrier �f NOTICE'TO APP.LICANT. If,,aftermaki g thieCirldicate.ol Ex rhi tion,yb'o hould become subject to the Workers' Compensation provisions of the Laboi 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 Ihereby 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 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. FINAL DATE INSPECTOR I certify that I have read this application and state that the above information 1s 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 pu poses. l Signature of applicant f �/•�t!�1-�� N7ri_',SEi° Date /' Mailing Address — rf r -- ISSued'by: Validated by: Validation: Date Permit City, State, Zip . A2021 �. 22 _ .. 2.5 • i, 4, 6.3 • CK - HARD COPY .. T CONSTRUCTION ESTIMATE Ad Ilk NO. ELECTRICAL EES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. ® FORMS SEWER OR SEPTIC TANK,OUGH '—J WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER WALL SQ. FT. ® FINAL INSP. DRINKING FOUNTAIN SO. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. 2 FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING 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 FINISH GRADING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE LPL.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 SEWER OR SEPTIC TANK,OUGH '—J 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. 2 FRAMING FINAL INSP./ ROOFING �� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING w FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL