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15281 (BLCK)T - t"Q Building ,-- f'. c&-ty/ 4 4 Q" P.O. BOX 1504 78-495 CALLE TAMPICO 52-315 Ave. Juarez LA QUINTA, CALIFORNIA 92253 Z.''rriE'qt29.el Coronal Mailing Address P.O. Box 1238 CityZip Tel. La Quin.ta,. C.A .92253 1564-4604 Contractor Coronal Construction Addres.s -. 1238 h T�.nex Quints, CA '92253 564-4606 State Lic. City & Classif. B 634981 Lic. # 2261 Arch., Engr., Designer Address Tel. r City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION . I hereby affirm that I am -licensed under provisions of Chapter 9 (commencing with Section 1t1i0�ec 00) of Division ,'of the BBOsines and Professions Code, and my license is in full force and, .§L( NATURE A DATE J 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, and, 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). ❑ 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. Suisness 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 or proving that he did not build or knprove 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 contractors) #tensed 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 Co pensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy Company opy 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: ff. 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS'($100,000), IN ADDITION.TO, THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. , This is i building permit when properly 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. 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 BUILDING: TYPE CONST A.P. Number No. 15281 OCC. GRP. Legal Description Project Description 190 I.E. ©f 61 high garden mall on %ng of 11411 high (retaining call L, r ZONE: BY: Minimum Setback Distances: Front Setback from ee v er Line Rear Setback f141 ear f ftp. Line Side Street S� ck from`ter.Line Side Setba k fromfProperty Line. FINAL Issued Validat Validat W, Sq. Ft. Size - No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation t PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 72.00 Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 72.00 TOTAL REMARKS L, r ZONE: BY: Minimum Setback Distances: Front Setback from ee v er Line Rear Setback f141 ear f ftp. Line Side Street S� ck from`ter.Line Side Setba k fromfProperty Line. FINAL Issued Validat Validat W, CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES UNDERGROUND A.C. UNIT �F. IST FL. SO. FT. ® $ UNITS ROUGH PLUMB. 2ND FL. SO. FT. HEATING (ROUGH) YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. DRAINAGE PIPING WALL SO. FT. HEATING (FINALp DRINKING FOUNTAIN. SQ. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GRADING cu. yd. $ plus x$ ]GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c . SEWAGE DISPOSAL SO.FT.GAR ® 3/ic HOUSE SEWER GAR. FIREWALL GAS PIPING PERMIT FEE PERMIT FEE. PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PC.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, ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINALp 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. FRAMING 9s2' FINAL INSP. ROOFING REMARKS: r VENTILATION • FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ` GARDEN WALL FINAL i •u. _ It .. - 4 - .._ _ , 1 i r y. . - . - I -- - A � sa III 1O0L —/l'X z 3-7pteo . AOL EqW! A;t#r- t POOL AREA TO BE ENCI �� I D BY MINIMUM 5 FT. HIGH ; t n+c.:t. ALL GATES TQ 3E°F.1.1=-ti;L,.J:;iNC p4D SELF -LATCHING. �° U i t 1.d �.IA i 1 - �j - I'�ti/ ct�s ._ c��r BUILDING & SAFETY `Tr CONDMONA► ._. ACCEPTED FOR CQ,T:- ' : SUBJECT TO INSTALLA�, AND ALL APPLICABLE - DATE 621g' i