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10895 (PLBG)q . 4 Q -VALLEY PLUMBING" P 0 BOX 665 City INDIO State Lic. & Classif. 2730$$ Arch. Engr., - - Designer Address 92202 Tel.:347-3629. .City Lic. # 102 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 an Professions Code, and my licen a is in full force and effect' % ��! � ;7 SIGNATURE - - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness and Professions Lode: Any city or. county which requires a oject Description SEWER HOOKUP Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ .. .. . .i�'`io: .L 1r�6 �:'! i.•: • y +-�1i off' Ya. $1.500 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 No. 10895 - AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or P.O. BOX 1504 Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis . for the Any Section 7031.5 by 'any for Building Address 530775 NAVAR+RO 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 !s' Owner . do.the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. - WM KRAUSE - builds or improves thereon and who does such work himself or through his own employees, Mech. , �' •. 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 BUILDING: TYPE CONST. OCC: GRP. Mailing O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing _ $30.00 y Address P 0 BOX 113 does not apply to an owner of property -who bunds or improves thereon, and who contracts for A.P. Number City Grading Zip O I am exempt under Sea B. & P.C. for this reason Tel. LA QUINTA 1 82253. Infrastructure 1564-4564 Legal Description . -VALLEY PLUMBING" P 0 BOX 665 City INDIO State Lic. & Classif. 2730$$ Arch. Engr., - - Designer Address 92202 Tel.:347-3629. .City Lic. # 102 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 an Professions Code, and my licen a is in full force and effect' % ��! � ;7 SIGNATURE - - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness and Professions Lode: Any city or. county which requires a oject Description SEWER HOOKUP Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ .. .. . .i�'`io: .L 1r�6 �:'! i.•: • y +-�1i off' Ya. $1.500 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 PERMIT - AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or - Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis . for the Any Section 7031.5 by 'any for Plan Chk. Dep,. - . . alleged exemption. violation of applicant a permit ' subjects the applicant to a civil penalty of not more than five hundred dollars ($500): Plan Chk. Bal.. - 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 Const. - 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. , �' •. 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 Electrical 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- Plumbing _ $30.00 y struct the project. (Sec.. 7044, Business. and Professions Code: The Contractor's License Law• - does not apply to an owner of property -who bunds or improves thereon, and who contracts for S.M.I. ' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ,. O I am exempt under Sea B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby'affirm that'I have a certificate of consent to self -insure, or a certificate of u G I;Jli�l iF Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) y, T 'r Policy No. .Companyi ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL $30.00 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'..COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation- aluation-or orless:) I certify that in the performance of thg work for which this permit is issued, I shall not t 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 ZONE: BY: ' subject to the Workers' Compensation provisions of the ' Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances, ' Front Setback from Center Line Rear Setback from Rearprop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued- (Sec..3097, Evil Code.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR 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. - 'Issued by: Date 1' Permit- 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- Validated by: Signature of applicant Date ' Mailing Address Validation: City, State, Zip I 7 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING iffES 1ST FL. SQ. FT. ® $ 2ND FL. SO. FT. ® POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. @ WALL SQ. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 FINAL INSP. SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1Vi c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ec HOUSE SEWER VENTILATION 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 SEWER OR"S ROUGH 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. FRAMING FINAL INSP. ROOFING REMARKS. VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION S( 9l CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL M F COACHELLA VALLEY WATER DISTRICT 2 CASH HFCGIPT nFTAII - - Received From; / �" ' - - ' "�' " • Date: ;� - ✓,/_ . -Address: Account No. = �� 7'w �� Lots U T" r "G Service Address l' i G.A. Cods ❑ Meter(s) $ ❑ Service(s) ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) ❑ Meter Surcharge XanitationCapacity Charge �`�� ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - " Fee - ❑ Plan Check Fees Water 1 Sewer - Tract - ❑ .Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ ,jOther Y DOTAL s Remarks# i ❑Copy to: Cash _ <<= Water Service <E' Check ! f. i Money 1 r e Cashle L,{ Order _.s - Rs.,o - •� CVWD-4 {11189) A � Y R Rafter Size 1 fpscing poor ►1.c. P4 cotscfeYoo.�/uydatr + Size ?l Rafter Spam �--- 0,era0 fee boofina Note below - fpm ��-�;-ng Ath e grr�eo Lattice -V aad Angle St. -Ups f 6"s4":10,31/8" with J 4-16 d mulls or holt i newt / . spacing_�_ overall Irt4t1ft N T t Ran or Solid Blocking Z Raft to blocking o Q. RAur a 4 - 16 d anvils or holt —� M'= IIc Imhbed Anchors 7" in Cant.LJ — CT �. .46- 46• �. PAN •Q'adi th+te�L7" tFj' psi 70 ui ,Q ti x4 r4~ (feet 6 inches) - CC sk6 rya 2x1 1 16' o.c. 11-2 10-8 7-11 6-3 6-4 24" 9-0 6-8 6-5 6-9 5-2 2xd 12" o.c.. 17-10 17-5 13-0 .13-7 10-0 i 24• 13- 7-1 10-10. 9-1117-4 7-0 54 2x8 16' C.C. 21-5 19-1014-10 154 114 24' 17-6 16-3 12-1 12-8 9-4 32' 114-5 13-0 I0-0 10-2 74 FC:50 14 3 (F12,67j f- 4rw L=J L Anchor\ bolts v r � ' SII TNS, i _ ria. 4724" posts REAR, P 51 DE No, . size 0 i. Concrete �_ 1 ---J him. 12N:1211 Q /s :1'ooting serevs into f• D.C.oC 12" below Grade uitinuous Ledger 0 -nitre p a Z AF Anal& N T t Ran or Solid Blocking Z Raft to blocking o Q. RAur a 4 - 16 d anvils or holt —� M'= IIc Imhbed Anchors 7" in Cant.LJ — CT �. .46- 46• �. PAN •Q'adi th+te�L7" tFj' psi 70 ui ,Q ti x4 r4~ (feet 6 inches) - CC sk6 rya 2x1 1 16' o.c. 11-2 10-8 7-11 6-3 6-4 24" 9-0 6-8 6-5 6-9 5-2 2xd 12" o.c.. 17-10 17-5 13-0 .13-7 10-0 i 24• 13- 7-1 10-10. 9-1117-4 7-0 54 2x8 16' C.C. 21-5 19-1014-10 154 114 24' 17-6 16-3 12-1 12-8 9-4 32' 114-5 13-0 I0-0 10-2 74 FC:50 14 3 (F12,67j f- 4rw L=J L Anchor\ bolts v r � ' SII TNS, i _ �an�}ea�w•s draalas f No, . size Site SPAS+ 4x4. . NU4 y' _ x .......20' y, �� 14 .s 14' '61f k6X10� t2 ' ..... 18 b i iO ty Rafinq were a. ak+od shakes 4/12 pitch (3/12 aih. pitch umth 300 felt unde_layi class A b. Wood, cv-vxxitior. e._-ngles 4/12 pitch (3/12 grin. Pitch with 154 felt trde_lay). class A C. Built up rolled roof slope to drain. d• Rhck roof 3/12 maxiTun pitch. 1YPICAL PNTTQ =M is