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002549 (AR)n Building Address 78 jL W1 Owner Mailing Address City Zip TA Contractor �St?1Si'�'tr� - Address _ State Lic. & Classif. 442118 Arch.,, Engr.,- Designer Address IOU P.O. BOX 1504 No. 049 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Tel. 92253 564-4,A-05 IZIp 92253 Lic. # Tel. 469 (BUILDING: TYPE CONST. OCC:.GRP. A.P. Number 769-022-044 ,Legal Description Lot is Project Description DumLa Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add Alter ❑' Repair ❑ Demolition ❑ City Zip State Rat Lic. # LICENSED CONTRACTOR'S DECLARATION - hereby affirm that I am licensed under provisions of Chapter -9 (commencing with Section 70 OO) of Division•3'of the Business and Professions Code, anis my license is in full force and effect. l ..., %c%:- ••� Lf" far-�.r„ r r—.,�..�•'t,.^ SIGNATURE - DATE ... • OWNER -BUILDER DECLARATION Estimated Valuation 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, demolish, or repair any structure, prior to its issuance also .. *'AMOUNT requires the applicant for such permit to rile a signed statement that he is licensed pursuant to PERMIT - 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 therefrorri, and the basis" for the alleged exemption. Any violation of Section 7031.5 by 'any. applicant fora permit Plan Chk. Dep. ' ' subjects the applicant to a civil penalty. of not more than five hundred dollars ($500). PIan.Chk: Bal. 36.72 ❑ 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. 56.50 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. '! l 00 provided that such improvements are not intended or* offered for sale. If, however, the building +tatf SJ or improvement is sold within one year of completion, the owner -builder will have the, burden Electrical '! of proving that hp did not build or improve for the purpose of sale.) -- ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 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 S.M.I. n Zo such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - - - - Grading ❑ I am exempt under Sec. B. & P.C. for this reason - Driveway Enc. Dale owner Infrastructure 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 ❑ Copy is filed with the city. •❑ Certified copy is hereby furnished. TOTAL 134.72 CERTIFICATE OF EXEMPTION FROM REMARKS. WORKERS'COMPENSATIONINSURANCE (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. Dale' ' 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. Rear Prop. 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, Civil 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. '�2Gi I certify. that I have 8— read this application and state -that the above information is correct.' Issued by: y Date Permit I agree to comply with all city and county ordinances' and state laws^ elating to building construction, and hereby authorize this fo representatives' -of city enter the above-:' mentioned property for inspection purposes. r Validated by: Signature of applicant Date Mailing Address' Validation: City, State, Zip A6256 8 28. X54,72 U HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. ® POR. SO. FT. ® GAR. SO. FT. ®_ CARP. SO. FT. WALL SO. FT. ® SO. 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 ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/ac HOUSE SEWER FRAMING FINAL INSP. GAS PIPING PERMIT FEE ap— 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 SEPTIC TANK 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 ap— Dcc; 17 - REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. .FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL k • Y Au4ust,28, 1986 City of La Quinta. P.0. Box 1504 ` La, Quinta, CA 92253 Atte: Building Inspector r This•letter authorizes.you to issue a building permit for the., following address in Duna La Quinta: } : 78-•110 Calle Norte q + La Quinta, CA We are aware of•the construction and structural changes taking place. Thank you for your.heln. Sincerely, Marcia Carle. Customer Service/Relations MC%1Jt r ' ,� i .,.. ,J ; . • .i .3. fir. � ^ ; Customer Service LANDMARK LAND COMPANY-, INC.,,, P.O.-Box11000,'La Quinta California 92253 (619) 564-3338 / 345-8284 I