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002351 (BLCK).i Building Address Owner } P.O. BOX 1504 DO 70-1004 :e SAW Norte LA QUINOTACCAL CALIALLE FORNIA 92253 BUILDING: TYPE CONST. • • OCC: GRP.• - maning • Address f %s {! A.P. Number • «�h��� ~ C City Zip Tel. r 11 Legal Description Contractor Project Description IMvtmk L—andY - - Address ..... . . ...... P.O. 1000 City- Zip. .... Tel.. La Quinti 922M . S64 -3i41. - State Lic. City & Classif. ., '413636 Lic. # 133 Sq. Ft. - No. No. Dw. Size -Stories Units - Designer New ❑ 'Add ❑X Alter ❑:' Repair ❑ - ' Demolition ❑ Address Tel. Plemit to ]`ems' �y I Lim 15Z City Zip State - Lic. # -repwithrim �d �'�'and -fixed. � 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.. , s•''• SIGNATURE DATE '-OWNER•BUILDER DECLARATION'" " Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following Vv i9 iJ �Vv �i9U 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 requires.the applicant for such permit to file a signed statement thathe is licensed pursuant to. ,- PERMIT -,:t -• 'AMOUNT ' 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 Any, Section 7031.5 'any 'for - - Plan Chk. Dep. - alleged exemption. violation of by applicant a permit' "' subjects the'applicant to a civil penalty of not more than five hundred dollars ($500). . Plan Chk. BBI. iv sJV , ❑ 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. 22.00 . Professions Code: The Contractor's License Law does not - apply - to• an owner or property. who - - - -" builds or improves thereon and .who does such work' himself or. through his, own employees, ' McCh. 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 • 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: such projects with a contractor(s) licensed pursuant to the Contractor's License Law..) - - _ Grading O.I am exempt under Sec. B. & P.C. for this reason - Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION ' I hereby affirm that' I have a certificate of conseot'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 36..80 "CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'. COMPENSATION INSURANCE. - (This section need,not be completed 1f the permit is for one hundred dollars ($100) valuation or less.). ... ... _ . .. .. Yy I certify that in the performance of the work for which•this permit is issued, 1 shall not •employ any person in any manner so•as to become subjectto the Workers' Compensation Laws of California. Or - NOTICE TO APPLICANT. If, aftermaking 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 cortsTRucnoN LENDING AGENCY Side Street Setback from Center Line ` 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 ' This is a building permit when properly filled out,'signed and'valldated,,and is subject to it work thereunder is for 180 days. suspended .I certify that I have read this application and state that the above information is corrects: "I --�j Issued by: Date Permit- _ agree to comply with all city and county ordinances and state lawsrelating-.to building construction, and hereby authorize representatives -of this city to enter the 'above-. mentioned property for inspection purposes. Validated by: 1 ' Signature of apphcanN"/1'_ J YYfPr : 'A "� Date t" - `""` Mailing Address r ` - Validation: City, State, Zip r k t A5535 5 b 3680 CI, . '' HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® POR. SQ. FT. p GAR. SQ, FT, ® CAR P. SQ. FT. WALL SO. 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 APP.IEQUIP. 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: 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 SEPTIC TANK /4ROUGH WIRING �^/ I ! DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. 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. 14FRAMING S FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL 11 ZLJCATHING h MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL tLIC n (--I W 51ma May 6 f§86. City of La Quinta ' P.O. Box 1504 ; 'La Quinta, CA 92253 rt' Attn: Building Inspector This•letter authorizes you to.issue a building permit.for 78-104 Calle-Norte, in Duna La Quinta. Weare.aware of the construction and structural changes taking place. Thank you for your help. ., . Sincerely, 1 a- :.W ♦1 Ma�iaCarle•.♦ ' Customer Service/Relations MC/ljt • tr ti +c ��� Customer Relations/ Service LANDMARK LAND COMPANY, INC., Pb. Box 1000, La Quinfa, California 92253 (619) 564-3338 / 345-5665 ' • .. ' ,rte - Y .. ` t �,zING Dou�LZ P.af.1E� Exi-s-fi Wtfi kLI W DOW 5. ('f`f P,) m ,v� pl.�•f�l PlLk4 . LA QUI KMA, - 11N A I I ti .y.