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14367 (BLCK)Building 4 P.O. BOX 1504 54-080 Ave. Corte2 • 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 - - Jane Engletan Mailing B Address`® Lci Quanta, CA ["P 92253 ITel. ` �VNCWtone 14a.aonry V!!" ss 9.. 3333 �1 Qu s ta, h Zip 9225-3 Tel -,554--2123 & Classif.. Lic. # Arch., Engr., 'Designer Sq. Ft. Size. Address No. Dw. Units Tel. City Repair ❑ Demolition ❑ Zip State Rear Setback from Rear P Line Side Street:Setback fro to ne Lic. # Side Setback from Pro Line LICENSE)) ONTRACTOWS.DECLARATION I hereby affinq that I am licensed' under -provisions of Chapter (commencing with Section .1040.11t.-" of Dlvis� 3'of:the Bus and Professions Code, and my license is In full force'and OWNEWBUILDER DECLARATION I hereby affiryn that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Bushm and. Profession Code: Any. city or•county.,which regLdrw a ' perm!! to construct, ager, Lmpr7 demoaeh; or repair any structure, prior to Its Issuancealso, requires the appdcant for aurJf,P06: to !Dee armed statement that he Is licensed pursuant to the provisions of the Cmbactws Lkwm 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 a0eged exemption. Any Wolatlon of Section 7031.5 by 'any applicant for a permit. subjects tbeappecant ro a civil penally of not more than five hundred dollars ($500). . ❑ 1, as owner of the property,.army 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 Contractors 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 k provanents are not Intended or offered for sere. If, however, the building or Improvement Is sold *Mbone yew of completion, the owner-builder.w/d have Me burden of proving that he did not build or Improve 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 •Professiona Code: The Contractors License Law does not apply to anownerof.prapwty who builds or improves thereon, and who contracts for such projects with a contractors) ilconsed pursuant to Me Contractors License Law.) ❑ 1 am exempt under Sec_ a, 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 Workera Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Poli�rye�� Company ❑ Copy Is filed with the city, ❑ Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed 8 the pemrit Is for one hundred dollars ($100) vafuation ' or leas.) " I certify that•in the Performance of'thp work for which this- .permit. 19 Issued; 1 shall not employ atry ppeerson in any manner so as to become subject to the workers' Compensation Laws of Califomfa Date ,Owner NOTICE ;TO APPLICANT: 9, after making this Certificate - of Exemption you should become subject to the Wtrrkahl' 'Compenaa0m proWsbns of the Lebon . Code, you must forthwith cornpV with such provisions or this permit s/ra0 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 3708 OF THE .LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This Is a bullding permit when properfy:filled out signed and validated, and Is subject to expiration it work thereunder is suspended for 1110 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 No. 14367 UILDING: TYPE CONST: OCC: GRP. P. Number gal Description ojectDescription 23-` of 6' high block wall 101 of 4' high garden wall REMARKS- Sq. Ft. Size. No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Front Setback from Center Line Rear Setback from Rear P Line Side Street:Setback fro to ne Side Setback from Pro Line FINAL DATE IN CTO ��� Issued by: Date P�r�it `oCk Validated by: Estimated Valuation 76.4© PERMIT. AMOUNT Plan Chk. Dep. Plan Chk:. Bal. . Const. 25.00 Mech.. _ Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 25.00 REMARKS- ZONE­ BY: Minimum Setback Distances: . Front Setback from Center Line Rear Setback from Rear P Line Side Street:Setback fro to ne Side Setback from Pro Line FINAL DATE IN CTO ��� Issued by: Date P�r�it `oCk Validated by: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL. SO. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS DUCT WORK ROCK STORAGE DRAINAGE PIPING CAR P. SO. FT. ® METER LOOP WALL SO. FT. ® OTHER APP.IEOUIP. DRINKING FOUNTAIN SO. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH_ER(AUTO)(DISH) APPLIANCE DRYER =S GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ®,c BATH TUB FIREPLACE SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 V4 c SEWAGE DISPOSAL SO.FT:GAR ® 34c HOUSE SEWER GAS PIPING PERMIT FEE MIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE' MECH.FEE FPL.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 APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE. FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. E plus xS =S LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING !! [[[ 7 REMARKS: VENTILATION`7 FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE, FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL