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9533 (SFD)Building Owner T4hf 7 4 �W P.O. BOX 1504 v 78-105 CALLE ESTADO 44-125 Crist®i Place LA QUINTA, CALIFORNIA 92253 \a Mailing. Address P. ©. Box 227 City lZip Contractor Same State Lic. City & Classif. 500315 Lic. # 1646 Arch:, Engr., ,< 4Designer :Address Tel. CityZip State I. r- Lic. # ��' • LICENSED CONTRACTOR'S DECLARATION I h) OR11 i that oy li nass under p.ss-io �o 06.apter 9 (commencing %yA011f Sect'on • 7000 of Divis'o 3 of e B siness and ProffessionsyCo�' arid'my license's -m J611 fort nd effects - / /. /_ / O� j I I SIGNATURE L Com/ Df ATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec." 7031.5,Busi7ess and Professions Code: Any city or county which requires a permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or Division 3 or the Business and Professions .Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation or Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty or 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, Buisness 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 or completion, the owner-bm7der will have the 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 Professions Code: The Contractor's License Law does not apply to an owner or property•who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner i j - WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers 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. 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 subjectto the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY. 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.). Lenders Name Lenders Address 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 certity that 1 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.. rip No. 9533 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Tract 23269 Project Description Lot 207 Plan 1 Sq. Ft. Size 1609 No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Estimated Valuation 87�mLp2I/r�s�0 9/ V PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 488.50 Const. 585.50 Mech. 47.00 Electrical 99.94 Plumbing 132.50 S.M.I. 6.16 Grading Driveway Enc. Infrastructure 1963.64 TOTAL 3323.25 REMARKS ZONE: BY - Minimum Setback Distances: Front Setbackrfrom Center Lineper _CA t +; Rear Setback f •oma Rear Prop. Line - Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. 0 $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. 0 FORMS SEWER OR SEPTIC TANK ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. SO. FT. 0 GAS (ROUGH) METER LOOP GAR. SO. FT. 0 POWER OUTLET ROOF DRAINS CAR P. SO. FT. 0 TEMP. POLE DRAINAGE PIPING WALL SO. FT. 0 GROUT DRINKING FOUNTAIN. SO FT 0 FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation =$ FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM. FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM VENTILATION 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. 0 c BATH TUB GAR. FIREWALL SO. FT. 0 c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID 0 1+/4 c SEWAGE DISPOSAL SO.FT.GAR 0 V4c HOUSE SEWER 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 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL SFD SFD = CITY OF LA OUINTA °•o,,.� DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 564-2246 . ;(OUR NOTICE FOR INSPECTIONS [SAY r 1 1991 overtalr'112 Vista Partnership Contractor SAME Permit Number 9533 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN.ALL APPLICABLE SPACES JOB ADDRESS 44-125 Cristol Place as � TYPE OF INSPECTION DATE MR FOUNDATION &.SETBACK .. FOOTING STEEL - MAIN GROUND SYSTEM GROUND PLUMBING - PRE-GUNITE DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST HEATING & VENT- A/C FIRCPLACE ROOF BOND BEAM O.K. TO WRAP GROUT O 4' O 8' FRAMING - vJ INSULATION PRE -ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK, ' _?�� ••� FINALS ELECTRICAL FINAL GAS TEST 14 L HEATING - A/C HOUSE NUMBERS JOB COMPLETED lvv TEMP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4!88 i j -1z MOF TiiF 9 ! ' j ! j of ' (Quinta llu*tbin anttr5t•an. � This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building!' i R , Code certifying that at the time of issuance this structure was in compliance with the various ji ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 44-125 Cristol Place '4 Use Classification SFD Bldg. Permit No. 9533 i ,! Group R3 Type Construction VN Fire Zone Use Zone R1 Owner of Building La Quinta Vista Prtnrs P. O. Box 227 dress Cit a Quinta, CA 92253 By; Richard Kirkland I II ' Dote; 11/3/91 Building Official POST IN A OON!lTICUOU! SLAC[ - — - __ �_