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14512 (RPL)P.O. BOX 1504 Buildingf 78-495 CALLE TAMPICO Address 79-160 Coyote Creek LA OUINTA, CALIFORNIA 92253 Owner Mi.nistrelli Const. Mailing Address 50-445'Mt. Shat City Zip Tel. " " .La Quinta, 92253 fr4�-1S 9 Contractor 10114tyre Foals AddreV.. 1308 1791 -Ci Zip Tel.: Quinta, 92253 342-3521 State Lic.C Si$11 City lg�� & Classif. Lic. # Arch., Engr., Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that tram licensed under provisions of Chapter 9 (commencing with Section 7000) of Division•3�ofy=the�Business and P fessions Code, and my license is �nsfull force and effect. f"/r/'.s/�/..r �...�� 7'.✓ SIGNATURE °/' DATE OWNER•BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. ,703.1.5, Business 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) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). 0 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 of completion,, the owner -builder will have the burden of proving that he did not build or knprove for the purpose of sale.) O 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 of property who builds or improves thereon, and who contracts for - such projects with a contractor(s) Qcensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. 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 Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.) Policy No. company 0 Copy is filed with the city... ❑ Certified copy is hereby furnished. . CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it 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: IF, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or. this permit shall 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 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. 14512 BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Project Description Pool and Spa Sq. Ft. No. No. Dw. Size .Stories Units New ❑ Add ❑ Alter ❑. Repair ❑ Demolition 0 Estimated Valuation $14 r 000 », oo I PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 99.45 Const. 153-00 Mech. 24.00 Electrical 45,00 Plumbing 27.00 S.M.I. - Grading Driveway Enc. Infrastructure TOTAL 348.45 REMARKS ZONE: ' BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from),i nt nLine Side Setback from-PcopeLine FINAL DA Issued by: Validated .1 . Validation: ko CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIN3\i FEES 1ST FL. SQ. FT. @ $ UNITS A.C. UNIT 2ND FL. SQ. FT. SLAB GRADE YARD SPKLR SYSTEM POR. Sp. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. I Sp. FT. @ DRAINAGE PIPING WALL SQ. FT. @ DUCT WORK DRINKING FOUNTAIN. SO. FT. @ GAS (ROUGH) URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation REINF. STEEL FLOOR DRAIN MECHANICAL FEES TEMP. POLE WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRY TRAY AIR HANDLING UNIT CFM WATER SYSTEM 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 SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/a C SEWAGE DISPOSAL VENTILATION SQ.FT.GAR @ 3/ac HOUSE SEWER FIRE ZONE ROOFING GAS PIPING PERMIT FEE PERMIT FEE II PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE LATHING i MESH 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 APPJEQUIP. 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 /Oz" REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL' LATHING MESH INSULATIONISOUND FINISH GRADING KINAL INSPECTIOI�I� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL