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04898 (SFD)S`� a •`.y, _ . � •� ;, r . '�+: _ . • :�� .� ;.: .<. :....' o , . ..P.O. BOX 1504 , Buitdin9078-105 CALLE ESTADO •r' ~ g `'' 5 Sree1 aca OICt -LA QUINTA, CALIFORNIA 92253 .,Address CV - Owrier Development ':Mailing,= dd' 'sAiftiress?;s=. 68,�713 - Pesrez Road ` +ciiy;'d %>_ Zip Cee,4.V&Ar,a1 'City 1 92234 r - . BUILDING: TYPE CONST. OCC. GRP. Tel. MZjp] W ♦ f .Y .a �T, 4 Contractor ►amb - Address City E Tel. 7 rr State, Lic: •`3' s. c� 7 7 City M * w & Classif. Lic. # Arch., Engr.,, ' Designer Address Tel. ,L City. - -k Zip State y Lic. # LICENSEDICONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisionr3'ofrthe Businessland Professions Code, and my license is in full force and 1 t• effect . ;iy �'�`t.l �".•�.,"..+..,-......�. ��%" -% � +.�:1 OWNER -BUILDER DECLARATION I heieby 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, after, Improve, demolish, or repair any structure, prior to its Issuance also requires, the'applicant for such permit to file a signed statement that he is licensed pursuant to the provisions, of the-Contiactor'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.applicanf toy a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the properly,.or my employees with wages as their sole compensation, will ' do the work; and-the�dtructure 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.'theiiibn 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 issold'wllhlh one yeai of completion, the owner -builder will have the burden of proving that he did not build or Improve for the purpose of sale.) ❑ I, as owner. ofthe property, am exclusively contracting with licensed contractors to con- struct the; projecI..(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) licensed pursuant to the Contractor's License Law.) ❑ I 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, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. ' - - Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. • CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This,;sectlon need not be completed If the permit Is for one hundred dollars ($100) valuation or less.) ,.Y` - I certify that in the performance of thg 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 { t NOTICE - TO APPLICANT: If, a alter making this Certificate of Exemption you should become y subject to • theWorkers', Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. >. Number PAVC LA d'f<ffii"ttp ]al Description ' >ject Description plan ]Phase 'I tat 20 'CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line •-1 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,Llne + 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. I-certify,that l have read this application and state that the above information Is correct: ' Issued by: Date Permit 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. Validated by: • , Signature of applicant. Date Mailing Address Validation: City, State, Zip WHITE FINANCE PINK - APPLICANT, GREEN BUILDING, GOLDENROD - ASSESSORS OFFICE, HARD COPY - FILE s 1 � ,.�•,,_.x� 4-r.,•�:.. i�,t;��:,w , . __. _.�.,,:_n....,k:.,. �:,.��.r'��"� . �.:. . __-.r....�.__.s,._ �: , , ...,, � _..•,. .... .�,. .ti' . t•>? ,.r roti �.' � �: , . ..,. Sq. Ft. '� Size 1620 No:: Stories No..Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ • i .r. Estimated Valuation ll` %0ftk6 4 $84'x'$22 s PERMIT,'• AMOUNT Plan Chk. Dep.' Plan Chk. Bal. $ 22 1'..22 `.0 INIVAR Const. 1 V ff. 00,. AVA119 Mech. 39.00 , „ 9-RXQQ Electrical ;' 70.20 0:9122 Plumbing 82.00' 2=9 S.M.I. 5.92 Grading Driveway Enc. Infrastructure's 1$O TSB l6.84 TOTAL 1 RX"e;.; REMARKS ., d{�ix3 �,�'�� 4�t� a�;S.�.c��)t" ASI �^+ltS'�..,.rry.��-•F q � ri � f j _ ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line ' 'CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line •-1 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,Llne + 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. I-certify,that l have read this application and state that the above information Is correct: ' Issued by: Date Permit 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. Validated by: • , Signature of applicant. Date Mailing Address Validation: City, State, Zip WHITE FINANCE PINK - APPLICANT, GREEN BUILDING, GOLDENROD - ASSESSORS OFFICE, HARD COPY - FILE s 1 � ,.�•,,_.x� 4-r.,•�:.. i�,t;��:,w , . __. _.�.,,:_n....,k:.,. �:,.��.r'��"� . �.:. . __-.r....�.__.s,._ �: , , ...,, � _..•,. .... .�,. .ti' . t•>? ,.r roti �.' � �: , . ..,. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST PL. SO Fl h $ UNITS B GRADE ROUGH PLUMB ,BONDING YARD SPKLR SYSTEM 2ND FL SO FT. g FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK MOBILEHOME SVC. BAR SINK POR SO FT. a METER LOOP 'p HEATING (FINAL) GAR SO. FT. to POWER OUTLET ROOF DRAINS P. POLE DRAINAGE PIPING CAR P. SO FT. a WATER HEATER SERVICE WALL SO. FT. Q DRINKING FOUNTAIN WATER SYSTEM URINAL - SO. FT. fa LUMBER GR. FINAL INSP. � � ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISHI APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE LAUNDRYTRAY 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 SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID g Iii: c SEWAGE DISPOSAL SO.FT.GAR Ig 3/� c HOUSE SEWER FINAL INSPECTION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE . L.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR S BACK ROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA B GRADE ROUGH PLUMB ,BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE �y OUND. REINF.2v GAS(ROUGHi METER LOOP 'p HEATING (FINAL) OTHER APPIEOUIP. REINF. STEEL GAS (FINAL) �/� P. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $-Plus-x$-=$ LUMBER GR. FINAL INSP. � � FRAMING S/� gQaD 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 SIGNATURESJINITIALS GARDEN WALL FINAL