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04890 (SFD)Building Address 49-010 tSerenata •Cptlrt ' Owner ''rDa reon Development* Mailing Address evro l; ` • City Zip Tel. cathedral city 92234 , Contractor , Address ti City JZip Tel. State Lic. City & Classif: .337077 Lic. If Arch., Engr.; Designer ,e. Address Tel. P.O.. BOX 1504 78-105'CALLE ESTADO LAQUINTA; CALIFORNIA 92253 yBUILDING: TYPE. CONST. OCC. GRP. n.. �w .. A.P..Number- - -Pit" i t O.inta Legal Description Project Description NA. Pbase 21 City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of DriGislon 3 of the Business and Professions Code, and my license.iys in full force and SIGNATURE DATE ' OWNER -BUILDER DECLARATION I hereby 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, alter, 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 Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 or 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 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 of completion, the owner -budder will have the burden 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- struct the project. (Sec. 7044, Business and Professions Code: The Contractoi'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.) ❑ 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, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. , Sq. Ft. No. No. Dw. Size 2222 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 1.� Estimated Valuation 2 r PERMIT CERTIFICATE CERTIFICATE OF EXEMPTION FROM AMOUNT, Plan Chk. Dep. WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation Plan Chk. Bal. 387,64 Const. 465450 Mech. 53.00 Vm9mv Electrical 851,19 employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. - Plumbing 98.00 XASNYM S.M.I. Grading NOTICE TO APPLICANT. If, after making, this Certificate of Exemption you should become ZONE: Driveway Enc. subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Infrastructure 2,.5231.63 UNRUX19M. .comply with such provisions or this permit shall be deemed revoked. Minimum Front Setback from Center Line ' Rear Setback from Rear Prop. Line 396 ,84 - $396M,84- CONSTRUCTION LENDING AGENCY CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation �•�th +yy�� , �y K iP�i� � �drli'P�Ul 1'4•�i> 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 ZONE: BY: ' subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Setback Distances: .comply with such provisions or this permit shall be deemed revoked. Minimum Front Setback from Center Line ' Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line ' 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 / r 0 I expiration if work thereunder is suspended for 180 days. I certify that I 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 he authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Validated by: ,t Signature of applicant Date 'Ir✓- Mailing AddressValidation: - �. - City, State, Zip , WHITE FINANCE PINK APPLICANT, GREEN - BUILDING, GOLDENROD -ASSESSORS OFFICE, HARD COPY - FILE .. ...-.:,r:R.+-.a..�,: ... <'t�r,✓: C:. .«-f.ta_-f's'.r- a.'ii.....,_ ,-�a:^i.F-._ .-. }•_. ..��.;....r .�..•.N-s:._-«,1..:.��..� t�.__:�'�=.A+_,.��,_ .... .r• -;�_. r„- t CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES tST FL SO Fl rp $ UNITS GRADE �� ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. a FOR SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO FT. of GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR SO. FT. 0 GAS (FINAL) VZV MP. POLE GROUT DRAINAGE PIPING CARP. SO FT. to FINAL INSP. 1 BOND BEAM DRINKING FOUNTAIN WALL SO FT. @ _$ LUMBER GR. FINAL INSP. 7 FRAMING URINAL SO. FT. 0 / q ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation VENTILATION FLOOR DRAIN MECHANICAL FEES FIRE ZONE ROOFING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTONDISHI APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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 t V: c SEWAGE DISPOSAL ' SO.FT.GAR rp 3V.c HOUSE SEWER FENCE FINAL GAS PIPING PERMIT FEE INSPECTOR'S SIGNATURESIINITIALS PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE ME:;H.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR S BACK ROUND PLUMBINCr r UNDERGROUND A.C. UNIT COLL. AREA GRADE �� ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FOR SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE N INF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) VZV MP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. 7 FRAMING FINAL INSP. ROOFINGt'.� / q 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