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08540 (RR)Building Owner P.O: BOX 1504 N o . 08540 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 ---- Address A343 R. Camey back An ta_ 201 City lZip ITel. Contractor ?©NSA Address 1411 City State Lic.` City & Classif. �-/i' Lic. # Arch., Engr., Designer Rodin Wong RYL9 Architecture Address I Tel. City _• _ IZip____ _ IState Lic. # - Lic. _ -_- LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section- 70 ection... 7000) of Division 3 of the Business air d,Professibns Code, and my license is in full force and effect. A'- � _.�,.�_.,.- _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) df 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 five hundred dollars (S500). ❑ 1, 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, Butsness 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 improve for.the purpose of sale.) ❑ 1, 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) 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 C —� !2 �^"'• Xopy is filed with the city. ❑ Certif a copy isTereby urns ed. jJi�CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE , (This section need not be completed- it the permit Is for one hundred .Collars ($100) valuation or less.) 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 NOTICE TO APPLICANT: It, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor yCode, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name _ Lender's 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 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 BUILDING: TYPE CONST.. US OCC: GRP. R2 P. Number769-030-1111 Legal Description Rnn^ Project Description r--# OtY•.3c>l;ti re ra nir Sq. Ft. No. No. Dw. Size 2,660 Stories OU40 Units New ❑ Add ❑ Alter ❑ Repair" Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Z3.30 Const. 482.00 Mech. Electrical 105. 70 Plumbing 51. 04 S.M.I. Grading Driveway Enc: Infrastructure TOTAL 956.55 REMARKS 00MR72 til RkOR it -i4 -9k $0 IV t i -IMI 1. 11;114 I T.1Q,JJ ZONE: BY: �« Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE - INSPECTOR Issued by: Date Permit Validated by: 4 Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ '' xa UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. gQ, FT, ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS 16SFOUND. REINF/:/;0 9v� AS (ROUGH) DRAINAGE PIPING CAR P. SQ. FT. @ OTHER APPJEQUIP. REINF. STEEL WALL SO. FT. TEMP. POLE DRINKING FOUNTAIN. SQ FT ® GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/a c SEWAGE DISPOSAL LATHING SQ.FT.GAR ® 3/ac HOUSE SEWER MESH 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 PLU BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE 16SFOUND. REINF/:/;0 9v� AS (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. q FINAL INSP. 7 0! FRAMING FINAL INSP. ROOFING w r 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 , RIVERSIDE COUNTY rKUF0RNt4 FIRE DEPARTMENT cE?�6* %EPnoi cr, 4), cbuNrr� ' �- RIVERS' .,01 IN COOPERATION, WITH THE' CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION GLEN J. NEWMAN FIRE CHIEF F TO'; BUILDING & SAFETY DEPARTMENTFEB DATE s � � L1�Y UIF LA UINTA - —��------ _ . & O�VELOp��NT KEPT PLANNING II The`Riverside County Fire Department considers its requirements met and hearby releases the following project and/or building(s) for occupancy! ADDRESS: _ ==!J_� __�L1.LLC --Vii'-�' �C 0 ------ �-A -�1) ui4A --------------- RAYMOND H. REGIS. Chi-ef. Fire Department Planner !' g%�U� / OS %P✓ y----------------------- r CC,:. f 11 e-- -� C=--- FEB 07 199,0, CITY OF IA QUINTA- 4 „ � I , 4 l4v'tV".011 . , I I I .. � .;,� ev, & . �� '..,itl 1; " t. �"7-1.� : J, i. -, -aylt! .� . I r )10 . , . A . , ., � 0 - I 7TI ,,, x i4 -!"-.,.,j 1 N - .. , - 10 � 4. ;,,.; . I " j 1,; **11 w4p, - N V_ , . ,:,:!� . �l I^r .. , . � - "I -: I -, - I .. -,i T.�, -�, - - � 4V. I � . N. , V, I , - . 1. � ". .. , " ; , . . ,­ .. ai . -OaA, � �! 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