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06958 (ELEC)P.O. BOX 1504 No. U6958 Building 78-105 CALLE ESTADO ' Address 54-273 Shoal Creek LA QUINTA, CALIFORNIA 92253 Owner e - Suzi;riae Desert Partners. Mailing Address 42•-600 Cook Street, Stilite 2413 CityZip Tel. Pals Desex 9226a 1 56$-- Contractor atiana2 Oortvane S Latti Address Sam City lZip Tela BUILDING: -TYPE CONST. OCC: GRP. A.P. Number KA West Tract 2'9727-•3 282$ Legal Description PhaBE: 23A Project Description I00 AM Common area meter State Lic. City subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with Such Provisions orthis Permit shag bedeemed revoked. 8 Classif. Lic. # 328Sq. Ft. No. No: Dw. Size • Stories. '. Units-- Arch., Engr., Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance. of the Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition'❑ Address' Tel. Lender's Name Lenders Address FINAL DATE INSPECTOR City " Zip State ' Issued by: Lic. # I agree to comply with all city and county ordinances and state laws relating to building !r~ LICENSED CONThACTOW&DECLARATION construction, and hereby authorize representatives -of this city to enter the above. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions_Cc,&, and my license is in full force and mentioned property for inspection purposes. Validated by: effect. l' ,r �1 }�f�_ .. �t • 1i /1. ,/ Signature of applicant Date SIGNATUREDATE ' Validation: '%—J OWNER•BUILDERdECLARATIONEstimated City,. State, Zip I hereby affirm that I am exempt from the Contractor's License Law for the following Valuation ' —0— reason: (Sec. 7031.5,8usiness 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 PERMIT AMOUNT the provisions of the Contractors 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 -Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal. ❑ 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 sate. (Sec. 7044, Buisness and Const. • Professions. Code: The Contractors 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, Mech. Provided Nat such improvements are not intended or offered for safe. If, however, the building or improvement is sold within one year of completion, the owner -budder will have the burden EI eCt rl CdI $30.00 of proving that he did not build or improve for the purpose of safe.) - ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 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 brrproves thereon, and who contracts for S•M•1• o ' such projects with a contractor(s) ficensed pursuant to the Contractor's License Law.) Grading ❑ 1 am exempt under Sec. B. & P.C. for this reason Driveway Enc. - Date owner Infrastructure 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. TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if Me pemxl 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 'Dat O ' 11 e wner NOTICE TO APPUCANT: A, after making this Certificate of. Exemption you should become ' ZONE:—BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with Such Provisions orthis Permit shag bedeemed revoked. - ' Minimum Setback Distances: , • 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, aril code.) , - Side Setback from Property Line ' Lender's Name Lenders 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- 1/36/90 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 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 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SO. FT. ® FORMS SEWER OR SEPTIC TANK ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SO. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SO. FT. =$ LUMBER GR. NAL INSP�� URINAL SO. FT. ROOFING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIREPLACE 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR @ V4c HOUSE SEWER CERT. OCC. 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. NAL 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 i GARDEN WALL FINAL 1