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002912 (SFD)Building 55-137 Shoal CrWk Address Owner Mailing Address 75-05 00uptnr CW City Izip Contractor Address. Sam City State Lic. sale & Classif. 2813130 Arch., Engr.,- - ' Designer Zip Tel. City Lic. # 328 4 w. P.O. BOX 1504 N o . 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 X02912 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description PM M64m, IMM 13 A PIM. 3 CR t:�s�a 1i7C Sq. Ftp 424 No. No. Dw. Size Stories Units New Q. Add ❑ Alter ❑. ' Repair ❑ Demolition ❑ sa Address Tel. City Zip State - UCENSED CONTRACTOR'S DECLARATION u I hereby affirm that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the -Business and Professions Code, and my license is in fullforce-and, ✓ effect. •' .. ` .. / ` f y.- c _SIGNATURE - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation. $ Ms727/ r.()o .reason: reason: (Sec. 7031.5,Business and Professions Code: Any city or county..which requires a- to construct, alter, 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 Codd,,' 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). ' - ' • as owner of the property, or,my employees with wages -as their sole compensation, will PERMIT - - AMOUNT* •. Plan Chk. Dep.. .. 3$0. - .. '^ Plan Chk. Bal.. .44 Const. �f • 00 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 Mech. (�'� • builds or impioves thereon and who does such work.. himself or through his own employees, • ,provided that such Improvements are .not intended or offerectJor 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.) - Electrical'�� PlumbingP�-50 ❑ 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) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B: & P.C. for- this reason _. S.M.I. 7M, Grading Driveway Eno. Date owner Infrastructure 1y.7M.91. WORKERS' COMPENSATION DECLARATION ' I hereby affirm that I have's 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 2.751.21 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of lhg 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. 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 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 Issued by: Date 2-4-87 Permit Validated by: 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 ordinance's andstate laws relating to building construction, and hereby authoFize representatives:lof.this city to enter the above: mentioned property for inspection purposes. i j Signature of applicant t i- _ ( ` J '." fi' . Date - �f �__ _ Mailing,Addreiss `^ r ✓ - r % Validation: A 7 2 8 4 2 10 2%51.21 B City, State, Zip HARD COPY CONSTRUCTION ESTIMATE Ask NO. ELECTRICAL FE — PLUMBING FEES 1ST FL. SQ. FT. @ UNITS COLL. AREA 2ND FL. SQ. FT. TOUGH PLUMBS/3_" YARD SPKLR SYSTEM I MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® SEWER OR SEPTI= F7 WOUGHWIRING /� J GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS 9/ v FOUND. REINF. 3 —��� GAS (ROUGH)4--12r, `g DRAINAGE PIPING CAR P. SQ. FT. @ HEATING (FINAL) OTHER APP./EQUIP. WALL SQ. FT. GAS (FINAL) DRINKING FOUNTAIN SQ. FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER WATER PIPING NOTE: Not to be used as property tax valuation IN P.7 —.2 FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL 'FLOOR SUSPENDED JOA INAL INSP.,)_A F / 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 SPARK ARRESTOR SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL SQ.FT.GAR @ 3/ac HOUSE SEWER 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 —/��C ROUND PLUMBING �S, UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �.+` ��y' '' TOUGH PLUMBS/3_" BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTI= F7 WOUGHWIRING /� J DUCT WORK ROCK STORAGE 9/ v FOUND. REINF. 3 —��� GAS (ROUGH)4--12r, `g METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE �JFINAL IN P.7 —.2 BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ _$ LUMBER GR. 6hZINAL INSP. 9— —F I Z)WRAMING S JOA INAL INSP.,)_A F / 2t/ZROOFING Q�nGIC L/ -� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL ?04-ATHING MESH K INSULATION/SOUND -�� ,I 1< FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS_ GARDEN WALL FINAL