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002896 (SFD)P.O. BOX 1504 Building 78-105 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner .w Mailing BUILDING: TYPE CONST. OCC.-GRP.- Address CC: GRP.Address CUlb Brye A.P. Number City Zip Tel. Contractor a Address .. . Sam City . :9 0 SGS -2828. Legal Description Project Description -MA V1' - CM 14' A &I voft-mcn? awl und PIM 4Fa Zip .. Tel:.. State Lic. City DM 1918 & Classif. 288,130 Lic. # 328 Sq. Ft. - �{ No. No. Dw. Size - Stories Units Arch., Engr.; ..... Designer New Add ❑ Alter ❑ Repair ❑ Demolition ❑ . Address Tel. City Zip State Lic..# . _. _ LICENSED CONTRACTOR'S DECLARATION it I hereby affirm that I`am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division.3of the Business and Professlons.Code, and my license is in full"force.and effect. SIGNATURE -"t -" ,r i DATE ' OWNER46UILDEk DECLARATION ' 1 I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation °• 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 staiement.that he is licensed pursuant to' PERMIT AMOUNT` the provisions of the Contractor'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 Any Section 7031,.5'.Dy 'any for. Plan. Chk. Dep.. the alleged exemption. violation of applicant a permit • subjects the applicant to a civil penally of not more than five:hundred dollars ($500). Plan Chk. Bal... - 0.1, 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, Buisness.and Const.�"J� 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, Mech. 00 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 wig have the burden " Electrical q CC IaY ' of,proving that he did not. build or improve for the purpose ofsale.) .. _. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 87.50 - strucl the project. (Sec. 7044, Business and -Professions Code: The Contractor's License Law.. builds improves thereon, for S.M.I. �q '" g does not apply to an owner of property who or and who contracts such projects with a contractor(s) licensed pursuant to the Contractor's license Law.) - Grading y.28 ❑ 1 am exempt under Sec.- B. & P.C. for this reason. Driveway Enc. Date owner Infrastructure L# 2.2 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 " O Copy is filed with the city.. ❑ Certified copy is hereby furnished. . TOTAL.. CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation - -or less.) - 1 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 Owrier NOTICE TO APPLICANT: If, alter making this_ Certificate of Exemption ycu should become ZONE: BY: - subject to the Workers' 'Compensation provisions of the Labor Code, you must -forthwith comply with such provisions or this permit shall be deemed revoked. . MIr11mUm Setback DIStBnC@S: - ' Front Setback from Center Line Rear Setback from Rear Prop..Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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 expiration if work thereunder is suspended for 180 days. l7 ��#""©y 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 ciy 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 " + i / -- -J Date! _ Mailing Address % t Validation: City, State, Zip A7265. 2 6 S 155,94 R. HARD COPY CONSTRUCTION ESTIMATE Amilk NO. ELECTRICAL rmdk NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS 2t SLAB GRADE �� +� —��% 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ, FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. AS (ROUGH) '" C (` G Y DRAINAGE PIPING WALL SO. FT. OTHER APP.IEQUIP. DRINKING FOUNTAIN SQ. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation 4.(INAL INSP.a-I/ FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMING (/ -a,! _ • q GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ROOFING t)^C4 L�� 1 LAUNDRYTRAY AIR HANDLING UNIT CFM REMARKS: KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM 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 ® 11/4 c SEWAGE DISPOSAL FINISH GRADING 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 2 -SETBACK ROUND PLUMBIN ^! —� UNDERGROUND A.C. UNIT COLL. AREA 2t SLAB GRADE �� +� —��% (SOUGH PLUMB.G/ BONDING HEATING (ROUGH) STORAGE TANK Q6LIFORMS _!/� �iBEWER OR 9 T�A UGH WIRING L/, / (! DUCT WORK ROCK STORAGE OUND. REINF.a �!/j AS (ROUGH) '" C (` G Y METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. 4/�,M/ /(�EINF. STEEL �� GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE 4.(INAL INSP.a-I/ BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ _$ LUMBER GR. INAL INSP. G / ��� c FRAMING (/ -a,! _ • q dwQfINAL INSP.-- ROOFING t)^C4 L�� 1 S^r �+ �� 6!� T m Q � ! ` �! c� '✓ nA, / Y1 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL ?4CtATHING MESH INSULATION/SOUNDt!') j-'�q vv FINISH GRADING �b,FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL