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002899 (SFD)Building X1$5 r Address P P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 mise amomw Mailing Address City ZipTel. FaIM t 92260 56S-2828 Contractor. Mt=ml 111wit-931a amd Limit Address City BEIM. Sam State Lic. & Classif. Arch:; Engr:, ' -Designer Address ICity Lic. # Tel. No. 00899 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description—M M FEM 15 A PLAN 2CR 2 EM 7:48 32$ Sq. Ft. No. No. Dw. Size- .424 Stories Units New I. Add ❑ Alter ❑ Repair ❑ Demolition ❑ WORKERS' COMPENSATION DECLARATION I herebyaffirm that I have a certificate'of consent to 'self -insure, ar a'certificate.of Worker's Compensation Insurance, or a certified copy thereof. rSec. 3800, Labor Code.) Policy No. . . Company 0 Copy.is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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 subject to the Workers' Compensation provisions of the Labor Code, ycu must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the per'ormance 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 inspectidn purposes. Signature of applicant ! . '' _•� Date Mailing Address L' 4 �� f City, State, Zip I HARD COPY TOTAL; REMARKS ZONE: BY: - Minimum Setback Distances: Front Setback from.Center. Line Rear Setback from Rear Pro,p.. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued. by.: Date 2-4—S7 Permit Validated by: Validation: A7293 L 10 2.64$8(1 C. City Zip State Lic. # _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm that,ham licensed under provisions of Chapter 9 (commencing with SectiodC 7000) of Division•3-6f the Business and Professions Code, and my license is in full force and -r effect. �• r , SIGNATURE DATE - OWNER -BUILDER DECLARATION .7-. I I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation ��C•An 00 J'e, reason:.(Sec. 703.1.5, Business, and Professions'Code: Any city or county which .requires' a ' permit to construct, after, improv 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 Contractor's License Law, Chapter 9 (commencing .with Section 7000) of Division 301 the Business and *Professions Code, o? -that. he is exempt therefrom,' and the basis for the Any 7031.5 'any for ' PlanChk. Dep. - alleged exemption. violation of Section py applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500J. ' ' ..3 Plan. Chk. Bal. - ❑ I, as owner of the property, or my employees withwagesas their sole compensation; will / 0.59 do the work, and the structure is not intended or offered for sale. (Sec: 7044, Buisness and Const. �JJ 50 Professions Code: The Contractor's License Law does not apply to an'owner of property who - . . builds or improves thereon and who does such work himself or through his own employees, Mech. �� /t 0 34.00 provided that' such improvements are not intended or 'offered for sale. 1f, however, the building - 38. VA or improvement is sold within one year of completion, the owner -builder will have the burden Electrical of proving that he did not build or improve for the purpose of sale.) - - .0 I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing?� struct the project. (Sec. 7044, Business -and Professions Code:. The Contractor's License Law _ . does not apply to an owner of property who builds or improves thereon, and who contracts for S.W. such projects. with a contractor(s) licensed pursuant to the.Contractoi s License Law.) - - Grading 0.1 am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date owner Infrastructure,,$ WORKERS' COMPENSATION DECLARATION I herebyaffirm that I have a certificate'of consent to 'self -insure, ar a'certificate.of Worker's Compensation Insurance, or a certified copy thereof. rSec. 3800, Labor Code.) Policy No. . . Company 0 Copy.is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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 subject to the Workers' Compensation provisions of the Labor Code, ycu must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the per'ormance 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 inspectidn purposes. Signature of applicant ! . '' _•� Date Mailing Address L' 4 �� f City, State, Zip I HARD COPY TOTAL; REMARKS ZONE: BY: - Minimum Setback Distances: Front Setback from.Center. Line Rear Setback from Rear Pro,p.. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued. by.: Date 2-4—S7 Permit Validated by: Validation: A7293 L 10 2.64$8(1 C. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEF NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS ®L,,ISLAB GRADE �� 2ND FL. SO. FT. BONDING —j _4'j YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. Q GAS (ROUGH) 6 DRAINAGE PIPING WALL SQ. FT. OTHER APP.IEQUIP. DRINKING FOUNTAIN SO. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation IA INAL INSP.7 C G FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMINGL� - (� �(�1 i II GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OOFING ( LAUNDRY TRAY AIR HANDLING UNIT CFM VENTILATION 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 MESH SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac 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 e((LSETBACK GROUND PLUMBING 7 UNDERGROUND A.C. UNIT COLL. AREA ®L,,ISLAB GRADE �� 4_C ROUGH PLUMB. 5--j/ 1 BONDING —j _4'j HEATING (ROUGH) STORAGE TANK �,& FORMS /��-�� SEWER OR SEPT 2 ROUGH WIRING — !�-ql DUCT WORK ROCKSTORAGE VtLI FOUND. REINF..? _ r /l GAS (ROUGH) 6 METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. j REINF. STEEL 3-�� I GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE IA INAL INSP.7 C G BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. INAL INSP. .- FRAMINGL� - (� �(�1 i II FINAL INSP. d —7 l OOFING ( C AO REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL aALATHING MESH g,KJNSULATIONISOUND f=/� —Fj II`` FINISH GRADING �q FINAL INSPECTION 7 �a `1 CERT. OCC. FENCE FINAL INSPbGI UK'S SIUNAI UKt511N1I IAL5. GARDEN WALL FINAL