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002894 (SFD)P.O. BOX 1504 No. .002894 Building 55_198 SbW1 Creek78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner amrim oaq=y BUILDING:, TYPE CONST. OCC: GRP. Mailing Address IS,005 0=11txv Club ftivv A.P. Number City lZip Tel. Contractor Address. _. City Zip I I� L8 Legal Description Project Description FM %Me : MWN 14 A _ ._... Man 2 M Tel. State Lic. City } 8 & Classif. Lic. # Sq. Ft.No. No. Dw. 424 No. Size Units Arch., Engr:, .. .. Designer New [ft Add ❑ Alter ❑ Repair ❑ ' Demolition ❑ .. Address Tel. City Zip State _ .. Lic: # LICENSED CONTRACTOR'S DECLARATION. I herebyy affirm:thati am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license.is in full'for6e'andF effect.. ,e SIGNATLRE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from,the Contractor's License Law for the following ! g �q t�p 54S.00 �..1.081�'37�iiV 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 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 the Any Section 7031.5 by 'any for Plan.Chk': Dep.. - alleged exemption. violation of applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). PIan.Chk. Bal. 337e}0/� ❑ I, as owner of the property, or my employees with wages as their sole compensation, will J►i.58� do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. i� Professions Code: The Contractor's License Law does not apply to an ownerof property who 475.5 builds or improves thereon and who does such work himself'or. through his own employees, Mech.' - 34, 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 will have the burden Electrical 654 . _ of proving that. he did not build or improve for the purpose of sale.) ._ . - • ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 87.50 slruct the project. (Sec. 7044; Business and Professions Code: The Contractor's License Law does not to who builds improves thereon, who for S.M.I. - apply an owner of property or and contracts such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 7,.60 Grading O I 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 O Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 2„648,.8 jr _ 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-) .. .. .. - ... . I certify that in the performance of thg work for which this permit is issued, l 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 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. 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 This We building permit when properly filled out, signed and validated, and is subject to' expiration if work thereunder is suspended for 180 days. I ify have .f A +Y -4-8% 2 certthat I 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 sof this city to enter the above— mentioned property for inspection purposes. / r - Validated by: Signature of applicant Date-- ate Mailing Mailing Address 1' ! r Validation: City, State, Zip A7268 Z 6 264&80 Ca HARD COPY CONSTRUCTION ESTIMATE 1111111 1 Ilk NO. ELECTRICAL FE NO . PLUMBING FEES IST FL. SQ. FT. @ $ UNITS eG<SLAB GRADE 3rGl^� 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ, FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. @ OTHER APP./EQUIP. DRINKING FOUNTAIN SQ. FT. @ TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation c FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER n(l(fFRAMING 1/—/ Y S GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED �✓C.iCROOFING _I,� y L��, 6� b I LAUNDRY TRAY 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 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 Vt�SETBACK a_tl6 s+t� OUND PLUMBIN I��, UNDERGROUND A.C. UNIT COLL. AREA eG<SLAB GRADE 3rGl^� UGH PLUMB/C j 7 BONDING HEATING (ROUGH) STORAGE TANK FORMS G� EWER OR SEP�JPy S'r OUGH WIRINGL� � DUCT WORK ROCKSTORAGE 66/.<FOUND. REINF. a� GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 6�(eREINF.STEEL-3--�� '1 _! AS(FINAL) v TEMP. POLE GROUT WATER HEATER SERVICEdINALINSP.&—g?—q� c BOND BEAM WATER SYSTEM GRADING cu.yd. $ plus X$ _$ LUMBER GR. NALINSP.(�,—C?—S 1 n(l(fFRAMING 1/—/ Y S �, INAL INSP. Gl �� ✓C.iCROOFING _I,� y L��, 6� b vl� TO G:/ /2 y4"L-cc l�C'/�(�% `/—�O 7 L� /LAc� REMARKS: VENTILAiTIION/� FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL e4<LATHING — MESH f4e<NSULATION/SOUNQ. ,, jL -- FINISH GRADING V:fFINAL INSPECTIONe—cf—S CERT. OCC. FENCE FINAL ' INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL