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07275 (SFD)Builin Address 43-665 SkyWafd iky Owner TWIt 4 4 a" P.O. BOX 1504 78-105 CALLE ESTADO " LA QUINTA, CALIFORNIA 92253 Mailing Address P.O. Box 329 City Zip Tel. La tuinta 1 92253 1 564-2228 Contractor Address ty lZip Tel.: State Lic. I City & Classif. 397169 8 Lic. # 202 Arch., Engr., Designer Address Tel. City(Zip I State Lic. If LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 700fn of Division 3o the Business'and Professions Code, and my license is in full force and effect. �`:f"'� ti ` ..�.. SIGNATURE DATE OWNEWBUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business• and Professions Code: Any city or county which requires a permit to construct, atter, 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 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 subjects the applicant to a civilpenalty of not more than five hundred dollars ($500). ❑ 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 sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or bnproves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. ff. 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 safe.) ❑ 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 I am exempt under Sec B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 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: ff, 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. CONSTRUCTION LENDING AGENCY 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.) Lenders Name Lenders 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 certity 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 inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 07275 BUILDING: TYPE CONST. OCC: GRP:. A.P. Number Legal Description Lot 23 Project DescriptionFrontier %e REMARKSt 11�i#'rt"7 ...f.r).1"4i „04_ i9.. 9! . 10 ri% k..i`t143Y � r Li 1 9'Y{.. i 'i Y :,V A • r 40 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 2t28I9PPermit Validated by: Validation: Sq. Ft. 2687 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition D Estimated Valuation $141.266 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. $ 645.90 Const. 786.5 Mech. 60,00. Electrical 136,96 Plumbing 144.50 S.M.I. 9.38 Grading Driveway Enc. Infrastructure 3a17$.k49 TOTAL $4961.73 REMARKSt 11�i#'rt"7 ...f.r).1"4i „04_ i9.. 9! . 10 ri% k..i`t143Y � r Li 1 9'Y{.. i 'i Y :,V A • r 40 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 2t28I9PPermit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL S0. FT. ® DUCT WORK ROCK STORAGE FOUND. REINF. ZZ MOBILEHOME SVC. BAR SINK POR. SO. FT. ® REINF. STEEL GAS (FINAL) / _� O TEMP. POLE POWER OUTLET ROOF DRAINS GAR. SO. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRAINAGE PIPING CAR P. SO. FT. ® LUMBER GR. FINAL INSP. - V FRAMING QO �� FINAL INSP. DRINKING FOUNTAIN WALL SO. FT. ® REMARKS: URINAL SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM MESH 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 ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® Vic HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING , i ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING L UNDERGROUND A.C. UNIT COLL AREA SLAB GRADE j 2^y �e7 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS S L ER OR SEPTIC TANK /BOROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. ZZ GAS (ROUGH)// -13-? METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) / _� O TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. - V FRAMING QO �� FINAL INSP. ROOFINGL / � C 1 ,P d 4 &5� ^ 6 F/) W� 9/16 /q a l r!/ �l�`! REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LAfHIN �� �© /! MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION// -5Q -f0 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL I