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06179 (SFD)P.O. BOX 1504 Address 7"55 S'ywaJji Way LA QUINTA, CALIFORNIA 922.53 Owner Starlight Dnee Partnership BUILDING: TYPE CONST. Address P. Q_ Xkm 329 City Zip Tel. Contractor Address ty Wlvz Zip Tel.' State Lic. City & Classif. 397169 Lic. # 202 Arch.; Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I 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 force and effecI. `A\�� SIGNATURE DATE OWNEWBUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,8usiness and Professions Code: Any city or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to fife a signed statement that he is licensed pursuant to the provisions of the Contractors 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 civilpenally of not more than five hundred dollars (8500). ❑ 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, Suisness and Professions Code: The Conhador's License Law does not apply to an owner of property who builds or improves thereon and who dues such work himself or through his own employees, 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 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- struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bulids or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date Owner 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff 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 anypperson in any manner so as to become subject to the Workers' Compensation Laws of Catifornia 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 Pennit 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, Cfvf1 Code.) Lenders 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 certity that 1 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. Number TrAr. t- 71771 OCC: GRP.: 06179 Legal Description Project Description Lint 37, model FA Vmn ler Sq. Ft. 2525 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ REMARKS }+.�r•n r tx.1 s ei M.A^+ri lktl .4 1— "t, 4 4All 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 8!14/99 Issued by: Date Permit Validated by: Validation: L Estimated Valuation $133,360 f PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. $ 627.79 Const. 758.50 Mech. 69,00 Electrical 136.96 Plumbing 144.59 S.M.I. 9.,38 Grading Driveway Enc. Infrastructure 3,000.60 TOTAL 94,737.64 1j4/ REMARKS }+.�r•n r tx.1 s ei M.A^+ri lktl .4 1— "t, 4 4All 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 8!14/99 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE (/ PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SO. FT. FORMS SEWER OR SEPTI ANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® AS (ROUGH) Q14METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. WALL SO. FT. ® WATER SYSTEM DRINKING FOUNTAIN GRADING cu. yd. $ plus xi =2 URINAL SO. FT. FRAMING-// FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ / WATER PIPING NOTE: Not to be used as property tax valuation REMARKS: FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM SPARK ARRESTOR 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 INSULATION/SOUND 1J SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® V 4c 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 tPLUMB. FEE STRUCTURE PLUMBING//47�ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING G UNDERGROUND A.C. UNIT COLL AREA SLAB GRADE (/ PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTI ANK ROUGH WIRING DUCT WORK ROCK STORAGE / FOUND. REINF. / [[[ AS (ROUGH) Q14METER LOOP HEATING (FINAL) OTHER APPIEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus xi =2 LUMBER GR. FINAL INSP. FRAMING-// FINAL INSP. ROOFING /L / /^ 71 67 / V REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL f LATHING MESH INSULATION/SOUND 1J FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL 1