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06578 (SFD)TAtyl 4 P.O: BOX 1504 No. 06578 Building�� is Place 78-105 CALLE ESTADO. Address, LA QUINTA, CALIFORNIA 92253 Traid Pacific Desert Deft, Mailing Address 74-923 Hoyley 01.30 City Zip Tel. Palm Desert 1 92260 1 340.9174 Zip ITel. State Lic. I City & Classif. 505.699 Lic. # 1383 Arch., Engr., Designer Address I Tel. CityZip State Lic. # 1 LICENSED CONTRACTOR'S DECLARATION 1 Hereby affirm'that I amslicenss sed under provisions of Chapter 9 (commencing-with•Section 7000) of Divisioh 3 -of the Businean�yd(fP�rofessions-Code:my license is in full forceland.� effect. r s `� , .'� �3f ',�/ (/?, f /r 2 SIGNATURE X T f!,/! .r �`•-. DATE ` OWkER-BUILDER DECLARATION hereby affirm that I am exempt from the Contractor's License Lawfor the following reason. (Sec. 7031.5,Busi7ess and Professions Code: Any city or county which requires a pemxT to construct, after, 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 Oftiftion 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation or Section 7031.5 by 'any applicant for a permit subjects the applicant to a cM penalty 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 bud7s or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or krprovement is sok/ within one year of completion, the owner -builder will have the burden of proving UW he did not build or Improve for the purpose of sale.) ❑ 1, 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.) ❑ 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 if the permit is for one hundred dollars (8100) valuation or less.) 1 certify that in the performance of thg work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California- Date-Owner aliforniaDateOwner NOTICE TO APPLICANT: It, alter 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.) Lender's Name Lenders Address This is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 1 certify that I have read this application and state that the above information is correct. 1 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 al mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip 11LDING: TYPE CONST. OCC: GRP. P. Number La Quinta Highlands TT 21229 Description t Description Lot 6# Plan B—R REMARKS 4^1ASii<�? ! ` l}A X(? 1,V 4%it .1 I u, 1.11., t .Yt_;A*j 4s.yt_ 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 Lirie FINAL DATE INSPECTOR 13/2+x/89 Issued by: Date Permit Validated by: Validation: I Sq. Ft. Size 1400 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Estimated Valuation XIPM $78427 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. - ' S1 . p0 Mech. 60.00 Electrical '94.78 Plumbing 220.5E S.M.I. 5.53 Grading Driveway Enc. Infrastructure . 1,769.11 TOTAL 3.053.442 # }' REMARKS 4^1ASii<�? ! ` l}A X(? 1,V 4%it .1 I u, 1.11., t .Yt_;A*j 4s.yt_ 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 Lirie FINAL DATE INSPECTOR 13/2+x/89 Issued by: Date Permit Validated by: Validation: I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE b Q ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. ® FORMS SEWER =F ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® / GAS (ROUGH)Y3 �Z CJ ER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SO. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. DRINKING FOUNTAIN. WALL SO. FT. =$ LUMBER GR. 0 FRAMING ROOFING ` Z/ 7 ( URINAL SO FT ® ESTIMATED CONSTRUCTION VALUATION $ VENTILATION WATER PIPING NOTE: Not to be used as property tax valuation FIRE ZONE ROOFING FLOOR DRAIN MECHANICAL FEES FIREPLACE WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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. SO. FT. ® c BATH TUB FINAL INSPECTION SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL FENCE FINAL SO.FT.GAR ® V4c HOUSE SEWER INSPECTOR'S SIGNATURESIINITIALS GAS PIPING PERMIT FEE PERMIT FEE I 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 SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE b Q ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER =F ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. ��I v / GAS (ROUGH)Y3 �Z CJ ER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) /2��p TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. or, FINAL INSP. GRADING cu. yd. $ plus x$ =$ LUMBER GR. 0 FRAMING ROOFING ` Z/ 7 ( REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING Z Qv 16700 MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL