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06581 (SFD)P.O. BOX 1504 No. 06581 Building 44-120 Tiara Place LA QUINTA, CALIFORNIA92253 • Address _ • Owner Triad Pacific Desert Devo BUILDING: TYPE CONST. OCC: GRP. Mailing . Address 74-923 gdvle -4130 A.P. Number La Oninta Riablands TT 23299 City Zip Tel. Palm Desert 1 .92260 340-9174 Legal Description Contractor Project Description L6t 9.0 Plan D -R SaZe Address. City . t' Zip Tel.: State Lic. City & Classif. 5€ 699 Lic. # $3$3 Sq. Ft. 1823 No. No. Dw. Size Stories Units Arch:, Engr., r . Designer New ❑ Add ❑ 'Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State .Lic. # 4 �f >f LICENSED CONTRACTOR'S DECLARATION - I hereby affirm that I am•lipensed and PpiOvislons of Chapter 9 (commencing with Sectiyn 7000) of Division 3'of the'•Businesssa"nd'pProffessions Code, and my license is in full/force•and"'o effect. / i� V I f A r' f t =Y (/ 3 1� SIGNATURE f w r t DATE . OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following t100#293 reason: (Sec., 7031.5,Business 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 file,a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions o/ 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 /or a permit Plan Chk. Dep. subjects the applicant to a civil penalty o/ not more than five hundred dollars (8500). Plan Chk. BBI. • 3� ❑ 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 Const. 643.00 - 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, Meeh.'.>+.Q 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 ` 109,4 .0 f proving that.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- Plumbing • -�-%t . _ 132 • 50--- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law - does' not p S.M. I. �, 1 1 w '.' apply to an owner o/ property who builds or improves thereon, and who contracts /or - •ipj; • such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) •- �. Grading % ❑ 1 am exempt under Sec. B. & P.C. for this reason .. ' Driveway Enc. Date owner Infrastructure 2#.256.59" WORKERS' COMPENSATION DECLARATION I herebylaffirm 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. �' I TOTAL $3,,744,3 j°, 44{ CERTIFICATE OF EXEMPTION FROM REMARKS p!.;1-lgri S r'q ( 5fw„rig f7€1 �_E WORKERS' COMPENSATION INSURANCE r4r (This section need not be completed i/ the permit is for one hundred dollars ($100) valuation �'+d'� �r°•Yi, TOTAL I t: 1,1yi or less.) I certify that in the performance of lhg work for which this permit is issued, I shall not employ any person in any manner sous to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO -APPLICANT. If, after making this Certificate of Exemption you should becomeZONE: - BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith_ Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. - - - - 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 Lenders Address 'FINAL DATEINSPECTOR 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. 1 at ( 3 I certify that I have 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 -of this city to enter the above-. a mentioned property for inspection purposes., Validated by: Signature of applicant Date , Mailing address Validation: City,. State, Zip ,;,. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE 6 Y ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SQ. FT. ® FORMS SEWER OR SEPTIC TANK ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) ,L <© ETER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® MP. POLE GROUT DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SQ. FT. _$ LUMBER GR. FINAL INSP. �! v% 9v FRAMING (�� FINAL INSP. o ROOFING �iy 2-7 VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND��G QD FINISH GRADING FINAL INSPECTION CERT. OCC. URINAL SQ. FT. REMARKS: ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM 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 SQ. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic 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 PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK ZZr GROUND PLUMBING UNDERGROUND A.C. UNIT COLL AREA SLAB GRADE 6 Y ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCKSTORAGE FOUND. REINF. jl y GAS (ROUGH) ,L <© ETER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) N / ! �! MP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. �! v% 9v FRAMING (�� FINAL INSP. o ROOFING �iy 2-7 VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND��G QD FINISH GRADING FINAL INSPECTION CERT. OCC. / `W LI.1A /� T REMARKS: INSPECTOR'S SIGNATL'RESIINITIALS GARDEN WALL FINAL II