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07431 (RPL)Z. P.O-. BOX 1504 / N o . 07431 Building 78-105 CALLE ESTADO . Address ��' LA QUINTA, CALIFORNIA 92253 Owner 1 BUILDING: TYPE Address OCC: GRP. Mailing "' Address 44480.1iam -- La Quflat Highlands A.P. Number City Tel. La {���i� Zip 92253 ' 3%—J'959 Legal Description ttlt 11 Tract 23219 ~ .., Contractor , • _ . t {{.. i^ P����y'�y�� .Project Atmjt* S�f��nt MfpI NOs?,by Viii 1111 ne Address ' City sr: _..:. Zip Tel,.: • S�FA� 53. City..., Lie. # 130 Tel. State Lic. # 6LARATION hapter 9 (commencing;with Section e; and mylicense*e*issii ''ffull forc faa d ATION" or's License Law for the following An city or county which requires a- S101M structure, prior to its issuance also ment that he is licensed pursuant to (commencing with Section 7000) o1 e is exempt therefrom, and the basis 1.5 by any applicant for a• permit ndred dollars ($500). > , es as their sole compensation, will for sale. (Sec. .7044, Buisness and apply to an owner of property who self or through his own employees, ed for sale. If,: however, the building owner -builder will have the burden le.) g with licensed contractors to con - Code: The Contractor's License Law roves thereon, and who contracts for tractor's License Law.) s•reason CLARATION nt to self -insure, or a certificate of ereof. (Sec. 3800, Labor Code.) he furnished. N FROM NSURANCE one hundred dollars ($100) valuation' ch this permit is issued, I shall not ject to the Workers' Compensation of Exemption you should become e Labor Code, you must forthwith yoked. GENCY agency for the performance of the Code sign and validated, and is subject to I the above information is correct. and state laws relating to building this city to enter the above-. Date Y ' PR IM State Li c. & Classif. -Arch., Engr.,.. Designer Address City a- Zip rjr.}_ ,LICENSED CONTRACTOR'S DE I herebyy,affirm that I am.licensed.under pr isio sC 7000) of,bivision 3 of the Business a Pro s ns Cod effeftP / r SIG ATURE .F �t-` OWNER -BUILDER DECLAR I hereby affirm that .1 am'exempt from the Contract reason: (Sec. 7031.5,Business and Professions Code: A permit to construct, alter, improve, demolish, or repair any requires the applicant.for such permit to file a signed state the provisions of the Contractor's License Law, Chapter Division 3 of the Business and Professions Code, or that. h for the alleged exemption. Any violation of Section 703 subjects the applicant to a civil penalty of not more than five hu ❑ I, as owner of the property, or my employees with wag do the work, and the -structure is not intended or offered Professions Code: The :Contractor's License Law does not builds or improves thereon and who does such work him provided that such improvements are not intended or offer or improvement is sold.• within one year of completion, the of proving that he did not build or Improve, for the purpose of sa ❑ 1, as owner of the property, am exclusively contractin struct the project. (Sec: 7044, Business and Professions does not apply to an owner of property who builds or imp such projects with a contractor(s)-licensed pursuant to the Con ❑ 1 am exempt under Sec. B. & P.C. for thi Date Owner WORKERS' COMPENSATION DE I hereby affirm that ) have a certificate of conse Worker's Compensation Insurance, or a certified copy th Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is h CERTIFICATE OF EXEMPTIO "WORKERS' COMPENSATION I . (This section need not be completed if the permit is for or less.) be; completed certify that in the performance of the work for whi employ any person in any manner so as to become sub Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this 'Certificate subject to the Workers' Compensation provisions of th comply with such provisions or this permit shall be deemed re CONSTRUCTION LENDING A I hereby affirm that there is a construction lending work for which this permit. is issued. (Sec. 3097, Civil Cod Lender's Name Lender's Address This is a building' permit when properly filled out, sig expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state tha I agree to comply with all city and county ordinances construction, and hereby authorize representatives •of mentioned property for inspection purposes. Signature of applicant Mailing Address City, State, Zip Sq. Ft. No. No. Dw Size = Stories . Units New ❑ Add. ❑ , Alter O Repair ❑ REMARKS' �+wny,�.dgaps �e-•xrayr�ryx�': _,"�y�g ` 677 �y' .`�} ' �*+} �rnva.iF:a>R� ,L-�iLd��S�y. L�* 3r'•IJ".9:h1.. Estimated Valuation - PERMIT BY: AMOUNT , Plan Chk. Dep. Front Setback from Center Line _ Plan Chk. Bal. ./ �1��� Const. Side Setback from Property Line ���,� Mech. ,Issued by: ���� Electrical " � .� , Plumbing ��t� S.M.I. Grading Driveway Enc. Infrastructure ' TOTAL �i���.�9� ` r� w� `+ �!!• REMARKS' �+wny,�.dgaps �e-•xrayr�ryx�': _,"�y�g ` 677 �y' .`�} ' �*+} �rnva.iF:a>R� ,L-�iLd��S�y. L�* 3r'•IJ".9:h1.. 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 �/��g©ermit Validated by: " Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® M081LEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. METER LOOP DRAINAGE PIPING WALL SO. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN. SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES BOND BEAM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRYTRAY AIR HANDLING UNIT CFM X01 f A �/�//� V/I/► 1 / I � / N./ /� Q f� ���I�G• RM v "� tea. (O 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 801LER. B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL FINISH GRADING SO.FT.GAR ® 3/ic HOUSE SEWER FINAL INSPECTION 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 8 AIR COND. SOLAR - SETBACK I i 1 GROUND PLUMBING , ' ' �� ; ONDERGROUND, - A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) DUCT WORK STORAGE TANK ROCK STORAGE FORMS SEWER OR SEPTIC TANK ROUGH WIRING FOUND. REINF. 4AS (ROUGH) !Z(�- GAS (FINAL) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. -Plus-x$-=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING X01 f A �/�//� V/I/► 1 / I � / N./ /� Q f� ���I�G• RM v "� tea. (O ^ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATUR£SIINITIALS GARDEN WALL FINAL