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04225 (GRES)44a P.O. BOX 1504 Buildings • 78-307 Terra Cotta Ct � 78-105 CALLE ESTADO Address. LA QUINTA, CALIFORNIA 92253 - Owner Boulevard Development REMARKS - BUILDING TYPE CONST. OCC. GRP. 613=-i9®--001 1 ' Mailing Address 777 S4 Pie in St• r Suite x06 , . - - A.P.-Number I certify that in the performance of thg work for which this permit is Issued, I shall not City' � Zip Tel. 2676 714-547-8051('Legal Description Date-Owne Project Description Building 8.1 Plan 3 Contractor BY: - subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback ' Addressi k- comply with such provisions or this permit shall be deemed revoked. F Front Setback from Center Line Gity• ' Zip Tel. 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 " Lender's„'Address FINAL DATE INSPECTOR Sfate;Lio: ,; ?$r 6�$ $ & Classif:r; City Lic. # - - �' - 'Sq. Ft. +« No. �« No. Dw. - �� Date Permit Size Stories Units Arch.,-Engr., construction, and hereby authorize representatives -of this city to enter the above- Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address, c Tel. Garage "Included Mailing Address ” City Zip State Lic. # WHITE - FINANCE, PINK - APPLICANT, GREEN. BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE 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 effect._, /, ! i �.✓ " SIGNATURE • DATE OWNER -BUILDER DECLARATION Estimated Valuation 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 SiG a o PERMIT AMOUNT permit to construct, atter, 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 the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Plan Chk. Dep. - 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 civil penalty of not more than rive hundred dollars ($500). Plan Chk. Bal. e r ❑ 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. •304 * 00 - Professions Code:.The Contractor's License Law does not apply to an owner or property who builds- or` improves thereon and who does such work himself or through his own employees, Mech. 33.00 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 Electrical4.1 " X78. of proving that he'did not build or improve for the purpose of sale.) Plumbing 63.00 ❑ 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 S.M.I. 3.96 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 lr279.94 Prince -Toed L1 zard 38,10 WORKERS' COMPENSATION DECLARATION + a I hereby affirm -that I have a certificate of consent to self -insure, or cerificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. O Certified copy is hereby furnished. TOTAL It CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation g`} i"�j ,;-'}j•:3.>r''"s,�,fl ,:,') ;t Of less.) I certify that in the performance of thg 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-Owne NOTICE TO APPLICANT.,r ll, alter making this Certificate of Exemption you should become ZONE: 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 " Lender's„'Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to� expiration it work thereunder is suspended for 180 days. 1 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- mentioned property for inspection purposes. Validated by: Signature of applicant Date Mailing Address ” Validation: City, State, Zip WHITE - FINANCE, PINK - APPLICANT, GREEN. BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATL NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO Fl (a $' UNITS SLAB GRADE - ROUGH PLUMB • YARD SPKLR SYSTEM 2ND FL SO FT. @ FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO FT @ GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR 50. FT. @ TEMP. POLE GROUT DRAINAGE PIPING CAR P. SO FT. @ FINAL INSP. WALL SO. FT. @ WATER SYSTEM DRINKING FOUNTAIN GRADING CU. yd. $ plus x$ _$ URINAL SO. FT. @ AMING [ FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ (/' v� WATER PIPING NOTE: Not to be used as property tax valuation REMARKS: FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.0OOL HOOD SIGN WASHER(AUTO)(DISHI APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM SPARK ARRESTOR' IKITCHEN 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 Q�`� NSU LATIONISOUNDz�` SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ I IA c SEWAGE DISPOSAL SO.FT.GAR @ 3/nc 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 8 AIR COND. SOLAR SETBACK GROUND PLUMBING" -1Z>1> UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE - ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.//- ff - GAS (ROUGH) METER LOOP HEATING (FINAL) - OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ _$ LUMBER GR. FINAL INSP v AMING [ FINAL INSP. t30FING f Z� Q X V (/' v� �j- 7� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR' AR. FIREWALL MING Z `� MESH Q�`� NSU LATIONISOUNDz�` FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL - INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL City -of L-ak4uinTa._l 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA " (760) 777-7012 [FAX] (760) 777-7011. O INSPECTION RECORD Permit # 9.808-002 STRUCTURAL RETROFIT OF .UNIT - ADDRESS' . DATE INSPECTION [YES/NO] 0 //- - 99 FRAMING/HARDWARE OK '�•J PLAN TYPE: 1 / - 9- %pj INSULATION Contractor: WERMERS MULTI -FAMILY CORP. SHEAR NAILING 1/-/,2 DRYWALL -/0 -`98 :JOB FINAL COMMENTS/NOTES: i�cbF 4-:Rwle ' arn,0/,C7.6-p io -z8- 98 t3-� �aoF r�,�cK .✓,4luvq 10-.29 W MAILING ADDRESS — P.O. BOX 1504, LA QUINTA, CALLFFORNIA 92253