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04172 (GRES)Y-404172 O OX 1504 78-105 CALLE Building 70-315 Beira cotta ,Ct REMARKS * CALIFORNIAESTAD9 ' Address LA:QUINTA, ORNIA 92253, _ Owner or less.) Boulevax� Development I certify that in the performance of the work for which this permit is issued, I shall not " Mailing BUILDING: TYPE CONST. OCC. GRP. Address, 777 So. Mdin st « Suite r. 6 Date' Owner • s „ � . „; . r t61.3-790-001• -T A.P. Number « •» •� b - � � w_ ZONE: City ip Tel. subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. - Minimum Setback Distances: ' a �36�6 7'"�7"s�,6 Legal Description `tuituylg Front Setback from Center Line Contractor Project Description 8# Man 2 Sam Side Street Setback from Center Line • Address Side Setback from Property Line City Zip Tel. State Lic. & Classif. 463614 City Lic. # r. a .:. � «,. Sq. R. b 9.12 No. No. Dw. • expiration it work thereunder is suspended for 180 days. Size - Stories Units ' Arch., Engr.,- Date Permit I agree to comply with all city and county ordinances and state laws relating to building', Designer New ❑ Add ❑ Alter ❑ Repair ❑ - Demolition ❑ construction, and hereby authorize representatives of .this city to, enter the above- Address ,, ;ra>x*; Tel. Cara ae included 4 Signature of applicant Date ' Mailing Address - : -Validation. City - = _ Zip State' ,i° ', f Lic. # GOLOE911Q0 - J%85ESSOR S OFFICE HARD COPY - FILE �'g t '.`> ,• ,.r �..... ... .-, . .._. ...=. -' • - _ - , ..-.. K ,.. �a ,.......�... _ �,. ^s ,. •" LICENSED CONTRACTOR'S DECLARATION i I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section ` .7M)of Division 3 of the Business and Professions Code, and my license is in full force and - ' T /r'� l ` SIGNATURE -` DATE ' OWpBUILDER DECLARATION I herebyaffirm that I am exempt t from the Contractor's License Law for the following- Estimated Valuation �6 � • reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a PERMIT 4MOUNT 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 the provisions of 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 for a permit Plan Chk.' Dep. - '. subjects the applicant to a civil penalty or not more than five hundred dollars ($500). Plan Chk. Bal., O 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, Buisness and Const. *;)u Professions Code: The Contractor's License Law does not apply to an owner of property who ,fib *.' tJ builds or improves thereon and who does such work himself or through his own employees.McCh. provided that such Improvements are not intended or offered for sale. If, however, the building Electrical• r� 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.) Plumbing 1 *' 01, 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. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading O 1 am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure ' e- •• �� '`V�'Sb . Ing(D—i V [ l S"O— A► YJ 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 O Copy is filed with the city. O Certified copy is hereby furnished. 7� TOTAL i32#71 a I CERTIFICATE OF EXEMPTION FROM • REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation- a7rvS,'j.�s/4j` 3t��st•�rv�`7gi "w-� 1 & or less.) I certify that in the performance of the work for which this permit is issued, I shall not ,I employ any person in any manner so as to become subject to the Workers' Compensation Laws of Call ornia. - Date' Owner • NOTICE TO APPLICANT: d, after making this Certificate of Exemption you should become ZONE: , BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. - Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line o - ` 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 Cede.) Side Setback from Property Line Lender's Name Lender's Address: FINAL DATE "• INSPEC OR. �C16 This is a building permit when properly filled out, signed and validated, anil is subject to • expiration it work thereunder is suspended for 180 days. „ 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- mentioned property for inspection purposes. Validated by. 4 Signature of applicant Date ' Mailing Address - : -Validation. .'City,, State, Zip WHITE FINANCE, PINK -:APPLICANT, GREEN = BUILDING, r?S.. _. .,h ,� _ .. -.: „ud.a-_+e:.". •C_ i L ..F.-, .!..t _ .i.,sz, a ..... ;.h. ,_ .-.. _ ..... , s.• _. GOLOE911Q0 - J%85ESSOR S OFFICE HARD COPY - FILE �'g t '.`> ,• ,.r �..... ... .-, . .._. ...=. -' • - _ - , ..-.. K ,.. �a ,.......�... _ �,. ^s ,. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT rp $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB YARD SPKLR SYSTEM 2ND FL SO FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR SO FT. a DUCT WORK ROCK STORAGE FOUND. REINF#-O � // POWER OUTLET ROOF DRAINS GAR SO. FT. 0 HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CARP. SO FT. 0 GROUT WATER HEATER DRINKING FOUNTAIN WALL SO. FT. rd FINAL INSP. BOND BEAM WATER SYSTEM URINAL SO. FT. 0 GRADING CU. yd. $ plus x$ _$ ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES �� WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTONDISHI 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO, FT. ® c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID g 1Y. c SEWAGE DISPOSAL SO.FT.GAR 1i.c 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 FEE7LU MB FEE STRUCTURE PLUMBING //ELECTRICAL HEATING 8 AIR COND. SOLAR SETBACK GROUND PLUMBIN �V 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#-O � // GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. 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. a �+ MING _ /� FINAL INSP. y � OFING /� �� fy REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATUF.ESIINITIALS - GARDEN WALL FINAL