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04262 (SATT)!•� -mow: � M4�: �' - . ` Address.,,' 0-373 Torra Cot 1 Owner r ,, e #3AltdVe:�.omf3nt • 4 -Mailing. �• Address �' 777 S • -Main St.,, SUita 106-, City . Zip Tel. Qrark#e 32686 7l4»5-17...00,56 Contractor Address , r•. 4 - 4v Qubtz P.O. BOX 1504 78-105 CALLE ESTADO to Ct • LA QUINTA, CALIFORNIA 92253 n * F -State Lic. City &.Classif.. 462614 Lic. # Arch., Engr., Designer s. n. Address. Tel. ,City 'r -5.:', �t . Zip State �, z1 Lic. # 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:'-,��: SIGNATURE- --^E.d DATE t� =f OWNER -BUILDER DECLARATION 1-1 hereby affirm that I am exempt from the Contractor's License Law for the following . reason: (Sec. 17031.5, 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 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 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 703 1. 5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 01, as dwner 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 builds'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. improvement, is sold within' one year of completion, the owner -builder will have the burden of proving�that,Ae did. not build or improve for the purpose of sale.) O I, 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.) O .l am exempt under Sec. B. & P.C. for this reason Date 4' ”' `•.n 'Owner _WORKERS' COMPENSATION DECLARATION I hereby affirm4that 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. CERTIFICATE OF EXEMPTION FROM +` WORKERS' COMPENSATION INSURANCE (This. sectlon need not be completed if the permit is for one hundred dollars ($100) valuation or less.)` . I certify that in the performance of the work for which this permit is issued, I shall not employ any ppeon in any manner so as to become subject to the Workers' Compensation Laws of Californirsa. Date - Owner' NOTICE TO APPLICANT: If, after 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. I 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 BUILDING: TYPE CONST. OCC. GRP. A.P. Number. Legal Description Project Description %� •+ Palm Royale -- Plan 3 " P. Uilding 12 Sq. Ft. ?•63 No. x, No. Dw.w Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation��. PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 251 .131 Const. 304,00 Mech. 33 . 00 Electrical41.78 R Plumbing 63.00. S.M.I. 3.36 Grading Driveway Enc. Infrastructure l a 273. 94 _. Tringe-Ircied Ll zard 38 41 IV TOTAL REMARKS 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 Lender s. -Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to717/88 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: Signature of applicant Date Mailing Address Validation: City, \State, Zip 0. WHITE -FINANCE, PINK -APPLICANT, GREEN -BUILDING, GOLDENROD -ASSESSOR'S OFFICE, HARD COPY -FILE' + CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES tST FL SO FT Qr $ UNITS A.C. UNIT ' YARD SPKLR SYSTEM 2ND FL SO FT. q BONDING HEATING (ROUGH) STORAGE TANK MOBILEHOME SVC. BAR SINK POR SO FT. a DUCT WORK ROCK STORAGE OUND. REINF.lZ—( POWER OUTLET ROOF DRAINS GAR SO. FT. OTHER APP.IEOUIF. REINF. STEEL GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. 50 FT. (p GROUT WATER HEATER SERVICE FINAL INSP. DRINKING FOUNTAIN WALL SO. FT. Q WATER SYSTEM GRADING cu. yd. $ plus x$ _ $ URINAL SO. FT. (d FINAL INSP. AM %/ _Q' [i C7 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(AUTOXDISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE 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. g c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID @ I 1 0 SEWAGE DISPOSAL SO.FT.GAR r V4c HOUSE SEWER FINAL INSPECTION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE vtECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR S BACK ROUND PLUMBIN(�PZUNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 2 — ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE OUND. REINF.lZ—( GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIF. 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. AM %/ _Q' [i C7 FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR G R. FIREWALL T G �Z MESH IN ONISOUND Z�Z` FINISH GRADING FINAL INSPECTION ' CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL