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04266 (SFD)T4,4412 P.O. BOX 1504 Building • 78-105 CALLE ESTADO Address 78-393 Terra Cotta Ct r * LA QUINTA, CALIFORNIA 92253 Owner , Boul1jva r<c-Devalo=ent BUILDING:..TYPE CONST. OCC. GRP. Mailing Address 7,77.S. Hain St. v Suite rOO A.P., Number. 613-790-002 City Zip Tel. Orange 92686 714��t�� Legal Description Contractor� � •x. � Project Description Sam Papas Royale - Plm 3 Bu# ldi g 12 Address City Zip Tel. State Lic. City & Classif. 462814 Lic. # , � � � Sq. Ft, %3r No. .� No. Dw. Size Stories Units Arch., Engr., " Designer New ❑ Add ❑ Alter. ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State 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. �' ... 1 •�, «f .r .�, ' � _SIGNATURE ' - • ' "�'"--� DATE ` OWNER -BUILDER DECLARATION Estimated Valuation r I hereby affirm that I am exempt from the Contractor's License Law for the following q r reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a �7 - permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also ' r, requires 'the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT 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 of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. JV14 UU 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. Mech. .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 4 • 01 proving that he did not build or improve for the purpose of sale.) 0 I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 6..3 a Ulu struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law _ �! 4' does not apply to an owner of property who builds or improves thereon, and who contracts for S.M,I. - 4 i Vii such projects with a contractors) 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 r *'•04 YiS ps'" 1 rJts�k A#A ;95 a (A 40 ♦ Ad.' WORKERS' COMPENSATION DECLARATION e 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 ❑ Copy Is filed with the city. O Certified copy is hereby furnished. - TOTALdj43e171'1t.{,..f CERTIFICATE OF EXEMPTION FROM REMARKS w WORKERS' COMPENSATION INSURANCEt!r (This section need not be completed if the permit Is for one hundred dollars ($100) valuation .,�:{1J, +.;s -.,at rr� �X.zj��+•""•�"s+}�6 +i�.,?'s 4 or less.) I certify that in the performance of the 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 Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ' ZONE: - BY: subjectto 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 This is a building permit when properly filled out, signed and validated, and is subject to '. FINAL DATE INSPECTOR 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 bj - Date I Permit I agree to comply with all city and county ordinances and state laws relating tobuilding construction, and hereby authorize representatives •of this city to enter the above- mentioned property for inspection purposes. "Val ldated by: Signature of applicant Date Mailing Address Validation: City, State, Zip " ,WHITE _ FINANCE, PINK -APPLICANT, GREEN - BUILDING, GOLDENROD -ASSESSOR'S OFFICE, HARD COPY - FILE1� �., x, f � b f. � J': .. - �,l,1,.t•: .... .moi :L a.Y��, .. ..tY.-... . t .: S a.... 'M.Y.. `�,i>'i •.Lr.�sS+.: �fti. ... .�.. ..t .� \= /. ^� �.*•Y ._ o -.z CONSTRUCTION ESTIMATE k NO. ELECTRICAL FEES NO. PLUMBING FEES iST FL SO FT rp S UNITS COLL. AREA �./ LAB GRADE Ij�Gr^�S'0 ROUGH PLUMB YARD SPKLR SYSTEM 2ND FL SO FT. Qt HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR SO FTgr DUCT WORK ROCK STORAGE V�FWND. REINF. ^g(;/ POWER OUTLET ROOF DRAINS GAR SO. FT. 0 HEATING (FINAL) OTHER APP./EQUIP. r REINF. STE 9' ` , GAS (FINAL) DRAINAGE PIPING CARP. SO FT. 0 GROUT WATER HEATER DRINKING FOUNTAIN WALL SO. FT. a FINAL INSP. BOND BEAM WATER SYSTEM URINAL SO. FT. Id GRADING cu. yd. S plus xS -S ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES S IWATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) 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 114 c SEWAGE DISPOSAL �7 ItSULATIONISOUNq? SO.FT.GAR s i/.c HOUSE SEWER FINISH GRADING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE aL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR SETBACK LIND PLUMBING/2—/� UNDERGROUND A.C. UNIT COLL. AREA �./ LAB GRADE Ij�Gr^�S'0 ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING • DUCT WORK ROCK STORAGE V�FWND. REINF. ^g(;/ GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. r REINF. STE 9' ` , GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. S plus xS -S LUMBER GR. FINAL INSP. Z� AMING7--23— FINAL INSP. � ;w—FING �� S REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR - GAR. FIREWALL 1LA41kL— HrNG MESH �7 ItSULATIONISOUNq? FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURE Sit NITIALS GARDEN WALL FINAL :d