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06838 (SFD)Buildin Addr ess 44-030 Sweetbush Lana Owner Mailing Address 41-875. H•shianton St. City I Zip Tel. m ueserc Tel.: 4 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 State Lic. I City & Classif. 493919 Lic. # 1231 Arch.,'Engr., - Designer Address Tel. City .. IZIp ILicte LICENSED CONTRACrOWS DECLARATION I hereby affirm that I am licermsed under provisions of Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. , SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Lary for the following reason: (Sec. 7031.5.Busness and PYofessiors Code= Any city or county wfuirh requires a permit to construct, atter, irprove, P I or repair any structure, prior to Its, ssuance also requires the applicant for such permit to ria a signed statement that hes licensed.pursuant to the provisions of the • ConhxtorlsLicense rme Law, Chapter 9 (eaencig with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therehom, and the basis for the alleged exemption. Any violation of Section 7031.5 by ay applicant for a permit subjects the applicant to a civil penalty of not nae than five hundred doI g(S500)- 0 (5500)_❑ I, as owner of the properly, 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, Buuisness and Professions Code: The Contraders License Law does not appy to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, provided that: such bmnivemerds are not kdooded or offered for sale. Il, however,• the buddlhg or improvement is sold within one year of caz*rlsban, the ownerfinider will have the burden of proving that he did not buil or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con, struct the project (Sec. 7044, Business and Professions Code: The Conbadoes License Law does not apply to an owner of property who braids or "reproves thereon, and who contracts for such projects with a contractar(s) licensed pursuant to the Contractor's License Law.) ' ❑ 1 am exempt under Sec a g P.O_ for this reason r j '� Date ..7 �. �. L.owner ...�* ..tr...�1...... % c f✓, WORKERS COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, ora 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 OMEPTION FROM WORIGIISS COMPENSATION INSURANCE (This section need not be co plrled i the peril for one hummed dollars (Sloo) vahuation 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: t, after maMig this Cerbticate of Eceeptim you should become subject to the Wodres' Corpehsahan provisions of the Labor Codeyou must forthwith comply with such provisions or this peed shall be deemed revoked. . . CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for performance perfownce of the work for which this permit is issued (Sec. 3097, Cirri Code.) - Lenders Name Lenders Address This is a bihilding permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 100 days. 1 certify that 1 have read this application and state that the above information is correct I agree to comply with all dty and tbuMy arefuma,noes and state laws relating to -building construction, and hereby autfmor�e represermtatires pf this city to enter the above.. mentioned property for inspection purposes Signature of applicant Date' Mailing Address City,. State, Zip No. 08838 LDING: TYPE CONST. OCC: GRP. - Number %. act 22982 Phase IV al Description Cactus Flower ect Description Plan UAR ` Lai sty 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 I. IFINAL DATE INSPECTOR Issued by: Date Permit. Validated by: Validation: Sq. Ft. 2134 Size No. No. Dw. Stories Units New ❑ • Add ❑ Alter ❑ Repair ❑ Demolition q Estimated Valuation 313,$3 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. . bu Electrical XIS. i1 Plumbing I 37K.5U S.M.I. Grading Driveway Enc. Infrastructure 2 0 w a, i TOTAL REMARKS ,s�44.a"#r?�6 ,3,'�.Tr.hi•.,r^r��rhnn -, Sn 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 I. IFINAL DATE INSPECTOR Issued by: Date Permit. Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS r HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL SQ. FT. DUCT WORK ROCK STORAGE FOUND. REINF. %, (6 va MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® REINF. STEEL GAS (FINAL) TEMP. POLE POWER OUTLET ROOF DRAINS GAR. SO. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRAINAGE PIPING CAR P. SQ. FT. ® LUMBER GR. FINAL INSP. 8 �Q /Q �/ FRAMING G 13 ��0/i FINAL INSP. Riio:':� DRINKING FOUNTAIN. WALL SQ. FT. REMARKS: URINAL SQ. FT. 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(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM MESH KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB CERT. OCC. SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/. c SEWAGE DISPOSAL INSPECTOR'S SIGNATURESIINITIALS SQ.FT.GAR ® 3/ac 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 & AIR COND. SOLAR SETBACK NO PLUM BIN Iy 9 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �(� l�/a (�ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC S ROUGH WIRING, DUCT WORK ROCK STORAGE FOUND. REINF. %, (6 va GAS (ROUGH) O G METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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. 8 �Q /Q �/ FRAMING G 13 ��0/i FINAL INSP. Riio:':� ROOFING 1 Q< K 1 IQ G� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR ]� GAR. FIREWAL ,- — ?o -/— LATHING MESH INSULATION/SOUND( 0 FINISH GRADING FINAL INSPECTIONC/; / CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 4