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06856 (SFD)P.O. BOX 1504' N o . �'6-56,8 Building 78-105 CALLE ESTADO Address 44-185 Swetbush Lane LA QUINTA; CALIFORNIA 92253 Owner ` La QUinta' Associates , BUILDING.- TYPE CONST. _- OCC: GRP... Mailing : Tract 22982 Phase Address � ���-83rd ��c�+��g��� ,$�� t A.P. Number _ City. _ Zip Tel. � � 'r Palm. D6ser 92260 345-7541 Legal Description ����ii$' Fit >i" Contractor Project Description' Plin OR " Lot 120 EAL Nii?.iams Dev.. Corp. Address -Same City Zip Tel.: State Lic. City & Classif. 493919. Lic. # 1231 .Arch .; Engr., Designer, Address' Tel. Sq. Ft. No. No. No. Dw. Size Stories Units < New ❑ - Add O Alter ❑ Repair O Demolition O city Zip State Lic. # z LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section A700p) 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 Law for the following . Estimated Valuation $98.754.67 + 8 *� 7 reason: • Sec. - 7031.5,Business and Professions Code: An cit or coup which r �'" ti 0� • �" ( Y � Y county squires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also • - • reouires the applicant for such permit to Me a signed statement that he is licensed pursuant to PERMIT , - the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of - - - Dfvisiod 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 fhe applicant to a civil penalty of not more than rive hundred dollars (S500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will ,r .do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: file 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 aro not Intended or offered for sale. If, however, the building i� orimprovement 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.) • - ❑ 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) 8censed pursuant to the Contractor's License Law.), ❑ 1 am exempt under Sec B&-P.C: for this reason f . ! 11'A Plan Chk. Dep. -t Plan Chk. Bal. Const.. 1 Mech. - _ Electrical Plumbing S.M.1. Grading Driveway Enc. Date x/'1711 Owner k > _ � .. r'.,K:;v�e y.-*. e � i �+ f Infrastructure WORKERS' COMPENSATION DECLARATION 1 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. ❑ Certified copy is hereby furnished. ' Laws of California TOTAL AMOUNT ! :,4 .494t. 5°o, •53. .:113: .li- .�23• • CERTIFICATE OF EXEMPTIONFROM WORKERS' COMPENSATION INSURANCE REMARKS ^•d i`. e�a� (This section need not be completed N Me permit is for one hundred dollars ($100) valuation �1 . 10`� 1`140 , r��.t k ..r +, �•y6.��:'?.U4 • or 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 u Date Owner . NOTICE TO APPLICANT. ff. after making this Certificate o1 Exemption you should become BY: t - subject to the Workers' Compensation provisions of the Labor Code,you must forthwith compywithsuchprovisionsorthisPermitshall be deemed revoked..- _ •- ,. ,ZONE: - Min_irb6m'S etback Distances: 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,.CWCode.) Side Setback, from Property•Llne'•1 Lender's Name Lenders Address FINAL DATE INSPECTOR-a ' Thisy is a building g permit when properly filled out, signed and validated, and is to expiration if work thereunder is suspended for 180 days. ; i i d 9 i/ i��s I certify that Lhave read this applicalion 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. di mentioned property torn purposes t', Validated by: Signature of applicant Date' . ' it Mailing Address ' Validation: ' City,. State, Zip .... .,.. .. .... •. -._. --� �,� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO. FT. ® $ UNITS COLL AREA SLAB GRADE3a Ui YARD SPKLR SYSTEM 2ND FL SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE q FOUND. REINIF 90 / 1� POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P.. SQ. FT. ® GROUT WATER HEATER DRINKING FOUNTAIN. WALL SQ. FT. BOND BEAM WATER SYSTEM URINAL SQ. FT. , LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FRAMING WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES REMARKS: WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(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, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/4 c SEWAGE DISPOSAL SO.FT.GAR @ 3/4c HOUSE SEWER FINAL INSPECTIONS A 1 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 GROUND PLUMBING NDERGROUND A.C. UNIT COLL AREA SLAB GRADE3a Ui ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANKl� ROUGH WIRING. DUCT WORK ROCK STORAGE q FOUND. REINIF 90 / 1� GAS (ROUGH)- �( �U /�iO L Y 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. talcto (� FRAMING FINAL =INSP- 2q ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTIONS A 1 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURE SIINITIALS GARDEN WALL FINAL