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9785 (RPL)Building Address 44-185 Sweetbush Ltldwik Address same 4, P.O. BOX 1504 N o . V 785 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 / City Zip Tel. La . Quari.a. 92253 3.20-2030 Contractor. Rick Cochran Address - 453.1 E. Sum*ny Dunes pd 4A City Zip Tel.: P.S. 92264 320-2030 State Lic. City & Classif. 312674 Lia # 4 JILDING: TYPE CONST. OCC: GRP. P. Number Legal Description . Project Description, Pool. and Spa Sq. Ft. Size No. Stories No. Dw Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I ap.Iicense .under provisions of Chapter 9 (commencing with Section 7ff.c of Divi,/l9n/•3 of/t#fa Busine�•and Professions Code, and my license is in full force and effect. ��' //.. / a �.✓"'! .. � ,'"r /' � SIGNATURE / ./.� .-:/ ��'"" C/ DATE - �` OWNER -BUILDER DECLARATION Estimated Valuation I hereby. affirm that I am exempt from the Contractor's License Law for the following �� �QO reason: (Sec. 7031.5,Business and Professions Code: -Any city or county , which requires a 'prior •^' permit to construct, alter, improve, demolish, or repair any structure, to its issuance also 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 fora permit • Plan Chk..Dep-_ subjects the applicant to a civil penalty of not more than five hundred dollars.($500). Plan Chk. BBI. U �J $ _ ❑ I, 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.35.0 10 ' 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. - 24.00 ' .:,provided that such improvements are not intended or offered for sale. If,.however, the building •j.,or Improvement is sold within one year of completion, the owner -builder will have the burden - Electrical 45.00 or 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- r Plumbing 27 ** 00 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. 1-• 20' - such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading _ ❑ I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date Owner Infrastructure 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.) Pol'I�cy No. .Company Copy is filed with the city. ❑ Certified copy is hereby.furn!shed. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit Is for one hundred dollars ($100) valuation or less.) I certify that in the performance of tha work for which this permit is issued, I shall not employ any parson 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 subject to the Workers' Compensation' provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 Lender's Address This s a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct - 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. Signature of applicant Date Mailing tAddress City, State, zip 0 -14 TOTAL- REMARKS OTAL 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 FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. ROUGH PLUMB. BONDING YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DRAINAGE PIPING WALL SQ. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN. SQ FT ® GAS (FINAL) TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT 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 WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM REMARKS: 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. SQ. FT. ® c BATH TUB. SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11% c SEWAGE DISPOSAL SQ.FT.GAR ® 3bc HOUSE SEWER MESH GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE JELECT.FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING ley ( UNDERGROUND �� GC 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: GAS (ROUGH) Zm / & METER LOOP ( HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ -$ LUMBER GR. ��1 FINAL INSP.CV,-0 �3� FRAMING FINAL INSP. 3all( L ROOFING C).'L� ��C ✓�l � ����V ✓ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTIONW3 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL