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06869 (SFD). a 4,4 0 P.O. BOX 1504 N o . Building 78-105 CALLE ESTADO Address 44-215 Siriflmt tbush LElite LA QUINTA, CALIFORNIA 92253 Owner Address 43.875 gashington St. Cityr��Z, p Tel. Fa m Desec 92nD 345-7641 Contractor Address . Same City Zip State Lic. ( City & Classif. 493929 Lic. # 1231 Arch., Engr., Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 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 DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sea 7031.5,13rsiress and Professions Code: Any city or county which requires a permit to construct, alter, irerove, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to We a signed statement that he is licensed pursuant to the provisions of the Contractors 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 subjects the applicant ro a av9 penally of not more than rive hundred dollars ($500). ❑ 1, 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 Professions Code. The Contractors License Law does not apply to an owner of property who builds or wiproves thereon and who does such work himself or through his own employees, provided that such irerovements are not intended or offered for sale. If, however, the building orbnproverment is sold within one year of completion, the owner -builder will have the burden of proving that he did not Lydd or inprove forthe purpose of sale.) . ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sea 7044, Llursnress 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 contractorfs) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec________.B. & P:C:•4or this reason Date /,,"Owner r WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Workers 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. CERTIFICATE OF EXEMPTIONFROM WORKERS' COMPENSATION INSURANCE (This section need not be correlated if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of•thp 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 N017CE TO APPLICANT: N, after mak ng this Certificate of Exemption you should become subject to the Workers' Correensation 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.) Lenders Name Lenders Address T. This is a building permit when property filled out, signed and validated, and is subject to f expiration if work thereunder is suspended for 180 days. I certify that 1 have read this application and state that the above information is correct. 1 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 Address City,. State, Zip . e a BUILDING: TYPE CONST: - OCC: GRP. A.P. Number Traci 22982 Phase Ty Legal Description Cactus Flower Project Description Plan 58 – tot 121 ZONE: BY: Minimum Setback Distances: f Sq. Ft. 213,E Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Side Street Setback from Center Line Side Setback from Property. Line FINAL DATE INSPECTOR Issued by: .\ —Date WO/90 Permit 1 Estimated Valuation 5113.,413 PERMIT AMOUNT Plan Chk. Dep: Plan Chk. Bal. 570,32 Const. e Mech. Electrical Plumbing_.. S.M.I. Grading Driveway Enc. _ Infrastructure sM./. TOTAL REMARKS �f!'-�rtL Vl�i l� T•;l•�Lrti J��'74NS.}t S�r•ir ZONE: BY: Minimum Setback Distances: f 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 WO/90 Permit 1 Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ UNITS G SLAB GRADE 3 7 9� ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SO. FT. ® FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) z 7 C METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. @ TEMP. POLE GROUT DRAINAGE PIPING CAR P. SO. FT. @ FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SO. FT. =$ LUMBER GR. FINAL INSP.O C(d [A 1,b 11 FRAMING .2D for URINAL SOFT @ -341f C/ a� ESTIMATED CONSTRUCTION VALUATION $ REMARKS: 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 SPARK ARRESTOR LAUNDRYTRAY AIR HANDLING UNIT CFM GAR. FIREWALL 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. SO. FT. @ c BATH TUB FINISH GRADING SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1% c SEWAGE DISPOSAL SO.FT.GAR @ V4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE NECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING , i ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING. UNDERGROUND A.C. UNIT COLL. AREA G SLAB GRADE 3 7 9� ROUGH PLUMB. BONDING HEATING (ROJGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.4— �� - GAS (ROUGH) z 7 C 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. FINAL INSP.O C(d [A 1,b 11 FRAMING .2D for FINAL INSP. 71 -b- G ROOFING,5 -341f C/ a� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOON Q FINISH GRADING FINAL INSPECTION 6 CtOe CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL t