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06844 (SFD)Building Address 44-240 S ethus-i Lane Owner La Quinta Associates Mailing Address 43-875 ftsht tgtalt St. CityZip . Palm € eser 9MO. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 345-754$ 'E.G. Williams Dev. Corp. Address. . Sam City Zip Tel.: State Lic. City & Classif. 493919 Lic. # 1231 Arch., Engr., Designer Address' Tel. No. X6-64 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Tract 22932 Phase Iy Cactus Flower Legal Description Project Description Plan 4AR Lot 188 Sq. Ft. 1$% No. No. Dw. Size Stories Units. New ❑ Add ❑ Alter ❑ Repair ❑ Demolitiori ❑ City Zip State eLic. Front Setback from Center Line Rear Setback from Rear Prop. Line # Side Street Setback from Center Line LICENSED CONTRACTOR'S DECLARATION FINAL DATE 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. ii 0/9'DPermit SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affign that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Buskiess and Professions Code: Any city or county which requires a Permit to construct, after, brprove, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to tae a signed statement that he is licensed pursuant to the provisions o/ 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 subjects the appgcard to a awl penalty of not more than five hundred dollars ($500). O 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 Professions Code:"The Contactors 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,JJ* provided that such improvements are not intended or offered for sale. If, however, the building Estimated Valuation$98,754.67 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. .,y" 9 4. � r Const. J 1J. Mech. J Electrical '6A �! / A_ _ orimprovement is said witfuh one year of completion, the owner -builder wig have the burden of proving that he did not. build or irprove for the purpose of safe.) . Plumbing - ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con struet the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bunds or improves thereon, and who contracts for . S,M.I.-! - such projects with a contractor(s) licensedpursuantto the Contractor's License Law.). - O• I am exempt under Sec- d•,g P.C. for this reason Date::W� '9e)owner• ax?�L����^ '✓. Grading - , Driveway Enc. �9_..�• .q Infrastructure WORKERS' COMPENSATION DECLARATION I' hereby affirm that I have a certificate of consent to self -insure, or a certificate of `t Workers Compensation Insurance, or a certified copy thereof. (Sec. 31100, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy.is hereby.fumished. TOTAL C / CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be corrpMted if the permit is for one hundred dollars (5100). valuation 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 Date Owner NOTICE TO APPLICANT: ff,. after making this Certificate of Exemption you should become subject to the Workers' Conpenwhan Provisions of the Labor Code, you must forthwith comply with such provisions - this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby 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 This is a building permit when property 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 Address City_ State, Zip 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 ii 0/9'DPermit Issued by: Date Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL SO. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. Sp, FT. ® DUCT WORK ROCKSTORAGE FOUND. REINF. POWER OUTLET ROOF DRAINS GAR. SO. FT. ® HEATING (FINAL) OTHER APPJEQUIP. REINF. STEE�2 gQ� DRAINAGE PIPING CAR P. SQ. FT. ® WALL SQ. FT. DRINKING FOUNTAIN. SERVICE FINAL INSP. URINAL SQ FT ® WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION $ GRADING cu. yd. $ plus x$ WATER PIPING NOTE Not to be used as property tax valuation FINAL INSP. 0 sb FLOOR DRAIN MECHANICAL FEES ROOFING 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 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 SQ. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic HOUSE SEWER FINISH GRADING FINAL INSPECTION v 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 OUND PLUMBIN - //y UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) Z !3ETER LOOP. HEATING (FINAL) OTHER APPJEQUIP. REINF. STEE�2 gQ� GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. 0 sb FRAMING Gf� �6 FINAL D �%j FINAL INSP.Zz ROOFING / / REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR ` GAR. FIREWALL Q LATHING 6 MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION v CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL