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001542 (SFD)P.O. BOX 1504 Building 79-M S 78-105 CALLE ESTADO Address' LA QUINTA, CALIFORNIA 92253 Owner MailinBUILDING: TYPE CONST. V 13 OCC'. GRP:. R'.3 g --- Address 1001 BUbcp St. ftite 2700 A.P. Number Legal Description -M13 T' 1-800,w3617-5054 City Zip .130r�, nobw Contractor project Description ,Address 146 Units' P.O. - B= 173 City lZip Tel.. State Lic. & Classif. . Designer City Lid. # Sq. Ft.`1247 No. No. Dw. Size .. GM A33 - Stories - Units New -P - Add C Address Tel. --- 30 S.. ftz%ell . St.. 323-7877 Cityin=. JZip State - Lic. Palm -Sw 9=2 .,,,LICENSED CONTRACTOR'S DECLARATION *I hereby affirm that l aallicensed under provisions of Chapter 9 (commencing with Section, 7000) of Division 3 of the Business and Professions Code, W and my license is WII force and effect. _. _ .. . .. SIGNATURE _V 0 i yt il I f DATE. OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt -from the Contractor's License Law for the following: R _reason:r. � (Sec... 703 1..5, Business and Professions CoDde; Any city or county which, requires a permit to construct, ,alter, imorove, demolish, or repair -any structure,, prior -to its issuance also requires the applicant Jor such permit to file a signed statement that he is. licensed pursuant to PERMIT the provisionsof the Contractor's License Law, Ch�pter.,%m (comencing with .Section 7000) of DiWsicFn'3 of the Business and* Professions Code, or that a is exempt therifrom, and'the basis for the alleged exemption. Any violation of Section 7031;5 by 'any applicant for a 'permit Olan"Chk. bep-*' 'subjects the applicant,to a civil penalty of not more than five hundred dollars ($500). * '' * , ' , - Of as owner of the property, or my employees With wages as their sole -compensation, will Plan. Chi(- Bal. doiti6work and the Structure is not intended or offered for sale (Sec 7044-Buisnessand Alter O� Repair 0 Demolition -0 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, provided that' such improvements. are not.intended or offered for sale.. If, however,. the building or Improvement 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.),' 0 1, 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) licensed pursuant to the- Contractor's License Law.) 0 1 am exempt under Sec.B. &.P.C. for this reason Const. Mech.. Electrical Plumbing S.M.I. Grading Driveway Eric. Date Owner Infrastructure Da 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. 3606, Labor Code.) Policy No. . ompany 0 Copy is filed with the city. „O Certified copy is hereby furnished. , 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 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 _:__L'_* '04rier CONSTRUCTION LENDING A - GENCY Side Street Setback from.Center.Line I hereby affirmthat'therd is a construction lending agency for the performance of the TOTAL REMARKS -workfor which this permit is issued. (Sec..3097, Civil Code.): --�7 Lender's Name AMOUNT, 7 105.72 202.24 367.'600' • .JI e©,0 U2 lul NOTICE TO APPLICANT: If, after making this:. Certificate of Exemption you. should become 'Compensation ZONE:. BY: subject to the 'Workdrs' provisions .of the 'Labor Code, you must forthwith - comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances':, Front Setback from Center Line —Rear Setback from Rear Prop. Line CONSTRUCTION LENDING A - GENCY Side Street Setback from.Center.Line I hereby affirmthat'therd is a construction lending agency for the performance of the -workfor which this permit is issued. (Sec..3097, Civil Code.): Side Setback from ,Property, Line Lender's Name Lender's Address FINAL DATE INSPECTOR', This is*a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. Issued by:. Date Permit - .1 agree' to comply' with all city and county ordinances and staid -laws. relating to building construction, and hereby authorize representatives :of this - city to enter. the /above=. mentioned . . property for inspection purposes. , Validated by: Signature of applicant,Date Mailing Address ')n: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. + SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CARP. SO. FT. WALL SO. FT. SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c ISEWAGE DISPOSAL • SO.FT.GAR ® 3/ac HOUSE SEWER REMARKS: VENTILATION 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 UNDERGROUND 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) 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. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL - INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL PERMIT APPLICATION City of La Duinta Department of Building and Safety This permit becomes void if work not commenced within 180 days from date of issuance. OR. if work has been suspended or abandoned for a period of 180 days. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE: This section need not be completed if LICENSED CONTRACTORS DECLARATION: I hereby affirm that I 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. License Class Lic. Number Date Contractor OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the 'following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to IV -construct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law (Chapter 9(cemmencing with section 7000) of Division 3 of the Business and Professions Code) orthat 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 to a civil penalty of not more than five hundred dollars 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, Business and 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, provided that such improvements are not intended or offered for sale. If, however, the building or iinprovemnt 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.). O I, as owner of the property, am exculsively contracting with licensed contractors to construct 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 contractors) licensed pursuant to the Contractor's License Law.). O 1 am exempt under Sec. B. & P.C. (Attached Certificate). Date Owner 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. Lab. C.). Policy No. Company O Certified copy is hereby furnished. O Certified copy is filed with the City Building inspection Department or City Department. Date Applicant APPLICANT NAME (L, F. MI) JI, Construction ' ADDRESS P.O. Box 173 CITY/COMMUNITY/STATE/ZIP Nestor; CA _92053 JOB SITE ADDRESS/SPACE CITY/COMMLONITY/STATE21P- La. Quinta, CA 92253 Bole PAG PRC a TWN RNG 9E S 37.00 1Ot9 Plan Check Fee 307.96 MoD se 367.00 19903 Pleat- Fee 60.18 5.46 TRACT NAME HORIZON PALMS OWNER NAME (L. F. MI) Gmeral Management Corp.' CONTRACTOR -FIRM NAME J.L. Construction ADDRESS above CITY/COMMUNITY/STATE/ZIP ahipm PHONE • - LICNC e ARC/ENG FIRM NAME Michael Buccino Assoc. ADDRESS - 340 S. Farrell Dr. A212 CITY/COMMUNITY/STATVZi P Palm Springs, CA 92262 PHONE • LICNC F agreendmt 323-7877 t Department USE OF PERMIT ' Single Family Dwelling BL ZON, FSB I SS8 SSB RSB DEC ZONE ORD 1 LOT SZ END SIDE the permit is for one hundred ($100) o, 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 Applicant 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. DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp Z Art 2. Sec 341, Title 8, C.A.C.) O As owner -builder, I will not employ anyone to do work which would require a permit from the Division of 'Industrial Safety, as noted above, unless such person has a permit to do such work from that division. O Division of Industrial Safety Permit No. Date Applicant 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. Civ. C.). Lender's Name Lender's Address 1 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 herebyaulhorize representatives of this county to enter upon the above=mentioned property for inspection purposes. Signature of Applicant or Agent Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that the information given is correct. I agree to comply with all state laws and county ordinances relating to buidling . construction, and authorize a'representative of the City of La Duinta Department of Building and Safety to enter upon the property for which I have applied for this permit for the purpose of making inspections. Signature of Applicant or Agent Date Print Applicant/Agent Name ) 0 16 L 61 APPL/PRMT -' ., :' DATE .2 5-2 85 ' S. F. Permit to construct 1247 sq. ft. of iivinq area and 433 sq. ft. of age as per approved plans. me -ch. Fee 37.00 Plan Check Fee 307.96 Const. Fee 367.00 Pleat- Fee 60.18 5.46 P1.13nbii= Fee 85.00 TnfrastrUCtUre 862.60 105.72 DEP. PAID 756.88 * agreendmt with Cn=init;y t Department TOTAL . FEE 862.60 H 1 L 0 4 7 L J / j& 8 8 CK FtNANf_F VALUATION Fii548.00