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001523 (SFD)Building Address 73-455 N. SM Owner Mailing Address 1001 Bleboo St. Eftte 2 City._ Zip Tel. Contractor ate,_ mrvas $� .Address .. ".. .. .. .... ..'.:. .:... .... P*O* B= 1.73 City Zip Tela 4 1014 P.O. BOX 1504 -No.001523 78-105 CALLE ESTADO , a LA QUINTA, CALIFORNIA 92253 BUILDING:` TYPE CONST. ' V IN OCC[ GRP: -R-3 A.P. Number Legal Description Project Description+l*�a' 192453 34.5U State c. 1247 • &tCla sl f: '442M2 4No. LicY# S.Sigze�t 43• DW Arch:i-Engr.; .. . . • -Stories Units , Designer . . rAphaP-OL 811malm. A New EJ Add ❑ Alter ❑ :' : Repair ❑ .... Demolition ❑ Address Tel. 340 SN • ii i iQe� 3 7877 .. City Zip State ft gmqwPt 92292 Lic. # J LICENSED CONTRACTOR'S DECLARATION I hereby affirm that'I'a'ni ,licensed under provisions of Chapter flcommencing.with Section and Professions Code, and my license is in full force and 7000) of Division 3 of tth/h,ir w effect. ,[[Business SIGNATURE DATE OWNER:BUILDER DECLARATION Estimated V11UatlOtl ` I hereby affirm that I am exempt from.the Contractor's License Law for.the following' ' �A �y s reason: (Sec, 7031.5,Business and Professions Code: Any city'or. county..which• requires a e 73t�aQV permit to construct, alter, improve, demolish, or repairany structure, prior -to its issuance•also requires the applicant for .such permit to file a signed -statement that be 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'BLisiness and Professions' Code,`or thathe is exempt therefrom, and the'basis- the Any Section. 7031:5 'by any fora Plan.Chk.'Dep. 105.72 ..for alleged exemption.. violation of applicant permit subjects the -applicant to a civil penalty of not more'than live hundred dollars ($500): . • • -_ p 1, as owner of the property,,or.my, employees with wages as;their sole compensation, will Plan Chk. Bal.. ' ��� . do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness andConst.'yCp 36 -00 Professions .Code: The •Contractor's License Law does: not `apply to an, owner of property who - i •id builds or improves thereon and who does such work.himself'or through his own employees,-Mech. provided that' such improvements are not intended or offered for sale. If, 'however, the' building .3 a .00 or improvement is sold within one year -of completion,:the owner -builder will•have the burden Electrical- - - - j .., of proving that he did not build or improve for the purpose of sale.). .. .ia4- _ - ❑-I, as owner of the property, am exclusively' contracting with licensed contractors to con- Plumbing 85. . 00 struct-the project. (Sec. 7044,• Business and Professions Code: The Contractor's License Law does 'not builds 'or improves thereon, for S.M.I: _ ' ' ' apply +to an owner of property who and who contracts - such projects with a contractor(s) licensed pursuant to the Contractor's:License Law.J . Grading 5.4.6 ❑ 1 am exempt under Sec... B:,B P.C. for this reason Driveway Enc. Dateowner Infrastructure . as g with 0cm.DinA., Dirs rir►.'7ii • , WORKERS' COMPENSATION DECLARATION • 'Thereby affirm that.1 have a certificate of consent to -'self -insure, or a:cePtificate of . . Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. .Company • - . O, Copy is filed with the city. O Certified copy is hereby furnished. - .. . . t TOTAL �.. 756+88 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundred -dollars ($100) valuation - or less.) - .. .l certify that in the performance of thg work for which this permit is issued,.l'shall not -employ any person in any manner so as to become subject to the Workers' Compen-sation Laws of California. `"`Date. Owner' NOTICE TO APPLICANT: g, after making this. Certificate of Exemption you should become - ZONE: BY: subject to 'the Workers' Compensation provisions of the Laboi 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 coNsrRucnoN LENDING ACENcr Side Street Setback from Center Line 1 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.) Side Setback -from Property Line Lender's Name Lender's Address ' FINAL. DATE INSPECTOR ' This is's building permit'when properly tilled out; signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. .I certify.lhat I have read ;thisapplication and state that the above'informalion 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 theZabove- mentioned property for inspection purposes. .. ... ._. .. r1. Vdlldated by` Signature of applican /* e ) r 1r Date { + '{'r� Mailing Address _ �-'� i, f' / Validation: City, State, Zip / HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SQ. FT. ® GAR. SO. FT. ® CAR P. SQ. 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 APPJEQUIP. LAUNDRYTRAY 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.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. FEEELECT. 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 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. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 7. PERMIT APPLICATION City of la Ouinta Department of Building and Safety This permit becomes void if work not commenced within 180 days from date of issuance. OR, it work has been suspended or abandoned for a period of 180 days. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: 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 o 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 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 (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 to a civil penalty o1 not more than five hundred dollars (5500): 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 o1 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 improvemnt 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 o1 property who builQs or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.). O I am exempt under Sec. B. 8 P.C. (Attached Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, or a certificate of Workers' Compensation Insurance , or a certified copy thereof (Sec. 3800. Lab. C.). Policy No. Company ❑ 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) JL Construction ' ADDRESS P.O. Box 173 CITY/COM%"ITY/STATE21P . Nestor; CA 92053 JOB SITE ADDRECS/SPACE - CITY/COWUNITY/STATE/ZIP - - ci La. Quinta, 92253 BOIr PAG PRC I c as per approved plans. TWN I RNG S s TRACT 19903 19903 LOT 10 Plan Check Fee MOO SB TRACT NAME HORIZON PAUL OWNER NAME (L, F. MI) General Management Corp. ' CONTRACTOR -FIRM NAME J. L. Construction ADDRESS above CITY/COMMUNITY/STATE/ZIP PHONE 8 . 5.46 LICNC S .Phmmbiag Fee ARC/ENO FIRM NAME Michael Buccino Assoc. ADDRESS 340 S. Farrell Dr. A212 CITY/COMMl1NITY/STATMI P Palm Springs. CA 922,262 PHONE a LICNC 4 323-7877 USE OF PERMIT Single Family Dwelling BL ZON, 105.72 DEP. PAID FSB SSB SSB RSB 4gLreelaihnt DEC ZONE ORD # LOT SZ END SIDE the permit is for one hundred (S10D) 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: 11, after making this Certificate o1 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 live (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 B. C.A.C.) O As owner -builder, I will not employ anyone to do work which would require a permit from the Division o1 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 I ceAity 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 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 1 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 Ouinta 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 Print Applicant/Agent Name n 6 ` Sa Date APPL/PRMT I ig DATE S.F.D. Permit to construct 1247 sq. ft. of living area and 433 ft. of garage as per approved plans. mech. Fee 37.00 Plan Check Fee 307.96 367.00 Plect. Fee 60.18 r 5.46 .Phmmbiag Fee 85.00 862.60 105.72 DEP. PAID 756.88 * 4gLreelaihnt t Department 17 TOTAL 'FEE 862.60 A 1 L 4 D D Z) /M,88 R `FINANCE VALUATION 77,948.00