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15727 (SFD)P.O. BOX 1504 Building 50-425 Spyglass Hill Dri.,LA QUINTA, CAL 8-495 TAM 1CO 92253 Address La Qtinta Fairways Mailing Address 355 Bristol Sig. Suite A City Zip Tel. Cos'ta i sa 92625 (9l4) 54E3�606f3 Contractor Ayers Group -- --- Same as above State Lic. City tk& Classif. S-613161 Lic. # 3324 Arch., Engr., , Designer 3c�i331.alian ASSOCiates Address Tel., Sixty Corporate Park 1(714)474-6030 City." Zip State i� ;,�- "". , 92314 1Lic.# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am I'icensed under provisions of Chapter 9 (commencing with Section 7000) of Di� Division 3 of the Business and Professions Code, and my licenseJss in full force and effect. r xti '"-T . 7+'' --;� 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 Nat. 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 ($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 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.) ❑ I, 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 contractors) Ucensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date Owner 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.) Polic�y,�1o. .Company VEI py Is filed with the city, ❑ 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 thg 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: h, after makingthis 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This is a building permit when* properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. . 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 hereby authorize representatives .of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address I City, State, ZIp No. 15727 BUILDING: TYPE CONST. � OCC: GRP. R3 A.P. Number ' 769-541-015 Legal Description Lot 85 Tract 25389-1 Project Description 5 F 1) Plan 3 Driveway Enc. .00 Infrastructure $ fir 2Y . 6 Arts in PW11 a Places TOTAL .► �� • REMARKS ZONE: BY: Minimum Setback Distances: Front Setback Rear Setback i Side Street Side Setbal FINAL DATE Issued by: Datil Validated by: .Validation: k fr m Cine P rty LI iPEC�� -,Perm fi Sq. Ft. 2811 Size No.. No. Dw. . Stories Units Newer - Add ❑. Alter ❑ Repair ❑ Demolition ❑ Pagnit does not include block walls or Pool. Estimated Valuation $231,776.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal.�•� Const. e j • 3� Mech. Electrical 83. .5 Plumbing .i 8€i.00 S.M.I. Grading 10.0 Driveway Enc. .00 Infrastructure $ fir 2Y . 6 Arts in PW11 a Places TOTAL .► �� • REMARKS ZONE: BY: Minimum Setback Distances: Front Setback Rear Setback i Side Street Side Setbal FINAL DATE Issued by: Datil Validated by: .Validation: k fr m Cine P rty LI iPEC�� -,Perm fi CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIWU FEES ,1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. "BONDING Y ARD SPKLR SYSTEM 2ND FLS SO. FT. p FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN SO. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ 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 WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRYTRAY AIR HANDLING UNIT CFM I 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 LATHING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER 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 INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Lac. I $ 5 : 4 CITY OF LA QUINTA , INA BUILDING & SAFETY DE PART'MENT (777-7012 �F(� PECTION REOL;E=ST LINE SFP QA 777-7153 ,F/Q'uinta Fairways IctorGroup -- - — -- Number 1572.7 :)OST ON JOB IN CONSPICUOUS PLACE — PECTOR MUST SIGN ALL APPLiCABLE SPACES DDRESS 50-425 Spyglass Hill. Drive S F D Plan 3 t does not include bl,::ck w:�il s or 'TYPE OF INSPECTION DA rE. — INSP. )ATION & SETBACK NG STEEL- 3ROUND SYSTEM 14DPLUMBING ,UNITE -- JT POUR CONCRETE UNTIL ALL ABOVC HAS E) EN IGNED RETE SLAB / !f & GIRDERS 'RICAL GROUND WORK - - - - ---77-7-7 .. , , )T POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED I ELECTRIC ^ FINALS ----- --- -- i I PLUMBING Fr H GAS & GAS TEST — _—; T - NG & VENT A/C �^ -- LACE E NUMBERS— BEAM OMPLETED— WRAP _. _M _ .._...-.. - -� •- _--- -I- TION OOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ALL INTERIOR I(OR LATH PRE PLASTER FENCE & GATE_— R SEPTIC TANK ABOVE APPROVALS DO NOT INCLUDCi HIGHT TO TURN ON UTILITIES OR OCC'JuY BUILDING FINALS ----- --- -- 'RICAL Fr BING GAS TEST �^ -- E NUMBERS— OMPLETED— POWER,� ABOVE APPROVALS DO NOT INCLUDCi HIGHT TO TURN ON UTILITIES OR OCC'JuY BUILDING