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14244 (SFD)Building 78-775 Sunbrook Court Address Owner Inca Homes P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 mailing Address 250 B. Rincon Ste. 202 Cj&rona, GA Zip 92719 JTeI_( 909 ) 73,6--07 Contractor �aMe Address City lZip I Tela State Lic. B 523958 I City 3318 & Classif. Lic. # Arch., Engr., C.S.A. Designer Add ,.4pss East. De Ls Guerra �T�184S) 952--4575 cj-yanta Sarbaraz'PCA 93101 State G12850 LicLICENSED CONTRACTOR'S 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 ieffSIGNATURE "/ DATE 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 of not more than five hundred dollars (5500). ❑ 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 orimprovement 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 contractor(s) licensed 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.) Policy o+No- .Company (J Copy is filed with the city. ❑ Certified copy is hereby furnished. 5 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 anyperson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner 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. 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.) Lender's Name Lender's Address 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. 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 No. 14244 BUILDING: TYPE CONST. VN OCC: GRP. R3 A.P. Number Lot 33 Tract 23995-1 -Legal Description Project Description SPD Plan 3 M©del Inco Holies . oReunionO Sq. Ft. 2�i9� Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $100,286.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal.. Const. b43. U Mech. b2. U Electrical J 1. C 2 Plumbing 138.00 S.M.I. 10. US Grading 20 a Ulu Driveway Enc. .00 Infrastructure 2,256.43 ATEEa In F'ubll'r Places VU TOTAL i Z i• d 4 ��• REMARKS I �. � (%,A f 1S i 3 AA w 1 , r' ; _tr jl 1 /i / l i I it ���• I. 1 ZONE: BY: 13V N u 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 Issued by: Date Perm Validated Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. p $ UNITS A.C. UNIT 1' h SLAB GRADE O y,ay Y ARD SPKLR SYSTEM 2ND FL. SO. FT. p ONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. $p. FT. ® SEWER ROUGH WIRING. GAR. SO. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. DRAINAGE PIPING CAR P. SO. FT. ® HEATING (FINAL) WALL S0. FT. REINF. STEEL DRINKING FOUNTAIN. GAS (FINAL) V9 IN TEMP. POLE URINAL SO. FT. ® GROUT ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER I WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER LUMBER GR. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FRAMING L / y LAUNDRY TRAY AIR HANDLING UNIT CFM ROOFING / VENTILATION 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 FIREPLACE SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 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 PLUMBING4CTRICAL HEATING & AIR COND. SOLAR SETBACK r GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE O y,ay ROUGH PLUMB. ONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ROUGH WIRING. DUCTWORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) ( METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) V9 IN TEMP. POLE GROUT WATER HEATER I SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. c_ $ plus x$ =$ LUMBER GR. FINAL INSP.VE-jw FRAMING L / y FINAL INSP. ROOFING / VENTILATION 0 REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING f/f MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL GARDEN WALL FINAL INSPECTOR'S SIGNATURES/INITIALS