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003045 (PLBG)P.O. BOX 1504 No; 003045 Buildinga 78-105 CALLE ESTADO Address 52-04'0 �€vouida� Vallejo LA QUINTA, CALIFORNIA 92253 Owner Paul & Jaace Stetz Mailing BUILDING: TYPE CONST: OCC: GRP: Address .52,4MO ,x' 12 ®''neia A.P. Number 913'223-302 City .Zip Tel. • to .nix t-9 .92253- 56'4-3497 Legal Description Project Description pliz*hfap % ,n1tX_k—tr1.c_a 1 fin cPA_xAaraa- _ Contractor QFfdet'l$oUE et' Address ` City .Zip .. Tel.'. State Lic. City & Classif.. • Lic. # Sq. Ft: • No... No. Dw. Size " Stories Units • _ Arch:, Engr:;' • Designer New OC Add ❑ Alter ❑ . Repair ❑ ' - Demolition 0 - Address Tel. City Zip State Lic. #. LICENSED CONTRACTOR'S DECLARATION 1, I hereby affirm that lam licensed under provisions of Chapter 9 (commencing with Section' 7000) of Division 3 of the Business and Professions Code, and my license is infull force and ' . effect. .. SIGNATURE 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,.Professlons 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 ($500).- 0 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 orthrough his own employees, provided that` such Improvements are not Intended or ;offered for. sale: If, however;. the building Estimated Valuation. - PERMIT:; - - .a• AMOUNT .•r - Plan Chk.. Dep.. - - - - Plan Chk. Bal.. , COf1St'" ' - Mech. . Electrical - . 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.), -' PlUmbing' ❑,I, as:'owner of the property, am exclusively contracting with. Iicensed contractors to con- struct dhe-project. (Sec. 7044, 'Business and Professions.Code: -The Contractor's License Law does not apply to"an owner or 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 _ S.M.I. - •' - ' Grading - Driveway Enc. Date ;.ft'>'' ` ? owner Infrastructure WORKERS' COMPENSATION DECLARATION 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'No. '. . Company _ ❑ Copy is, filed with the city.- ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE. . REMARKS (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 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 Owher NOTICE TO APPLICANT: If, after making this Certificate or 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. - ZONE: Minimum Setback Distances: ' - , Front Setback from. Center Line Rear Setback from.Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line ' 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE Issued by: + Validated, by: INSPECTOR Date 4/10187PerfTlit x• - ' 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. 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 Validation: 6.7729 4 .10:. 26.00- (L City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS COLL. AREA 2ND FL. SO. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. Q. FT. DUCT WORK DRAINAGE PIPING WALL SQ. FT. GAS (ROUGH) DRINKING FOUNTAIN SO FT ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. $ plus x$ 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/a c SEWAGE DISPOSAL SQ.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 GOND. 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 SIGNATJRESIINITIALS. GARDEN WALL FINAL