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13337 (SFD)• 4; P.O. BOX 1504 N o . 13-337 Building 78-105 CALLE ESTADO Address 52 -105 -Ave. Vallejo LA QUINTA, CALIFORNIA 92253 Owner Leonard Heier Mailing 77029 Iroquois BUILDING: TYPE CONST. OCC: GRP. Address 773-222-©16 A.P. Number City Zip Tel. Tot 5 Block 77 Indian Wells CA 92210 345-7266 Legal Description Contractor Project Description SFD ?1.V. H. Construction. Ad dress City Zip Tela State Lic. 6399f © City 2964 & Classif. Lic. # Sq. Ft. 1227 No. No. Dw. Arch., Engr.; Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Permit does not include block calls or City Zip State pool. Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division-3'9of the_Bausiness and Professions Code, and my license is in full force and ESIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation �74�0 d� I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness 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 PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis A for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit Plan Chk. Dep. 2550..00 subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal. 204.19 ❑ 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, Buisness and 527.00 Professions Code: The Contractor's License Law does not apply to an owner of property who Const. builds or improves thereon and who does such work himself or through his own employees, Mech. 55.50 provided that' such improvements are not intended or offered for sale. If, however, the building TT t or improvement is sold within one year or completion, the owner -builder will have the burden Electrical lj7s VA -, of proving that he did not build or improve for the purpose of sale.) O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 138.00 struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law g does not apply to an owner of property who builds or improves thereon, and who contracts for .S.M.I. ) s 48 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading 20.00 ❑ I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. 00 Date Owner Infrastructure 1,644.75 Precise Plan 25.00 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 No. Company to Is filed with the city. ❑Certified copy is hereby furnished. TOTAL 2,987.97 2,737.97 � CERTIFICATE OF EXEMPTION FROM REMARKS 1 ~ WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation i or less.) I certify that in the performance of thg 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' *rte Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions or the Labor Code, you must forthwiM ZONE: BY: comply with such provisions or this permit shall be deemed revoked. Minimum Setback DlStapceS,, � - - ' Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Set,' fFom.CCenter Line 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.) Side Setback f Prope y Llj�e. Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE NSPECTO expiration if work thereunder is suspended for 180 days. I certify that 1 have read this application and state that the above information is correct. Issued by: ate pR ^ Permjt i 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. Validated by: Signature of applicant -Date- Mailing ateMailing Address Validation:' City, State, Zip L CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEE „ 1ST FL. SQ. FT. p $ UNITS SLAB GRADE h ^ BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) �—ZB �(/ [ METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. F. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. WALL SQ. FT. WATER SYSTEM. DRINKING FOUNTAIN. GRADING cu. yd. $ —Plus—X$—=$ URINAL SQ. FT. ® FRAMING 2 GC FINAL INSP. %—'—� C ESTIMATED CONSTRUCTION VALUATION $ Q�J��,_olL���j ( 4 WATER PIPING NOTE: Not to be used as property tax valuation REMARKS: FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM SPARK ARRESTOR 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. SQ. FT. ® c BATH TUB INSULATION/SOUND 5 SO. FT. ®c I WATER HEATER MAX. HEATER OUTPUT, B.T-.U. - • -- -- SQ. FT. RESID ® 11/4 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 COND. SOLAR SETBACK GROUND PLUMBING 40UNDERGROUND 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) �—ZB �(/ [ 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. .28 ` Vt40 FRAMING 2 GC FINAL INSP. %—'—� C ROOFING // '7 / cl�//I f 1! ✓ Q�J��,_olL���j ( 4 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL� LATHING MESH INSULATION/SOUND 5 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL