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11677 (PLBG)Addtless 52-525 VALLEJO Owner' LEMING Mailing Address SAME City Zip LA QUINTA 92253 Contractor , . •ECONO SHWE]k SRV Address P © BOX: 192 City Zip PALM DESERT 192260 State Lic. &Classif. C-42••480961 Arch., Engr., ` Designer Address t P.O: BOX 1504 N o . 11677 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Tel.: 346-2793 City Lic. # 342 . Tel BUILDING: TYPE CONST. - OCC: GRP. - A.P. Number Legal Description Project Description. SEWER -HOOKUP Sq. Ft. Size - - .-. New ❑. Add ❑ No. No. Dw. Stories Units Alter ❑- Repair ❑ 'Demolition ❑ City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION. I herebyjaffirmfthat �m licensed, under provisions of Chapter 9 (commencing with Section 7,000) of DDivision 3 of the Business and Professions Code, and my license is in full force and SIGNATURE A' % DATE- ..OWNER•BUILDER DECLARATION ' ` 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 the provisions o/ 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. Anyviolation of ,Section .7031.5 by 'any' applicant for a permit ' subjects the applicant to a civil penalty o/ not more than five hundred dollars.(S500). O I, as owner of the property, or my employees with wages as their•sole compensation,will Estimated Valuation $�©0 • PERMIT ' AMOUNT ' Plan Chk. Dep.. - Plan .Chk. Bal. Const: 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 Mech. - builds or improves thereon and who does such work himself orr.through his•own employees, _ provided that such improvements are not Intended or offered for sale. If, however, the building '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.) . , ... _ .. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- . tt Plumbing' d• 3 V :00 "• - - struct-•the project.. (Sec. 7044, Business and •Professlom Code: The Contractor's License Law does not apply to an owner o/ property -who builds or improves thereon, and who contracts for •: S.M.I. - - .. •• - such projects with•a contractor(s) licensed pursuant to the Contractor's License Law.) - - - ❑ 1 am exempt under Sec. •B. ti P.C. for this reason Grading Driveway. Enc. - Date 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 there3of (Secr3800, Labor Code:) policy No. .Company •L+k.tlz'c..,..- I c.�.r �—ix....s_ ..Copyis filed with the city.. ❑ Cel copy is hereby furnished. .. V' TOTAL 30. OO CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS :-.,(;!?.y1:5',;i•. yrs .-g'7:,,`7....-.Q') ,r1 (This section need not be completed if the permit, is for one -hundred dollars IS 100) valuation or less.)e,r•."..'..' • I certify that -in the performaLnce of thg work for which this permit is issued, I shall not • employ any pe[son in any manner so as to become subject to the Workers' Compensation' Laws of California..,,'"`� �: gaits • .t Q (4`L- I ;YF ] a ii' et .. ' Date Owner. NOTICE TO APPLICANT. --.-I, fafter making this -Cert!/!tate o/ Exemption -you should become subject to the Workeis'.Compensglion•provisions of the Labor Code, you must'forthwlth- comply with such provisions or this''penMt shall be deemed revoked. - ZONE: ' ' �- � BY: - ' ' ' ' • - Minimum Setback Distances: , Front Setback from:Center.Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending.agency for the performance of the work for which this permit is is_sued.,(Sec. 3097, Civil Code.). Side Street Setback from Center Line Side Setback from Property Line ' Lender's Name Lender's Address -' 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. FI,NAL DATE INSPECTOR 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.' " Issued by: Date Permit - - Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip' CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT.® $ UNITS SLAB GRADE 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. OTHER APP./EQUIP. DRINKING FOUNTAIN. SO. FT. TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY r 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. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL GAR. FIREWALL SO.FT.GAR ® 3/ic HOUSE SEWER LATHING 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 NK UGH WIRING. DUCTWORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 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 L� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION Q V` CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL