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04481 (BLCK)Ih 4 P.O. BOX 1504 Building53x°700 Vallejo 78-105 CALLE ESTADO AddresLA QUINTA,-CALIFORNIA 92253 . Owner Deseret HOM68 to Ltd mailing Address 7.220 Trace St., #100 City Zip Tel. ,San Diego 92121 693•-84 Contractor The Lendel Corporation _ Addresss., City lZip Tel. State Lic. I City & Classif. 3305551 Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED 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 effect. e / ya SIGNATURE - - DATE OWNER -BUILDER DECLARATION 1 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 Dlvision'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). ❑ 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 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.) 0 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.) O 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 No. Company . ❑ Copy 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 (E100) valuation 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 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 if work thereunder is suspended for 180 days. I car tity 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 04481 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 7'14-123-011 Legal Description Project Description 100' X 41 50* X 3% -Retaining wall Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition :1 Estimated Valuation $SOO PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. VZU 0U Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by; Date �`� -Permit Validated by: Validation: 1 WHITE FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT (p S UNITS SA SLAB GRADE ROUGH PLUMB YARD SPKLR SYSTEM 2ND FL SO FT. C HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR SO FT. at ROCK STORAGE FOUND. REINF. GAS (ROUGH)METER POWER OUTLET ROOF DRAINS GAR SO. FT. fp OTHER APP.IEOUIP. �EINF. STEEL L—/ GAS (FINAL) DRAINAGE PIPING CAR P. SO FT. 6 GROUT WATER HEATER DRINKING FOUNTAIN WALL SO. FT. a OND BEAM �� WATER SYSTEM URINAL SO. FT. M =$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION S FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES �,, / i% l WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRYTRAY AIR HANDLING UNIT CFM FIREPLACE 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. SO. FT. RESID @ t'A c SEWAGE DISPOSAL SO.FT.GAR (g Ji:c 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 8 AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS ER IC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH)METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. �EINF. STEEL L—/ GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. OND BEAM �� WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING U �,, / i% l REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING — MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL 100A (4.77)S WHITE — File Copy _ YELLOW — Client Copy '..PINK ='Field Copy' f GOLD — Office Copy DAILY FIELD REPORT :. -No: Job Name: or�e: Project No.: c.,fl(--q..G` bate:�I_ q Location; L_(�, S37Q6 Wei Weather: �� Day: Contractor: - Foreman: -- �- Field Technician: Miles: Hours: Equipment Working: "" - - -- - -•:- Inspection /.Testing of H Test No. Test Location Elevation or Depth Soil Type Optimum Moisture Field ._. Moisture Maximum Density Field Density Rel. Comp. 3 C�1 e� ad �. - - 73 o Z Summary -of operations: 0, s� 1 I }e CO �� a 'tom S S ��-e-, • G � � C..J �.�-. Supervisor : - ' Engineer: - Geologist: Todais' "- Yardage: Yardage to Date: ' 0 LEIGHTON and ASSOCIATES-— 17975 Sky Park Circle, Suite E, Irvine, California 92714 Tel: (714) 556-1421 556-1422 100A (4.77)S WHITE — File Copy _ YELLOW — Client Copy '..PINK ='Field Copy' f GOLD — Office Copy