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12402 (SFD)P.O. BOX 1504 Building 78—$10 Via 78-105 CALLE ESTADO Address rAK LA QUINTA, CALIFORNIA 92253 Owner Landrex Corporation Mailing Address P.O. Box 2042 citPaim Springy Z1bA 92263 No. BUILDING: TYPE CONST. OCC: GRP. A.P. Number 617-840-003 12402 161911779-0606 Legal Description Lot 129 Tract 26152 Contractor Royce Development Co. Address P.O. Box 2042 Cityl.Sp�'ings,lpCA 92263 T(619)779-0606 State Lic. City & Classif. 8 643594 Lic. # Arch., Engr., Robert Ritchey y AddrIV-340 Vis Sevilla b"19 j 360--0966 Cityip State di La ta, 92253 Lic. # LICENSED CONTRACTOR'S DECLARATION I herebyy aIll m h I am licensed under provisions of Chapter 9 (commencing with Section 0 ) opD' ,ist• f the Business and Professions Co f!.n� midlicenys�full force and c{� (a i OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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 thathe 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.) ❑ 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 contractors) 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 Contp6nsation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy Company ❑ opy 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 ($100) valuation or less.) I certify that in the performance of lhg 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 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 Dale .Mailing Address `City, State, Zip Project Description Syu VIOUP-i G Sq. Ft. 2500 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $147s283.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 437.42 Const. 807.50 Mech. 102.50 Electrical 163.70 Plumbing 174.00 S.M.I. 14.80 Grading 20.00 Driveway Enc. .00 Infrastructure 3,207.62 Arts In PUblic Places 113.1 TOTAL 51295w75 5, 045..r 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 DA1 Issued by:_ Validated t Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE ` ROUGH PLUMB. YARD SPK LR SYSTEM 2ND FL. SQ. FT. STORAGE TANK FORMSSEWER MOBILEHOME SVC. BAR SINK FOR. SQ. FT. ® ROCK STORAGE FOUND. REINF. / > POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SQ. FT. ® WALL SQ. FT. WATER HEATER DRINKING FOUNTAIN. FINAL INSP. URINAL SQ. FT. WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION $ x$ _$ WATER PIPING NOTE: Not to be used as property tax valuation FRAMING lo_ rw FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER © - 1.L �.i ct`a� ..J S 6r 4,5 - GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE LAUNDRYTRAY AIR HANDLING UNIT CFM SPARK ARRESTOR IKITCHEN 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/a c SEWAGE DISPOSAL FENCE FINAL SO.FT.GAR ® 3/ac HOUSE SEWER INSPECTOR'S SIGNATURESIINITIALS 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 g0 -g4 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ` ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMSSEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. / > GAS (ROUGH) Z 6/311/ J l METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. 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 lo_ rw FINAL INSP. ROOFING ,2.21VO [71 REMARKS: VENTILATION © - 1.L �.i ct`a� ..J S 6r 4,5 - FIRE ZONE ROOFING `)e",- ` 1 r/v t FIREPLACE U (eJ IM, --e SPARK ARRESTOR GAR. FIREWALL 3 ,11-7,61W LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 1i1011 1"I" ; Mlan I,,,kt��ilyl•a �a- f -� � � � :S 1 i 1 •-.,r.r '�'. L • , � w� �, wig' Z.l.' A r ':. ..� :� � c.� '� il.• 4i'r r"' ' � n I i � 'i I 1 ^t .- , y7`J � �• ... r �� A' `wy V—��a�'�' i%l7r .. � ri ��. r .ti •�`� , i� � t` r ?�,� � r{. J , "� l s 1I �. `� i ') ct.» •� � `�'i� M"+ i,�ry'\ c � '� '' 4� �J~ �� `. •� � i�` ; r 4 �•/r ,` r , . -I OF lI (l I 4 r ,� _ � �:•,''f•7 � .ir ♦ v7' Z��. I.I , ♦r�'' � ra, �-� �+*'� i � _ �' I I� : B " i i 'r r � � 4. +.�', , - + - ���+r r � �• � ��` `'. .���� � �' , �+4t �i}!r # _ ' \ T) ����•�� -'r � .: 'i. �I I•, ,, I, ♦�+ i'..I � 1] `.� �,� 4 `� ".r.. ... iph .�7 ,.St;.- ` j'+. I,i 'y '� I- � .�`." r` •L.� 'c�• - C �. '-w i ♦. - /- J'' ,�_' ♦ �,.� „!. ��- :a � :xt ] I,,i Ii I it .���if � ;i.i ,•� ��•�' U'. C�����1��1� �}•.���;;�c��'���� 1�1�1��� � � ''• V�'�T'-'��,.� I � iI II ,' 1 II , .' /'+,- �+ ,�,i, f - \ • L'. � , ` * `Y `. �" ' ; � • . E �_. ;� `•. •6J .] `' �, : w ,j_ c. C ..:� This =Certificate issued pursuantto-the"requirements` ofjSection,30&of, the, Uniform Bulldingi �. Code certifying, that at the_ =time,of issuance. this structure was °in compliance ,withIhe various ordinances,of the Cit � re ulatin buildin � 4 o � 'r; � a y g g g construction or, use: for -the, following i f i I � i.r. L � S'y - �. n -� r,. 5. �, �..,` -{ s � .. '• ��,. ..[ i'd. •ter.. ,*y. - � . I P, I i !i I: 1 . I •., � } it 'if .,, � j.?' 1 4 + � 4 _ . � c R >� j ' '� n 4) ,. � � ! l i �i i"Ial.�il f... PliJr� y•�'' i }moi - iFit }�'.Y' '�� a r L,]^`�`r �- r. ,- •,pl. :?+ w � i.f`� I .-I,i it Ii IIr 78-811) Vla�"'AVante �� �� i , �, .�• u' -BUILDING,ADDRESS � " ; I � �� �. �J r � j rr•1 ! 3 y /y j- ,_ •�. � [� ..,M••I �• � �S � w�ti (l ; II Temporary Sales ,Office & ,Model G 12'4 2 T. Use Classificaflon Bldg. Permif;No.` ?W IL Group' ' Type Construction - 4' Fre Zone"` { ; Use Zone LdiidreX Corporation �P . O.b ''BOX` 21) 42, Y{ �� �; Owner of Building' --Address • r I I, .�. i`• �' ,C d :, •�- r X' ' 1, Y. ` � / . • "' ` y ; �' La -.4• ..�.- * •a , �. .r•-. t• , i t 1 . I PalmSerings,, ".CA' 92263 ,y s ,» , • r'� .. `' , •,.' �•� ]Rc3 r ! 1 s i, i; City: -.� _Lonnie Day ;� B .cam y. '. x .. • t 'c� z Date . May 2 1' 9 9 4 w t _ ' J• ct '• ;Building Officiri1'•d-}it POST INA CONSVICUOUSPLACE . W r 4 �•` — - -- r t� ! L J J \ t" ' ' ,��,..+� ;�. • �' ? M ' err ,r, ' ~