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07710 (SFD)41. P.O. BOX 1504 No. 07710 Building78- , Via Cal ienta LA QUINT Address A CALIFORNIA 92253 l Owner, , Mailing neS BUILDING: TYPE CONST. OCC: GRP. Address 15 Aummft Drive A.P. Number City Zip]el. �� •T Legal Description Tract a_"ii RAInchoContractor V Project Description ` :ftAje T_!l ice, t oza Address City Zip Tela State Lic:`• ' ' City & Classif. . " Lic. # . Sq. Ft. No. No. Dw. Size 210 Stories Units Arch., Engr., ' Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City s1 Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm.that I am licensed. underjprovisions of Chapter 9 (commencing with Section 1 7000) of Division 3 of the Busrness<and Professions Code, and my license is in full .for a and' l,r" :effect.t ` .f r r "1 aBrF t a. •+•. � .r� �i .t�,f iii' , y, fi�1 vf. � � �`•-`-.'-ofd-9 .. � �?? �/ �1 r p: SIGNATURE' DATE—Sw 'OWNER -BUILDER DECLARATION Estimated Valuation ` I hereby affirm that I am exempt from the Contractor's. License Law for the following $111,927 6� AA + .s reason: (Sec. 7031.5,Business and Professions Code: Any city- or county which requires a 1111927 ' 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 that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5. by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than live hundred dollars (8500). : •isr" 0.1, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. do the'work; and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 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, Mech. provided that' such improvements are not intended or offered for sale: If, however, the building •,c or improvement is sold within one year of completion, -the" owner -builder will have the burden Electrical ' of proving that he did not build or improve for the purpose of sale.) _ _ in O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing I .Q Afi - 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 S•M.I. - such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) • O I am exempfunder Sec: B. & P.C. for this reason Grading Driveway Enc. ; Date owner Infrastructure ,,. _ �R18 • fig•, WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of v Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy. is filed with the city. O Certified copy is hereby furnished. TOTAL"4 J1176, CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE p _ ' (This section need not be completed- if the permit is, for one hundred dollars (8100) valuation g�.H.9'5 FAY Val V4�t a �'� 4.1 N�Wi- - y 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 IOwner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: - subject to the Workers' Compensation provisions of the Labor Code, you must forthwith MinimurnSetback Distances: comply with such provisions or this permit shall be deemed revoked. . - - 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 performarice of the 'work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Name t 0 Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to 4/26, 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. ISSUed by: Date Permit 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 Address Validatiori: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS A.C. UNIT 2ND FL. SO. FT. SLAB GRADE YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POR. SO. FT. ® STORAGE TANK FORMS GAR. SO. FT. ® POWER OUTLET ROOF DRAINS DUCT WORK ROCK STORAGE DRAINAGE PIPING CAR P. I SO. FT. (ROUGH) ? v WALL SD. FT. HEATING (FINAL) DRINKING FOUNTAIN. SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ TEMP. POLE WATER PIPING NOTE: Not to be used as property tax valuation GROUT FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. $ plus x$ LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. i� Cr'� 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 ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® 3'ic HOUSE SEWER SPARK ARRESTOR 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 PLUMB U 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 L FOUND. REINF. 7GAS (ROUGH) ? v O 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. i� Cr'� FRAMING �.Z Qd L� t FINAL INSP. ROOFING ��// /"�I c � C 't'.; t< ` O/ (b a , j � Q "') //� / /-� /� \J\J [(/ ( (/./6 C/(J VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LAT ING MESH INSULATIONISOUND 7 Q L t FINISH GRADING FINAL INSPECTION 2 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL W,,jing Brighter Than May 1, 2002 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Dear Homeowner: (760) 777-7000 FAX (760) 777-7101 Please be advised of a clarification to the street name for the following structures. The structures formerly addressed on Via Calienta will now be addressed ending with an "e" as follows: 78-345 VIA CALIENTE 78-355 VIA CALIENTE 78-360 VIA CALIENTE 78-365 VIA CALIENTE 78-370 VIA CALIENTE 78-375 VIA CALIENTE 78-380 VIA CALIENTE 78-385 VIA CALIENTE 78-390 VIA CALIENTE 78-395 VIA CALIENTE 604-203-012 604-203-006 604-202-008 604-203-007 604-202-007 604-203-008 604-202-006 604-203-009 604-202-005 604-203-010 The Assessor's Office, Post Office, utilities, and Riverside County 911 have also been notified. Please contact me at (760) 777-7019 if I may be of further assistance. Thank you. Sincerely, Diane Aaker Building & Safety Department 'W«