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001437 (SFD)TAtyl 4 Ci P.O. BOX -1504 No. 00-1437 Building 78-105 CALLE ESTADO Address f4-2211 V � ( �► � LA QUINTA, CALIFORNIA 92253 Owner Mailing BUILDING: TYPE,CON$T: OCC: GRP. Address 1()IDIB1401M St. W,•2_ A.:P, Number City ZIP .Tel. �. AIL �.:�� 0 Legal Description Contractor,. _�.... Project Description T. _ F111a ►. m4�$ tx1R 3.46 - ts' ><1r. f.3 ' �. Address . .. _ .. _ . .. _. �. _ .. ... 121p,Tel.. _ -.. xx 92053 340-5511 :. _ State Lic. Cit y µ " &.Classif.... Lic. # Sq. Ft. 47 No. No.. DW. Size- Mp 41 Stories ' Units - ' Designer N_iCbW1'6*WtW A�. ' New§ Add ❑ Alter ❑ Repair ❑ :. Demolition ❑ Address,�wwA Tel. 11 _. . City Zip State , ..._. PRIM, . 3CiC�i . .. �� Lic. # _ LICENSED CONTRACTOR'S DECLARATION. . I hereby affirm that.) ain licensed under provisions of Chapter 9 (commencing with Section • 7000) of Divisii6n 3 off thWusiness and Professions Code, and my license is in'full force and effect. \ ".r`�id �fs•;.� . - .. .. .. . _... SIGNATURE""" ,Y DATE ••. OWNER•BUILDER DECLARATION Estimated Valuation I'hereby'affirm that I am exempt from the Contractor's License Law for the following': . reason:(Sec., 7031.5;Business and. Pro/essions Code: Any. city 'or County. which requires a i permit o construct, alter, improve, demolish, or repair any 'structure; prior. -to its Issuance also requires the applicant for such permit' to. .file a signed statement thatheislicensed pursuant to " .PERMIT - .. AMOUNT the provisions o/ the Contractor's' License Law, _ Chapter 9 (commencing with Section 7000) of. - r.+.-'� . ' Division '3 o/ the Business and Prolessidns. Code, or that. he is exempt therefrom, and'the basis- for the. alleged exemption.. Any • violation of Section 7031.5 by ,'any- for Plan Chk. Dep.. �� - _ 11 71 applicant . a :permit ' -subjects the.applicant to a -civil penalty o/ not more than /ive*hundred dollars ($500):• :• : " - Plan Chk. Bal, .5972 , - w ❑ I; as'owner of the prpperty,.or, my employees with wages.as their sole compensation, will.L . do.the work, and the.stiucture is not intended or offered for sale. (Sec.. 7044, Bussness and • Professions- 'not ' COr1St.' Code: The Contractor's License Law does apply -to anownerlot property. :who builds 'or improves thereon and who does such work him all or through his own employees, provided that' such improvements are not intended oro/fered for sale. .If, however, the building - Mech: ` .. •.. � or improvement is sold within- one year o/ completion, the. owner -builder will have, the burden EI2CtrICal,� - o/ 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- • Plumbing , struct-the project. (Sec. 7044, Business and Professions Code: � The. Contractor's -License Law - does not apply to an owner o/ property who builds or improves thereon, and who contracts /or $,M•.l. -�; such projects with a contractor(s) licensed pursuant to the Contractor's License Law:) ' � Grading _ - I O I.am exempt under Seca B. & P.C. for this reason Driveway Enc.. ' Date owner Infrastructure j t as pm aligonaft.' WORKERS' COMPENSATION DECLARATION ' Thereby "affirm that I have a certificate of consent to'selVinsure, ora certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No: Company 4 Copy is filed with the city. O,Certified copy is hereby furnished.'- - TOTAL 962.6.0 75£1.8 CERTIFICATE OF EXEMPTION FROM REMARKS. WORKERS' -COMPENSATION INSURANCE' (This section need not be completed i/ the permit is for one hundred dollars (8100) 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 o/ Exemption you should become ZONE: BY:' ' subject to the Workers'- Compensation provisions' of the Labor Code, you must forthwith' comply with such provisions or this permit shall be deemed revoked.' - Minimum Setback Distances:- - Front Setback from Center Line Rear Setback from, Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center 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 from Property. Line, ' Lender's Name Lender's Address FINAL DATEINSPECTOR This is a building permit when properly filled out, signed and validated; and is subject to expiration it 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 r• construction, and hereby authorize representatives of this -city to enter the above:. mentioned property for inspection purposes. � r Validated.. by: /ff f Signature of applicant 71f r t-. _ Date !y { Mailing Address f Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEE; 1STFL. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM FOR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CARP. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SQ. FT. OTHER APPJEQUIP. DRINKING FOUNTAIN SQ 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, TEMIPERM 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. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR ® 3/ac 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 OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) 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. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL PERMIT APPLICATION City of La Ouinta Department of Building and Safety This permit becomes void if work not commenced within 180 days from date of Issuance, OR, If work has been suspended or abandoned for a period of 180 days. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE: This section need not be completed it LICENSED CONTRACTORS -DECLARATION: I hereby affirm that 1 am licensed under provisions of Chapter 9 ' the permit is for one hundred ($100) o, less. I certify that in the performance of the work for which this permit is -jeommencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force Issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of and effect. California. License Class tic. Number Date Applicant Date Contractor NOTICE TO APPLICANT: If, after making this Certificali of Exemption, you should become subject to the Workers' OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License law for the Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: such permit to file a signed statement that he is licensed pursuant to the provisions oftheContra ctor'sLicense Law 01 hereby certify that no excavation five (5) or more feefin depth into whicha person is required to descend. will be (Chapter 9(commencing with section 7000) of Division 3 o1 the Business and Professions Code) or that he is exempt made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp Z Art 2, Sec341, Titlell. subjects the applicant to a civil penalty of not more than five hundred dollars (5500.): C.A.C.) O I. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the 0 As owner -builder, I will not employ anyone to do work which would require a permit from the Division of structure is not intended or offered for sale (Sec. 7004, Business and Professions Code: The Contractor's License Industrial Safety, as noted above, unless such person has a permit to do such work from that division. Law does not apply to an owner of property who builds, or improves thereon, and who does such work himself or * agrewfint through his own employees, provided that such improvements are not intended or offered for sale. If, however, the 0 Division of Industrial Safety Permit No. building orimprovemntissold within one year ofcompletion. the owner -builder will havetheburden ofprovingthal Date Applicant he did not build or improve for the purpose of sale.). CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance 0 I, as owner o1 the property, am exculsively contracting with licensed contractors to construct the project (Sec. o1 the work for which this permit is issued (See. 3097, Civ. C.). 7004. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Lender's Name builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the 'FSB Contractor's License Law.). Lender's Address 0 1 am exempt under Sec. B. 6 P.C. (Attached Certificate). I certify thai I have read this application and state that the above information is correct. I agree to comply with all Date Owner 'city and county ordinances and state laws relating to building construction, and hereby authorize representatives ZONE ORD a I of this county to enter upon the above=mentioned property for inspection purposes. WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a Certificate of consent to sell-insure,'or a Certificate of Workers' Compensation Insurance , or a certified copy thereof (Sec. 3800. Lab. C.). Signature of Applicant or Agent •Date Policy No. 'Company CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that 0 Certified copy is hereby furnished. the information given is correct. I agree to comply with all state laws and county ordinances relating to buidling . 0 Certified copy is filed with the City Building Inspection Department or City Department. construction, and authorize a *representative of the City of La Ouinta Department of Building and Safety to enter upon the property for which I have applied for this permit for the purpose of making inspections. Dale Applicant Signature of Applicant or Agent Date Print Applicant/Agent Name�y3,r APPLICANT NAME (L. F. MO JL Construction ADDRESS P.O. Box 173 CITY/COMMUNITY/STATMI P Nestor, CA 92053 JOB SITE ADDRESS/SPACE CITY/COMMUNITY/STATE/ZIP La.Quinta, CA 92253 BOK I PAG PRC C TWN I RNG SE S 19903 91 Moo 1 plimbing Fee 85.00 TRACT NAPE HORIZON PAIMS OWNER NAME (l. F. MI) Glaneral Management Corp.' CONTRACTOWFIRM NAME ' J. L. Construction ADDRESS above CITY/COMMUNITY/STATE/ZIP abpm PNONE It 756.88 LICNC * agrewfint ARVENG FIRM NAME Michael Buccino Assoc. ADDRESS 34.0 S. Farrell Dr. A212 CITY/COMMUNITY/STATE/ZIP Palm Springs. CA 92262 PHONE • 323-7877 LICNC • USE OF PERMIT Single Fard1v Dwelling BL ZON, 'FSB SSB SSB RSB 1 OFC - ZONE ORD a I LOT SZ END I SIDE APPIJ"MT : 'E:; DATE 5-2-2=85 S:F.Do Permit to construct 1247 sq. ft. of livincr area and 433 sq. ft. of garage as per approved plans. Mech. Fee 37.00 Plan Check Fee 307.96 Const. Fee 367.00 Elect, Fee 60.18 Wr Fee 5.46. plimbing Fee 85.00 Tnfrastructure 862.60 105.72 DEP. PAID 756.88 * agrewfint t Department TOTAL_. 'FEE T 862.60 H 1 1 J J J L J / ) 6. 6 6 6K CINANCF VALUATION 77,948-00