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14635 (SFD)44 P.O. BOX 1504 No. •1465 Building78-495 Address 79-1'80'.'Kara CALLE TAMPICO Court LA QUINTA, CALIFORNIA 92253 ' etn-exempt • reason: '(Sec. 7031.5,8usiness.and: Professions ,Code:. Any city or county which -requires a;, Owner C t xfy Homes Communities • . , Mailing- !•PERMIT ... .. BUILDING-• TYPE CONST. I.- OCC: GRP. ' Address -15.3 SbUth. "Da Street' Ste.' 200A.R. Plan Chk. Dep.., - violation of by: any -for a permit subjects the appitcant to a civil penalty of not more than rove hundred'dollars (5500):. - " -- 0.1, of the with Plan Bal. - Number as owner property, or my employees wages as their sole,compensation, will do the work, and the'structure.is not intended or offered for -sale. (Sec. 7044, Buisness and Professions. City S 16.r Yt 21 Zip �A � Tel. � �j �M � .� Legal Description u •? `'tr3Cir" 26185 Phase' _ . ElectricalgC�+ E . Of proving that he did not build or improve for the purpose of sale.) Contractor :: 138.00 Project Description ` SFD Plan n 3 • does not apply to an owner. of property who builds or Improves thereon, and who contracts for. 85, such projects with a contractors) licensed pursuant to the Contractor's. License Law.), Address. - - • • O 1 am exempt under Sec: = ` B: & P.C.PCfor this reason �e Rey- at LaGuinta- Norte Driveway Enc. State Lic. 4 32.473 City & Classif. Lic. # 2120. Engr.; Designer ai�.t 3:ai Aguilar 60 A:t�-oc.e ' A tles Tel'(710-359-6061 rajisero Avenue i 10-359--6061 City y- Zip State '...:.af mersi i :' A� 9250'5' 2505 Lic. # Sq. Ft. Size . New ❑ No-: - • Stories No. Dw. Units.. - Add ❑ •. Alter ❑ Repair ❑ LICENSED CONTRACTOR'S DECLARATION I hereby affirm thaltm l aicensed under provisions of Chapteu9 (cbmmencing with Section - �`�.7 00) of Division 3 of the Business,and.Professlons Code; •and my license is in ull force And77 �,� .w/ .+.�!�.-fir*• �'"'`�"".. �^^' ��'.�`? - •_$LGNATURE ..e".a:++"' ..✓" ..: "" �,_. - - - DATE . , .. ' •v'"-COW,N&BUILDER DECLARATION' = I hereby affirm that I from the Contractors License Law for.the following Estimated Valuation -$.08l 1563 00 etn-exempt • reason: '(Sec. 7031.5,8usiness.and: Professions ,Code:. Any city or county which -requires a;, . permit to construct,' after,' improve; demolish, or.repair' any structure; prior to its issuance .also' , • . - - - • requires the -applicant forsuchpermit to fife a signed statement that -he -is licensed pursuant to !•PERMIT .. 'AMOUNT the provisions • of the Contractor's' License Caw, Chapter 9 (commencing with Section 7000) of .Division 3 of the Business and, Professloris Code, or that. he is exempt therefrom; and, the basis- ' for the alleged' exemption. Any Section 7031.5 applicant Plan Chk. Dep.., - violation of by: any -for a permit subjects the appitcant to a civil penalty of not more than rove hundred'dollars (5500):. - " -- 0.1, of the with Plan Bal. - - 499.90 as owner property, or my employees wages as their sole,compensation, will do the work, and the'structure.is not intended or offered for -sale. (Sec. 7044, Buisness and Professions. .Chk. 'Const.590.00".- . !� 00 • - 5 a ,Code:. The Contractor's: License -Law does riot apply to an owner of property who builds or impioves'thereon and who -does such work,himself�or through his,own,employees, that improvements Mech. - - W s iJ . t eSde .49 L'_0. 49.00 . provided such. 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 ElectricalgC�+ . A 16 5.20, 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• - Plumbing 138.00 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. 85, such projects with a contractors) licensed pursuant to the Contractor's. License Law.), - • • O 1 am exempt under Sec: = ` B: & P.C.PCfor this reason rading Driveway Enc. .00 Date Owner : Infrastructure . 1,990.49 WORKERS' COMPENSATION DECLARATION here affirm that I have a certificate of* consent to self -insure or a certificate of WI orker ompensation Insurance, or certified copy thereof. (Sec. 3800, Labor Code.) q Poi❑o . Company .. .1 .Copy is filed with the city. .O Certified copy is hereby furnished: - -. TOTALF 34'21..44 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE-', (This section need not.,be completed ff the permit is for one hundred dollars (5100) valuation:. .. or less.) .. .. - I certifythat in the performance of thg work for which this permit is•issued, I shall not employ any person in any manner so'as too -become subject to the Workers' Compensation' ' Laws of California Date Owner NOTICE TO APPLICANT: W. 'after making this Certificate of Exemption you. should become 'the ZONE: • BY: - subject to Woikers' Compensagon 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 ' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE'ISUNLAWFUL,AND ' •' Side Street Setback from*C nter Line SHALL SUBJECT AN EMPLOYER TO..CRIMINAL PENALTIES AND. CIVIL FINES UP TO'ONE HUNDRED THOUSAND DOLLARS ($.100,000), IN -ADDITION TO THE COST OF COMPENSATION, - Side Setback from. Prope In DAMAGES AS PROVIDED' FOR IN SECTION '3706 OF THE LABOR CODE, INTEREST, AND -' ATTORNEYS FEES. " This is abuilding-permit when properly filled out; signed arid.validated; and is subject to FINAL DATE INSPE expiration if work thereunder is suspended for 180 days.. ' - I:certify_that I have read this application and state that the above information•is,coerect: Issued by: Date fmit I agree to comply with all cityand'county ordinances,and state laws. relating to building construction, and hereby. authorize representatives -of this city to enter the •_ above :. rT RI mentioned property for inspection purposes. Vdlldated by: 0 ' Signature of applicant Date S .Malting, Address Validation: . City, State, Zip \ T. � CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CARP. S0. FT. WALL S0. FT. SO. FT.. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. - URINAL WATER PIPING NOTE: Not to be used as property tax valuation HEATING (ROUGH) FLOOR DRAIN MECHANICAL FEES SEWER OR SE C ROUGH WIRING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER OTHER APPJEOUIP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM WATER HEATER SERVICE 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 REMARKS: SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/<c HOUSE SEWER FIREPLACE 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 PLUMBINGJdLECTRICAL HEATING & AIR COND. SOLAR t .*��in SETBACK GROUND PLUMBING • UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SE C ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) ` 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. FRAMING FINAL INSP. Ar ROOFING � /X1 (,.J /I�Sd� �jK lJ (!J REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUN S FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL - INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL