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9500 (SFD)'4114a", P.O. BOX 1504 Building791 5 ZORabbit1�iZL�QAddrresUINTA CAL FORNIA 92253 Peter Ministrelli Address 74-900 11w .1 Ill X113 City Zip Tel. ind. Wells 1 92210 773--9888 Contractor Gustafson" -Whipple; Inc. Address . _ 77-570 Springfield Lane- Suite J " City Zip Tel.: Palma Desert 9*2 60 360-0233 State Lic. City & Classif. 498379E Lic. # 1653 Arcn., Lngr., Designer Dick Whip6le Address 4 Tel. 77570. Springfield Ln 44T 360--0233 City Zip State ~ Palm Dasert f 92260 Lic. # i, LICENSED CONTCTOR'S DECLARATION jl hereby affi • that I am jic`e)ised under. provisions of Chapter 9 (commencing with Section 000) of Division 3 of the .8usine3s rof2"ons.Code, and my license "s in u force andeffect. v.6!`d�/d9/ r' 1�f / 1 f' %"" If i _ Ga / ` OWNER -BUILDER DECLARATION' I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Bushiess and Professions. Code: Any. city or county which regmes' a No. 9500 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 769-542-0 16 Description Lot 61 Trac: 25429 :t Description UP Sq. Ft. 398 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Permit include block garden spall. Permit clues not include any retain' ing' walls or pool Estimated Valuation ' 295,187.20 permit to construct, after, mprove, demolish, or repair any structure, prior to its ice also requires the applicant for such permit to We a signed statement that he is licensed pursuant.to - PERMIT AMOUNT ' the provisions of the Conbactor'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. 250.00 subjects the applicant to a cin? penafty of not more thanfive hundred dollars.(E500). Plan Chk. Bal 921.62 ❑ 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, eusness and Const. 13 5 5 (3 Professions Code: The Contractor's License Law. does not apply to an ownei of property who .• builds or improves thereon and who does such work himself or through his own employees, Mech. - 109.00, provided that such Improvements are not intended or -offered for sale. If, however, the buddng or Improvement is sold within one year of completion, the owner•buflder will have the burden Electrical '] 2 2..8 9 3 of proving that he did not build or improve for the purpose of. sale.) _ . . O 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 205.50 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 contacts for .S.M.I. C 29.60 such projects with a contractor(s) ficensed pursuant to the Contractor's License Law.) - Grading 20.00 -❑ I am exempt under Sec_ R, 6. p.C. for this reason Driveway Enc. 20: 00 Date Owner Infrastructure 6000.00 -Arts. in iitab u ' 487.97 WORKERS' COMPENSATION DECLARATION ' I hereeiby'"affirm that I have a certifof consent to self -insure, or a certificate of or a icate Policy No. �� 3� 2srtrtpCe,pany •"'1d ed L pry th r dN 3800. Labor Code.) y yC m l I� . ©Copy is filed with the city.. O Certified copy is hereby furnished. TOTAL Y"1 9593.01 934:3.07 CERTIFICATE OF EXEMPTION FROM WORKED' COMPENSATION INSURANCE REMARKS (This section need not be-conpleted B the penriit is for one hundred dollars ($100) valuation' {{���At j gq At� r hh E {{ �.ti ;t/fir,�s nor i_,f� or less.). I certify that in the performance of the work for which this permit is issued, I shall not ,�rSe' .�-•„¢lt'. ,�,05:'s 1 . 2 9 LI Y ..r 1 •u r. employ any person in any manner so as to become subject to the Workers' Compensation, Laws of California Date Owner NOTICE TO APPLICANT: fl, after maMig this Certificate of Exemption you should become ' ZONE: - BY: subject to the Workers' compensation provisions of the Labor Code, you must forthwith Comply With such Provisions orthis pemMshall bedeemed revoked. Minimum Setback Distances: Front Setback from Center Line CONSTRUCTION LENDING AGENCY I hereby'affirm that there is a construction lending agency for the perforrnance 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 Date Mailing Address City, State, Zip i 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. 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 SLAB GRADE FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SEWER OR SEPTIC TANK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ROCK STORAGE LAUNDRY TRAY AIR HANDLING UNIT CFM GAS (ROUGH) KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEWPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ® c BATH TUB WATER HEATER SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® 34c HOUSE SEWER GRADING cu. yd. $ plus x$ GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.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 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. ROOFING �• v <(/ �`�� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL / 1j HING MESH 61NSULATION/SOUND . — ©011 FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITUILS GARDEN WALL FINAL d a cin or u oujNr DEPARTMENT OF PLANNING f BUILDING. $ DEVELOpMEN 24 -HO S64 -22461810N UR NOTICE FOR I iem Owner PeterMinstrelli i X41 ; Contra Gustafso �mkNun-Whi le, POST 9500 INSPECTORN J0B IN CONSPICUpUS P MUST SIGN ALL APPLIC ' PLACE JOSADDRESS 79-1� J SPACES Rabb - will nclu es blockk aFabbit Tnot rail hide CTION �:nY ret Permit n'PEoFINs aining walls OUNDATION a S oz � 8 SETB�rry DATE MAIN GROUND SYSI GROUND PLUMBING PRE-GUNITE DO NOT POUR CON( CONCRETE SLAB JOISIS&GIRDERS ELECTRICAL Gr nim - DO NOT POUR ROUGH CONCR RIC ROUGH PLUMBING •SOUGH GAS 8 GAS TEST HEATING & VENT. A/C FIREPLACE F{OOF wrou BEAM O -K �-�vu � p 4• �O g FFAMING INSULATION INSP. E UNTIL ALL ggOVE HAS BEEN SIGNED 'K UNTIL ALL ABOVE HAS BEEN SIGNEn COV RORK OVERORK / NO L• OR XIERIpR INT RIOR UNTIL ABOVE HAS BEEN SIGNED t POC'L PREP TH9/ POOL FENCEGATE SEbyrR SEPTIC TANK I ELECTRICAL FINALS PLUAISING FINAL GAS TEST HEAT1yG - aC HOUSE NUMBERS JOB COMPLETED TEMP POWER • _ __ ABOVEAPp APPROVALS DO NOT INCLUDE TURN ON UTILITIES OR RIGHT TO OCCUPY BUILDING r ;zjz C�Iit� of 14a Quin , ta �uil�in� rznb S�s''U�et� ibiesiun This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building' Code certifying that of the time of issuance this structure wos in compliance with the various ordinances of the City reguloting building construction or use. For the following: BUILDING ADDRESS 79-145 JACK RABBIT TRAIL SINGLE FAMILY DWELLING 9500 Use Classification Bldg. Permit No. Group R3 Type Construction VN Fre Zone Use Zone Owner of Building PETER MINISTRELLI Address 74-900 HWY. 111, 4113 City INDIAN WELLS, CA RICHARD KIRKLAND By. r-z�A4��� Date: JUNE 25, 1992 Building Official POST IN A CONSPICUOUS PLACE SR