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9972 (SFD)r v / 4 P.O. 60X,504 No. 94772 Building� '�/ / ( 7&105 CALLS CALIFORNIA9 Addres"I ( LA QUINTA, ORNIA 92253 Owner Williams Development Corp BUILDING: TYPE CONST. OCC: GRP. Mailing Address 42600 Cool: St. A.P. Number I Legal Description il_ )7 r Project Description City Palm Desert Zip 92260 Tel. 345-754: Contractor Sure ars Abovo Madel 4 , Address City Zip Tel.: State Lic. & Classif. n1 ��} ` City Lic. # �� Sq. Ft. 3818 Size No. No. Dw. Stories Units Arch., Engr., i New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Designer Statgregen Fuller Address 33728 Rancho Viejo Rd Tel. 7141493-06609 Permit apes not include block wail or City Zip State pool San Juan Caps 3trano Lic- # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,rand my license is infullfor effect. r.�.f •''�,,, � _. f' �esand SIGNATURE- • `-` �' DATE OWNER -BUILDER DECLARATION Estimated Valuation 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 104,515.50 permit to construct, atter, Improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions o/ the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 o/ 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 civil penalty of not more than five hundred dollars ($500). 1, Plan Chk. BBI. 313 • S 2 ❑ 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 Const. �7 0� 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 Mech. 5 2 }� Electrical 139, 03 orImprovement is sold within one year o/ completion, the owner -builder will have the burden of proving that he did not build or Improve for the purpose of sale.) Plumbing 162.00 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to cow struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law S.M.I. 10. �i 0 such does not apply to an owner o/ property who builds or improves thereon, and who contracts for projects with a contractors) licensed pursuant to the Contractor's License Law.) Grading 20.00 ❑ I am exempt under Sec. B. t+ P.C. for this reason Driveway Enc. 20.00 Date Owner Infrastructure 2351.609 Art in Public RM&D 25.0 WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy„No. Company A Copy is filed with the city. ❑ Certified copy is hereby furnished, nQ" 1-P, 0. -4,1 TOTAL 376M.65' CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS (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 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 Owner ZONE: BY: NOTICE TO APPLICANT: If, after making this --certificate o/ 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: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I= 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 Lenders Name FINAL DATE INSPECTOR 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 Issued by: Date Permit construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Validated by: Signature of applicant -Date- ateMailing MailingAddress Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINR-FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. SO Fr. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET t YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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+/4 c SEWAGE DISPOSAL SO.FT.GAR ® V/ic HOUSE SEWER VENTILATION 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. FEEI T STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING YF' NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER 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 xa =$ LUMBER GR. FINAL INSP. FRAMING GQ FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL FIq jjw LAT NG t7 2 MESH INSULATION/SOUND/2/ZR( FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL li�L $4 P h0F-- (. a 4__ _ CITYOF LA OUINTA u `•a DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 2246 24-HOUR NOTICE OR INSPECTIONS Owner Williams Develo ment Cor Contractorgame Permit Number 972 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN A LA DOI If' ABLE SPACES JOB ADDRESS Perlllit does not include block wall or rool vvw.. Ivry a JETBACK FOOTING STEEL MAIN GROUNn cvcrc►. •ten u��a a vtlV I - A/C -IREPLACE '"r -n rvv wURK UNTIL RYWALL INTERIOR DOL PRE PLARTFm :YVER B6P�19'TANK ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING jc. r AXJ (4tv of ' _ - �• pili � ` �`F'• „�I, �,' , r., e T t* of Ed (Quinta lluilbing rznb s�'Sdfe#fir 3441irMon This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 78-940 La Palma Use Classification Single Family Dwelling Bldg. Permit No. 9972 Group R3 Type Construction VN Fire Zone Use Zone SR Owner of Building Williams Development Address 42-600 Cook St. City Palm Desert; CA 92260 By; Mark Harold Dote: June 30, 1993 Building Official POST IN A cONB?ICUOus PLACE