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11138 (SFD)• �f�G1�GV `' P.O. BOX 1504" N o . 1113 &'� Building5?_6.�6''3t�'7C�� 7&105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 - lansise Company BUILDING: TYPE CONST. OCC: GRP. Mailing Address 42-604 Cook St #240 A.P. Number Legal Description Project Description Tract 25499-3 Plan TUR Phase 4T City Pal Desert. Zip 92266 ITel. 56i`-76.716 Contractor same Address City Zip Tel.: State Lic.City & Classif. 288130 Lic.# 328 Sq. Ft. �9�3 Size No. No. Dw. Stories Units Arch., Engr., New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Designer . Address TeL Permit does not include anv .City Zip State Lic. # bock walls or Aool LICENSED CONTRACTOR'S DECLARATION i I hereby affirm thattl am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division,3 the Professions of §usine'ss and Code, and my license is in full foice and •- effect y /� ! �Jl / 1 a / s iA _% f/ 41 C% � .,�• SIGNATURE ` ' e"! J ,/ .y DATE— YDATE"OWNER-BUILDER OWNER-BUILDERDECLARATION I hereby affirm that I am exempt from the Contractors License Law for the followingt� reason: (Sec. 7031.5,Business 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 for such permit to rile. a signed statement that he is licensed pursuant to - 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 subjects the applicant to a civil penalty or not more than five hundred dollars.($500).. O 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, Buisness and 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, provided that'such improvements are not intended or offered for sale. ff. however, the building or improvement is sold within one year of completion, .the owner -builder will have the burdenElectrical _ of proving that he did not build or improve for the purpose of sale.) , Estimated Valuation a PERMIT AMOUNT Plan Chk: Dep. - - . Plan Chk. Bal. - 667..97 Const. • Mech.. c • n 0 VQV 9 A • ' Plumbing 150. 00. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- 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 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O I am exempt under Sec. B. t: P.C. for this reason _ S;M•I. Z4.90 Grading 00 Driveway Enc. .00 Date Owner Infrastructure 3333.45 1656.73 Less Credit 1656.73 WORKERS' COMPENSATION DECLARATION I 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.) ...fig in Ppxt . R Policy No. Company ❑ Copy Is.filed with the city: ❑ Certified copy is hereby.fumished. TOTAL 3633.39 3aa=•3=F5`9 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS Af (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 lhp work for which this permit is issued, I shall not employ any parson 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 of Exemption you should become subject to the Woikers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Ihereby 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 Street Setback from Center Line Side Setback from Property Line 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. FINAL DATE . . INSPECTOR 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. Issued by: Validated by: ' Date Permit Signature of applicant —Date,• Mailing Address Validation: f' `�. City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. � SQ. FT. POR. SQ. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. 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 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 APPJEQUIP. LAUNDRY.TRAY 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.. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. — SQ. FT. RESID ® 1 V< c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER REMARKS: 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',, FENC-E FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL • K' CITY OF LA OUINTA a DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 564- 24 -HOUR NOTICE FOISPECTIONS %% �p�uYrq OwnerSunrise Com a ` o Contractor Same Pwmit Number 11138 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOBADDRESS 57-676 Interlachen Permit does not include any block walls or pool TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK' .FOOTING STEEL MAIN GROUND SYSTEM GROUND PLUMBING 717 7 - 7"1016 uu NU I POUR CONCRETE UNTIL ALL ABOVE HAS.,BEEN SIGNED CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED _ ROUGH PLUMBING ROUGH GAS & GAS TEST HEATING & VENT -A/C FIREPLACE BOND BEAM O.K. TO WRAP _ GROUT ❑ 4' O S' COVER NO 'WORK UNTIL ABOVE HAS BEEN SIGNED _ DRYWALL INTERIOR EXTERIOR LATH 0 POOL PRE PLASTER POOL FENCE 8 GATE SEWER SEPTIC TANK -5-37,7 .V . FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING ' 4/88