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003774 (PLBG)P.O. BOX 1504 No, 003774 Building78-105 CALLE ESTADO ��� J Address efforson LA QUINTA, CALIFORNIA 92253 _ Owner VillCe JaG$ - BUILDING: TYPE CONST. OCC: GRP. Mailing Address San - City Zip ' S.t>ra; 3nta .. .92253 Contractor Hammer Sewer Address _. .. . City Zip Cathedral Citi 93,234 State Lia &Classif.' 4.4275 Arch 'En r A.P. Number Tel. Legal Description Project Description IT" deep seepage pit Construction -Inc, Tela 321­4854- City 21485 -City Lic. # Sq. Ft. No. No. Dw. Size Stories Units 9 -, Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition p Address Tel. City Zip State 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, and my license is in full force and effect. '""•� -..Tio,..2�. :;,a.�...!t �.I .-' ,..� ,H !•-�'Ts'M1...!/t��ty....• .�... r� i. `J _SIGNATURE ,i'- � - - DATE _ OWNER -BUILDER DECLARATION Estimated Valuation Estimated I hereby affirm that I am exempt from the Contractor's. License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires-ar Eu permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also., requires the applicant for such permit to file a signed statement that he is licensed pursuant to •. PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter.9 (commencing with Section 7000) of a• - ' Division 3'of the Business and' Professions Code, or that. he is exempt.. therefrom, and the basis . for the alleged exemption. Any violation Section 7031.5 by 'any for Chk. Dep. of applicant _ a permit subjects the applicant'to a civil penalty of not more than five hundred dollars ($500).' .Plan Plan Chk. Bal. ❑ 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 Const. $31• 00 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, Mech. provided that' such improvements 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 Electrical of proving that he did not build or improve for the purpose, of sale.) , Y ❑ 1, 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 of property who builds or improves thereon, and who contracts for S.M.I. Q •- such projects with a contractor(s) licensed pursuant to the Contractor's License. Law.) Grading O I am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date owner Infrastructure 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.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE t (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 thg work for which this permit is issued, I shall not ;j;,2t`.tl.: i��3f�/• !-r�lt't 'h .7-T '-0s.�,�;v employ any person in any manner so as to become subject to the Workers' Compensation ' Laws of California. Date Ownei NOTICE TO APPLICANT.- If, after making 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 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 DATE INSPECTOR 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 / y) 4 I certify that I have read this application and state that the above information is correct. - Issued by: Date < Li Permit - 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. Validated by: Signature of applicant Date Mailing Address Validation: City, ,State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SO. FT. ® CAR P. SQ. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET: COMPRESSOR HP POLE, TEM/PERM 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. SQ. FT. RESID ® 11/a c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac 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 EWER OR SEO�~ ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. 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 INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCEFINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL