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9925 (ELEC)4 P*— DEL MONTE CT. P.O. BOX 1504 ( No. Building78e9$O �8�$ 78-105 CALLE ESTADO _� t Oririrocc LA QUINTA, CALIFORNIA 92253 Owne BROCK HOMES Address 3350 SHELBY ST., cityNTARIO, CA Zip 9176 iait—�H$3g�! 93393 j Contractor STE 100 1.48945-1155 TEMPORARY UTILITY SERVICES Address 1325 ST, ANDREWS PL City Zip Tel.: SANTA ANA 192705 662-2525 State Lic. City & Classif. 523596—C61 Lic. # 1881 Arch., Engr., Designer Address City Zip (State Lic. # -_1 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divi ion 3 of the Business and Professions Code, and my license is in fullforceand y effect. �y4.>.v >�. ,:.� ._ s5 SIGNATURE DATE i OWNER -BUILDER DECLARATION 1 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 a 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 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 penally of not more than five hundred dollars.($500). ' ❑ I, as owner of the property, or my employees with wagesas 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. If,, however, the building or Improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) . O 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 contractsfor such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - - O 1 am exempt under Sec. B. & P.C. for this reason Date Owner - WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a' certificate of consent to self -insure, or a certificate of WorkeP.s Compensation Insurance, or a certified copy.fthereof..(Sec. 3800, Labor Code.) ' 1 = Policy°No. Company . t { J�°7. •.r^ l �[11 Copy Is filed with the city. ❑ Certified copy is hereby furnished. ' CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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' Workers' Compensation provisions of the Labor Code,' you must forthwith comply with such provisions or this permit shall be deemed revoked. ' CONSTRUCTION LENDING AGENCY 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.) Lender's Name Lender's Address 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 certify that 1 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 9925 T B14P BUILDING: TYPE CONSTPOLE OCC: GRP. A.P. Number Legal Description Project Description TEMP POWERPOLE Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑' Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical 530.00 Plumbing S.M.I. Grading Driveway -Enc. Infrastructure TOTAL§JU.OU REMARKS r.w: •-.n r n nr•i �•. .+sew a rx,� � r'�y Ila t '10100 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permi Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH) DRAINAGE PIPING CAR P. SO. FT. ® OTHER APPJEQUIP. REINF. STEEL WALL SO. FT. TEMP. POLE DRINKING FOUNTAIN. SQ FT ® GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER r GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REMARKS: LAUNDRY TRAY AIR HANDLING UNIT CFM 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. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic HOUSE SEWER 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. INSP. FRAMING FINAL INSP. ROOFING r REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL J U L— 1 4— 9 2 T U E S:119—MARQUIS MANAGEMENT P_01 MaNaG�M�nrT vGRauP 3$.975 Date Palm Drive, Suite 200 Calwrat City, California 92234 (619) 324-7700 • FAX (619) 324-1908 DESERT FAIRWAYS A�tCU1TECTUR.AL VARIANCE AUTHORIZATION NAME Thomas 6 Charlotte Greene ADDRESS 75980 Del Monte Court, La Quinta, CA. Your request for Architectural Variance has been approved by the Architectural Committee. Any changes requiring a Building permit must be obtained through the City and must pass any City Inspection. All changes must comply with City and County Codes. SPECIAL NOTES Please submit copies of all City Permits and Final Inspection capon receipt. Thank Aou, NanLjv'Due Account xecutive REGIONAL OFFICES Irvine a Rancho Cucamonga m San Clemente a South Bay . COachetla Valley c Son Diego