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09342 (SFD)Building Owner ' u P.O. BOX 1504 78-105 CALLE ESTADO 1 Monte Court LA QUINTA, CALIFORNIA 92253 Mailing I Address 1ARD Shpl.kiv Streaa,r City lZip JTel. Contractor Address City Zip. Tela State Lic. City & Classif. B 412636 Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that,l-am licensed underlproVisions of Chapter:9 (commenci 7000) of DNision 3idNthe;Business and;Pyofessions Code, and my license is r,r OWNER -BUILDER DECLARATION ! eby affirm that I am exempt from the Contractor's License Law for the following reason:l•(Sec. 7031.5,Business and Professions,, ode: 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 tile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or 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 of 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. 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 contracts for 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 Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company .O Copy is filed with the city. O 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 person 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 I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and stale 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 No. 09342= BUILDING- TYPE CONST. OCC: GRP. A.P. Number Legal Description Wrack Hnm4%s Project Description Mnid#,32 4AR T.nt f� ZONE: BY: �� ti � � A ?A&4t04-Vb61. Q / t v Minimum Setback Distances: Sq. Ft. Size1017 No. No. Dw. Stories - Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Side Street Setback from Center.Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated byA Estimated Valuation Validation: PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 859 R Const. + PP Mech. Electrical T S' A Plumbing S.M.I. Grading Driveway Enc. Infrastructure 4922.12 r+ in P A i i► n TOTAL 7SA REMARKS ZONE: BY: �� ti � � A ?A&4t04-Vb61. Q / t v 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 Permit Validated byA Validation: �' S CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. • YARD SPKLR SYSTEM 2ND Fl-.•— SQ. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SD. FT. GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN. SO. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® :/ac 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. 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; FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS . , a GARDEN WALL FINAL Model 4AR Lot 6 d CITY OF LA QUINTA •ro, ~ o DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 584-2248 24-HOUR NOTICE FOR INSPECTIONS C0.9f LA QUINTA Owner M. J. Brock noo a tnn! Contractor Same Permit Number 9342 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-985 Del Monte Court TYPE OF INSPECTION DATE INSP. FOUNDATION 8 SETBACK FOOTING STEEL— MAIN GROUND SYSTEM GROUND PLUMBING DO NOT POUR CONCRETE UNTIL AL ABOVE HAS BEEN IGNED CONCRETE SLAB _ L JOISTS 8 GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS 8 GAS TEST - HEATING 8 VENT - A/C FIREPLACE BOND BEAM O.K. TO WRAP / GROUT ❑ 4' ❑ 8' FRAMING INSULATION PRE -ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH POOL PRE PLASTER POOL FENCE 8 GATE SEWER SEPTIC TANK FINALS ELECTRICAL FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED TEMP POWER • ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4/88 u►1 07 -480P` TitLj of 14a (Quinta 1111t*tbthi� anb $afjot� 34t*111*,!51*0n 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 78-985 Del Monte Court Use Classification SFD Bldg. Permit No. 09342 Group R3 Type Construction VN Fre Zone Use Zone R1 Owner of Building M. J. Brock Address 3380 Shelby Street city Ontario, CA 91764 By; _ L4/, Date; _ Building Official P0ST IN A CONSTICUOUs PLACE Richard Kirkland 03/17/92 jy .�,1{ F� _4-,W ..