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10397 (SFD)A P.O. BOX 1504 i No. 10397 Building 78-105 CALLE ESTADO Address 45-540 Desert Fox Drive LA QUINTA, CALIFORNIA 92253 Owner \ % GWR 'Development Mailing Address \ \ 305 Desert Eagle Court City Zip Tel. La Quiata 92253 772-333.6 Contractor Same as above Address & Classif. 53558 70 I Lic. # 116 IS Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION k, I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section rr 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _SIGNATURE - DATE OWNER -BUILDER DECLARATION 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 a permit to construct, atter, 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 or Section 7039.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars.($500). ❑ 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 or completion, the owner -builder will have the burden of proving that he did not build or Improve for the purpose of sale.) . ❑ 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.)' D 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 OCo�p+y,i's�fli�ljed�.witli the city. ❑Certified copy is hereby furnished. "' ��"� CERTIFICATE OF EXEMPTION FROM WORKERS'.COMPENSATION INSURANCE or l sssection need not be completed i! 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 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 LDING: TYPE CONST. •OCC: GRP P. Number Legal Description Tract 23935 Lion - Sq. L Project Description SFU eri 3 13 10 J.f 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 Permit Validated by: Validation: Sq. Ft. 25 3 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation^ 536, 263. ESS -",PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 633.70 Const. 769.00 Mech. 60.00 Electrical 129. 60 Plumbing 144 . 50- S.M.I. 9.59 Grading Driveway Enc. Infrastructure 3065.93 Ar 's in Public ° 90.66 TOTAL 4902.98 REMARKS 10 J.f 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINP FEE IST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL. SO. FT. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS ROUGH WIRING. DUCT WORK DRAINAGE PIPING CAR P. SO. FT. GAS (ROUGH) WALL SO. FT. HEATING (FINAL) DRINKING FOUNTAIN. SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GRADING cu. yd. $ plus x$ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. 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 FIRE ZONE ROOFING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1Vi c SEWAGE DISPOSAL SO.FT.GAR ® V4c 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 f GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRAD 2/ (� 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 APPJEOUIP. REINF. STEE GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. ,* 9; AL FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION- NSPECTION CERT. CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL SFD Lot 1 a CITY OF u OUINTA 1 DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 564-2246 24-HOUR NOTICE FOR INSPECTIONS Owner GWR Development Contractor Same Pwmit Number 10397 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 45-540 Desert Fox Drive TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK FOOTING STEEL MAIN GROUND SYSTEM GROUND PLUMBING Oil Lb PR UNITE. _ DO NOT POUR CONCRETE UNTIL ALL A OV -H S BEEN SIGNED CONCRETE SLAB JOISTS & GIRDERS 'l.ECTRICAL GROUND WORK i DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING OJT' /.2 ROUGH GAS & GAS TES HEATING & VENT -A/C FIREPLACE ROOF BOND 13EAM O.K. TO WRAP GROUT ❑ 4' ❑ 8' FRAMING 'L INSULATION V7_6 Z PRE -ROOF COVER NO WORK UNTIL ABOVE HAS SEEN SIGNED DRYWALL INTERIOR y EXTERIOR LATH "[f y POOL PRE PLASTER POOL FENCE 9 GATE ELECTRICAL .ac nvmo�n� .InR MUM FTFn ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4/88 . 4.