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05901 (SFD)P.O. BOX 1504 No. 45901 Building 0- 78-105 CALLE ESTADO Address 44-311 Willow, Circle LA QUINTA, CALIFORNIA 92253 Owner Ice Ouintra Associates 4 BUILDING: �TYPE CONST. OCC: GRP. Mailing Address 43-875 Washington St. '" A:P: Number - City Zip , P.D. 922.60 y � Legal Description Phaw 11 Lot Contractor Plan Iii Csag:�Ts l� e; Project Description E.G. 'Wil liii= Dev. Corp Address Zip ITel.' State Lic. City & Classif. 493919 Lic. # 1231.. Arch., Engr., Designer Address Tel. City(Zip ( State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I aim 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 SLGNATURE . DATE OWNER-BUILDEN DECLARATION' jAI hereby -affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usfness and RWessions Code: Any pity or county which requires a r ` 06init_ to construct, after, Improve, demofsh, or repair any structure, prior to its issuance also requires the applicant for such permit to We a signed statement that he is.ltcensed pursuant to " ,tine provisions' )) the Contractors License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the the and Professions Code, or that. he is excerpt therefrom, and the basis for the alleged exemption. Any viofatien of Section 7031.5 by any applicant for a permit subjects the applicant to a'chd penalty of not more than five hundred dollars ($500). ❑ 1, 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, Suisness and Professions Code: The Contractors License Law does not appy to an owner of property who "r builds or Improves thereon and who does such work hrrsell or through his own employees, "provfded that' suc i' bnprovemerds are not Intended or offered for safe. t, however, the building or improvement'is sold within one year of completion. the owner-Mrider will have the burden of proving that he did not build or krprove for the purpose of safe.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec. 7044, Busahess and Processions Code: The Contractor's License Law does not appy to an owner of property who bolds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec_ a- & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 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. ❑ Certified copy is hereby.fumished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed fc the permit is for one hundred dollars ($100) valuation or less.) I certify that in the Performance of the 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: t, after making this Certificate of Exemption you should become subject to the Workers' Carrpensatm provisions of the Labor Code, you must forthwith comply with such provisions or this permit Shap be deemed revoked. - 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, CW Code.) Lender's Name Lenders Address This is a building permit when property 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 Sq. Ft. No. No. Dw. . Size Stories Units New © Add ❑ Alter ❑. Repair ❑ Demolition ❑ stlmatea valuation 73,279.0 PERMIT AMOUNT Plan Chk Dep: Plan Chk. Bal. 440.2& Const. 522.50 Mech. 53.50 Electrical _ 90.26 Plumbing 123.00 S.M.I. 5.48 Grading Driveway Enc. Validation: Infrastructure 1648.78 TOTAL Acacasr• r-�'ki ,:+ —J NtMAHKS $`�i+r •s tv%YisPrr� ,tis rY �e c.z,:;.^ x.......:. xt.r`r �.✓u 4 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�,P operty ,Li'nae . FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNIT'-' SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® AS (ROUGH) (64/,/i/ ER LOOP GAR. SO. FT. 0 POWER OUTLET ROOF DRAINS GAS (FINAL) 21-7 � P. POLE DRAINAGE PIPING CAR P. SO. FT. 9 GROUT WATER HEATER WALL SO. FT. 9 FINAL INSP. DRINKING FOUNTAIN SO FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FRAMING ( if CC FLOOR DRAIN MECHANICAL FEES /Af v/ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 ® 11/4 c SEWAGE DISPOSAL INSULATION/SOUND SO.FT.GAR ® V4c HOUSE SEWER FINISH GRADING 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 PLUMING" 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. `1 (0 AS (ROUGH) (64/,/i/ ER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) 21-7 � P. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. y plus xi =$ LUMBER GR. FINAL INSP. 7,3 [ C� FRAMING ( if CC FINAL INSP. ROOFING rQ 3 /Af v/ REMARKS:- EMARKS:VENTILATION VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING W MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL k.