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05915 (SFD)Q P.O. BOX 1504 Building 44-403 Willow Cirele78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Lt Qtainta Associates Mailing Address 43-375 Wti,>-tom St. City Zip 92260 No. 05915 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Malse It Lot 55 ' Contractor Project Description tIlm OR CactustaTmar' �-.L.:E.G. Williams Dev: Corp* Address Sam City lZip Tel.: State Lic. I City & Classif.. 493913 Lic, # 1231 Arch.; Engr., Designer Address I Tel. City ( Zip ( State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section ' y 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _ SIGNATURE DATE tr' ' 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, after, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to rhe 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 penalty of not more than rive 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who ♦ builds or. knproves 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.) ❑ 1, 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.) ❑ 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 'Cl 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 (8100) 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: ff. 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 y Lenders Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days.. I car ity 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 REMARKS ZONE: BY: Minimum Setback Distances: Sq. Ft. 18$7 Size 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 6-15-89 Permit ' Validated by: Estimated. Valuation So. 00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal.' Const. 590.00 Mech. 53,5o Electrical ' , 113.71 Plumbing 123.00 S.M.I. Grading Driveway Enc. Infrastructure 2221.08 i TOTAL REMARKS 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 6-15-89 Permit ' Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SO. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR SO FT ® DUCT WORK ROCK STORAGE FOUND. REINF.1(Q ( ILII r� ` POWER OUTLET ROOF DRAINS GAR. SO. FT. ® OTHER APP./EOUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SO. FT. ® GROUT WALL SO. FT. (L WATER HEATER DRINKING FOUNTAIN FINAL INSP. URINAL SO FT @ WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation FRAMING / I O l FLOOR DRAIN MECHANICAL FEES �� WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOHDISH) 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, TEMIPERM 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 ® 1 Vi c SEWAGE DISPOSAL SO.FT.GAR ® 3/.c 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 ai. -409- SETBACK GROUND PLUM dNG aq 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(Q ( ILII r� ` GAS (ROUGH) �� '/ ETER LOOP HEATING (FINAL) OTHER APP./EOUIP. 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 / I O l FINAL INSP. 2 O-mL,D ROOFING Zq �� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING Pltt/ �� 2 MESH INSULATION/SOUND V FINISH GRADING / FINAL INSPECTION qb L 111 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL I