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001633 (AC)P.O. BOX 1504 No. 00163A,3 Building 78-105 CALLE ESTADO Address 47-225 Washingtm St. LA QUINTA, CALIFORNIA 92253 Owner Zip 92260- State Lic. # to'ecidstim Church of St. Francis of AWiSi BUILDING: TYPE CONST. OCC: GRP. Mailing Address 42-600 BobMPG Dr. Suite 425 617 070 Q2 ' - - PERMIT" - - .Plan Chk. Dep.. Plan 'Chk: Bal. A.P. Number City Zip Tel. *� mixage 92270 568-94U Legal Description Project Description. Contractor t Aaaress n C7i(tYCt City(i t 'e(A0 Y't\0, State Lic. & Classif. Arch., Engr., Designer Address 73-700 1W 900,D3 City Lic. # Sq. Ft. Size - New ❑ Tel. 568-94U . No. No. Dw. Stories_ Units Add I% Alter ❑ Repair ❑ City riam De'. Zip 92260- State Lic. # to'ecidstim LICENSED CONTRACTOR'S DECLARATION (This section need not be completed if the permit is for one hundred dollars (S100) valuation I hereby affirm that I am 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. , SIGNATURE - DATE I certify that in the performance of thg work for which this permit is issued, I shall not 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, alter, improve, demo mit lish, or repair any structure, prior to its issuance also requires the applicant for such perto 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 703 1. 5 by 'any applicant for a - permit subjects the applicant to a civil penahy of not'more than rive hundred dollars ($500).' ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Estimated Valuation ' - - PERMIT" - - .Plan Chk. Dep.. Plan 'Chk: Bal. COr1St. ' 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, Mech. . 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 Electrical ' 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- Plumbing struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law w does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. such,projects with a contractor(s) licensed pursuant to the Contractor's License Law.) . Grading .. ❑ 1 a exempt under Sec. B. & P.C. for this reason ' Driveway Enc. Date owner Infrastructure 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 ❑ Copy is.filed with the city. , ❑ Certified copy is hereby furnished. ' TOTAL Demolition ❑ AMOUNT CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (S100) 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 ZONE: BY: subject 'to the Workers' Compensation provisions or the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked Minimum Setback Distances: Front.Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY. Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL. DATE INSPECTOR 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 certify that I have read this application and state that the above information is correct. Issued by: Date - Permit I agree to comply with all city and county ordinances and state laws relating to building r construction, and hereby authorize representatives of this city to. enter the above- mentioned property for inspection purposes. , Validated by: Signature of applicant Date Mailing Address I ` `- Validation: A_2008 7 19 x.57,52 Sl City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS A.C. UNIT 2ND FL. SQ. FT. SLAB GRADE YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. SEWER OR SEPTIC TAN K7� DRAINAGE PIPING WALL SQ. FT. DUCT WORK DRINKING FOUNTAIN SQ. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation REINF. STEEL FLOOR DRAIN MECHANICAL FEES TEMP. POLE WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER HEATER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. 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. SQ. FT. ® c BATH TUB REMARKS: SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER FIREPLACE GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE I PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING 7 O?J UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TAN K7� TROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 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 ®rr • � �_947 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH NSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL i /t !'E lJ 14. „t- yJI "1,Y �)