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14731 (RC)P.O. BOX 1504 N o . 14 731 Buildingr. 8 r ' 78-495 CALLE TAMPICO Address `�o`Or5S .s3c�fihfKigton .Ste. E LAQUINTA,CALIFORNIA 92253 Owner 'Richakd & Myra Tetters Mailing _ 87-165-T Ave. 59 Address - City Zip Tel. Thermal, CA 92274 39.9-0096 Contractor "Cwnea /Bu aiiet .Address BUILDING: TYPECONST. , OCC:'GRP. A.P. Number Legal Description Project. Description `�E'.E9c'�, nt D11�3rove'�Sfent 'City' Zip . -. Tel.: - State Lic. City & Classif.. Lic. # Sq. Ft. No: No. Dw. Size Stories Units = Arch:, Engr., " - Designer-DemolitionNew ❑ Add ❑ Alter❑ Repair ❑ ❑ Address Tel. :.. . _. . City Zip State Lic. #- .. LICENSED CONTRACTOR'S DECLARATION '• I hereby affirm that 1 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 " 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 rife 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 w 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 ' �subjegsthe applicant to a civil penalty of not more than five hundred dollars ($500):._ - • Z;ioas owner of the property, or my employees with wages as their sole compensation, will Estimated VfllUatlOn $300y �� ' - ., -. PERMIT - 'AMOUNT. , V ' Plan Chk..Dep. - ' Plan Chk. Bal. Const.: 30. ©0 • o 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 Mech. 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. It, 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 bnprove for the purpose.ot sale.) _ ' Electrical' - -- Plumbing. .. O'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 contractors) licensed pursuant to the Contractor's License Law..) • ❑ I am exempt under Sec. B. 8 P.C. for this reason . . S,M.I.' Grading Driveway Enc. ��rr l� ,1 T Owner y'�*�° �.�"� Date f 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 O. Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL „ 30.00 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundred dollars. ($100) valuation ' or less.) I I certify, per in the any manner sof tho work for which this permit is issued, I shall not employ anypperson'in any manner so as to become subject to.the Workers' Compensation awa of California • ' ate //I%r 7�5 Owner �••s'�r6' a'i. • NOTICE TOI;APPLICANT: g, aftei making this Certificate of �Exemptaon you' should become '•• 'subject to the Workeis' Compensation•'provisions of -the Labor CocW--,you.:must forthwith- comply with such provisions or this permit shall be deemed revoked. REMARKS' — f ij: / f J V • ZONE% BY:_L3 • ' Minimum Setback .DIStanCBS:• - - Front Setback from Center line' • Rear Setback, from Rear Prop. Line - WARNING: FAILURE TO SECURE WORKERS! COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER"TO CRIMINAL. PENALTIES AND CIVIL.FINES UP.TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, ' Side Street Setback from Center Line .. Side Setback from -Property Line DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND . ATTORNEY'S FEES. . • - This is a building permit when properlyfilled out, signed and validated, and is.subject to ' expiration it work thereunder is suspended for 180 days.. I car tifythat I have read this application -and state that the above information is correct:. I agree to comply with all bity and county ordinances and state laws relating. -to building construction, and hereby authorize representatives -of this city -AW -enter enter the above-. mentioned property for inspection purposes. ': FINAL DATE INSPECTOR Issued' -by: Date Permit Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING; FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SD. FT. WALL SO. FT. SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM J BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation SLAB GRADE FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER ROUGH WIRING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED _ LAUNDRY TRAY AIR HANDLING UNIT CFM GAS (ROUGH) 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 WATER HEATER SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL BOND BEAM SO.FT.GAR ® 3/<c HOUSE SEWER GRADING cu. yd. $ plus x$ . =$ GAS PIPING PERMIT FEE FINAL INSP. 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 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 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 SIGNATURESANITIALS GARDEN WALL FINAL