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002350 (MECH)4 44 t4f auk&. P.O. BOX 1504 No. 002350 Buildingryery88a��a 105 CALLE ESTADO Address LA CQUINTA, CALIFORNIA 92253 Owner Mailing BUILDING: TYPE CONST. OCC: GRP. Address � � `� '.' A.P. Number 0 3"� L�.�r� City Zip Tel. Legal Description Contractor"'" ' _ Project Description � A,1 Z Rt1^.aeswit,t+ Zi'i<1r fi; _ - Address - .. 74-08.2 t7api Dr. 45 City Zip Tel. - State Lic. City ! & Classif.. �. Lic. # Sq. Ft. No. No. Dw. . . Size- Stories Units Arch., Engr., Designer New 0 Add ❑ Address Tel. t7kalrYz+ir 4 �>r City Zip State' r Lic. # LICENSED CONTRACTOR'S DECLARATION 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 OWNER•BUILDERDECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated V81UatlOn" reason: (Sec. 7031.5,Business and Professions Code: Any city orcounty which requires -a perniit to construct, atter, 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 - - PERMIT - the provisions or 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 Front.Setback from Center. Line Plan Chk. Dep. . . subjects the applicant to a civil penalty of not more than five hundred dollars ($500). . - ' ' ' . . ❑ I, as owner of. the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. . " COrlst.. -- 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 .MQCh.. - - 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 Electrical 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.)' Plumbing O I, as owner of the property, am exclusively contracting with licensed contractors to con- 1 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 S.M.I. 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 Grading Driveway Enc. Dale Owner, / '- , �� - — .� S Infrastructure This is a building permit when properly filled out, signed and validated, and is subject to 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.) I certify that I have read this application and state that the above information incorrect. *city Policy No. company Date r. -S. -R6 - Permit 4 ❑ Copy is filed with the city.. ❑ Certified copy ishereby furnished.. TOTAL construction, and hereby authorize representatives of this city to enter the above.. CERTIFICATE OF EXEMPTION FROM WORKERS'.COMPENSATION INSURANCE REMARKS ' (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less:) Signature of applicant �� _ ^ 4 (Date 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. Mailing Address ✓� ` Alter ❑ Repair ❑ Demolition ❑ AMOUNT"• 16 An it) "if) a Sin Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ''Compensation ZONE: BY: " subject to the Workers' provisions- of the Labor Code, you must Jorthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: ' i Front.Setback from Center. Line Rear Setback from. Rear Prop. Line colusrRucnoN LENDING AGENCY • Side Street Setback from Center Line 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 it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information incorrect. *city Issued by: Date r. -S. -R6 - Permit I agree to comply with all 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. , Validated by: Signature of applicant �� _ ^ 4 (Date Mailing Address ✓� ` Validation: City, State, Zip A5528 5 5 27,00 CK HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ UNITS 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. @ GAS (ROUGH) METER LOOP GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS L�AS (FINAL) t / TEMP. POLE DRAINAGE PIPING CAR P. I SO. FT. GROUT WATER HEATER WALL SO. FT. @ FINAL INSP. DRINKING FOUNTAIN SO FT @ WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ _ $ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE JELECT.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./EQUIP. REINF. STEEL L�AS (FINAL) t / TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _ $ LUMBER GR. FINAL INSP. FRAMING AL INSP. '(1 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 SIGNATURESIINITIALS. GARDEN WALL FINAL :d