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07560 (AR)44 P.O. BOX 1504 N o . OT560 Building 49-105 Calle ;Fl{�•a 7&105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 i Owner HIM erm Mailing Address 49-105 Calle Fop$ LL City Zip Tel. Y i. La Ouin I 92253 Contractor ' P Address P}• On im City Zip Tel.: La Omnia: 92253 ,�i5-524 State Lic. ' <•' City & Classif.,�� Lic. #Sg Arch., Engr.,' Designer. •? ' Address Tel. City (Zip (State f' Lic. # ? .� �. LICENSEDfONTRACTOR'S DECLARATION I hereby affirm that, I am lic�en d oder provisions of Ch' pter 9 (cbmmei 7000) of Division 3'of the�BTUSi s and Professio s Co``d"a and my license effect. .i:Lt 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 cRy or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to 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 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). - 0 I, 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 Coder The Contractor's License Law does not apply to an owner of property who s, 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 . or., improvement-is'sold within one year of completion, the owner -builder will have the burden 4• of proving that he did not build or improve for the purpose of sale.) 0 I, 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.) ❑ 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 * - O Copy is filed with the city. ❑ 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 ($100) 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 subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTIONLENDING 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 Lender's Address This is a building permit when properly filled out, signed and validated, and is subject td expiration it work thereunder is suspended for 180 days. I certify that I have read this application and stale 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 6_ BUILDING: TYPE CONST. - A.P. Number 631'773 -Ml Legal Description OCC: GRP. Project Description Rom addition Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $379000 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. AMOUNT Grading Driveway Enc. Infrastructure TOTAL $610.109 REMARKS x3ii"' 40 Ail, -•� —90 to ��- �i 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 INSPECTO 4/17/90 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEQUIP. DRAINAGE PIPING CAR P. SQ. FT. @ TEMP. POLE WALL SQ. FT. GROUT DRINKING FOUNTAIN. SQ FT ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation =$ FLOOR DRAIN MECHANICAL FEES FRAMING O WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER REMARKS: 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 Ve c SEWAGE DISPOSAL MESH SQ.FT.GAR ® 3/ac IHOUSE SEWER INSULATION/SOUND 6 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 OUND PLUMBINGY 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 APPJEQUIP. REINF. STEEL yj?i� - GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING O FINAL INSP. ROOFING Q / ��FINISH // o G 1� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND 6 as GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL IV REGISTERED INSPECTOR'S WEEKLY REPORT TANDY'S INSPECTION SERVICE 3580 Condalia Ave. Yucca Valley, CA 92284 (619) 365-5045 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE STRUCT. STEEL ASSEMBLY ❑ F` ❑ POST TENSIONED CONCRETE ❑ ASPHALTOTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB CA i I US ` A ((e- FlD'O A Fzfl "- e REPORT SEQUENCE N0. TYPE OF SUCTURE_ PERMIT NOO. O OAJ.• DAV1,;F�EEK MATERIH DESCRIPTION -o ARCHITECT INS �fj(� HRSI(CHARGEDP ENGINEER ASSISTAN-TS HRS. CHARGED INSPECTION DATE ogSe-'RUL tLLP-(-o i N C•- ©-�- 7E. Cot . `�o Po w- -3-qD FLA N 2 ©-F cPe&A - s IT► N G- �f� Co �J u 4 C"T o N S -+c l to i t,) e t_ o II OZoOu,c��-a Ld e- f-0-5 Scab' ec ► %-o 0 i1.e2 �e� c;as � 4 �k � (� e � .. � 1-e, (.1U WQ. L✓J � w�. le l Wo T- N 0 A eetzouc6 PIA ws o 2 s e c -S p rJ C. t' S TZ MAY - E 109 GITY 6 o v A PLANNING & DEVELOWNT QFpj Lj uAdz = odd. me -s S•P• sK. �,e. a 414 COPY SENT TO CLIENT oy CONTINUED ON NEXT PAGE O PAGE � OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED RLo4MA} Sf+9M6. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS.?V.;;(-`' SIG TURE OF REGISTERED IN ECTOR 4-•o DATE OF REPORT REGISTER NUMBER