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06467 (SFD)Ct�p 4 4 • " P.O. BOX 1504 No. 06467 Building 78-105 CALLE ESTADO Address 44-455 Fcxta.il Circle LA QUINTA, CALIFORNIA 92253 Owner Lat�ttiztta Associates Mailing . BUILDING: TYPE CONST. OCC: GRP. Address 43-875 .1'gt3bington A.P. Number Tract 22982 Phase III City lZip ITel. Prat Desert I 92260 345-7541 Contractor Address State Lic. City s Classif. 493919 1 Lic. # 1231 Arch Engram I Designer Address Tel. City �Ziip( State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affkm that 0 am Licensed under provisions of Chapter 9 (commencing with Section MCI 3 at the Business and Professions Code, and my license is in full force and effect 9C AURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 0 am exempt from the Contractors License Law for the following reasorR (Sec 7031.sS,.B wness Ord Professions code: Any city or county which requires a Permit to construct. aTeir, &W=we. dennaffsh. a repair any structure. prior to its issuance also requires The applicant tar such permit to file a signed statement that he is licensed pursuant to the prowiabnrs of the col&actods License caw, Chapter 9 (commencing with Section 7000) of Dfifskn 3 of the Misiness and Professions Code, or that. he is exempt therefrom, and the basis br the ageged axamptiaa Any vbfitiorr of Section 7031.5 by 'any applicant for a permit suEgeda the applfc" to a cdll penalty of mot nwre than five hundred dollars ($500). 0 k 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, Suisness and Protesvms code: The Cori&aelods License caw does not appy to an owner of property who bu&is or knpmves thereon and who does such work himself or through his own employees, Provided flail such knpravements are trot intended or offered for sale. ff. however, the building or krguovenrenb is sold within one year of completion, the owner -builder wig have the burden of pmvfng that he did wort build ar improve for the purpose of sale.) 1:111, as owner of the property, am exclusively contracting with licensed contractors to torr stmt the project lSec 7044. Business and Professions Code: The Contractor's License Law does not appy to an avmer of property who builds or improves thereon, and who contracts for such pn*3cts with a conaadhr(,sL i1censed pursuant to the Contractors License Law.) 1:11 am exempt render Sem B- & P.C. for this reason Date owner WORKEW COMPENSATION DECLARATION 1 hereby affmn that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation lnsurance„ or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Cmmparry Oi Copy is Cited with the duty. Q' Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WOfKERS' COMPENSATION INSURANCE (Itis section need not be completed Or the pemxT is for one hundred dollars ($100) valuation or fess.) certify that in the performance of the work for which this permit is issued, 1 shall not errtploy any persorn in any manner so as to become subject to the Workers' Compensation flaws of California. Date ,Owneir ANDTICE TO RP'PLCAli6l- R, atter ma" this certificate of Exemption you should become suEiliCt Im the Wbrkens" Compensation provisions of the Labor Code, you must forthwith can** wills sucht provisions ar Otis permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permul is issued. fSec_ 3097, Guff Code.) Lendees Name Lenders AdrhPsa This is a buRdnng peamtt wtien property failed out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. catif4y Ifrat I have read ttft application and state that the above information is correct. 1 agree to comply, w,KM ad city and county onifinances and state laws relating to building corstructiork and hereby authorize representatives -of this city to enter the above-. mecnlionred properly for motion purposes- Siginature of app0icacnlL Date Mailing A tarty. Sta<e, Zm Legal Description Project Description Pli m 411Th Lot 85 Sq. Ft. 1887 „No. Size Sto No. Dw. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ IEstimated Valuation $88,530 I PERMIT I I AMOUNT Plan Chk. Dep. Plan Chk. Bal. 4 4• V Const. iJ •1UV Mech. 3• Electrical 3. i Plumbing U3.1010 S.M.I. 6.23 Grading Driveway Enc. Infrastructure ��1 • TOTAL REMARKS t'sVAvi r. -n itt 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 �I�lSf3E rOR Issued by: —Date --,_Permit Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE J I l l OUGH PLUMB. BONDING YARD SPKLR SYSTEM 2N0 FL SQ. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SQ. FT. GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN SQ FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation ROOFING 8 e"? VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL Is�`iD LATHINGt)'(d HI MESH INSULATIONISOUND FINISH GRADING ll FINAL INSPECTION l CERT. OCC. ccurG FINAI FLOOR DRAIN MECHANICAL FEES REMARKS: WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) 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. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR a 3Ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE --JCONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING _ i ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING I UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE J I l l OUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. `O �O ( GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING _cu. yd. E plus x$ _$ LUMBER GR. FINAL INSP. FRAMING 7 FINALINSP. 016 !/ ROOFING 8 e"? VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL Is�`iD LATHINGt)'(d HI MESH INSULATIONISOUND FINISH GRADING ll FINAL INSPECTION l CERT. OCC. ccurG FINAI / REMARKS: INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL