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003301 (RER)e,a • P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 79-259 FM fMROG DRM LA QUINTA, CALIFORNIA 92253 Owner PAN AMUCAN I.i&2.M DMWPMT* INC. Mailing Address SAME City Zip Tel. . LA - QiTINTA 92253 345--0501 Contractor- aeu�!-T. Address ip ITel. State Lia Cit & Classif. ,�6� � � LicY# Arch., Engr., Designer DWCM=& ASSOMTES Address Tel. 79-259 FM RAMG 345-0501 ... __ CityZip State ipter 9 (commencing with Section and my license is in full force and .:a-`.Y!!^z,..xrtwc:�c,'�:..��.wiarG it.., IF '17 SIGNATURE "-== "-T = -- " "'� DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.S,Buslness 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.10 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 five hundred dollars ($500). O 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 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, 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 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 contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P f r this s reason DateOwner 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. 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 the 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. CONSTRUCTION LENDING 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 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. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 003301. ILDING: TYPE CONST. OCC. GRP: A.P. Number Legal Description Project Description PTIMNIT TO TMR%A.T.L, SU IAINM CMAgr 135, 335, 140,, 144, 145, 146. Sq. Ft. Size -- No. Stories - No. Dw. Units New ❑ Add ❑ Alter ❑• Repair ❑ Demolition ❑ Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL.DATE INSPECTOR Issued by: Date R/5/8.7 Permit Validated by: Validation: Estimated Valuation - �dtiRf{ LLctnn .00 t� ^/� - PERMIT AMOUNT r Plan Chk. Dep. . Plan Chk. Bal. 36.72 _ Const. 56.53 Mech. Electrical Plumbing S. M. 1. „ 5Q Grading Driveway Enc. Infrastructure TOTAL 93.72 REMARKS ffA1%iV> 111 Ai 1109...&4-01-417 _ _10 X i+ :r I t w 1 Y a r xi r r. i+ + r ..� •. 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 INSPECTOR Issued by: Date R/5/8.7 Permit Validated by: Validation: HARD COPY T - CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEkS,, 1ST FL. SO. FT. ® $ UNITS + ' ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. ® FORMS SEWER OR SEPTIC TANK POR. SO. FT. p MOBILEHOME SVC. BAR SINK GAR. SO. 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 FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 GAR. FIREWALL SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c HOUSE SEWER INSULATIONISOUND GAS PIPING PERMIT FEE FINISH GRADING 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 APPJEQUIP. 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 / © C l o (((( 1,0 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL