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15310 (PAT)Building Address 50-22.5 Grand Traverse Owner Marion P. Cottinaame P.O. BOX 1504 78-495 CALLE TAMPICO " LA QUINTA, CALIFORNIA 92253 mantng Address 50.�-225 Grand Traverse City e Zip TI- La Qu nt�a 902253 Contractor BARRYLR CONSTRUCtx©x Address City Zip Tel.: LA QUZNTA 92253 554-0053 State Lic. City & Classif. 378318 - Lic. # 189 Arch., Engr., Designer RICHARD B. NELSON Address _ Tel. 78r-565 YA9APA 345-3.500 City_ Zip State INDIAN WELLS 9221€ Lia# C-2878 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. $LGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, atter, 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 (8500). ❑ 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.) O 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 ,d 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.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 Workers Cor gsaTTTWrice, or a cerVied``d jLp jher f jJU. 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 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, alter 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. 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN.SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This Is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for.180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this .city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, ZIp BUILDING: TYPE CONST Number p No. 15330 OCC: GRP. Legal Description Project Description Covered Patio ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback -from Rear Prop. Line r`Side Street Sebackfrom Center Line ni ��Side Seack ffomlProperty Line FINAL DATE �� n ���� �SPECTORll II Issued by.l Validated Validation: Sq. Ft. Size. 28$ No. Stories No. Dw. Units New [W Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $3,431.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. $40.95 Const. SC3 • ;30 Mech. Electrical •' Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback -from Rear Prop. Line r`Side Street Sebackfrom Center Line ni ��Side Seack ffomlProperty Line FINAL DATE �� n ���� �SPECTORll II Issued by.l Validated Validation: .� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. SO. FT. ® TEMP. POLE WALL SO. FT. ® GROUT DRINKING FOUNTAIN SO. 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.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM VENTILATION 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 GAR. FIREWALL SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Va 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 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(/_ /G �/JG �! ! J GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 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. AMING / 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 SIGNATURES/INITIALS GARDEN WALL FINAL May 31, 1995, Avail Property Management Ms. Cam Anderson P.O. Box 1032 Palm Desert, CA 92261 Re: Desert Fairways - Cottingame Cam and Board Members: The Architectural Committee met on May 27,1995 to review the Porch Addition request Mr. and Mrs. Marion Cottingame . submitted regarding a structural addition to the rear roof of their home. The committee voted 3 to 0 to approve this request according to the architectural plan submitted by Richard Bliss Nelson A.I.A. on.April 14,1995. Sincerely, 6� V Stephanie Bozick_ Architectural Chairperson