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14446 (SFD)s Zip Tel.: State Lic. i 3 i City 3.3._2 4 & Classif.: ` . .. Lic. # .Arch., End 17-1 Designer ' ;9a�ieliazn �ia�@« Address Tel 51Xty Cry pbrate Park ..(714)474-6030 City Zip State 92?A4 Lic: #. t LIC�NSED CONTRACTOR'S DECLARATION.: I herebyy affirm that'I am licensed under provisions of, Chapter 9 (commencing with Section. ' 7000) of?Division:3`of the Buslness,an&Professions.Code, and my license iTih full.force and ..-La Quisnta . Fairways Sq. Ft. 2424 No. Size Stories No. Dw. -Units New*O Add O Alter O- Repair El Demolition O $1GNATLIRE 4 DATE - OWNEWBUILDER DECLARATION = Estimated. Valuation, @@ I hereby affirm that I am exempt from the Contractor's License Law for the following 06,140 reason: .(Sec... 7031.5,Buslness and Professions Code: Any *city, or county which requires a:: permit to construct, after. Improve, demolish, :or'repair any structure, -prior to its, issuancealso- ' ,requires the applicant for such permit to Me a signed statement that he is licensed. pursuant to PERMIT - .. AMOUNT the provisions of the Contractors License Law, Chapter 8 (commencing-with*Section 7000) o1 Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis.... - .• ' P.O. BOX 1504 No. 14446 1 Building�e Address . '.� 0,425 Grand Traverse 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 . Owner .:` a Q%i1nta Faimays - Professions Code: The Contractor's -.License Law does not apply to an owner of. property who - . n so n builds or improves thereoand ,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 <+ T BUILDING: TYPE CONST. OCC: GRP. . • R3. ' ' Mailing"... Address 355 Bristol St•'.r Ste. A _.. 1, as owner of the property, y, am exclusively contracting with licensed contractors to con- 7,69- 30-^� 0"5 •struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law, . ti .! i does not apply to an owner of property* who builds or improves thereon; and who. contracts for A.P. Number such projects'with'a contractor(s) licensed pursuant to the Contractor's License Law.) CityZip Costa -Ma,, esCi . - 92626 Tela ( i.14) 540* -6060 Legal Description Loi . 2-2 � Va Ct 2538.9--1 CAN 0-001. "Grollo.r I . . ♦r 6'� .i1,. Thi• '. •F: V _ .tiQ _ •. `7 .� V - . Project Description . SFXi P.7 aiY1 2. Zip Tel.: State Lic. i 3 i City 3.3._2 4 & Classif.: ` . .. Lic. # .Arch., End 17-1 Designer ' ;9a�ieliazn �ia�@« Address Tel 51Xty Cry pbrate Park ..(714)474-6030 City Zip State 92?A4 Lic: #. t LIC�NSED CONTRACTOR'S DECLARATION.: I herebyy affirm that'I am licensed under provisions of, Chapter 9 (commencing with Section. ' 7000) of?Division:3`of the Buslness,an&Professions.Code, and my license iTih full.force and ..-La Quisnta . Fairways Sq. Ft. 2424 No. Size Stories No. Dw. -Units New*O Add O Alter O- Repair El Demolition O $1GNATLIRE 4 DATE - OWNEWBUILDER DECLARATION = Estimated. Valuation, @@ I hereby affirm that I am exempt from the Contractor's License Law for the following 06,140 reason: .(Sec... 7031.5,Buslness and Professions Code: Any *city, or county which requires a:: permit to construct, after. Improve, demolish, :or'repair any structure, -prior to its, issuancealso- ' ,requires the applicant for such permit to Me a signed statement that he is licensed. pursuant to PERMIT - .. AMOUNT the provisions of the Contractors License Law, Chapter 8 (commencing-with*Section 7000) o1 Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis.... - .• ' (or thealleged exemption. Any violation of Section 7031.5 by 'any applicant fora permit Plan Chk. Dep.• - - - subjects, the applicant to a civil penally of not. more than five hundred dollars (8500).: ' • • I ' • - - v • y r Plan Chk, Bal. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will 9 95 0 do the work, and the structure is not Intended or offered for sale. (Seca 7044, Buisness•and• • COnSt - Professions Code: The Contractor's -.License Law does not apply to an owner of. property who - . n so n builds or improves thereoand ,who does such -work himself or through his own employees, Mach. �- . 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 Electrical - s 0. � " of proving that he did not build or improve for the purpose of sale.). ,.. •. d _.. 1, as owner of the property, y, am exclusively contracting with licensed contractors to con- $ •❑ Plumbing •struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law, . ti .! i 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.) Grading *VV ^ -❑ 1 am exempt under Sec. B. & P.C..for this reason Driveway Enc. Date Owner frastrucure 4°4 Q'vu _ _ .....• �' s __ _ 2 r r . . ♦r 6'� .i1,. Thi• '. •F: V _ .tiQ _ •. `7 .� V - . WORKERS' COMPENSATION DECLARATION I hereby affirm that Fhave 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. O Certified copy is hereby furnished. _ TOTAL a . a • e. i „ CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION; INSURANCE -.• - • ' (This section need not be canrp/efed d`the pe6 is for one -hundred dollars ($ 100) valuation' or less.) '., W I % t I certify that in the perflmranea 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 .11 awy.of Californian" P' ! JOwner 6i t".. +« •e,w -- ._� • NOTICE TO APPLICANT,, after makkrg this Certi/icate o/ Exemption you��should become. ' 'ZONE: - 'BY: subject to the Workers' Coropensa8an provisions 'of the Labor. Code, - •you • must forthwith comply with such provisions or this Permit she be deemed revoked. -• • -• - • M i n i mu m' Setbac k Distances: //� �. Front.Setback from Cente�L�ne� Rear Setback from,Rear;Prop. LineQ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND �� , Side Street Setback from Center Lirie,• SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE � '.o f � ' HUNDRED THOUSAND. DOLLARS ($100,000), IN ADDITION.TO THE COST OF COMPENSATION, Side Setback from Property Lme��r ' DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR:CODE, INTEREST, AND V ATTORNEY'S FEES. h FINAL DATE INSPECTOR' IX Tfti§ is a buiidin g permit when property filled out;signed and validated, and is subject to •' expiration if work thereunder is suspended for 180 days... t + Y \• _ J certify that I .have read this application and state that the above information, is correct.- :Issued by: Date Permit. w I agree to comply with all city and count seo t tives .and state laws relating, to building-,-• construction, and he authorize representatives of thle city to enter the above-. .. \\ � �� . . mentioned property for Inspection purposes. Validated by: Signature of applicant Date' .� Mailing, Address Validation: ,\ / City, State; Zip - CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES 1ST FL. r SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. @ FORMS SEW OR SE / v MOBILEHOME SVC. BAR SINK FOR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. 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 VENTILATION 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 ® 1 V. c SEWAGE DISPOSAL SO.FT.GAR ® 3vc HOUSE SEWER FINISH GRADING 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 SEW OR SE / ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. 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. FRAMING FINAL INSP. ROOFING ` REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURsrS/INITIALS GARDEN WALL FINAL C IlzY OF LA W I N TA n% f VARTMEN'T' OF PLANNING & GLVELOPMWF 1} BUILDING !SiON Off. *H R NOTICE FOR INSPECTIONS „Ns ections 777-7153 La� u' t o Fairway____ or Ayr61 Group --- - -- --__� umber ST ON JOB IN CONSPICUOUS PLACE :CTOR MUST SIGN ALL APPLICA6LE SPACES )RESS 50 -4F -b Grand of N5 icl' PE OF INSPECTION DATE I INSP. TION a SETBACK - w STEEL OUND SYSTEM I PLUMBING - - NITE _ j __ POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNEU TE SLAB y- -�.• - -,-- GIRDERS .;AL GROUND WORK -- DOUR CONCRETE UNTIL ALL .ABOVE FiA� BEEN SIGNED LECTRIC 'LUMBING ;AS d GAS TEST 8 VENT • NC :AM _ WRAP D 4' O 8' Will P -F -f VEER NO WORK UNTIL ABOVE HAS BEEN SIGN!C - INTERIOR--�'��-- R LATH ---_.-{�_/-• --• ..-_.__ ff � _..._.—._ E PLASTER II NCE 8 GATE EPTIC TANK FINALS S TEST A/C — --- ---- ... _- --- — -- UMBERS— IPLETED 7WER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO ; TURN ON UTILITIES OR OCCUPY BUIL.-)1NG