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14800 (BLCK)P.O. BOX 1504 No. 14800 1 Building 78-495 CALLE TAMPICO I Address 53`966 Ave. Herrera LA QUINTA, CALIFORNIA 92253 Owner Double D Construction BUILDING: TYPE CONST OCC GRP ' Mailing 51-960 -Ave, Herrera Address A.P. Number Legal Description Project Description 270' of up to 320 high j .City I% Quintal t, C Zip 92253 Tel. " 771 -1561 Contractor �' . .. S a_m e , . Const. retaining Wall With 5' high garden Mech. ,. .Address.. r Wall City Zip Tel.: S.M.I. Grading Driveway Enc. State Lic. `3.141.2 City 3x3 & Classif. Lic. # Sq. Ft. No. No.,Dw. Size Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑. Repair•❑ Demolition ❑ Address Tel. 81.00 REMARKS City Zip State • . • Lic. # LICENSED CONTRACTOR'S DECLARATION ' . . .. - . I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 000) t. of Division 3 of the Business and Professions Code, and my license is in full force and effec SIGNATURE DATE OWNER -BUILDER DECLARATION E I hereby affirm that I am exempt from the Contractor's License Law for the following + reason: (Sec. 7031.5,13usiness and Professions Code: Any *city 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 Ne provisions of the Contractor's License Law, Chapier 9 (commencing with Section 7000) of D vision 3 of the Busiriess 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)." i ❑ 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 thereonand 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.). ❑ 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) (caned 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- pensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Poligy ic/ 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, arson 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. ' 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 informationis'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 I'Issued by. Date Permit Validated by: Validation: stimated Valuation $-5,846.'00 I PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 81.00 REMARKS ZONE: BY: Minimum Setback Distances:a 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 I'Issued by. Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES, 1ST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL: SO. FT. @ DUCT WORK ROCK STORAGE FOUND. REINF. MOBILEHOME SVC. BAR SINK POR. SO. FT. ® REINF. STEEL G i GAS (FINAL) TEMP. POLE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS WATER HEATER SERVICE FINAL INSP. DRAINAGE PIPING CAR P. I SO. FT. WATER SYSTEM FINAL INSP. FINAL INSP. GRADING cu. yd. $ plus x$ WALL SO. FT. ® LUMBER GR. DRINKING FOUNTAIN ROOFING URINAL SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ VENTILATION WATER PIPING NOTE: Not to be used as property tax valuation FIRE ZONE ROOFING FLOOR DRAIN MECHANICAL FEES FIREPLACE WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(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. SO. FT. @ c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 % c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER INSPECTOR'S SIGNATURESIINITIALS 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 PLUMBIO UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS r SEWER R SE�ST ROUGH WIRING i DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL G i GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM l6 "5— WATER SYSTEM FINAL INSP. FINAL INSP. GRADING cu. yd. $ plus x$ =$ ' LUMBER GR. FRAMING ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL CITY OF L.A 0, [.J! N-l"At BUILDING & W_ Cf TO -ABLE ODESAND &L'APPLI%_1 I CVI) CITY OF L.A 0-UHN i"A NG & SAFE-z"Y DERARTMENT BUILD]. CONDITIONAl A -OR" C E P TEE D F M SIJ :SECT TO 1NS-!:'ALll-A-l'0.'A-,' L SND T7FI LTIA- CODES 06-7 C -o EARTH SYSTEMS CONSULTANTS. S.C. BUENA ENGINEERS DIV. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 Client Name Client Address Client Phone DATE 3J L_9� JOB NO. S PROJECT .5.3 - o �j LOCATION 14ti CONTRACTOR OWNER WEATHER .' Uw vl TEMP. c at AM c at PM PRESENT AT SIl E OPTIMUM MOISTURE CONTENT % Z Pad ,Uor � Eu F Odin{� oar P, TEST NUMBER TEST LOCATION LOT NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY lbs./Cu. ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY lbs./cu. ft. OPTIMUM MOISTURE CONTENT % Z Pad ,Uor � Eu F Odin{� oar P, a- �� 05 0 q'5- � fao v l2v•o I . I REMARKS: Cf �o/ -til S ,, _ o �`L --. �� C w eo . P / n -----=--- - FIELD REPORT ' T I TECHNICIANS SIGNATURE CLIENT REPRESENTATIVE SIGNATURE 0:036521