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003484 (SFD)Building Address P.O. BOX 1504 78-105 CALLE ESTADO 46-400 Dune Palms Rd. 096A QUINTA,, CALIFORNIA 92253 Pablo ftevedo Mailing - Address Same City L Quin' Contractor No. 003484 BUILDING: TYPE•CONST. • OCCGRP A_P.'Number :_ Dune Palms _,Mobile Rom Park Zip Tel. tj�ty y . Legal Description Project Description New mobile home and Alia'ahe d. r Mobile -if cote Service ratio cover 83-488 Diolon City Zip Tel: ',•;_:,;Jndio 92,201 345-1876 State Lic. City &.Classif.�3�'arJ�i Lic. # Sq. Ft. No. No. Dw. Size Stories Units Arch., Engr„ Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. #- _ 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 torte and effec t. SIGNATURE _ _ . - DATE - •_ , OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following Coder '' ��©� reason: (Sec.,, 7031;5,Buslness and Professions. Any city or county which requires a perrn8 to construct, alter, Improve, demolish, or repair any structure, prior to ft issuance also requires the applicant ,for such permit to Mea signed statement .that.he Is licensed pursuant to PERMIT - - AMOUNT Me proWslons. of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of ' Divisbh 3 of the Business and"Professions Code, br that. he Is exempt therefrom, and the basis for the exemption. Any Section 7031.5 by 'any for a Chk. Dep. •• - alleged violation of applicant permit subjects the app/kaMYo a civil penalty of not more than five hundred dollars' (5500): ' .Plan Plan Chk.. Bal. - O 1, 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 forsale. (Sec. 7044, Buisness and Const. CRY �(� 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, Mech. s prov/de_d that such improvements .are not Intended or offered for sale. It, however,'the building or improvement Is sold within one year of completion, the, owner-bullder will have the -burden Electrical of proving that he did not build or improve for the purpose. of sale.) - ❑ 1, as owner of the property, am exclusively. contracting with. licensed contractors to con-- Plumbing -atruct 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 S.M.I. •' - - "' - such projects with a contractor(s) licensed pursuant. to the Contractor's License Law.) - Grading ❑ 1 a exempt,under Sec. B. & P.C. for this reason Driveway Enc. Date owner Infrastructure 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 certifled copythersof. (Sec. 3800, Labor Code.) Policy No. - Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL _ CERTIFICATEOF EXEMPTION FROM REMARKS 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 Certdkate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you 'must forthwith. comply with such. Provisions or this petmit shall be deemed revoked. - Minimum Setback Distances: - Front Setback from Center. Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center,Line I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued. (sec.s097, Civil code.) Side Setback from Property Line Lender's Name Lenders Address FINAL DATE INSPECTOR This,is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and that the above information is°correct: �I a w DatedI 10 8 Permit state ISSUed by: 1 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. Validated by: Signature of applicant Date Mailing, Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FETES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE 0YARD 2ND FL. SO. FT. BONDING SPKLR SYSTEM POR SQ FT.® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ®. POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH) DRAINAGE PIPING CAR P. I SO. FT. OTHER APPJEOUIP. REINF. STEEL WALL SQ. FT. TEMP. POLE DRINKING FOUNTAIN SQ. FT. a GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES -$ 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. SO. FT. @ c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/. c SEWAGE DISPOSAL LATHING SQ.FT.GAR a 3Ac HOUSE SEWER MESH GAS PIPING PERMIT FEE INSULATIONISOUND 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 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 SIGNATURESIINITIALS, GARDEN WALL FINAL