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04588 (SFD)4 P.O. BOX 1504 Building 6w4�Qpia',;S • 1►7&105 CALLE ESTADO Address . QUINTA,,;CALIFORNIA.92253 Owner Dias e POS Mobile Par;z Mailing BUILDING: TYPE CONST. OCC. GRP. Address 46-409 D unO P aIMS Me" Duna Palm Trailer Park A:P. Number City Zip Tel. , La Cyuinta 92353 Legal Description Now Contractor . Project Description "mobil�� me �� lanuard Construction -- --S96 Transit Mfelftue City Zip 92307 Tel. . 714-682-OC96 State Lic. City & Classif. Lic. N �� Arch., Engr., Designer Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip 11 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 th a Byslness.abd Proflipslons Cilie: and my license is In full force and •I SIGNATURE DATE OWNEi BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5.8usiness and Prolesslone COO: Any city or county which requirm a permitto construct, alter, Improve, demolish. or repair any structure, prior to ib beuerw» abo requires Me the applicant for such gemma to lase soared statement that he is licensed pursuant to the provisions of the Contractor's Lkwnse Law, Chapter 8 (comamendny with Sectbn 7000) of Divisor+ 9 of the Business and Professions Code, or that. he Is.exampt Merehorn, and Ithe basis for Me alleged exemption. Any vlolason of SecOom 7091.5 by 'any applicant for -a permit subjects the applloant to a dull 'penally of not more than "five hundred,doilkim ($500). ❑ I, as -owner of the property, or my empioyess withwagee as their sole compensation, will do the work, and the structure Is not Intended or offered for 9816. (Sec. 7044, Subnsas and Prolesalane Code: The Contractor's License Law ,does not apply to an owner of prop" who builds or improves thereon and who does such work himself or through his own employees. provided that such bnprovemente are not intended or offered for sabt: N, however, e bd0iq or Improvement is sold w0thin one year of completion, the owner-bllder will have the burden or proving.Met he did. not bulk) ori prove for the purpose of sale.) ❑ 1, 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 hnproves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's, License Law.) C1 am exempt under Sec. & & P.C. for this reason Estimated Valuation `� r� rr $900 - PERMIT AMOUNT - Plan Chk. Dep. - - Plan Chk..Bal. Const. Mach. Electrical Plumbing " Grading 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 Workers Compensation Insurance, or a'eertifled copythereofa(Sec. 3800.1 Code.) Policy No Company ❑ Copy 1e tiled with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sectbn need not be completed If the permit to for one hundred dollars ($100) vekation or less.) I certify that In the performance of the work for which this permit is Issued,;) shall not employ any ppaareon In any manner so as to become subject to the Workers' Compensation laws of Catlfornla. Date Owner NOTICE TO APPLICANT. ff, after making fhb Certificate of Evempdon you shouid bwonts sub/ect to the -Workers' Compensation provisions of Me Labor Code, you must Yorowe comply with such Provisions or t ispermit.shaft be downed revoked. CONSTRUCTION LENDING AGENCY' 1 hereby attinn�that there Is.a,constructlon lending agency for the performance of the work which this permit is Issued. (Sec. 3097, Civil Code.) Lenders Name " Lenders Address This is a"building permit when,property filled.out signed and validated, and Is subject to expirationIt, work; thereunder is. suspended' for 180 days. I certify that i'hm'read this application'snd state that,the above informationae 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. mentloned'property for inspection purpose& Signature of applicant Oats Mailing, Address City, State, Zlp WHITE- FINANCE, PINK - AP , LICANT, OREEN,- 'BUI REMARKS �,'�'rid`�'�s+E%�4•�"tt�'i�'L1'+�'^:;'r1..13�1=ai.,;�`1iC� ZONE: BY: Minimufn 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 Permit Validated by: Validation: FFICE; HARD COPY -.;FILE, " CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FOES IST FL SO FT y S UNITS SLAB GRADE 6 �Q ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. Q FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC- BAR SINK POR SO FT 0 AS (ROUGH) METER LOOP GARSO. FT. Q POWER OUTLET ROOF DRAINS SO TEMP. POLE DRAINAGE PIPING CARP FT sQ GROUT WATER HEATER WALL 50, FT. Ig FINAL INSP. DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SO. FT. M = i LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINALINSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTONDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING I LAUNDRY TRAY AIR HANDLINGIUNIT CFM FIREPLACE IKITCHEN SINK ABSORPTIOWSYSTEM 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 c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ I V. c SEWAGE DISPOSAL SO.FT.GAR a 3Ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH. FEE F.CK.FEE CONST- FEE ELECT. FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR — f .4c. -V SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 6 �Q ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. t; MF. �j16/ - AS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF- STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. : plus xS = i LUMBER GR. FINALINSP. FRAMING FINAL INSP. ROOFING 7/1e/ D REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR: GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL