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09016 (BLCK)44- tdy P.O. BOX 1504 N o . 09016 Building47-6.54 Eisai 1hower Dr. LA QUINTA8-105 CCAL CALIFORNIA 92253 Address Owner Fairway Villas . Assoc. BUILDING: TYPE CONST. OCC: GRP. Mailing Address 47-SSO Eisenhower Dr. A.P. Number City Zip Tel. La Quints 92253 Legal Description Contractor Project Description Hai t' he Masonry Company +. Cardin Block Wall-, Address ' - :I 1 & Classif. Arch., Eno Designer Address r:, p -C-29 422148 • I Lic..a 1,786 _City. Zip State Lic. q LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions.of Chapter 9 (commencing with Section 7p00) of Divislo 3 of the Bu - X71 PrdfeasJ9ns-Goole;, and'my'llcense is in full and di NATURE OWNER-BUIgbER DECLARATION I hereby affirm that I am exempt fr6m 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, pdor to its Issuance also ;: requires the applicant for',such.permit to fHe,a signed statement that he Is licensed pursuant to :.�Jhe�provfslons of the Contractors 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 or Section 7031.5 by Any applicant for a permit subjects the applicant to a civil penalty of not more than flus hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation,• will do the work, and the structure is not intended or offered for sale. (Sec. 7044, bulsness.and Professions Code: The Contractor's License Law does not apply to an owner of property,.who builds or Improves thereon• and who does such work himself or through his own employees, provided that such Improvements are not Intended or offeredfor safe. N, however, the buiklrng or improvement is sold within one year of completloh, the owner builder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to coo- Strutt the project. (Sec. 7044, business and Professions Code:' The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a.contractor(s) Ildensed'pursuant to the Contractor's' License Law.) ❑ 1 am exempt under Sec B. to P.C. for this reason Date owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -Insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. 0 Certified copy Is hereby furnished. CERTIFICATE OF, EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit is for. one hundred dollars ($ 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, 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 shalt be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby. affirm that there is a construction lending agency for the performance of the work for which this permit is Issued. (Sec. 3097, Civil Code.) Lenders Name Lender's Address 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 aboves. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip Sq. Ft. 6i;() 1f No. Size Stories New ❑ Add ❑, Alter ❑ stimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL_ REMARKS No. Dw.. Units Repair ❑ Demolition ❑ AMOUNT ZONE: BY: Minimum 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: 63• CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. ® FORMS SEWER OR SEPTIC TANK POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® lPQWER OUTLET ROOF DRAINS CAR P. I SQ. FT. OTHER APPJEQUIP. DRAINAGE PIPING WALL SQ. FT. ® TEMP. POLE DRINKING FOUNTAIN, SQ FT ® 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 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGEDISPOSAL SQ.FT.GAR ® 3Ac HOUSE SEWER MESH GAS PIPING PERMIT FEE PER 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 APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus xE =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING � -fps IT t REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL. INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL