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08792 (RPL)Building Address Owner Address P.O. Box 1789 TWIf 4 lGfGtl. P.O. BOX 1504 No. 08792 78-105 CALLE ESTADO ar LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. City Zip Tel. La .Quanta 92253 Contractor Daniel Been Address . Zip I Tel.- & Classif. A72042 I Lic. # Arch., Engr., Designer Address I Tel. City r� .1 70 efl I Zip I State Lic. # 9 (commencing with Section my license is In full force and -�� vvnen-ourLuenuccuAnwtIUM --- I hereby affirm that I am exempt from the Contractor's License law for the following reason: (Sec. 7031.5,Business and Professions Coder Any city or county which requires a permit to construct, after, improve, demolish, or re Palr any structure, prior l0 Its Issuance also requires the applicant for such permit to file a signed statement that he Islicensed pursuant to the provisions of the Contractor's License law, Chapter 8 (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 v/o/aflon o! Section 7031.5 by any applicant for a permit subjects: the applicant to'a civil penally of mol more than five hundred dollars ($500). ❑ I, as owner 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, Sulsness and Professions Code: The, Contractor's License Law does not apply to an .owner of property who builds, or koproves thereon and who does such work himself or .through his own employees, provided that such Improvements are not intended or oHered:forsale. If, however, the building or Improvement is sold within one year of completion, the owner -builder will have the burden ofproving that he did'rot build orknprove for the purpose ofsale.) I . ❑ 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)licensed 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 Compensation Insurance, or a certified copy thereof. (Sec.. 3800, Labor Code.) Policy No. Company ❑ Copy Willed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed n 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 =any person in any manner so as to become subject to -the Workers' Compensation Laws of California: Date Owner NOTICE TO APPLICANT: N, after making this CertBlcate :of Exemption you .should become. subject to the Workers' Compensationprovisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending:agency for the performance of the work for which this permit is Issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This Is a building permit when, properly filled out, signed and validated, and Is subject to expiration if work thereunderis suspended for 180 days. I certify that I have read this application and state that -the above Information'Wcorrect. 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 Malling Address City, State, Zip P. Number Description_ t Description Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 76.05 Const. 117.00 Mech. 24. 0 Electrical 45, 00 Plumbing 27 .00 S.M.I. .70 Grading Driveway Enc. Infrastructure TOTAL 289,75 REMARKS�•, �, , •„ , s At 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: CONSTRUCTION ESTIMATE NO: ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. $O. FT. BONDING YARD SPKLR SYSTEM POR SQ MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH) DRAINAGE PIPING CAR P. SQ. FT. 0 OTHER APPJEOUIP. REINF. STEEL WALL SQ. FT. TEMP. POLE DRINKING FOUNTAIN, SQ FT. ® GROUT URINAL ESTIMATED CONSTRUCTION VALUATION i FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR,DRAIN MECHANICAL FEES =i WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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 SPARK ARRESTOR SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL LATHING SO.FT.GAR ® 3Ac HOUSE SEWER 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 SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCKSTORAGE 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. i plus xi =i LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESANITIALS GARDEN WALL FINAL