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07632 (SIGN)Building Address 48-8 Owner Mailing Addres,78-40 City Le Qui Contractor Quiet Address - r Q%' P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 07632 - BUILDING: •TYPE.CONST. OCC: GRP. W7 111, Suite P A.P. Number 631 -321 -INS A 617-302-096 r r 'San . 8er ridin0 State Lid. & Classif 217345 Arch., Engr:, Designer. 92263 554-3320 Legal Description Project Description Install signage 43tt (3) emergency 92410 I 714-885-4476 I Lic. # none On fainSq. e Ft. •Siz Address . I Tel- I City . IZip I Lict#. ICENSED CONTRACTOR'S DECLARAT10 I hereby affirm khat-I�h. licensed under,provis ns ofapter 9 TIT 7000) of Divfalorf9:0�,Busineay and ProfessljPOns Code, a d lacer effect..f 1r fi J I /OWNER -BUILDER DECLARATION I hereby afflern"that I am exempt from the Contractor's License Law for the following reason: (Sec: .7031:5,Business 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 fife a signed statement that he Is licensed pursuant to the,provisions-of the Contractor's License Lew; Chapter 9 (commencing with Section 7000) of Division 3 of the Business: and Professions Code, or thal..he Is exempt therefrom, and the basis for the alleged ezemptlofi: ' Any violation of Section 7031.5 by any appficini for a permit subjects,the a 1,I.e nt toe civil penalty of not more than rove hundred dollars. (5500). ❑ I, as owner of.the property,.or'my employees with wages as their sole compensation, will do the:woik; and tfie structure is not intended or offered for sale. (Sec. 7044, Bulsness and Prolessions 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 suoh Improvements are not intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, Me owner-bulider will have the burden of proving.that he did aot.build or improve for the purpose of sale.) ❑ I, as owner of the property„am exclusively contracting with llcensed'contractors to con- struct the project. -(Sec. 7044, Business and Professions Code: The Contractor's License Law does not applyto an owner of property who builds or improves thereon, and who contracts for such projects with a confrsctor(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:) Polic`��`�,,pppfrr,^^^,,,,,0. Company q�opyis filed with the city. ❑ Certified copy is hereby furnished. ++tt 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 the work for which this permit is Issued, I shall not employ any pperson in any mannerso as to become subject to the workers' Compensation Laws of, CaOfornla. bete Owner NOTICE TO APPLICANTi 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. CONSTRUCTION LENDING AGENCY I 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 ie subject to expiration Itwork thereunder is suspend ,for 180 days. I certify that.t have read this appllcalon and state that,the above information is correct. I agree to comply with all city and county ordinances andlstate laws relating to building construction, and hereby authoriie.4epresentatives of tTlis city to enter the above-, mentioned, property for inspectlop•pur^p�,osesf• �` J/ Signature of applicant i . fr +`. / r �,. r�'p 18�� Mailing Address ”' e4 f City, State, .Zip No., Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation Sir PERMIT 8 AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 45.00 Mech. Electrical Plumbing S-M.I: Grading Driveway Enc. Infrastructure TOTAL Q6_M REMARKS f�o�i��Ajo-4 iTrt�-rr��t_CSi sC 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 4,23, permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SO. FT. FORMS SEWER OR SEPTIC TANK POR. SO. FT. ® MOBILEHOMESVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. I SO. FT. TEMP.,POLE WALL I SO. FT. GROUT DRINKING FOUNTAIN. SO FT ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation =$ FLOOR DRAIN MECHANICAL FEES FINAL INSP. 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. SO. FT. @ c BATH TUB GAR. FIREWALL SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® IYi c SEWAGE DISPOSAL SO.FT.GAR a 34c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.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. $ 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 SIONATURESIINITIAL.S . GARDEN WALL FINAL