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06302 (SFD)I , . � uGl'jtrcu P.O. BOX 1504 No. 06302 Building 7&105 CALLS. ESTADO �. 1 Address 48-•227 Calle Floristas LA QUINTA, CALIFORNW922531 Owner Abe & Thelma Gi`i!s'.f'1lm BUILDING: TYPE CONST. OCC: GRP. Mailing , Address 9010 Corbin Ace., S-3 A.P. Number 617-652--014 City Zip Tel. Narthridste 91324 81R-349-5894 Legal Description Project Description _ r Tract 20052-2. Plan 3R. Lot 14 Contractor X != `�f Cyt 'Ile , I"-g—�� Address � City_ T;:L Ali j%'�;.,,4 -palm-Desert Zip`, Z C• 7 :. 122- 0 Tela -345-5430 State Lic. — sr+ -^ & Classif. �� ' City f 57'.z Lic. # V 21'10 Sq. Ft. 1980 Size No. No: Dw. 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 force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm 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, after, improve. demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's 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 all exemption. Any viakdion of Section 7031.5 by 'any applicant for a permit subjects the appficant to a civ8 penalty of not more than five® 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, Buisness and Professions Code: The Contractors License Law does not apply to an owner or property who builds or 'reproves thereon and who does such work himself or through his own employees, rr that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ 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 contrador(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec B. & P.C. for this reason Estimated Valuation $1t?2 226 PERMIT , AMOUNT Plan Chk. Dep. Plan Chk. Bal. c L r $ 655.43 p 'II�J • 43 Const. 65i9.(ifl 5 Mech. e 66•s66.50provided Electrical 111.72 Plumbing 144.50 S.M.I. 7.21 Grading ' Driveway Enc. Date ' Owner Infrastructure 2,300.09 WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 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 is filed with the City. ❑ Certified copy is hereby furnished. ^ . TOTAL $3,825.45 -f. ...f •-/ 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 REMARKS tu� G a V'> 4 xyY ,, IPA rf�N �') y f >*#�,(:� t { \7i`)i 4 Ki FY Date Owner NOTICE TO APPLICANT: ff. 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 of this Permit shall be deemed revoked. ZONE: BY: 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. 3097, Civil Code.) Side Setback from Property Line Lenders Name FINAL DATE Issued by: Validated by: INSPECTOR p/1�89 Date° 79Permit Lenders Address This is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 1130 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 above. mentioned property for inspection purposes. Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. Ff. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. I SQ. FT. GAS (FINAL) TEMP. POLE WALL SD. FT. DRINKING FOUNTAIN GROUT WATER HEATER URINAL SQ FT ® FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation GRADING cu. yd. plus x$ FLOOR DRAIN MECHANICAL FEES AL INSP;— JPii( WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11h c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER a—riNSULATION/SOUND 1.2, 2•,Si/� v 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 //'" 4— `(((� (�/ l GROUND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS / C WER OR SEPTA# ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. WeAS (ROUGH) f � "O I (O L 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 x$ _$ LUMBER GR, AL INSP;— JPii( n RAMING �• %.�.� C_ iT AL INSP.3-12 � �./ � . � — �_� �� /� G ,/ v �• REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING — MESH a—riNSULATION/SOUND 1.2, 2•,Si/� v FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINTTIALS GARDEN WALL FINAL