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06331 (SATT)4 P.O. BOX 1504 No. 06331 Building 78-105 CALLE ESTADO Address 48-248 Calle Ploristas LA QUINTA, CALIFORNIA 92253' Owner MailinAbe & Thelma GVoswen BUILDING: TYPE CONST.—OCC'. GRP.- - Addresg s 9010 Corbin Ave., S-3A.P.lNumb - er- 6177652-039 7; City Northridge Ip 91324 Legal Description Project Description Tract 20052-2. Plan 6.,jot 39 Contractor 4,,��L.4. /�7;V �A�, Address t 7-7-200-441-nnesote City,: C -5,Y -a' ^, 4— s..q, Zip 'o, Z 6 (1 V&la-Dezert. 1 '92_ZW1_ Tel 34,5-543-0 State Lic.;, , & Classif. _U City Lic. 4 460 Sq. Ft.2009 No. No. Dw. Stories Units Arch, Engr., Designer New 0 Add 0 Alter 0 Repair 0 -Demolition 0 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 7Mof Division 3 of the Business and Professions Code, and my license is in full force and e SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,1)USOOSS 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 We a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter9 (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 of Section 7031.5 0 'any applicant for a permit subjects the applicant to a civil penalty of not more than Five hundred dollars ($500). 0 1, 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, Buftness 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 offered for safe. If, however, the building or improvement is sold within one year of completion, the owner -budder wig have the burden of proving that he did not build or improve for the purpose of sale.)' Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 544.73 Const. 657.00 Mech. 6000 . Electrical 11-3.36 Plumbing 126.50 0 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 improves thereon, and who contracts for such projects with a contractof(s) licensed pursuant to the Contractors License Law.) 0 1 am exempt under Sec. B. & P.C. for this reason S.M.I. 7.35 Grading Driveway Eric. Date — — — — -- �_Owner r.,-' Infrastructure 2,343.13 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 0 Copy is filed with the city. 0 certified copy is hereby furnished. $3.852.07 TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS Irvil'alAipl if, qI;C9 (This section need not be completed ff the permit is for one hundred dollars ($100) valuation orfeSS.) I certify that in the performance of thp 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 shall be deemed revoked. ZONE: BY: Minimum Setback Distances: Front Setback from Center -Lin 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 Nam FINAL DATE Issued by: Validated by: INSPECTOR Date Permit Lenders Address This is a building g permit when property filled out, signed and validated, and is subject to expiration it 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 above-. mentioned property for inspection purposes. Signature of applicant _Date Mailing Address — I Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SQ. FT. @ FORMS OR ,fAIQKff ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. gp, Fr, ® /EWER / /1G AS (ROUGH) �,�j � 111///111 METER LOOP GAR. SO. FT, ® POWER OUTLET ROOF DRAINS AS (FINAL) - i?,t/ TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. GROUT WATER HEATER WALL SQ. Ff. FINAL INSP. DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SQ FT. ® LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ AMING '/-- / . WATER PIPING NOTE: Not to be used as property tax valuation ©`C T,, V/ FLOOR DRAIN MECHANICAL FEES REMARKS: 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 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 MESH SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL FINISH GRADING SQ.FT.GAR ® V4c 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 —2 GROUND PLUMBI Of UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS OR ,fAIQKff ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. /EWER / /1G AS (ROUGH) �,�j � 111///111 METER LOOP HEATING (FINAL) OTHER APP./EOUIP. REINF. STEEL AS (FINAL) - i?,t/ TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ —Plus—X$—=$ LUMBER GR. INAL INSP. lfj� AMING '/-- / . FINAL INSP. l OOFING .47 ©`C T,, V/ J // J p F✓ `� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL UTHING MESH SULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL