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09379 (SFD)t P.O. BOX 1504 No. 09379 Building 78.105 CALLE ESTADO Address 47-295 Via Koron LA QUINTA, CALIFORNIA 92253 Owner WT "01 V P"{'1aTr_ TAY BUILDING- TYPE CONST. Mailing OCC: GRP.- Address A.P. Number City Zip Tel''. Id a rt "Apanh 9.766ft 714 1851-1A1.1 Legal Description T.Wrfz MTNTA Contractor Project Description 1x)t 141 PIATW 4 3pI� Address City lZip Tel.: State Lic. City & Classif. c. # - X53787 Lic. Arch.,-Engr., . Designer NMSLING ' & MC CALL1TM LTD Address I Tel. City I Zip I State Tae3.4 AIM s'I ± 9?.21Cf. Lic. # C74424 LICENSED CONTRACTOR'S DECLARATION - I hefeby-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 A h S GNATUR Y Y d' 3_.rr^+/�}„+N'"' Y.!' NA,P ,ii �!!. A/ P f DXT 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, alter, 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 alleged exemption. Any violation of Section 703 1. 5 by 'any -applicant for a permit subjects the applicant to a civil 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 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 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 tc 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 O Copy is filed with the city. O 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 shall 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.) 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 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 sof this city to enter the above-. mentioned property for inspection purposes. Signature of applicant— Date Mailing Address City, State, Zip No. Dw Size Ft 3100 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ O,emolition ❑ REMARKS 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 Estimated Valuation rf Validated by: PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal: is A Const. 118 _ 00 Mech. ingno Electrical -n , Plum RA S.M.I. Grading Driveway Enc. Infrastructure 53,0 4. 69 Air*, 4r, ?St>i i'f i i r+ JA 4� TOTAL' 7716_ 2. 1 REMARKS 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. PLUM61NG FEES 1ST FL. SQ. FT. ® $ UNITS ; SLAB GRADE 17ROUGH 2ND FL. . SQ!- FT. BONDING YARD SPKLR SYSTEM POR. SQ. FT. r MOBILEHOME SVC. BAR SINK GAR. SO, FT, ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. GAS (ROUGH) a DRAINAGE PIPING WALK SQ. FT. ®' OTHER APPJEQUIP. DRINKING FOUNTAIN. SQ FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMING (� / orf GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED P /��a ` LAUNDRY TRAY - AIR HANDLING UNIT CFM REMARKS: 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 SEWAGE DISPOSAL THING LC " SQ.FT.GAR ® 3/ac HOUSE SEWER MESH GAS PIPING PERMIT FEE MIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEECONST. EPL.CK.FEEE FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING L Q� UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 17ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) a METER LOOP HEAIING•(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. FINAL INSP. 2 FRAMING (� / orf FINAL INSP. —( 7,ep ROOFING ✓ VENTILATION P /��a ` `� REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING LC " MESH INSULATIONISOUND �� [ FINISH GRADING FINAL INSPECTION `Cl� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL w_Q.� •tJr 1. - I ' ! � ,I ��, I� � I ,�. � .. � (II �_ `, � re � C�,,/ S � ems' � • � �I ii OF dA Ut'1'��_.'aft tat.. This Certificate, issued. pursuant to the requirements of.Secfion 306 of the Uniform Building Code certifying that at the tlmeof issubnce this structure was;iri,compliance with the various i I ordinances of thetity regulating building construction or use. For, the following h ' BUILDING ADDRESS z47-295 VIA'KORON ' use'Classificotion Single;'Family Dwelling �. - 9379-...:' Bldg. Permit No:/. 'VN 3 . .. - SR .. Group R-3 SR Type Construction Fre Zone Use Zone 'Street y ` - owner of Building _Wilma- .Pacific°,, Inc Address 130'1 Dove city Newport Beach -CA 92660 gy; Lonnie Day L� September -14, 1993. Dote;` Building Official POST IN A CONSPICUOUS PLACE ___ _