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09386 (SFD)Building Address 47-'355 Via Koran Owner Mailing Address 1301 Dove Stree City Zip Contractor Address .- . . . City State Lic. & Classif.. A h Zip Tel. City Lic. # P.Q. BOX 1504 N o . 09386 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA,92253. BUILDING: TYPE CONST. -,OCC: GRP.- A.P. Number• Legal Description VA rCM- a..ssa ort Lake La Onixi` a, Project Description Lnf-- 1 3 Pgai 3 Sq. Ft- 3296 No. No. Dw. 730 Size Stories Units rc . Engr.,. Designer Ltd. New ❑ Add ❑ Alter ❑ Repair. ❑ -Demolition p Address - Tel. 360"'0230. (This section need not -be completed if the permit Is for one hundred dollars ($100) valuation • CityZip 'State Lic. # . 07424. I certify that in the performance of the work for which this permit is issued, 1 shall not LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section - 7000) of Div.'elon 3 of heZB/tusiness and`Profesai6ns Code, tatndS my license i. in full force and effect.��f. ! ?4 !14' . employ any person in any manner so as'to become subject to the Workers' Compensation ,. •1GNATURE�. ..�.�. ��� w `"o.e.. f D'ATE 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 alsoAMOUNT 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 i 'Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis �q for the alleged- exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant•to.a civil penalty of not more than five hundred dollers*(S500). 0 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 off ered 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 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.) 0 1 am exempt under Sec. B. & P.C. for this reason Estimated, Valuation 2 - r' PERMIT _ Plan Chk. Dep. BY: . • Pian ChkBal COnSt. - 1133, Mech. - •Electrical 2h+ R' Plumbing +� S•M.1. I hereby affirm that. there is a construction lending agency for the performance of the Grading _. �:• Driveway Eno, Date Owner Infrastructure IIIA 1 * 40 - Lender's Address WORKERS' COMPENSATION DECLARATION 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. (Seca 3800, Labor Code.) Policy No. Company 0 Copy is filed with the city. ❑ Certified copy is hereby furnished. INSPECTOR 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. 4, �' —�-eta F+►' =wna:l�4r la tf fi ��v' f8 a s s i TOTAL I certify that -I have read this application and state that the.above information .is correct. 0. CERTIFICATE OF EXEMPTION FROM REMARKS 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, 1 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 ZONE: BY: subject to the Workers' Compensation provisions or the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked 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 frorr Property- Line Lender's Name Lender's Address FINAL DATE INSPECTOR 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. Issued by: Date Permit 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. Validated by: Signature of applicant Date - Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. FT, ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) " / [ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/+ c SEWAGE DISPOSAL 0 /� SO.FT.GAR ® 3/ac HOUSE SEWER REMARKS: 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 Z PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK60/1 GROUND PLUMBING/—! W UNDERGROUND A.C. UNIT COL/-, AREA SLAB GRADE til ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE 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. '1 (r FRAMING FINAL INSP.�/291�2 ROOFING � (yt' i.t5o� 0 /� 4t' 6 0 ", . REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL HING MESH INSULATION/SOUND66 tt( L d FINISH GRADING FINAL INSPECTIOW,!50 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL >1 17 - �. . l�li� rl pit `�� -----' �%/ / � �.: '• ' � � , i �V�, 1'.�� ' '' �il I I; iii �' •- CF OFS // s� � 'yoFT►� I '' �i �� (Illi Ii I���I _ Tiof a Uinta tni -a t11t telt � l'! This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building! Code certifying that at the time of issuance this structure was in compliance with the various. ordinances of the City regulating building construction or use. For. the following: BUILDING ADDRESS 47-355 Via Koron J{ I i� Use Classification SFD Bldg. Permit No. 09386 E I i Group R3 Type Construction VN Fire Zone Use Zone R1 Wilma Pacific Inc. ` 1301 Dove Street Owner of Building r Address I ; i City Ne rt Beachi CA - 92660 By; Lonnie Day .`T Dote; 6/25/92 En Building Official----- P09T IN A 00N9?ICUOUs PLACE - NAN/NC• - - EM EM IM EM [=--MM MM Ma rM E