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09380 (SFD)P.O. BOX 1504 N O . 0-9380 Building 78-105 ��YgT 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner €gTT.MA p d'`TJ? F" - Aie BUILDING: TYPE CONST. OCC: GRP. Mailing `• Address .1301 Dave Street A.P. Number City Zip Tel. ' ewoort Beach � 2660 714/851-1411 : Legal Descrjptior�1�x riCi0i4s~s:a on T.aka 7[.a dirxi3ns�x� Contractor Project Description Lot 94 pZaYi 1(.'`, _ •" _' ..Aaaress ZONE: BY: ' City Zip Tela Front Setback from Center Line State Lic. & Classif. City Lic. # '.,' � Sq. Ft. 3100 Size No. No. Dw. ..Stories Units Arch., Engr.; Designer. .call, � lum 7. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 360-0250 work for which this permit is issued. (Sec. 309 7,. Code.). Side. Setback,from Property Line Lender's Name City Zip State Lic. L.'7424 FINAL DATE INSPECTOR _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under pvisions4of Chapter 9 (commencing with Section' 7000) of Division 3 of the Business and Professions°Code, and my license is in full forcje•and effect fi 1 o i9 F7 A �r�9 1f, 1 Al expiration it work thereunder is suspended for 180 days. SIGNATURE; -4 i' -: C, V * ^f—.f1� 0 �4' DANE INNER•`BUILDER DECLARATION•' . 1 O / I -hereby affirm r that I am exempt from the Contractor's License Law for the following ' :reason: (Sec. 7031.5,Busihds's 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 7031.5 by 'any applicant for 'a permit - subjects the applicant to a civil penalty of not more than five hundred dollars ($500). El659.94 ' 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 to con--. struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly -who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. & P.C. for this reason Estimated Valuation 6 • � - PERMIT AMOUNT ' PlanChk. Dep. construction, and hereby authorize representatives -of this city to enter the above-:' Plan Chk. Bal. r1S const. ' y , 00 1 ��• Mech.109.00 �n ��ii nt An 10 7 • 00 Electrical 21500 • Plumbing 211.50 S:M,j, - . 15 • 8.9 Grading , Driveway Enc. 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 Infrastructure _ 5104.169 Art irt Publi 317.191 TOTAL 7716.21 REMARKS NOTICE TO APPLICANT: ,Y, after. making this_ Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of 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. 309 7,. Code.). Side. Setback,from 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 it 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 4 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 1 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/4c HOUSE SEWER FRAMING ( q( FINAL INSP. /( / 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 GROUND PLUMBING W'q/ LhUNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 1 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. / GAS (ROUGH)L 2 51414 L METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING ocu. yd. $ plus x$ _ $ LUMBER GR. FINAL INSP. I� L I FRAMING ( q( FINAL INSP. /( / ROOFING �l [ pr^✓ COO REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL RING CW(/ MESH INSULATION/SOUND Al q 442 l FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS ' GARDEN WALL FINAL M Nx YAI% R11 - _ [iA PII 04_ 4. �4 - - _ Ar � ■ �J�' _ �� x ;'^y, •moi yJ'/'j III i ' I •� ! ♦ � :. a' 1 t '1 � ' � - � ` • ~, `` I . r H 4F TFLE9 - _ 1 i ■/\`7J/ {III. • .+, ' +'- -. llillitYt all t 1t,mi t i111. ' -t s_ This Certificate issued pursuant-tojt a requirements of Section 306 of the Uniform Building ! Code certifying that at the time of issuance this structure was in compliance with the various j ordinances of the City regulating .building construction 'or. use. '.For the following: 3 ' 47-385 ' Via Koron ' y BUILDING ADDRESS •" IE ! ! 'Use Clossificotion + SFD r Bldg Permit No: -09380 'I Group R3 Type Construction• Fire Zone Use Zorie R1. Owner'of Building Wilma Pacific Address 1301 Dove Street j i ! I.. City Newport Beach, CA By; Lonnie` Day 11/21'/91 .. Dote. " �• - • _— Building Official ' , .:. J r j 4.` r'. POST IN A CONSPICUOUS, PLACE. 04_