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10246 (BLCK)" ;• '��'r''' P.O. BOX 1504• No.10240 Building:'*105CALLE ESTADO Addres�7-385 Via r oron LA QUINTA,'CALIFORNIA 92253 Owner BUILDING: TYPE-CONST.,'OCC: GRP. Mailing ' r Address A.P. Number City Zip Tel. , Legal Description ' ^ Contractor Project Description l Bazanos' Plaso xrY Address. 241 , cif 31 retaining wall- _ 24372 Finley Dr 14': of 5' bloc: wall s City. Zip Tel.: 14ereno villey 92553 714/924--2330 State Lic..- City & Classif. '. C29- .511407 Lic. # • 2115 Sq. Ft`' il -'No No. Dw. Arch.; Engr., ,. Size `• - t Stories Units Designer, New ❑ Add ❑•`•' .'Alter ❑- Repair ❑ Demolition ❑ Address Tel. City Zip State - 4 Lic: # LICENSED CONTRACTOR'S DECLARATION rl hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section ; 7000) of/ D,rivision 3 of the Business•and Professions Code, and my license is in full force and,ffect ^ f,t SIGNATURE r!' DATE' OWNER -BUILDER DECLARATION rEstimated :Valuation �. 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,7, requires the applicant for such permit to file a signed statement that he. Is licensed pursuant to PERMIT 2--,l - 'ti, AMOUNT the provisions of the Contractor's License Caw, 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. fora.permit -• Plan Chk. Dep. ',-_. A• - 'subjects the applicant to a -civil penalty of not more than live hundred dollars.($500). .m -Plan Chk. Bal. .❑ I, as owner of the property, or my employees with wages as their sole copensation, will '.do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and • Const. � • VU Professions Code: The Contractor's License Law does not apply to.an owner of property who, • builds or Improves thereon and who does such • work himself or through his own' employees, H - - - ' .• provided, that' such improvements are not'intended or offered for sale. If, however,. the building Mech.. - ' _ or improvement is.sold within one year of completion,. the owner -builder will have the burden Electrical'' rf. of proving that he did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to coo- Plumbing • . +• �•• Strutt the project. (Sec. 7044, Business -and Professions Code: The Contractor's License Law - - does not apply town owner of property who builds or improves thereon, and who contracts for •'$,M.I: '•' ' '" - • U:> ;j.� •e . such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)— - ❑ I am exempt under Sec. B. & P.C. forthis reason Grading Driveway Enc. Date owner Infrastructure - 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.` ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. — TOTAL •, ;> f. CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit -is for one -hundred dollars ($100) valuation:.:41 i5- i_ 2 Y(A S•�,•� 4(}— �t�.:,C�4 �� or less.) b\" 9xi4,3Ci A .f ti 11,4L„ 1 I certify that in the.pertormance 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 ZONE:BY:- subject to the Workers' •Compensation provisions of -the "Labor' Code, you must forthwith - - - - • 1 comply with such provisions or this permit shall be deemed revoked. , Minimum Setback Distances:. + + •' , , n', - 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 Lender's Name- Lender's ame Lender's Address This is a building permit when properly filled out,'signed and validated, and is subject to.FINAL DATE INSPECTOR 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. ex - ' Issued by* - Date - Permit' Tit I agree to comply with all city and county ordinances and state laws relating to building ` I construction, and hereby authorize representatives sof this city to enter .the above. ,� �i r• 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 4z I WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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. SO. FT. ®c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SO.FT.GAR ® 3Vic HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE OBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE /- PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR' SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 4z SEWER OR SEPTIC TANK ROUGH -WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. y GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP.- BOND BEAM Z WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION O y a CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL