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06921 (SFD)Building Address 78-535 Via Me-10dia Owner BARCON DEVELOPMENT Mailing Address 68.71.3 Perez Roadi, #1 City Cathedral Ci tj'zip 92234 T . . . [+Maar Contractor Address State p(W & Classi . Arch., Engr., Designer Address Zip I Tel.: �F l�Qur«rw P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 06921 BUILDING: TYPECONST. - OCC: GRP. Tract ##1555-4, Fhase IV A.P. Number Legal Description FAR M LA QUINIA Project Description 31R 44 , Lot 9z city 1219 Lic. # Sq. Ft. Size New Tel. City ( Zip( State I WLic. # LICENSED I hereby affirm':jhat I am licensed 91 my OWNER -BUILDER DECLARATION F - I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Busfness 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 rile 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 rive hundred dollars (8500). ❑ 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 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 ' ❑ Copy is filed with the city. ❑ 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: ff, after making this - Certificate of Exemption you should become subject to the Workers' Compensation provisions or 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 certity 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 City, State, Zip 1,74 No. No. Dw. Stories Units I Add ❑ Alter ❑ Repair ❑. Demolition ❑ REMARKS ,,,a 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: Estimated Valuation $88.574 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal 494.25 Const. 590#00 Mech. 66.50 Electrical Plumbing 124.50 S.M.I. 6.23 Grading Driveway Enc. Infrastructure 11992.92 TOTAL REMARKS ,,,a 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. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS 1 - SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SO. FT. @ FORMS SEWER OR SEPTIC TANK( OUGH WIRING. MOBILEHOME SVC. BAR SINK POR SO FT ® GAS (ROUGH) 7 Dpt,METER LOOP GAR. SO_ FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CARP. SO. FT. GROUT WATER HEATER WALL SO. FT. @ FINAL INSP. DRINKING FOUNTAIN. SO FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ - =$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP L FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING 3 6 Gd (rte. SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® IVa c SEWAGE DISPOSAL SO.FT.GAR ® 3/4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK elm GROUND PLUMBING Z JAANDERGROUND A.C. UNIT COLL. AREA 1 - SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK( OUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) 7 Dpt,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 L FRAMING 3.1f6hae<M FINAL INSP. ROOFING Z �a C L�— M REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 3 6 Gd (rte. MESH INSULATIONISOUND 2v d e FINISH GRADING FINAL INSPECTION-' b. CERT. OCC. r FENCE FINAL ' INSPECTOR'S SIGNATURESIINITIALS - GARDEN WALL FINAL