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15585 (SATT)4 P.O. BOX 1504 Building 78-495 CALLE TAMPICO Address 48-"`165 Via Vallarta LA OUINTA, CALIFORNIA 92253 Owner 1. D. .0eserr Leve iOpment :Ica Sparks Construction Mailing Address P.O. Box 1716 CityZip Tel. La Quinta, CAJ92253 X619) 771-2941 Contractor t,:t?nurrucrion m8d'iEiger Construction, Inc, Address - P.O. Box 3715 ciaya Quinta 0, CA Zip 92253 - 19) 771-1941 State Lic. City & Classif. S- 674074 Lic. # 2996 Arch., Engr.; Designer . Pekarek Crzandel.1 Inc. A Y02 Dutcher Drive 1114)837-9050 City TR92630 State Lake Forel :Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm 4hat I am,licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine effecaid Professions Code, and my license is in full/force an�c t. ,f �-..b. A SIGNATURE '•O'b'.W:'1•Ct rri,, K^'i �+i+'T Ar':Q.• ):. Y.'1l;.y.�, c..y^' DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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 rile a signed statement that he Is licensed pursuant to the provisions or the Contractor's License Law, Chapter 9 (commencing with Section 7000) or 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). ❑ 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 or completion, the owner -builder will have the burden or proving that he did not build or improve for the purpose or 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) )Icensed pursuant to the Contractor's License Law.) O 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.) - P01Icy�)o. .Company 0JJCopy is filed with the city. ❑ Certified copy is hereby furnished. i" 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, atter 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION.TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, ZIp No. 15585 BUILDING: TYPE CONST. V OCC. GRP. R3 A.P. Number 649--380-001 Legal DescriptionLot-1 Tract 27835 Project Description SPA "Ca sitas" Duplex Plan A Rancho La. Wrta Sq. Ft. No. No. Dw. Size 1725 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Estimated Valuation $146,192.00 PERMIT AMOUNT Plan Chk. Dep. , Plan Chk. Bal. 664..29 Const. Mech. 68.50 Electrical 133.22 Plumbing 156.00 S.M.I. 14.62 Grading 20.00 Driveway Enc. 00 Infrastructure 3, 229.44{ arts in Publ1 c Places 115.45 TOTAL 5,205.55 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 C/0Permit l! Validated CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. p POR. SO. FT. ® GAR. SO. FT, ® CAR P. SQ. FT. WALL SQ. 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 FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER AS (ROUGH) /_4,4q(J METER LOOP GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM IKITCHEN 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 F AL INSP. SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL REMARKS: SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE I 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 G OUND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA LAB GRADE ✓ c 5' ROUGH PLUMB. BONDING HEATING (ROUGH) ' STORAGE TANK FORMS EW OR SE �� ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. AS (ROUGH) /_4,4q(J METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. EINF. STEEL '` GAS (FINAL) . TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $—,plus—x$—=$ GRADING cu. yd. LUMBER GR. F AL INSP. L )T 6 RAMING , L -q FINAL INSP. ROOFING /v —/ Q l A ,n���i� G REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING —( MESH 0 INSULATION/SOUND o� S FINISH GRADING FINAL INSPECTION C� "/ " 72 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL