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07256 (SFD)Adddess 78-370 iia Sevilla Owner Deane Homes P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 15 Agusta Drive City Zip Tel Rancho ffir. g+a 92270 321-8004 Contractor$$ me el.: State Lic. I City & Classif. s2 � Lic. # Arch.; Engr.,- Designer Address- Tel. City (Zip ( State Lic. # LICENSED CONTRACTOR'S DECLARATION I herebykaffirm that I am licensed under provisions of Chapter 9 (commencing with Section 700D) of Division 3 of the Business Tessio' Code, and my license is 1 (sill fo�>and effect. \� 1AAA^ _i " 31_0 SIGNATURE .�i�• �" T i " - P DATE OWNER -BUILDER dECLARATION 1 hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,11usness and Nofessions 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 applicarnt for Such .permit to Rue a signed statement that he is licensed pursuant to the provsions of the Contractors 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). o 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, Bufsness and Protessions Code: The Contractors License Law does not apply to an owner of property who Muilds,or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for safe. If, however, the building orimprovement is sold within one year of completion, the owner -budder wilt 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 taw does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a codractor fs) 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 fumished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (ibis section need not be completed it the permit is for one hundred dollars ($100) valuation or less.) 1 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, after making this Certificate of Exemption you should become sWect to the workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions of lids permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Cin? Code.) Lenders 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 No. 07256 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 613-402-004, 009, 010 Legal Description Tent. Tr_. flo. 2397.1 Project Description Phase Lot 19 Sq. Ft. No. No. Dw. Sizer ��Yt Stories N Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation�� PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. $ 20,5 Const. A. ou Mech. 66. Su Electrical ild.jb Plumbing W.`Jct S.M.I. Grading Driveway Enc. Infrastructufe s��i• �� TOTAL f#t� REMARKS .n"++:6ra"3 61k "."?4 rn1�•.!r^i t;i=. is :j. �.f+ti>�3 7!, ltf(•fii,- t.. .z:?�}'. (+,� 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 2/28/90 'Issued by: Date . Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS A.C. UNIT COLL. AREA YARD SPKLR SYSTEM 2ND FL. SQ. FT. ® ROUGH PLUMB. BONDING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® FORMS SEWER OR SEPTIC TANK POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® DUCT WORK ROCK STORAGE D. REINF. S GAS(ROUGH) o /ff DRAINAGE PIPING CAR P. SO. FT. ® HEATING (FINAL) WALL SQ. FT. REINF. STEEL DRINKING FOUNTAIN. GAS (FINAL) URINAL SQ. FT. ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property lax valuation SERVICE FLOOR DRAIN MECHANICAL FEES I WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR. LAUNDRYTRAY AIR HANDLING UNIT CFM FRAMING Zd (ta 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1Vi c SEWAGE DISPOSAL SQ.FT.GAR ® Wic HOUSE SEWER SPARK ARRESTOR 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 OUND PLUMBI UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE D. REINF. S GAS(ROUGH) o /ff METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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. /� 0 0 ( FRAMING Zd (ta FINAL INSP. ROOFING / •qv"� k f) REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND 2 FINISH GRADING FINAL INSPECTION 2 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS ' GARDEN WALL FINAL7d 1