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06909 (SFD)tl�G`GrGu QQ ce44 4 51 7&1 Building 78-6 Via Sonata P.O. BOX 1504 No. 0 C V 90ail 05 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner RC014.DEVELOPt T BUILDING: -TYPE CONST. •OCC: GRP. Address Mailing 68-113 Perez Road, #1 Tract #Z15 Phase IV A.P. Number City Cathedral CiZip 92234 TeI773 -x'024 0A! . Legal Description Contractor wei",••• m' U1, Qvilit drat Project Description l di l 1620 (A), Lot #9 Address City Zip Tel.: State Lic' 337077 City12Y9 & Classif- Lic. # Sq. Ft. No. No. Dw. Arch-, Engr., r Size Stories Units Designer New Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Address Tel. City Zip State Lic. # r LICENSED CONTRACTOR'S CONTRACTOR'S DECLARATION ; hereby affirm, tliat I am licensed, under provisions of Chapter'9 (commencing -with Section 7000) of bivisiotr 3 of the Bus_iness'aiid•Professions Code; an8 my license is ih-full,force and ct. effe/ %. FrjG/ SIGNATURE / / ! DATE OWNIMBUILDER DECLARATION Estimated Valuation I hereby affirm Uhat 1 am exempt from the Contractors License Law for the following reason_ (Sec. 7031.5,13useress and Professions Code: Any city or county which.requires a Permit to construct, ager, urrpmve, demolish, or repair any structure, prior to its issuance also ., requires the applicant for such pemre to hie a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Uvison 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 Plan Chk. Dep. 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 Plan Chk. Bal. 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 Const. builds or improves thereon and who does such work himself or through his own employees, Mech. ` 1. provided that such improvements are not intended or offered for sale. If, however, the building _ or improvement is seed within one year of completion, the owner -builder will have the burden Electrical 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. Plumbing 20. 5V 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 S.M.I.• such projects with a contra tors) licensed pursuant to the Contractor's License Law.) - ❑ I am exempt under Sec_ B. ti P.C. for this reason Grading Driveway Enc. _ Date owner Infrastructure WORKERS' COMPENSATION DECLARATION J I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company r' ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. y TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATIONINSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation-a.nss+t.� �,y s •S;t^ad ,,, r3�,.,,,.G!'y f or less.) 1 certify that in the performance of thg work for which this permit is issued, I shall notf� employ any person in any manner so as to become subject to the Workers' Compensation Laws of California Dat e Owner NOTICE TO APPLICANT: ff 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 SuchProvisions or this permit shag 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 1 hereby affirm that there is a construction lending agency for the performance of the- - work for which this permit is issued. fSec. 3097, Civil Code.) Side Setback from Property Line Lenders Name Lenders Address 'signed -validated, INSPECTOR This is a building permit when property filled out, and and is subject to ;FINAL,DATE 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: ' 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 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE Q YARD SPKLR SYSTEM 2ND FL. SO. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR SO FT ® Q ROUGH WIRING DUCT WORK ROCK STORAGE POWER OUTLET ROOF DRAINS GAR. SO. FT. ® GAS (ROUGH) , tO cld C METER LOOP HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. SO. FT. ® GAS (FINAL) TEMP. POLE DRINKING FOUNTAIN. WALL SO. FT. WATER HEATER SERVICE FINAL INSP. URINAL SO. Ff. @ WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation FRAMING 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 LAUNDRY TRAY AIR HANDLING UNIT CFM 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 ® 11/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING 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 6� 6_J1NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE Q ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK Q ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) , tO cld C 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. x$3 $ plus _$ LUMBER GR. FINAL INSP. I� Q FRAMING FINALIINSP.( ROOFING LCo e Tfe /`►SP./ ( � REMARKS VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LAT IN d MESH INSULATION/SOUNDS FINISH GRADING FINAL INSPECTION L( lC� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL