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06902 (SFD)W �. • ��� 444 P.O. BOX 1504 N u . Building 78-655 Via Sonata 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner S1RCON DEVELOM Address vw—r a.a t-cr G` VWQW.1 91 I citye4rd ibf . Zip 2234 ITell w � Contractor State Lias, & Classif. -Arch.; Engr., Designer 09,902 LDING: TYPE CONST. - - OCC GRP. - 1 rb.crl U299. -4m hose L P. Number gal Description _ _ _ - _ tIt � !iM roject Descriptio ,a5 ZZ s (LOO. 1VZ City Lic. # 1219 Sq. Ft. 21"222 No. No. Dw. Size Stories - Units Tel. City Zip State /} Lic. # LICENSED CONTRACTOR'S 1 hereby affirmAhat 1 am licensed under provisions DOD) of io'n 3 of the Business and -Pro fessiont 1 OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractors License Law for the following reason-- (Sec. 7031.5,6usitess 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 file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Divison 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 penally of not more than rwe 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 butds 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 sok/ within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purposeof sale.) ❑ 1, 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.) 1 certify that in the perfomnance 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 Cal la. Date owner NOTICE TO APPLICANT it, after making this Certificateof .Exemption you should became' sWect to the Workers' Conpensation provisions of the Labor Code, you must forthwith comply with such Prov -signs or ibis permit shall be deemed revoked.. CONSTRUCTION LENDING AGENCY It affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) - Lenders Name Lenders Address This is abuilding permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. ' 1 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,Add City_ state, zip New I� Add ❑ Alter ❑ Repair ❑ . Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. s1�.YC Const. Mech. bili• 00 Electrical 120.79 Plumbing 144.50 S.M.I. :7.91—. Grading Driveway Enc. Infrastructures513.S TOTAL REMARKS A zl�:t: � 0.�# A :,k3i}ir � � "ya?�'.:3r1 � ?'4i•1,••, i�a{•. t h !�"t �+{ 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 IST FL SQ. FT. ® $ UNITS SLAB GRADE �� �(/h ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SQ. FT. ® FORMS SEWER OR SEPTIC TANK A.. ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) q & em w 6 METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SQ. Ff. -$ LUMBER GR. FINAL INSP. �j 7 ?Q FRAMING 3//la URINAL SQ. FT. 0� /�7 /�8 yJ�,y� ESTIMATED CONSTRUCTION VALUATION $ REMARKS: WATER PIPING NOTE Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED SPARK ARRESTOR LAUNDRY TRAY AIR HANDLING UNIT CFM GAR FIREWALL 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 FINISH GRADING SQ. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SQ. Fr. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR @ V4c HOUSE SEWER 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 1 © UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �� �(/h ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK A.. ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF.1 2 td GAS (ROUGH) q & em w 6 METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu.Y d. $ plus x$ -$ LUMBER GR. FINAL INSP. �j 7 ?Q FRAMING 3//la FINAL INSP. 11 6 ROOFING • ,e00 9b e� 0� /�7 /�8 yJ�,y� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR FIREWALL HING Vm1go a MESH INSULATIONISOUND% 6A e6h FINISH GRADING FINAL INSPECTION411t719,kC CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL