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05962 (SFD)T4hf 4 4 a" Building Address 78-705 Via S*Mt.rA Owner Address 63-713 Perez tom• # I City Zip cat. City I 92234 Contractor same Zip Tela P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 . No. 05962 BUILDING: TYPE CONST. OCC'. -GRP. A.P. Number .9024 Legal Description FhIll i*t 24 Project Description Plan 1740 Parc La Ouluta State Lic. 33%07 City & Classif. Lic. # 1215 Sq. Ft. 1740 No. No. Dw. Arch.,,Engr., Size - Stories Units Designer New1M Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Tel. City(Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION 'I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section effect. 70pp) of Divisiog,3of thkBusiness and Profe Bions Code, and my license is in full-force'and �GNATURE a �• DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Busoness 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 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 civr7 penally of not more than rive hundred dollars ($500). ❑ 1, 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, Suisness and Professions Code: The CoMractoes License Law does not apply to an owner or property who builds or Inproves 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 orimprovement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or inprove 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 contractors) 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 1 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 ff 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 of the Labor Code, you must forthwith comply with such provisions or this 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, CIO Code.) - Lender's Name Lender's Address This is a building permit when property 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 ZONE: BY: Minimum Setback Distances: . Front Setback.from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Estimated Valuation . $8,574.00 PERMIT AMOUNT Plan Chk. Dep. Issued by: Plan Chk. Bal. ` 4 • Const. a •00 Mech. UVA• W Electrical 102.6q Plumbing t2o.5' S.M.I. t • 23 Grading Driveway Enc. Infrastructure 924• TOTAL REMARKS r. x:,. r. El jest ' 4�!4YiTfr f.r.Tbvi4wfF.ry thw ,_rr1 ✓atrt w v 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 6-16-89 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES r NO. PLUMBING FEES 1ST FL SQ. FT. ® $ UNITS /+ q SLAB GRADE q r! �/O ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SD. FT. ® FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® LMETER LOOP HEATING (FINAL) OTHER APPJEQUIP. POWER OUTLET DRAINS GAR. SO. FT. ® IROOF GROUT WATER HEATER DRAINAGE PIPING CAR P. SQ. FT. ® BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SQ. FT. LUMBER GR. �.INAL INSP.3—'? /1' FRAMING �� l� FINAL INSP. URINAL SD. FT. r2- r7 G ESTIMATED CONSTRUCTION VALUATION $ 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 LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEWPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID a 1% c SEWAGE DISPOSAL CERT. OCC. SQ.FT.GAR ® V4c HOUSE SEWER FENCE FINAL 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 6 AIR COND. SOLAR SETBACK GROUND PLUMBIN 9j UNDERGROUND 4 4T A.C. UNIT COLL AREA /+ q SLAB GRADE q r! �/O ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. Gi GAS (ROUGH) LMETER 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. �.INAL INSP.3—'? /1' FRAMING �� l� FINAL INSP. ROOFING VENTILATION r2- r7 G REMARKS: FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL altATHING MESH INSULATION/SOUND�� 41 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESJINITIALS ' GARDEN WALL FINAL I