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05952 (SFD)TAW Building Address 75--745 Via Sonata Owner P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 11=011 Dev. Mailing Address 68-713 Pere& did. ft City Zip Tel. Cat city 92234. 773-9024-- Contractor 73-9024„_Contractor Sam Address City lZip I Tel.: State Lic. City & Classif. 337077 Lic. # 1219 .. , 'Arch., Engr., Designer AddressTel. City Zip State Lic. # LICENSED COKTMCTOWS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Business ns Code, and my license is inLful) force and effect. 1 . �-�«1�- 4 essw X'11 _SIGNATURE 1 '- , DA TE OWNER -BUILDER DECLARATION I hereby affirm tical 1 am exempt from the Contractor's License Law for the following, reason: (Sec. 7031.5.8usiress and Professions Code: Any city a cormty which requires a permit to construct. after. irprove, demofsh, ar repair any stnrctme, prior to its issuance also requires the applicant for such permit to fie a signed smternent that he is licensed pursuant to the provisions of the Contractor's License lar, 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 penally 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, Bufsness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds orsnproves thereon and who does such work himself or through his -own employees, provided that such, inprovgnads aro not rdend.M or offered for safe. ff. however, the building. orimprovement is sod within one year of corniietim. the owner -budder Will have the burden of proving that he did riot buil or inpove for the purpose of safe.) ❑ 1, as owner of the property, am exdusivey contracting with licensed contractors to con- struct the project (Sec_ 7044, Business and Professions Code: The Contractors License Law - does not apply to an owner of property who acids or kproves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors License Law.) 01 am exempt under Sec a & P.C. for this reason Date Owner WORKERS COMPENSATION DECLARATION I hereby affirm that I have a ceitifig9e 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 secbDn'need not be eonpleted if the pearl is for one hundred dollars (5100) valuation or less.) I certify that in the performance of tttp wok for which this permit is issued, I shall not =any ppeerson in any manner so as to become subject to the Workers' Compensation Laws of Calrfomia Date Owner NOTICE TO APPLICANT: O, alter mating Ors certificate of Exemption• you- should become subject to the Workers' Compensation provmoris of the Labor Code, you must forthwith comply with such provisions or this permit Shat be downed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirtn'that there is a construction lending agency for the performance'of the work for which this permit is issued. (Sec. 3097, Civil 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. 1 certify that 1 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. 05952 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal. Description Phase III Lot 20 Project Description Plan 2222 Parc La Quinta Sq. Ft. 2222 No._ _ r No. Dw. Size Stories Units Ne Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 1.12, i6I. JO' ' PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS J. W_ 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 PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS I ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SO. FT. ® FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK FOR. SO. FT. ® GAS (ROUGH) © METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SO. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SO. FT. LUMBER GR. AL INSP - , FRAMING �/� URINAL SO. FT. D ' / �lil �/�jC ESTIMATED CONSTRUCTION VALUATION $ REMARKS: WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FIRE ZONE ROOFING: 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, TEMIPERM 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 ® 1 Vi c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac 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 4ga HEATING 8 AIR COND. SOLAR i SET AC GROUND PLUMBING a UNDERGROUND A.C. UNIT COLL. AREA GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. Q '/(G GAS (ROUGH) © 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. $ —plus—x$_=$ LUMBER GR. AL INSP - , FRAMING �/� FINAL INSP. ROOFING VENTILATION D ' / �lil �/�jC REMARKS: FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GG/AR. FIREWALL / (� 4—THING ^� ` , d f MESH SULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESJINITIALS ' GARDEN WALL FINAL I