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06906 (SFD)4 4 a" 06. P.O. BOX 1504 N Q . 0.�,J Building 78-105 CALLE ESTADO Address 78-675 Via Sonata LA QUINTA, CALIFORNIA 92253 Owner EVELOPMENT Mailing RARCON 1) BUILDING: TYPE CONST. OCC: GRP.- Address 68-713 Perez Roads #i A.P. Number Tract #21555-4a Phase Iii City Cathedral Cite Zip 92234 Tel -773-9324 Legal Description INTA Contractor Project Description - Plan �e'�"la Plan 1740 (E), Lot #6 Address City Zip Tela State Lic. 337077 city 1219 1,740 & Classif. Lic. # Sq. Ft. No. No. Dw. Arch., Engr., - Size Stories. Units Designer New L Add E Alter ❑ Repair O -Demolition ❑ Address Tel. City Zip State Lic. # _,;�-`jLICENSEO CONTRACTOR'S DECLARATION her¢by afRrrnthat 1 am licensed under; rovisions of Chapter 9 (1commencing4ith Section 7000) ofbivision 3 of the Business ancrl?rofessions'Code, and my,'license is in full forcepand SIGNATURE ,/ - DATE OWNER -BUILDER DECLARATION Estimated Valuation hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business 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 PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) o1 Orfsbn 3 of the Business and Professions Code, or that.he is exempt therefrom, and the basis for Me alleged exemption. Any violation of Section 7031.5 by -any applicant for a permit Plan Chk. Dep. subjects Me int to a civil panalty 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. 590.00 bukb or improves thereon and who does such work himself or through his own employees, Mech. � provickd that such inprovements are not intended or offered for sale. If, however, the building �6.�TVry or irpnnernent is sold within one year o1 completion, Me owner -builder will have Me burden Electrical of proving Mat he did not build or improve for Me purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 120.50 Strutt 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. . . 6.23 such projects with a contractor(s) licensed pursuant to the Contractor's Ucense Law.) Grading ❑ I am exempt under Sec B. & P.C. for this reason Driveway Enc. Date owner Infrastructure 11992,92 WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 3,373.00,,/l CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE �` { p (This section need not be completed ff Me permit is for one hundred dollars ($100) valuation ;�: $ i i R 0 E 23AF t' "c' ;,c�+7 `4A 14 or Less-) h ri 1 ! • M ,1'' w+f .7 :'{ 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: 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 rpt,.msuch ProvisionsorthisPermitshallbedeemedrevoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec..3097, Civil Code.) Side Setback from Property Line Lenders Name Lenders Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 100 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 nddtess -Validation: City, State, Tip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE Q / 2 GL ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE FOUND. REINF. POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL Cly 0� GAS (FINAL) DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER DRINKING FOUNTAIN. WALL SQ. FT. FINAL INSP. BOND BEAM WATER SYSTEM URINAL SQ FT ® GRADING CU. yd. $ plus x$ =$ ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP.s C� (y1 WATER PIPING NOTE: Not to be used as property tax valuation ROOFINGCla ec, 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 LAUNDRYTRAY 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR @ VVac 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 SETBACKn GROUND PLUMBING LUNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE Q / 2 GL ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. . GAS (ROUGH)/ Q d `` l METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL Cly 0� GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ =$ LUMBER GR. FINAL INSP.s C� (y1 FRAMING 3/6/1,j 6 Yv Q KA FINAL INSP. ROOFINGCla ec, L REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND 3A, FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL