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002834 (ELEC)P.O. BOX 1504 No. 002834 r Building t, 78-105 CALLE ESTADO Address ��3� LA QUINTA; CALIFORNIA 92253 Owner - .... ... ... - ... ... , _ .. _. BUILDING: TYPE CONST. OCC: GRP. Mailing . AddressSam A.P. Number City Zip Tel. Ata1AQUL_ '2 a3 347@44.39 Legal Description . Contractor • ,, .. Project Description .. Address ... ... .-. S'3-231 F&V 111 City Zip .. Tel.: � 9 02201 3478M8 State Lic. City & Classif: 286936 Lic. # 32 Sq. Ft. No. No. Dw. Arch., Engr.;... _ .... Size - Stories Units. Designer a_. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition O Address Tel. sexygm =a&-tW 200 mp. .City Zip State Lic..# . y. LICENSED CONTRACTOR'S _DECLARATION I hereby affirm ithat I am licensed under provisions of Chapter 9 (commencing with Section 71XXI) of Division 3 of the Business and Professions Code; and'my license is in full force and " effect,.`�,.,a_ia.�s1 11.3 SIGNATURE E• -•f°' DATE- fOWNEWBUILDER DECLARATION a Estirilated Valuation - I hereby affirm that l 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 iAli► ... permit io construct alter, 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.aicensed pursuant to • . r PERMIT - • 'AMOUNT •• the provisions of the Contractor's License Law, Chapter 9 (commencing avith Section 7000) of. - Division 3 -of the Business and Professions Code, or thaChe..is exempt therefrom, abd 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 ($500). - : - ''' ., ❑ 1, as owner of -the property, or my employees. with wages.as their sole compensation, will Plan Chk. Bal.. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and. ConSt.: ' Professions Code: The Contractor's License Law does not apply to an owner of property who builds. or improves thereon and. who does such work himself or through' his own employees, Mech: provided that, such improvements are not intended or offered for sale. If,. however,. the building.. ..-or improvement is sold within one year of completion, -the owner-builderwill have the burden, EIQCtfICal '"35 .00 of proving that he did not build or improve for the.purpose.of sale.) " _ :. O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing - struet the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does.not apply to an owner of property who builds or improves thereon, and who contracts for. S.M.L. such projects with a contractor(s) licensed pursuant do the Contractor's License Law.) . ❑ Lam exempt under Sec. B. 8 P.C. for this reason • -- Grading Driveway Enc. t' Date owner Infrastructure WORKERS' COMPENSATION DECLARATION Ihereby affirm that 1 have a'certificate of consent to self-insure;'or a certificate of ' Worker's Compensation Insurance, or a certified copy thereof: (Sec. 3800: Labor.Code.) Policy No. .. . . Company .. ❑ Copy is filed with the city. ❑ Certified copy.is hereby furnished. TOTAL 35000 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'.COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred'dollars ($R)0) valuation' - or less.) .. .. - I certify that in the performance of lha work for which this permit is issued,'I'shall not ' - • employ any person in any manner so as to become subjecfto the Workers', Compensation Laws of California. Date Owner ' NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become ZONE: BY: subject to the' Workers' Compensation provisions of.' the Labor Code, -you :must forthwith Minimum Setback Distances: ' comply with such provisions or this permit shall be deemed revoked. - - Front Setback from Center..Line Rear Setback from Rear Prop, Line CONSTRUCTION LENDING AGENCY.. -Side Street Setback from -tenter 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 " Lender's Name Lender's ,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 180 days.$ f permit . I.ce0ify that I haveAread this application and state that the above information is correct: ISSUed by: Date -'1' agree to comply'wilh,all city and county ordinances and slate laws 'relating to building . " construction, and hereby1authorize `representatives -of this city . to • enter the above-: mentioned property fotiinspection purposes. Validated by: ✓' !'t� pp - . . Signature of applicant kr�fJt� \` 1 i Date Mailing Address f �'f Validation: City, State, Zip it t A 7 1 0 1 1 -12 3500 U HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® POR. SQ. FT. p GAR. SQ, FT. ® CARP. SQ. FT. WALL SQ. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 Sp. / ./ �7 7 SQ. FT.® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER VENTILATION 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 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. Sp. / ./ �7 7 FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL