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05489 (SFD)Building 48-139. Vista Cielo C&tyl 4 4 a" P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner I Abe 6 mel.= Grosman Mailing Address . 9010 Corbin Ave. S.3 City Zip Tel. Noe7thridge 91324 818%3495.894 Contractor Jwms C. Cashman Address 1 77--200 Himiesota City Zip Tela P Desert 92260 k9/34 -3430 State Lic. City & Classif. g 195333 Lic. # 260 Arch., Engr., Designer. Address Tel. City Zip State Lic. If j LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and, Professions Code, and my license is in full force and y effect..... t asx� r I -y- r'<ts•'» .�. a?//�'/� ! SIGNATURE DATE OWNEWBUILDER DECLARATION I hereby affirin that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5.Busihess and Professions Code: Any city or county which requires a permit to consbucl, after; krprove, demolish• or repair any structure, prior to its issuance also .r requires the appicard 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 B s cess 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 appkccamt to a civilpenally of not more than Ove 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 builds or improves tlrereon and who does such work himself or through his own employees, provided that such krprove ents are not intended or offered for sale. If, however, the building . Improvement provements said wdhn one year of completion, the owner -builder will have the burden of proving that he did not build or krprove for the purpose of sale.) ❑ R 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.) ❑ Ilam exempt under Sea B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION i I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company sfO Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need rpt be completed d the permit is for one hundred dollars ($100) valuation or less.) 11 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 M077CE TO APPLICANT: t, after making this Certificate of Exemption you should become ' subject to the Workers' Compensation provisions of the Labor. Code, you must forthwith cormPlY with such pmovsboli Or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY it 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.) . - Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 18D days. I car tity 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 :6. construction, and hereby authorize representatives of this city to enter the above-. - r mentioned property for inspection purposes. .j Signature of applicant Date hT Mailing Addrr s ' City; State, Zip 1 Y No. 05499 BUILDING: TYPE CONST. OCC: GRP.; A.P. Number 617-640-038 Legal Description tot 38 Project Description Plan 2 Sq. Ft. 1852 No. No. Dw. Size Stories, Units New'9 Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation�fl0��a8�fl0 PERMIT AMOUNT Plan Chk. Dep. Plan, Chk. Bal. 31�.05 Const. 3*0 Mech. 60.00 Electrical - ,. 110.83 Plumbing S.M.I. • Grading Driveway Enc. Infrastructure .tom t�,e••�tiee +` rrt TOTAL . �s �� k `✓ cr1. REMARKS 4fa'31 taz3Lt 45TIste4a-s#7—F?" . + cif 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 3/1'4/89 Issued by: Date Permit Validated by: Validation: CONSTRUCT13N ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES $ UNITS SLAB GRADE 1ST FL. SO. FT. ® BONDING HEATING (ROUGH) STORAGE TANK FORMS YARD SPKLR SYSTEM 2ND FL. SO. FT. DUCT WORK ROCK STORAGE FOUND. REINF. l MOBILEHOME SVC. BAR SINK POR SO FT ® OTHER APPJEOUIP. REINF. STEEL GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GROUT DRAINAGE PIPING CAR P. SO. FT. ® FINAL INSP. WALL SO. FT. WATER SYSTEM DRINKING FOUNTAIN. SOFT ® _$ URINAL ESTIMATED CONSTRUCTION VALUATION $ ROOFINGTr,f q VENTILATION FIRE ZONE ROOFING" FIREPLACE SPARK ARRESTOR GAR. FIREWAL LATHING MESH INSULATIONISOUND •�I ZO J�/. FINISH GRADING FINAL INSPECTION CERT. OCC. 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 LAUNDRYTRAY 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% c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE tL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING �aLECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING 17 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. l GAS (ROUGH)A04,-011- 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. FINAL INSP. FRAMING Wt'7 FINAL INSP. ROOFINGTr,f q VENTILATION FIRE ZONE ROOFING" FIREPLACE SPARK ARRESTOR GAR. FIREWAL LATHING MESH INSULATIONISOUND •�I ZO J�/. FINISH GRADING FINAL INSPECTION CERT. OCC. �, REMARKS. SIGNATURESIINITIALS GARDEN WALL FINAL