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08614 (SFD)P.O. BOX 1504. No. 08614. Building78-105 CALLE ESTADO Z Address 44-26O. Villeta Drive LA QUINTA, CALIFORNIA 92253. {� Owner 9 I&luta Vista part=ship BUILDING: TYPE CONST. OCC: GRP. Mailing Address P.O. Box 227 A.P. Number City Zip Tel. Lsoldnta 92251 Legal Description T.x+Wmey4atiros T= --t 232610 Contractor Project DescriptionAfk 2 lilweaw�r Address City Zip Tela State Lic. City & Classif. Lic. # Sq. Ft. No. No. Dw. Arch., Engr., Size $&" Stories Units Designer New ❑ Add.❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm at I am licensed under provisions of Chapter 9 commencing with Section 7000) of Divisi 3 Of the us_' ess and Professions Code, and �p(Iice 6 is in full force and effect. .: �!,!_: OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business, and Professions Code: Any city or county which requires a permit to 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 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 civil penalty of not more than five hundred dollars (8500). D 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 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 or Improvement is sold within one year of completion, the owner -builder will have the burden 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- 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.) D I am exempt under Sec. B. & P.C. for this reason Date owner WORKERS', COMPENSATION DECLARATION I hereby affirm that I 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 D Copy is filed with the city. D Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (8100) 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: If, 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, Civil Code.) Lender's Name Lender's Address This is a buildingpermit when properly 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 imated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING 2ND FL. SQ. FT. r, YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT, ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. REINF. STEEL DRAINAGE PIPING WALL SQ. FT. DRINKING FOUNTAIN SQ FT ® 7 FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation LUMBER GR. FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER VENTILATION 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, TEM/PERM 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+/a c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING 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 (b Q� UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS R16wER OR SOG –1 ( ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE 7 FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. (V—FRAMING .. FINAL INSP. ROOFING �� /�p " C L� / (9 to REMARKS: VENTILATION FIRE ZONE ROOFING' FIREPLACE SPARK ARRESTOR GAR. FIREWALL `LATHING ` (- MESH MESH MSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL , CITY OF LA-OWINTA 010 DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION „ 564-2246 24-HOUR NOTICE FOR INSPECTIONS Owr* La uinta Vistas `a j Contractor Owner _ Pernik Numbor 08614. POST ON JOB IN CONSPICUOUS PLACE. INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS .44=260` Villeta Drive t a �• TYPE OF INSPECTION DATE IN FOUNDATION 8 SETBACK FOOTING STEEL . MAIN'GROUND SYSTEM GROUND .PLUMBING PRE-GUNITE DO NOT'POUR `CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ; CONCRETE SLAB . JOISTS & GIRDERS .ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC . ROUGH PLUMBING ROUGH GAS 8 GAS TEST HEATING & VENT -.A/C FIREPLACE ROOFA CJ .. .BOND BEAM O.K..TO WRAP GROUT Of • 0 8' tINSULATION MING _ PRE -ROOF' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR r, - EXTERIOR LATH POOL PRE PLASTER pppL FENCE & GATE SEWER SEPTIC TANK FINALS ELECTRICAL PLUMBING FINAL GAS TEST HEATING - AIC t HOUSE NUMBERS ' JOB COMPLETED TEMP. POWER � , ABOVE APPROVALS DO NOT INCLUDE RIGHT TO • TURN ON.UTILITIES OR OCCUPY BUILDING n .•I � o °� ♦ FMOF TF�p�S I i I II ' .�. � of �a(Qutffita� I' Ili luttbtn .anb � Safjot 33 t)at/!5t]a n kl' -This Zertificate• issued pursuant to the requirements of Section 306-of the Uniform Building': • ' ' Code certifying thatatthe time of issuance-this structure was incompliance with the various -. ordinances of the•City regulating building construction •or use. For-1he' following: +Villeta [ BUILDING ADDRESS 44=260 Drive Ili 1 I L... j • SFD Use Classification Bldg., Permit No. 0 8614 M ; II III'�Illi � �i1 `� ,• Group R3 Type Construction VN Fire Zone• Use Zone R1 ILi'I !I OLa. Quinta Vista Prtnrshp P. O. Box 227 wner of Building Address I III I a Quin CA 92253 a, Ci Richard Kirkland Dote: 9/27/91• Building Official POST IN A OONSPICUOU! PLACE --