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10736 (PAT)Q 1 P.O. BOX 1504 No. 10736 Building 78_575 illeta Drive 78-105CALLEESTADO i. Address LA QUINTA, CALIFORNIA 92253 Owner ..� Curtis McCallum Mailing Address sante City LaQuinta zip9?253 Tel. 345-3963 (h) Contractor Cii*Ii3er / Ba7.i ldutr Address 'City Izip I Tel.: State Lic. I City & Classif. Lic. # Arch., Engr., Designer LDING: TYPE CONST. OCC: GRP. P. Number Legal Description_ Project Description— Patio escription_ Pat o Cover Sq. Ft. No. No. Dw. Size 160 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address 'Tel. City Zip State Lic. # • LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I 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 effect. SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following 2,358.00 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 pemnit 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) of 'Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation o1 Section 7031.5 by 'any applicant for a perms. Plan Chk. Dep. ' s jects the applicant toa civil penally of not more Man five hundred dol/ars.(5500). I Plan Chk. Bal. 54.00 as owner of the property, or my employees with wages as their sole compensation, will o the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Const.35.10 g q 3 5 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. .10 provided that'such improvements. are'. not intended or offered for sale. 1/, however,, the building . or improvement Is sold within one year of completion, the owner -builder will have the burden Electrical of proving that he did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing , 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 - S.M.I. such projects with a contractor(s) Ecensed pursuant to the Contractor's License Law.), Grading ❑ 1 am exempt under Sec. +^ B. & P.C. for this reason Driveway Enc. Date owne `--*« > �=r+f Infrastructure 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby fumished. TOTAL 89.73 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE d his section need not be completed if the y (T P Pemtit is for one hundred. IS 100), valuation � 10 A' ? t�d. t �av �•�:r'��c-��s�e P4� i.r•?ii �rfJi'_�YR %')� v�. tits or less.) . . . .�. ; /-z . I certify that in the performance of thg work for which this permit•is issued; I shall not employ any person in any manner sa'as to become subject -.to t.Workers',Compen tiori Laws of California. t� #" y:rAj` p 'Date Owner NOTICE TO AlPLICANT: I alter- mAkin -this Certificate of Exemption you, should become subject to the Workers' m'pensatfon 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 building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 100 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 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. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR SO FT ® MOBILEHOME SVC. BAR SINK GAR. SQ, FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. FOUND. REINF. DRAINAGE PIPING WALL SQ. FT. DRINKING FOUNTAIN. SO FT ® REINF. STEEL URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation GROUT 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 LUMBER GR. LAUNDRY TRAY AIR HANDLING UNIT CFM FRAMING 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 FIRE ZONE ROOFING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® IVi c SEWAGE DISPOSAL SPARK ARRESTOR SQ.FT.GAR ® 3/ic 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 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 APPJEQUIP. 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 FINAL INSP. ROOFING /j+r�//"," • '` � I� — n Q IVI✓A''KI // 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