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07952 (SFD)� ' r 44 � . 79-5470 P.O. BOX 1504 N o . Building-7&illeia Drive 78 105 CALLS Address _ LA QUINTA, CALIFOORNIARNIA 92253 Owner Lai QuiatA Vista Parters"I Mailing Address City�17jt$ IZip AJk53 • ITe1. 345-7i72 1 Tela State Lic.' City & Classif. 500316 LIC. # Arch., Engr., Designer Address T —Te 1. . CityZip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm -that -ham lic 11sed under provisions of Chapter 9 (commencing with Section 7000),of DiGisi n 3 of he B iness and Prof sie, and my license is i full force and effect. SIGN6Tt1RE - fi / DATE 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 consiF.6ot,,Aller; improve, demolish, or repair any structure, prior to its issuance also requires the -appdcanti,for:such permit to file a signed statement that he is, licensed pursuant to the provisjons,of: the .Coritractor's License Law, Chapter 9 (commencing, with Section 7000) of Division 3: dflhe Business and Professions Code, or that. he is exempt therefrom,, and the basis for the alleged e*empllob.!' Any violation of Section 7031.5 by.'any applicant for a permit subjects the applicant to a chril penalty of not more than five hundred dollars ($500). p 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. 1044, Buisness and Professions Code: The Contractor's License Law does not apply to an. owrier.'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.) ❑ 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.) O 1 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 Cbmpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. .Company O,Cbpy is filed with the city. ' ❑ 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 ($100) valuation or less.) I certify that in the performance of the work for which this permj,tAs issued, I shall not employ any'person in any manner so as to become�55sdbject to thj!:l. [,ce s' Compensation Laws of Callf�r-L " Date J Owner NOTICE9.!0 APPLICANT: 1I, alter ing fh s 'Certilicete of Exemption you should become subject to the Workers' Co—mpensation provisions of the ' L`abor 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 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 BUILDING: TYPE CONST. OCC: GRP. €7952. A.P. Number Legal Description La Quinta .Vistas Tract M69 Project Description Lot 206 Alan 1 3 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 DATEINSPECTOtR Issued by: Date rJ2g f 3Permit Validated by: Validation: r Sq. Ft.Q% Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $123,3W PERMIT AMOUNT Plan Chk. Dep Plan Chk. Bal. Const. .60 723.50 Mech. s Electrical Plumbing .� S.M.I. Grading Driveway Enc. Infrastructure TOTAL 14.430.36 1-11 .1 REMARKS Ef NT' ' f _ _1 _ , fA .@ �"-�441t�' 36 L 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 DATEINSPECTOtR Issued by: Date rJ2g f 3Permit Validated by: Validation: r CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET S YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation ROUGH PLUMB. �. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) A164 L I LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/a c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP. ROOFING N4jLI z Qd Gh l GAS PIPING PERMIT FEE _7[_MICRO PERMIT FEE PERMIT FEE DBL TOTAL FEES 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 fp S ��I ROUGH PLUMB. �. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TAN l ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. 6(� GAS (ROUGH) A164 L I METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING -cu. d y . $ plus -x$_=$ LUMBER GR. FINAL INSP.// Jj) Cy FRAMING (�(j '1 (n FINAL INSP. ROOFING N4jLI z Qd Gh l ���/gyp �J /Q� 4b `f (G v REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING MESH INSULATION/SOUND 1 q� l� FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL j .j .... ...... Aw Oi. j 'I'U t*t b, i t fl, i !�i t 10 11 I Al IL 1'r This Certificati, issued "Oursuant to the requirerrients of Se0ion 306 of the Uniform Building!, Code certifying thdfat the time -of issuance .this structure was in c4mpliance,with the various ordinances -of the tity regulating: building construction, or use. *"Fbr",_-'th6*;f6IIoWing: - BUILDING'j'ADDRESS 78-590 Villeta,Dr'ive fi A SFD 67952 Use, Classification ,_ Bldg. Perinit No. SR Group 3 Typevi, Construction Fre Zone Use Zone Owner,of 86ildih4 T.Abii nia- Vi s tA P r f- n r �j � Address R_ 0- ignx'227 City LaQuinta,- CA -92253 ' By, Rebecca McAhren �T7 7 � "•11 % 1 4/90 Building Official 4 -_ 7 - POST IN A CONSPICUOUS PLACE .... ......