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003137 (OFC)P.O. BOX 1504 N o . 0031-37' 78-105 CALLE ESTADO Address 48 -231 -Vista Del llap4l LA QUINTA, CALIFORNIA 92253 Owner.....,.... ........... - ., .. _ _ .. .. .. Laguaa De La Pazz Ltd. Mailing - BUILDING: TYPE CONST. OCC. GRP. Address 74-343 El Paseo. Suits 3 A.P. Number 617-590-002- City 17-530 -002-City Zip Tel. �a3t DI�xrt' �s�'3 .. 5ts«57 Legal Description Contractor ... .. .. .. . , Project Description p1k-yrdt: .tZ r-ta't71x1.e"C--it Sa7:T~?q • 1!r 4n t^ern3r t !`rxm!+Tean Jr ..(J�ftp 4° 4' Address.. - .. . 73-•632 Highway 11:1 #7 .. _ ._... . City' .. .. Zip _ .. Tel: 1 State Lic. City & Classif. 316634 LC. # Sq. Ft. No. No. Dw. 03 -Arch.; Engr:; , _. - Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair El Demolition ❑ - Address Tel. City Zip State Lic. # .. 1. LICENSED CONTRACTOR'S DECLARATION ~ I hereby affirm that I am licensed undef'p'rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of1tfd Business and,Professions Code, and my license'is in full force and SIGNATURE - "` - DATE - -- .... •. _. , . OWNER -BUILDER DECLARATION " Estimated I hereby affirm that I am exempt from the Contractor's 'License Law for the following Esed Valuation:...I 9rt �I�a��l�sS reason: (Sec. 7031.5,Buslness and Professions Code: Any city or county- which. requires --a perrrift 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 - PERMIT -AMOUNT ' theprovisions tof the Contractor's License Law, Chapter 9. (commencing with Section 7000) of - ,~ M ' Division' 3of the'Business and Professions"Code,' or .thathe' is exempt therefrom, and the basis for, the alleged exemption. Any violation of Section 7031.5 by 'any applicant.. for permit PIan Chk- Dep. 'subjects the applicant to a civil penalty of not more than five hundred dollars.($500). - - ^ • ' ' ""' ❑ I, as owner of the property, or my employees with wages as their 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 jimprovement 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.) - , ❑II, 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,j: - ' •-such projects with a contractor(s) licensed pursuant to the -Contractor's-License Law.)- ❑Ilam exempt under Sec.. B. & P.C..for this reason - Grading i Driveway Enc. t - Date owner Infrastructure Sijep-ial anafkeetia 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 Y ©rCopy is filed with the city. O Certified copy is hereby furnished. _ TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE. " Nfnt rt s h r (This section need not be completed if the permit is for one hundred -dollars ($100) valuation k�l ""f:� or less.) - # I certify that in the performance of the 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. Dale .. Ownbr. 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.Setbackfrom Center Line Rear Setback from Rear Prop..,Line CONSTRUCTION LENDING AGENCY . Side Street Setback from, Center Line 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 Lenders Address FINAL DATE INSPECTOR j This is a' building permit when properly filled out, signed and'4afidated, and is subject. to' expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. Issued by. Date A /G'•/ -Q7 Permit . 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. Validated by: ... 'I .. .. . . .. Signature of applicant Date Mailing Address Validation: City, State, Zip } HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ 2ND FL. SO. FT. @ POR. SO. FT. @ GAR. SO. FT. @ CARP. SO. FT. @ WALL SO. FT. @ SO. 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 SLAB GRADE FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROUGH WIRING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ROCK STORAGE 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 @ 11/4 c SEWAGE DISPOSAL WATER SYSTEM SO.FT.GAR @ ?/ac HOUSE SEWER $ GRADING cu. yd. plus x$ 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.IEOUIP. 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. FRAMINGR✓f FINAL INSP. ROOFING `� DEC 9^^ ' . REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND —711--, FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL ' INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL