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003138 (OFC)P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 48^"242 Vista Del Wayal LA QUINTA, CALIFORNIA 92253 Owner3 Lapuna Della Paz Ltd Mailing Address i ,, fx^+ > 9: Ramo_ Rts t43 3 City Zip Tel. b As1m Desert :. 92260 . . 564-2257,. Contractor BUILDING: TYPECONST. OCG GRP. A. P. Number Legal, Description Project Description ft:m-ft to i Io' nvlCCt ales Off ice .-back -to. residence.:.. ' +• 711-612 HiQhVRV 111 #7 City... .. .. Zip Pals De=rt 92260 Tel.. 346-4865. State Lic. City . & Classif. Lic. # Sq:Ft. 'Size - No. No. Dw. Stories - Units ' Arch.; Engr:; .. ..: DesignerNew ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Address Tel. City Zip State Lic. # - 1:! 'LICENSED CONTRACTOR'S DECLARATION II 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. ". , f. • .i / . ` , .. F _SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 'I"am exempt from the Contractor's License Law for the following. reason: (Sea. 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 lis. issuance also requires the applicant for such permit to file a signed statement .that he is, licensed pursuant to the previsions 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 ex'erimpt-therefrom;. and the basis' loi 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 rive hundred 65llars.($500). 011, 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 .. Estimated Valuation - a 16- ono . PERMIT - - AMOUNT'- - -- Plan.Chk. Dep. - - ' - Plan Chk. Bal.., Const. McCh. , ' - 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. orlimprovement 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.)- Electrical ...Plumbing - - - • 0 I, as owner of the property, am exclusively contracting with licensed contractors to con- ' strucl the project. (Sec. 7044, Business and Professions Code: The Contractors 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�I am exempt under Sec. B. 8 P.C. for• this reason - ' S.M.I. _. Grading Driveway Enc. t Data Owner Infrastructure S 100 00 WORKERS' COMPENSATION DECLARATION Thereby 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 a,Copy is filed with,the city. . ❑ Certified copy is hereby furnished.. . . TOTAL s w©w CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for -one hundred dollars ($100) vatuation .. • or less.) . .. .. ... I I certify that in the performance of th0 work for which this permit is issued, I shall not employ any person in -any manner -so as to become supject to the Workers' Compensation Laws of California. REMARKS - - -- lw:. ,lehi-lIft; 0141ft�t Two. 1 . Cate 'Owner ' NOTICE JO APPLICANT: If, after making • this Certificate of Exemption -you should become subject' to the Workers' 'Compensation prrovisions of the Labor Code, you must forthwith - c comply with such provisions or this permit shall be deemed revoked. _ ZONE: Minimum Setback Distances: ne BY: - Front. Setback from Center Line Rear Setback from,Rear Prop. Line 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.) -Side Street Setback.ffom Centef Line " Side Setback from Property Line Lender's Name FINAL DATE Issued by:. - Validated by: INSPECTOR' - Date Permit Lender's Address I This is a building permit when'properly filled out, signed and validated, and is-subjectto expiration if work thereunder. is suspended for 180 days.I/� 1 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. S gnature 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. SQ. FT. ® POR. SQ. FT. ® GAR. SQ. FT. ® CARP. SQ. FT. (rr1 WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOB ILEHOME 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 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) LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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. SQ. FT. ® c BATH TUB BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3/ac HOUSE SEWER FRAMING �J� FINAL INSP. 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.IEQUIP. 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 �J� FINAL INSP. ROOFING C PEC q REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL