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003253 (SFD)Building Address 54-801 L Owner Mailing Address 75-005 0 City Zip -Palm Desert. Contractor p f4 P.O. BOX 1504 4 No. 003253 78-105 CALLE ESTADO ik3e� LA QUINTA, CALIFORNIA 92253 o.. BUILDING:_TYPE CONST. OCC: GRP. Miry Club .Drive A.P..Number ' Tel. .. 9226 569-2828_ Legal Description Project Description Phase 2 m, 1''1i3A 10M ITel. State Lic. & Classif. - 288130 City Lic. # 328 Sq. Ft.. &0G 2272. No. _ No. Dw. Size Ol ..-SA2 Stories. Units Arch:; Engr.; •-' -' ZONE: Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line City Zip State Date 7I 7 n i A 7 Permit Validated by: Lic. # Validation: LICENSED CONTRACTOR'S DECLARATION 1 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 reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a Si 646f� 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 - 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 alleged exemption., Any violation Section 7031.5 by 'any 'for Plan Chk. Dep. - .the of applicant a permit " subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ^' - I, the - -A . AA Plan Chk. Bal.. Q as owner of 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 Const. _Aftc; does not apply to an owner or property who builds or impioves thereon and who does such work himself or through his own employees, Mech. '- ft . provided that such improvements are not Intended or offered for sale. If, -however, the. building !f 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.) 17 ❑ 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) licensed pursuant to the Contractor's License Law:) - Grading '. O I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date owner Infrastructure 2- 11110. OA 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 .0 Copy is filed with the city. O 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 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 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 HARD COPY TOTAL REMARKS 44,` 4 W14:M AMWA?moi-'M_ A10.4 12 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 7I 7 n i A 7 Permit Validated by: Validation: NN C CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. "*PLUMBING FEES 1ST FL. SQ. FT. a $ UNITS SLAB GRADE 2ND FL. SQ. FT. a BONDING YARD SPKLR SYSTEM POR. SO. FT. a MOBILEHOME SVC. BAR SINK GAR. SO. FT. a POWER OUTLET ROOF DRAINS +$ CAR P.. SQ. FT. a GAS (ROUGH) DRAINAGE PIPING' WALL SQ. FT. a OTHER APPJEOUIP. DRINKING FOUNTAIN SO. FT. a TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING 'NOTE: Not to be used as property tax valuation I,- _ FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. a c BATH TUB SQ. FT. a c WATER HEATER MAX. HEATER OUTPUT, B.T:U. SO. FT. RESID a 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR a V4'c HOUSE SEWER LATHING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECWFEE 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 APPJEOUIP. 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 REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. _ FENCE FINAL I VK ZJ JIUMA I Unt*11MI I IAW, GARDEN WALL FINAL