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003223 (SFD)Building Address Owner Mailing Address City 75-005 CE Zip ..Address _. City _, . ZiI State Lic. & Classif. - 288130 Arch., Engr.; Designer P.O. BOX 1504 No, €03223 78-105 CALLE ESTADO (� LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC. GRP. C11b Dxivw . A.P.,Number WZA VIP, 14t. Tel. _ ,60 56-A- 228 Legal Description Project Description Phot^ 24;A _ V1 An i*m 'r�rmtR'J-T''R City Lic. # 328 _Sq. Ft. i� G 1627 No. No. Dw. Size r± "o Stories' Units New ❑ _ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line City Zip State Side Setback from Property Line Lic. # INSPECTOR Issued by: LICENSED CONTRACTOR'S DECLARATION �I Validated by: hereby affirm that I am licensed under provisions of Chapter 9,(commencing with Section 7000) of Division 3 offathe .Business Professions Code, and'my, license isiin full force and Validation: -> �and effect. �+'yt✓� �:+:.�.��r�.; %r!1: i,Gs'% SIGNATURE - - DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following $113,727.00 reason: (Sec. _7031.5,Business and Professions Code: Any city or county which requires a 'after;,improve, - permit to construct, 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 o/ the Business and Professions Code, or "that. he is"'exempt therefrom, and the basis t/or the alleged exemption. Any violation Section 7031.5 by 'any fora _ Plan Chk. Dep. - o/ .applicant permit subjects the applicant to a civilpenafty of not more than five hundred dollars ($500). I, as the .. — 320. 44 Plan Chk. Bal. . Q. owner of property, or my employees, with wages as ,their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044,•Buisness and Const. Professions Code: The Contractor's License Law does notapply to. an owner of property who - 00 � builds or improves thereon and who does such work himself or through his own employees, Mech. provided that' such improvements are not intended or offered for sale. I/,. however, the building 14. 00 _ or improvement is sold within one year o/ completion, the owner -builder will have the burden Electrical o/ proving that he did not build or improve for the purpose of sale.) �i . . • ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing '87 • struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law ..- does not apply to an owner o/ property who builds or improves thereon, and who contracts for S.M.I. such projects with a contractors) licensed pursuant to the Contractor's. License Law.) - Grading ❑ I am exempt under Sec. B. 8 P.C. for this reason. Driveway Enc. Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm that' I have a certificate of consent .to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. - CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE .. (This section need not be completed if the permit is - for one hundred dollars I$ 100). valuation 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. Date Owner ' NOTICE TO APPLICANT: It, after making this Certificate or 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 it 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 Infrastructure 1.70-5.91 TOTAL S2,751.21 'REMARKS 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 7115,�l8 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST.FL. SO. FT. ® $ 2ND FL. SO. FT. ® POR. SO. FT. ® GAR. SO. FT. ® CAR P. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER AS (ROUGH) !' ,/)00 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM �T POLE 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 FRAMING �a L /�' �l SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL VENTILATION SO.FT.GAR ® 3/ac 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 PLUMB NGlif UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 1a UGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC AN UGH WIRING DUCTWORK ROCK STORAGE FOUND. REINF. 7 Z/2�rD Y AS (ROUGH) !' ,/)00 METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) /z77/ �T POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM I AL INSP. FINAL INSP. � GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING �a L /�' �l ROOFING �V �e)/2 1� V/7 Q / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 0/ v& Q MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIAL$ GARDEN WALL FINAL