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003760 (RPL)•44 (4V'- P.O. '-P.O. BOX 1504 No. 00-3760 Building54-809 inve�C'�' e6s LA QUINTA, CALIFORNIA92253 Address - Owner _ Mr. Craig Vollhaber ; BUILDING:. TYPE CONST. OCC: GRP Mailing: Address s@ L City Zip .. tom'• oninta -92253 . Contractor Address 73-547 Hwy 111 City .. Zip Palm Desert 9225€7 A.P. Number Tel. . Legal Description Project Description Pawl a Spa Tela u State Lia & Classif.���� City Lic. # Sq. Ft. Size • No. No. Dw. Stories Units Arch., Engr., ... ... .. .. Designer New ❑ Add ❑ " Alter ❑ Repair ❑ Demolition 0 - Address Tel ' CONSTRUCTION LENDING AGENCY - City JZip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that.l 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. y.. . '� .,:..moi..:..•,- l,c;,....;., ^:,;.,? ) 1 ,J ; •}..' » .- - _. ,. " - ,• . SIGNATURE , a X DATE �` OWN ER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031:,Business and Professions .Code: Any city or county which requires a 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 the'provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of 'Division'30f the Business and Professions Code, or. that, he is'exempt.therefrom, and'the basis for 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 five hundred dollars ($500).' - ❑ 1; 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 .122..50 Professions . Code: The Contractor's License Law does not apply to an owner'of property wno.. • .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 " • ofproving 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'sLicense Law.) O I am exempt under Sec. B. & P.C: for.this reason- - Estimated Valuation S161,000 PERMIT - -- AMOUNT' " 'Plan Chk. Dep. -- - - _Plan Chk. Bal.. 79.62 d•' V Const; - r• ' Mech. - - � ,R-• dQ•0 Electrical y .. . 16 • 00 1— Plumbing . 14.00 � S.M.I. . '^ ' - 1 • 16 , Grading Driveway Enc. MailingAddress Date owner Infrastructure City, State, Zip " 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 O Copy is filed with the city. O Certified copy is hereby furnished. TOTAL '} •~ -, ) ��^' CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is tot 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 REMARKS. -2380r' -0 ( 3 NOTICE TO APPLICANT: It, after making this Certificate of Exemption you should become "subject 'lo ZONE: -BY: the 'Workers" Compensation provisions of the -Labor Code, you must forthwith. comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: - Front Setback, from 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 FINAL DATE INSPECTOR 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. ? / n 3 3/30188 I certify that I have -read this application and state that the above information is'correct. Issued by: Date i 6 Permit 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. Validated by: Signature of applicant -Date- ateMailing MailingAddress Validation: City, State, Zip " HARD CONSTRUCTION ESTIMATE NO. r. ELECTRICAL FEES NO. PLUMBING FEES 05T FL. SQ. FT. ® $ :2ND FL. SQ. FT. POR. SQ. FT. ® GAR. Sa FT. p CAR P. SQ. FT. WALL SQ. 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.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL ` SQ.FT:GAR ® 3/ac HOUSE SEWER ' REMARKS: 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 i 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 ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL - GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. LUMBER GR. r 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 - INSPECTOR'S SIGNATURESIINITIALS. . GARDEN WALL FINAL b �'F6e,±. ,. ,.r4.r __...-. �,-.-... , atl`t 'r.'-_> ..,. ?..r „'fl.._:. ... •r s.. � �'-.. _ r f :A't. �..;��... .r ... .. ___ ..