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003231 (SFD)44 P.O. BOX 1504 No. 003231 Building 78-105 CALLE ESTADO Address 54-848 Inv£'rness ' : LA QUINTA, CALIFORNIA 92253 Owner a _ BUILDING:_TYPE CONST. OCC. -GRP. Mailing Address _.t�_ A.P. Number ¢.�... ., . • City Zip Tel" ""' _ _ �� y..�... , palm Desert. . , 92260 - - >~s$-2 2 Legal Description Contractor Project. Descri pt ion Phase 26A. Pian 1M Na tiohil Mortarage Land .Address City Zip Tel. State Lic. City & Classif. 268130 Lic. # 3.28. , , • Sq..Ft._ DW( 3330 No. No. Dw. ..Arch:, Engr.', Size - --- ki Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑• Demolition - Address • Tel. City lZip State Lic. # 4;"LICENSEDCONTRACTOR'S DECLARATION - I hereby affirm that I am licensed under provisions of Chapter9 (commencing with Section 70 OO) of Division 3 of the Business and Professions Code, and my license. is in full' force and effect.. _SIGNATURE ' - .. w - r r�+: DATE .. - .. .. OWNER•BUILDERDECLARATION 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 '� � A' • `J - •` permit to construct, alter, improve, demolish, or repair. any structure,',prior to its issuance also • - " F� - 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 the alleged exemption. Any violation of Section 7031.5 by 'any 'applicant for a permit. Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal.342.49 ❑ I,.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 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 . 00 or improvement is sold within one year of completion, the owner -builder wilf have the burden Electrical C�qw of proving 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- Plumbing $"j w struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law 50 does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.L' 6.62 such projects with a contractors) licensed pursuant to the Contractor's License Law.) Grading .. ❑ I am exempt under Seca B. t;. P.C. for this reason . Driveway Enc. _ Date owner Infrastructure1.413.66 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. t`• . TOTALti# CERTIFICATE OF EXEMPTION FROMREMARKS x .t ti t H` 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 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: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 .MinimumSetback Distances: comply with such provisions or this permit shall be deemed revoked. - —Front Setback from Center.Line Rear Setback from,Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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 Setback from Property Line ' Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to FINAL -DATE INSPECTOR expiration if work thereunder is suspended for 180 days. Icertify that I have read this application and state that the above information is correct.. Issued by: Date /?t f� 31.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 Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ..FT. POR. SQ. FT. ® GAR. SO, FT. ® CAR P. SQ. FT. WALL SO. FT. ® SQ. 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 STORAGE TANK FLOOR DRAIN MECHANICAL FEES ROUGH WIRING (� �6 � 4 't7UCT WORK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER REINF. STEEL GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM SERVICE FINAL INSP, 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL FIREPLACE SQ.FT.GAR ® 3/ec HOUSE SEWER SPARK ARRESTOR 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 PL M I rG UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 19 0/ �/ ROUGH PLUMB. ,( FADING HEATING (ROUGH) STORAGE TANK FORMS SEWER /iN SEPTI T ROUGH WIRING (� �6 � 4 't7UCT WORK ROCK STORAGE FOUND. REINF, f7 27 (ROUGH) /» YY� -70" .METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP, BOND BEAM WATER SYSTEM FINAL INSP. GRADING FINAL INSP. Z/ cu. yd. C, $ plus x$ _$ LUMBER GR. FRAMING 1ejlmv ,7 ///�,! ROOFING (' VENTILATION(I ��/tf167 O �i L !J T ' REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 0_.0/(v IO ZfJ MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. -FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL