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07870 (RER)• 44. P.O. BOX 1504 No. U(©u 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. A.P. Number PGA West Legal Description Project Description . i Atilfncttfw ;it7elR+t reaodel, A9XAft additidll Building Address 64-885 I @TZ S5 Owner Mailing Address City tractor Zip ITel. Address = _ 41801 Corporate flay #9 City 'Zip' - - • • - Tela Mai, Pse, State Lic.• City & Classif.' OW Lic. # Arch., Engr., Designer Address I Tel. City ( Zip( State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I em 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 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 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 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for thealleged 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). O 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 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, 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 of proving that he did not build or improve for the purpose of sale.) O 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's License Law.) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner 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. ❑ 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 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 subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ZONE: BY: Minimum Setback Distances: 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 Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ - Alter ❑ Repair ❑ Demolition ❑ Side Setback from Property Line Lender's Name I Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to Estimated Valuation ,416 PERMIT AMOUNT Plan Chk. Dep. Date , ermit - Plan Chk. Bal. Const. construction, and hereby authorize representatives of this .city to enter the above- Mech. Electrical Validated by: Plumbing Signature of applicant -Date- ateMailing S.M.I. Grading Validation: Driveway Enc. Infrastructure TOTALA REMARKS fIV YJA iW V . ej Axa: 4'k2.86 A ZONE: BY: Minimum Setback Distances: 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 FINAL DATE INSPECTOR 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. tQ( 1 certify that I have read this application and state that the above information is correct. Issued by: Date , ermit - 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 i a• .i..'1 . •db.3n STRUCTURE PLUMBING'c Y'•_ <c�t •Y=•%ELECTRICAL • i 1 '• ;HEATING & AIR COND. SOLAR SETBACK CONSTRUCTION ESTIMATE . ;ZI,., .... „q_C. UNIT NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ®" STORAGE TANK UNITS a'; ; r, 2ND FL. SO. FT. YARD SPKLR SYSTEM POR. SO.'FT. ® SEWER OR'SEPTIQ TANK lr OUGH WIRING. MOBILEHOME SVC.(:Ilc BAR SINK GAR. SO. FT. ® p1 Jh POWER_OUTLET f1iJb� ROOF DRAINS CAR P. SD. FT. 101;4'lt DRAINAGE PIPING WALL SO: FT. ® "^ —`-- - -- - I DRINKING FOUNTAIN. SO. FT. ® GAS (FINAL) �:�'" "1 r, „TEMP (POLE URINAL ESTIMATED CONSTRUCTION VALUATION V11% WATER PIPING NOTE: Not to be used as property tax valuation ' WATER HEATER''""'- ",s` "� SERVICE 7 r ' ' ` ""FINAL INSP. FLOOR DRAIN BOND BEAM MECHANICAL FEES !0': FI?il7l; WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD- e- GRADING cu. yd. PIUS X$ _ SIGN _ s WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP �:' r° s �`•`�" a�1;1 '' i+"�1', F 777-1) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED- LAUNDRY TRAY AIR HANDLING UNIT CFM V a KITCHEN SINK ABSORPTION SYSTEM B.T.U.. - j ^y� "' " -_1I tM0 11SE•PERrol1T Js1s WATER CLOSET' COMPRESSOR Hp 1) "-) a POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY ?.:!';kf'•'!3N'!\t I1 21:::e5:, - ^v*=' AMPERES SERV ENT.11'. , ,.t ;' 1, SHOWER BOILER. B.T.U. FIREPLACE SO. FT. ® c 11 j7G9' BATH TUB '! SO. FT. ®cr WATER HEATER MAX. HEATER OUTPUT, B.T.U. -.SQ..FT.•RESID ®.1Vwc SEWAGE DISPOSAL `,e. SO.FT.GAR ®3/ac HOUSE SEWER GAR. FIREWALL , GAS PIPING PERMIT FEE u n x'.=, y. —.011, PERMIT FEE; : '6 lt, PERMIT FEE DBL ..-.. <�•,.. K,..� e.....,..- ...-.c,.-.,.-�- ,.. ..�. .... ,m... -.....-o_ ,..., K, is i(O: r:70:i: :^J TOTAL FEESMICRO FEE' ` MECH.FEE PL.CK.FEE CONST. FEE ELECT: FEE SMI FEE PLUMB. FEE i st!, ..� vnr.z J3 H ::1:•:39 i'- `tai r.. •!91rfi . Gr. 4.. .. t •r .. .., '=,a yin. ._ ::v 'or ;h INSULATIONISOUND .i..'1 . •db.3n STRUCTURE PLUMBING'c Y'•_ <c�t •Y=•%ELECTRICAL • i 1 '• ;HEATING & AIR COND. SOLAR SETBACK .t ., „ .... _ ..�. ... .: •. >�.,; ,.. <., ,, GROUND PLUMBING,.•- :, .� :• _ ;.UNDERGROUND, ;+ ::, . ;ZI,., .... „q_C. UNIT COLL. AREA SLAB GRADE OUGH PLUtv18: ( ' ` BONDING' ''HEATING (ROUGH) STORAGE TANK a'; ; r, FORMS SEWER OR'SEPTIQ TANK lr OUGH WIRING. DUCT WORK ROCK STORAGE ,i p1 Jh �� .+�• �•!,z FOUND. REINF. GAS (ROUGH);-. [ et! "n:a: aMETER'COOP ' '• o^ n•,•• ^ HEATING (FINAL) OTHER APPJEOUIP. A_ sr REINF. STEEL GAS (FINAL) �:�'" "1 r, „TEMP (POLE GROUT WATER HEATER''""'- ",s` "� SERVICE 7 r ' ' ` ""FINAL INSP. BOND BEAM WATER SYSTEM• -• � " ' _ _ .......... ^_.. ._._-._.. _-. ._ .... e- GRADING cu. yd. PIUS X$ _$ LUMBER GR. JN AL'INSP _ RAMING FINAL INSP �:' r° s �`•`�" a�1;1 '' i+"�1', n .,a, ^•n. 1=. vft; '1�,.1 ...ii -. a,$ BL.n•P.; o: n., d!::1� 9,t<3f.. :` :' REMARKS: ROOFING VENTILATION FIRE ZONE ROOFING ?.:!';kf'•'!3N'!\t I1 21:::e5:, - ^v*=' cOb \...:t.:n in.• ,d: ,,, arta, c... ;: {" •d :o;. b"s\+ n ::•) 2a: i.-. •iffr' iJ R1GY.' �R! \0 ., [.... t.0 .[••u ,1i, IAl I^ 1< .•t.v...... of i _ ,< , ,:o: e3 • . _ r< �` _s r:• . , Yo,q[ FIREPLACE < SPARK ARRESTOR r. •::on!s" ^ zw. `,e. ' GAR. FIREWALL eu^.. ;3 111.1•:r:._,vc : qs ..: :•o+n' .. 'oeid ..,9.. �Y.. stmt\Otl• ;l" tN:^Z ;•In �. tvi? .. :; 1..,... ..F. .:. • y!'{ LATHING..._ ..-.. <�•,.. K,..� e.....,..- ...-.c,.-.,.-�- ,.. ..�. .... ,m... -.....-o_ ,..., K, is i(O: r:70:i: :^J - MESH i st!, ..� vnr.z J3 H ::1:•:39 i'- `tai r.. •!91rfi . Gr. 4.. .. t •r .. .., '=,a yin. ._ ::v 'or ;h INSULATIONISOUND FINISH GRADING YiT, ,i 3.• t •r.-, : � yni': � i .y, f 11C1 1[•. 'rbn .. • •:J^ ..iJ' :�:v . "Ore:' FINAL INSPECTION `[t;.-05 ; e,- �:' ✓:c ['d IC +:fAL. i i ,'I;,W I:.qr!;00 W so'C (a L�!.i I,•• ,3 ^•if;•IE•� 1G:: .n0L1U17Y� '�u�:... ...- :ai .,:i • ti•=..;:; bsm!'n CERT. OCC. FENCE FINAL INSPECTOR'S SIG NATURESIINITIALS GARDEN WALL FINAL