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001792 (SFD)Building Address 54-991 Inve nem Owner ❑ I am exempt under Sec. B. 8 P.C. for this reason Mailing Address 75-005. DeSWt ClUb Drive City PaIM DeSert Zip 92260Tel. Contractor y��,,� ��....,��tt M 41 i�f3.EtlL7 i4[Y�,t: Mgea .Address .. Sam "City Zip Tel. I P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 568--2828 saw SwAs >a State Lic. City & Classif, Lic, # 328 Arch., Engr.. .. . Designer Pcbeft AlS ASOW. Address Tel. _.2 15 Red Hili AVe. (714) 54005117 City Zip State Cbfta Mew 92626 Lic. # -LICENSED CONTRACTOR'S DECLARATION I hereby affirm -that I am licensed under provisions of Chapter 9 (commencing,wit Section 7000) of Division`3 of the Business and Professions Code, and my license,is.in"full force and, effect SIGNATURE f -" f` !" DATE „r! OWNER -BUILDER DECLARATION I hereby affirm that I am,exempt from the Contractors License Law for the following reason: (Sec. .703 1.5, 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 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 (5500). ' ' O 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 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:) In 00.792 BUILDING: TYPE CONST. OCC. GRP. A.P. Number ,Legal Description Project Description Pali V=T• PW 100 Sq. Ft. MiG 2272 No. No. Dw. Size • IM 582• Stories. - Units 1 New CIT Add ❑ Alter ❑ Repair ❑ _ Demolition ❑ Estimated Valuation 144#517.00 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing. S.M.I. AMOUNT i 'l62 gg -y A9 1545•5U 10x.1.`' 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 aboGe- mentioned property for inspection purposes. Signature ofapplicant Date Mailing Address f 1 City, State, Zip /' f HARD COPY en er Ine Rear Setback from Rear Prop. Line_ Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR ,Issued by: Date 11-12-85 Permit Validated by: Validation: A3191 11 13 3 0 Grading ❑ I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. - Date owner Infrastructure 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. ❑ Certified copy is hereby furnished. TOTAL�3rii•ti _ CERTIFICATE OF EXEMPTION FROM REMARK'S .WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit Is for one hundred' dollars (S100) valuation .. WIld BqAA UV r IWAb ' • 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, atter making this Certificate of Exemption you should become - ZONE: BY: subject to 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 fro m C t I 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 aboGe- mentioned property for inspection purposes. Signature ofapplicant Date Mailing Address f 1 City, State, Zip /' f HARD COPY en er Ine Rear Setback from Rear Prop. Line_ Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR ,Issued by: Date 11-12-85 Permit Validated by: Validation: A3191 11 13 3 0 CONSTRUCTION ESTIMATE NO. ELECTRICAL FE ` NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. 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 �,�� FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER / GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FOUND. REINF. �p% LAUNDRY TRAY AIR HANDLING UNIT CFM �t0 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 _$ SQ.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP. FRAMING S % s 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 PLUMBINGr'.//7D UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 3 �,�� ROUGH PLUMB.3 7 K �+ BONDING HEATING (ROUGH STORAGE TANK FORMS - SEWER OR SE 1 TA ROUGH WIRING / DUCT WORK ROCK STORAGE FOUND. REINF. �p% GAS (ROUGH) METER LOOP �t0 HEATING (FINAL i OTHER APPJEQUIP. 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 S % s FINAL INSP. ROOFING 1 1 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWAL LATHING MESH INSULATION/SOUND 6 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE -FINAL I NJYtt; I VMJ JIV n1A I UKLWINI I IALJ_ GARDEN WALL FINAL