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002238 (SFD)• 0 �`.r' 44 P.O. BOX 1504 No. 002238 Building 78-105 CALLE ESTADO ,,Address 55-048 LA QUINTA, CALIFORNIA 92253 Owner Mailing �y BUILDING: TYPE CONST. OCC: GRP.- Address 75"005 COMMCKY . .VP_ A.P. Number City'JZip Tel. 92260.. _568-2-828 Legal Description Contractor ' • � NT 20 . Project Description Address... --City filp Tel. State Lic. City & Classif.M'G 2596 . 288130 Lic. # 326_ Sq. Ft. No. No. Dw. Arch., Engr., ........ Size- M 577 Stories 1 Units. 1 Designer New �� Add ❑ Alter ❑ Repair ❑- Demolition'❑ 3 Address Tel. City Zip State - - • Lic. #.. LICENSED CONTRACTOR'S DECLARATION I herebyy affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of,the Business -and Professions Code, and my license IsJn full force and �. effect- • • SIGNATURE1�f' o" + t 6" DATE OWNER -BUILDER DECLARATION V Estimated Valuation I Aereby affirm that I am exempt from the Contractor's License Law for the following �;4 h reason: (Sec. 7031.5,B1usiness and Professions Code: Any city or county which requires a • •v .:apermit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance also - -:requires the applicant for such permitdto file.a signed statement that he is licensed pursuant to PERMIT r AMOUNT .R 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 more than five hundred dollars ($500). ❑• I, as owner of the property, or my employees.with wages as their sole compensation, will Plan Chk. Bal.. 495.15 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and v"©Et A/� Professions Code: The Contractor's License Law does. not apply to an owner. of. property who Const. - / • 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. 50.00 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 ofsale.) Electrical s06 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con. Plumbing U2.50 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 GS.M.I. - - -such p 4 projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ..O I am exempt undecSec... B. 8 P.C. for this reason Driveway Enc. 9 !eft Date Owner Infrastructure 21000.00 WORKERS' COMPENSATION DECLARATION hereby affirm'that 1'•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. TOTAL 3,394.95 CERTIFICATE OF EXEMPTION FROM REMARKS 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 tha 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 of Exemption you should become ZONE: BY: subject to" the Workers'Compensation' provisions of the Labor Code,. you must forthwith .Minimum Setback 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. #; I certify that I have read this application and state that the above information is correct. Issued by: Date 4-7_,�36 • 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 lo. -enter theabove-. mentioned property fot,inspec�tionrpurposq!. -/ Validated by:' Signature of applicant �N f �✓.� I jfl"'A1 d Date �r t: Mailing Address .�F ---.�' _. Validation: City, State, Zip + ice' e ,/ A_5083 4 8 3344,915 Ck ---�'� HARD COPY � - . CONSTRUCTION ESTIMATE ° 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. ® WALL SQ. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ NO. ELECTRICAL EESAI ° UNITS MOBILEHOME SVC. POWER OUTLET NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation UNDERGROUND FLOOR DRAIN . MECHANICAL FEES // SLAB GRADE/p WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER STORAGE TANK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ER OR LAUNDRYTRAY AIR HANDLING UNIT CFM DUCT WORK 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B:T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SERVICE SO.FT.GAR ® 3/ac HOUSE SEWER BOND BEAM 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 ROUND PLUM? W UNDERGROUND A.C. UNIT COLL. AREA // SLAB GRADE/p e6UGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK W40RMS F7 ER OR TA GH WIRING ? y DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL1 GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE LL �R&AL INSP. rrl Z 11A 5r BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. /�/ZG� rX� r7V RAMING 9P6L INSP. �6 Z / I , D ROOFING e/5'�/ /�L REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING / MESH KINSULATION/SOUND 9 B67 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL .•. INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL