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003286 (RPL)Building Address 55-90 iiB= R Owner Mailing Address 5x5-900 City 1A 0U Contractor Address 44 t P.O. BOX 1504.. Na '78-105 CALLE ESTADO ' „IQC$ LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST: OCC: GRP. A.P. Number Tel. - . -., Legal Description Project Description POOL -SPA " 5.3-4$8 UC TR.. ' City .. ZipTel`. YUCr"A VALLEY 92284 363--8996 State Lic. City & Classif. 2801103 Lic. # 1001 Sq. Ft. No. No. Dw. Size • - • - - Stories Units" ,Arch:; Engr., .. ... _ ... .. " Designer ROSIS STOUT " New 3X Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # ' LICENSED CONTRACTOR'S DECLARATION ~ I hereby affirm that I am licensed under provisions ohChapter.9,•(commencing with Section - 7000) of Division 3 of:the Business and Professions -!Code, and my license is in full force and .effect. is o�" r. �' e;l..4 •� .jam .,� _ SIGNATURE °' -- „+�•�� "'�:� DATE - - - "' OWNER -BUILDER DECLARATION Estimated Valuati on • I hereby affirm that I am exempt from the Contractor's License Law for the following. • :Igo € 00'. reason: (Sec. 7031.5,Business and Professions Code: Any_ city or county ,which a' •requires, • 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:. 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 Any Section 7031.5 by 'any for Chk. Dep. alleged. exemption. violation+of applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). " •.: I, ..Plan .. _ . 91.112 - . Plan Chk. Bal. O as owner of the property, ormy employees with wages as their sole compensation, will do the work, and the structure is notintendedor offered zfor sale. (Sec. 7044,.Buisness and •_ Const. • - . ���♦gt,ty 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 will have the burden - Electrical. Z�s�Q 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- ._ Plumbing.' .14 X00 struct the project. (Sec. 7044; Business and Professions Code: The Contractor's License Law does not apply to an owner or property who builds or improvesthereon, and who contracts for -S•M•I•: • . ,• r . - • such projects with a contractor(s). licensed pursuant to. the Contractor's License Law.) - v Grading �� .. ❑ I am exempt under Sec. B. & 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 'I Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800; Labor Code.) " Policy No. Company • - ©,copy is filed,with the city. ,❑ Certified copy is hereby furnished: . TOTAL M3.19 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS' .• (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 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 r NOTICE TO APPLICANT: It, alter 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'Dl Stances: - - Front Setback-from,Center,<Llne* Rear Setback from Rear Prop fUine 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 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. ` 1 y �.• I certify that I have read this application and state that. the above information is correct 'Issued -by: ' Date -7131/8'7 Permit I agree to comply with all city and county ordinances and stale laws relating to building construction, and hereby authorize representatives of this city tor enter 'the above. mentioned property for inspection purposes. Validated by: Signature of applicant Date- Mailing ate Mailing Address Validation: - City, State, Zip HARDCOPY- CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. $ 2ND FL. SQ. FT. ® POR. SO. FT. ® GAR. SQ, FT. ® CAR P. SQ. FT. WALL SQ. 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 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 APP./EQUIP. 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. SO. FT. ®c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/a c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEE I 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 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 ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 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 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