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002251 (SATT)P.O. BOX 1504 No. 002251 Building 78-105 CALLE ESTADO Address CC—11141Z 4_.4,ft , , LA QUINTA, CALIFORNIA 92253 Owner Mailing Address 79lflq nlry C*1 BUILDING: TYPE CONST. A.P. Number Legal Description Project Des criptjon OCC: GRP. �m l Rt PEA14 46 0 $ City lm Dswt Zip Tel. .9 2260 56$-2029, Contractor fttl MZ . and laid Address3as? S Side Street Setback from.Center Line " City ewswrfca Zip Tel.' FINAL DATE INSPECTOR State Lia & Classif. 288130 City Lic. # 328 MG 3142 Sq. Ft. Sized 5 No. No. Dw_ Stories Units Arch., Engr., - Designer New ❑X Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED.CONTRACTOR'S DECLARATION, I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3l of the Business and Professions Code, and my license is in full force and .effect." ! ti ''u ' - - - - SIGNATURE.,DATE Ar _• �.. A - DATE •/ ` /'l ' ,LOWNER•BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason:' (Sec.*7031.5,Buslness 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 o/ the Contractor's License Law, Chapter 9 (commencing with Section 7000) o/ - Division 3 o/ the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation o/ Section 7031.5 by 'any applicant for a permit " subjects theapplicant to a civil penalty of not more than five hundred dollars ($500). 01 , 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 o/ 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. struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law _ does not apply to an owner o/ property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. -B. 8 P.C. for this reason Estimated Valuation ... _ ■ ��a ! �'4�.iii7 7� gJ V'V -.PERMIT y AMOUNT - _ , Plan Chk. Dep. - - Plan Chk. Bal. 564.19 Const. 678.00 Mech.- - }+ y'ttff 55.0 , Electrical . Plumbing- S.M.I.. - -� 83 Grading Driveway Enc. Date Owner Infrastructure 21000.00 WORKERS' COMPENSATION DECLARATION Thereby 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. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (5700) 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 TOTAL 3.580.L! REMARKS NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Comperisation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. - - 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 if 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 sof this city to enter 'the above-. mentioned property for inspection purposes. t Signature of applicant - i .Date Mailing Address City, State, Zip l ` HARD COPY ZONE: BY: Minimum Setback Distances: Front Setback from Center. Line Rear Setback from Rear Prop_ Line Side Street Setback from.Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 4"x"186 Permit Validated by: Validation: A 5 1 1 5 4 8 5581.;.17 CK CONSTRUCTION ESTIMATE NO. ELECTRICAL FEE.' NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® POR. SQ. FT. ® GAR. SO. FT. ® CARP. 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 rZC AS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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 JAL INSP. SO. 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 VENTILATION GAS PIPING PERMIT FEE FIRE ZONE ROOFING 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 PLUMBING' P UNDERGROUND .C. UNIT �� � COLL. AREA SLAB GRADE UGH PLUMB.( o G O BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SE 2 / ROUGH WIRIN, G DUCT WORK ROCK STORAGE "OUND. REINF. &jg rZC AS (ROUGH) METER LOOP BEATING (FINAL) 1 OTHER APP./EQUIP. )RkREINF. STEEL AS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE 44eINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ _$ LUMBER GR. JAL INSP. Qj�F�.iAMING ,� NAL INSP. JCZ, t% �// OOFING Pcle— G� ol, �D4k( w�CC �A,L l0 3v� �Co, i21!lG REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH ,�ANSULATION/SOUND %0 01,1, FINISH GRADING FINAL INSPECTION CERT. OCG FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL