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003805 (SATT)Address Tel. �-.K�1��+it�� •i�i$nx- '•.tom;."•._v . F Front Setback from.Center Line P.O. BOX 1504 No, 003805 Building Zip 78-105 CALLE ESTADO Address 56-360 Pebble.Beach LA QUINTA, CALIFORNIA 92253 4/7!83. Owner Date Permit Validated by: I hereby 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 is in full force and Sunrise ftmnanv " BUILDING: TYPE CONST.- OCC: GRP. - Mailing SIGNATURE DATE Address 75-005 Cot> ratty 'Cis r3r3Vn. A.P. Number PrM WP -.qt I hereby affirm that I am exempt from the Contractor's. License Law for the following - City Zip V Tel. _ $17-90818 rt Legal Description Palm �p�Art- permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also. Contractor Con Project Description Phnsm 9AIR .« 'Plane 2*6 Vt s�ja+4F i n,o� 1 �c . «* ,•s�rx,a x.lar�a .. _. Address Plan •Chk. Dep. violation of by applicant a permit ' subjects the applicant to a civil penalty of not more than five hundred dollars ($500): .�.. City _ Zip TeL - Plan Chk. Bal. O I, as owner of the property, or my employees with wages as their sole compensation, will State Lia ,S .10 City Const. . Professions Code: The Contractor's License Law does not. apply to an owner of, property who & Classif.. 288;3} Lic. # 32 sq. Ft. 2596 No. Size r.�►s�-- •r Stories. No. Dw. Units Arch., Engr.;- -- - Electrical - 113.06of Designer • New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Minimum Setback Distances: Front Setback from.Center Line Rear Setback from Rear Prop. Line City Zip State FINAL DATE Lic. # 4/7!83. LICENSED CONTRACTOR'S DECLARATION Date Permit Validated by: I hereby 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 is in full force and Validation: effect. SIGNATURE DATE OWNER+BUILDER DECLARATION EStlmated Valuation 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 $17-90818 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 alleged exemption. Any Section 7031.5 'any for Plan •Chk. Dep. violation of by applicant a permit ' subjects the applicant to a civil penalty of not more than five hundred dollars ($500): . r 525 - Plan Chk. Bal. O I, as owner of the property, or my employees with wages as their sole compensation, will ,S .10 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness.and Const. . Professions Code: The Contractor's License Law does not. apply to an owner of, property who iia TJ 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 , . . w or improvement is sold within one year of completion, the owner -builder will have the burden Electrical - 113.06of 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- Plumbing 132.50 Strutt 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 S.M.I. —7 12.67 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - Grading . 0 I am exempt under Sea B. 8 P.C. for this reason Driveway Enc. Date Owner Infrastructure QQ "X ,095.94 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. 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. 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 of this city to enter the above. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip HARD COPY TOTAL $5.517-13 REMARKS. 5117.i3 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 4/7!83. Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® Sp 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.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEGUIP. 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER REMARKS: VENTILATION 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 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 ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEGUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ pIUS 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 ::1