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002241 (SATT)*ht 4 P.O. 'BOX 1504 No. 002241 Building 78-105 CALLE ESTADO Address 80-U4 Pebble Beach LA QUINTA, CALIFORNIA 92253 Owner �' Mailing BUILDING: TYPE CONST. OCC: GRP. Address 75-005 CbmtXV Mxib 1kive A.P. Number. CityZip Tel. Pa �. 32260 568-2828 Legal,.Description Contractor Project Description Mt.�. ► and LWd _ Address PbRin 7 R Sam City Zip Tela State Lic. City 2825 & Classif.. :�q$BL fi Lic. # 328 Sq. Ft. No. No. Dw. Arch., Engr., - - Size • Stories Units Designer New Ek 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 3 of the Business and Professions Code, and my license is in full,force and .. f; effect . SIGNATURE i. , ..i ." t :•r�,-i✓ .,"' F,r iA DATE f�rtOWNER•BUILDER DECLARATION I hereby 4affi-frm that I am exempt from the Contractor's License law for following Estimated Valuation 3.� ' reason:. (Sec. 7031.5,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 permitito file a signed statement that he isTcensed pursuant to PERMIT r AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of i 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. Dept - subjects the applicant to a civil penalty of not more than five hundred dollars (5500). 529.10 ❑ I, as owner of the property, or my employees, with wages as their compensation, will Plan Chk. Bal. do the work; and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 630.50 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. 5r3'._03 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 Electrical 1.�� of proving that he did not build or improve for the purpose ofsale.) y� 0. 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 131540 .strucl 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. 12.36 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - Grading ❑ 1 am exempt under.Sec. B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure 2,000.00 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 ❑ Copy, is filed with the city. q Certified copy is hereby furnished.. TOTAL 3,485.17 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 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, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions or the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby 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 forinspectionpurposes. i l it Signature of applicant ! . `• 'I >1,1f.c Date Mailing Address J - r� ` J City, State, Zip REMARKS 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 4-7-86 Permit Validated by: Validation: A 5 0 9 8 4 8 5485,17 R HARD COPY CONSTRUCTION ESTIMATE Allift, NO. ELECTRICAL Frgift NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. 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 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED / `P LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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. SQ. FT. ® c BATH TUB BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3/ac HOUSE SEWER 1,1CRAMING 01 4,f FINAL INSP./( jq O Y Y 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 gdROUND PLUMBING i 0 UNDERGROUND A.C. UNIT COLL. AREA apol-AB GRADE 3 /6,ROUGH PLUMB qG�j /J BONDING HEATING (ROUGH) STORAGE TANK FORMS I EWER O E •TA1V ROUGH WIRING Q, p4, DUCT WORK ROCK STORAGE ,Pill FOUND. REIF.yw / `P /GAS (ROUGH) [7I �r1d bi f / L ,F+ METER LOOP HEATING (FINAL) OTHER APP./EOUIP. I yLREINF. STEEL G ( GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE AFINAL INSP./1 /s/ vV BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. r_ — INAL INSP:l� �� 1,1CRAMING 01 4,f FINAL INSP./( jq O Y Y �g6IOOFING01, 1 �!_ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL (,CLATHING O MESH INSULATION/SOUND FINISH GRADING "FINAL INSPECTION �/ f 4 CERT. OCC. FENCE FINAL 1 Un W UWA1Vnr*111411 IALA GARDEN WALL FINAL 13 A,I w ALL 01, 16, b Q