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002198 (SATT)Building Address 80-457 1,� Beach Owner Front Setback from Center Line St=im Mailing DM 2596 Sq. Ft. 577 Size Address 75-005 Country Clab City Zip Address Tel. Contractor Date 3-18-86Permit City Inatl M • and LM -A Address Validation: • 4f 44 P.O. BOX 1504 N o . ' 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Tel. 568-2828 002198 BUILDING: TYPE CONST: OCC. GRP. A.P. Number Legal Description Project Description TIISAICTT, 9LAW 2 13 P3M 20 City Sam Zip SMICIS Tela Sam Front Setback from Center Line State Lic. & Classif. 29913Q City Lic. # 3203 DM 2596 Sq. Ft. 577 Size No. 1 No. Dw. i Stories Units - Arch., Engr:, Designer New QC - Add ❑ Alter ❑. Repair ❑ Demolition.❑ Address Tel. Issued by: Date 3-18-86Permit City Zip State Lic. # Validation: A4831 ~ LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) t. of Division 3 of the Business and Professions Code, and my license is in full force and ' , effec- .. - - SIGNATURE Y 17 - - -•' DATE t j -OWNER-BUILDER DECLARATION I hereby affirm that I am exempt fiom the Contractor's License Law for the following reason: (Sec. _7031.5, Business and Professions Code: Any city or county which requires 'a permiNto 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 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 ' subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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 of proving that he did not build or improve for the purpose of sale.) .. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Coder The Contractor's License Law does not apply to an owner of 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. & P.C. for this reason Estimated Valuation ' t PERMIT `' AMOUNT --r - Plan Chk. Dep. - Plan Chk. Bal. 195.15 .0011St. S.�jGi Q Mech.55.00 /; 55 • td0 ' Electrical �t� U3.156 Plumbing 332.50 S.M.I.-,. Grading Driveway Enc. Date Owner Infrastructure 2,r(}00M 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 it 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 anyperson in any manner so as to become subject to the Workers' Compensation Laws of Cali ornia. 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 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 it 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 %+ t Mailing Address 1 y City, State, Zip HARD COPY TOTAL 3,394.95 REMARKS FOM M SPA Wr PXW OF ".fffS PITOWe 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 DATEINSPECTOR Issued by: Date 3-18-86Permit Validated by: Validation: A4831 3 18 3394,95 Ck CONSTRUCTION ESTIMATE NO. ELECTRICAL FE ' ` NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® POR. SQ. FT. ® GAR. SQ. 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 WASH ER(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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ®c BATH TUB SQ. 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 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 NGROUND PLUMBIN2Wil UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE''' ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEP ROUGH WIRING, DUCT WORK ROCK STORAGE j FOUND. REINF. L 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. (4&AL INSP. /�i►'—�(j ( t(,,4 -'FRAMING Z ,,� CeFINAL INSP./ Iv —� ROOFING • REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND 7 5: ` FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL norc�. � vn a awnh � vnc�m� � iww, GARDEN WALL FINAL 9"'1 oq wr,K. 8fX11