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14024 (SFD)Tihf 4 acp (49km P.O. BOX 1504 Building 78-105 CALLE ESTADO Address .'tc:I' F.ic-Wer Trail LA QUINTA, CALIFORNIA 92253 Owngj,3y r S,1ie11Eer bE.rger & %+<sscc.i —t_c Mailing Address 55 -695 Pel3b;L2 r'_,�.c 3 City Zip Tel. S,waf, Address Tel. State Lic. City &Classif. B 48823,E Lic.# 1358 Arch., Engr., Designer C•ui�� ffi 11 1i� ;XiC� iii:. ':_ Addresp i c Tgli _. Dr, J. City Zip State ' Cd , CA 9223't Lic.# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7yy00J ,of Division 3 of therBusiness and Professions Code, and my license is in fullforce and af1 GNATIIRE - ❑ATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the fallowing reason; [Sec. 7031.5;4BueMess and Professions Code: Any city or county which requires a palm to consfrvot, atfor, fmprovo, demolish, or repair arty structure, prior to Its issuance also requims the applicant for such permit to 1de a slgnad stalemont that he Is tk:ensed pursuant (o the provirrfons or the Conuacfor'a License Law, Chapter 9 fcommencing with Section 7000) of Division 3 or the Business and Professions Code, nr [ha[ fro Is exempt rherafrom, and the basis far the alleged exemption. Any Wolatfon of Section 7031,5 by any appfidpnI for a permit subjects rho apptkanl to a cfvd penally of not more Phan hue hundred dollars is5001. ❑ 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, {Sac. 7044, Bulsmss and Professions Code- The Contractor's License Law does nor apply to an owner of property who b(gds or improves Ihamon and who does such work himself or through his own employees, providedthat such knprovemonls are not Intended or offered for sale. If, however, the bullolnp or hnprovemenf Is said wffhfn ona year or completion, the owner•buifdof will have the burden ,proving that he did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contradting 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 of property who builds or improves thereon, and who contracts for such projects with a contraclor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. & P.C. for this reason Date Owner 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. ,.Company. L _59 its 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.) T certify that In the performance of the work for which this permit is issued, I shall not omploy any person in any manner so as to become subject to the Workers' Compensation l aws of California. Date Owner NOTICE TO APPLICANT., It, after making This Csdlffca[e of Examplion you should become subject to the Workers' Compensation provWons of the Labor Code, you must forthwith comply with such provisions or this permit shall he 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 t 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 No. 14024 BUILDING: TYPECONST. Gad OCC. GRP.� A.P. Aumber 604— 3i"019 Legal Description r" ) t' 19 T_-act 242C8 Project Description 1 F1) P].a' a 6 s_. us Flower Sq. Ft. 16 c 4 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $102 , G 13 . Q 6 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. ■ �'iOf1St. "' ■ . 09 Mech. "' Electrical z Plumbing 4 4" S.M.I. Grading F Driveway Enc. Infrastructure :yr s in i u Ale' _L C 4's TOTAL 3 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL SO. FT. $ UNITS YARD SPKLR SYSTEM 2ND FL SQ. FT. Q iMOBILEHOME SVC. BAR SINK POR. SQ. FT. POWER OUTLET I ROOF DRAINS GAR. SQ. FT. @ DRAINAGE PIPING CAR P. SQ. FT. DRINKING FOUNTAIN WALL SQ. FT. @ URINAL SO. FT. WATER PIPING ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation L FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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 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 _ Et EQTRICAL SETBACK YI GROUND PLUMBING UNDERGROUND SLAB GRADE ROUGH PLUMB. /� BONDING FORMS SEWER OR SEPTI NK ROUGH WIRING FOUND. REINF. GAS (ROUGH) METER LOOP REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE BOND BEAM WATER SYSTEM i I FINAL INSP. J/ ��✓✓ LUMBER GR. / �. } FRAMING t FINAL INSP. ROOFING ©// �I N �' II r' G / VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURE571NITIALS HEATING & AIR COND. SOLAR A.C. UNIT COLL, AREA HEATING (ROUGH) STORAGE TANK DUCT WORK ROCK STORAGE HEATING (FINAL) OTHER APPJEQUIP, FINAL INSP. jGRADING If cu. yd. $ plus x$ =$ REMARKS: GARDEN WALL FINAL