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07716 (SFD)1 �4 TLLIG�GU P.O. BOX 1504 N o . _ 7 6 Building 78-105 CALLE ESTADO Address 78- Via Cal yenta LA QUINTA, CALIFORNIA 92253 Owner Mailing Deane Hams BUILDING: TYPE CONST. _ OCC. GRP. Address A.P. Number City ip Tel. Ranc!�:o !�'�ra � 92270 321—RM 4 Legal Description Tract �7i Cong.aacitor Project Description PIT Address City Zip Tel. State Lic. City & Classif. Lic. # Sq. Ft. 2700 R No. Stories 1%� No.UniDw Arch., Engr., Size Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I herebyy alflrrri that I am licensed under provisions of Chapter 9 (commencing with Section 7000y of Divislon 3 of the Business and-Profespi6ds Code, and my license 16 in full force and of fee L SIGNATURE tswr OWNER -BUILDER DECLARATION -. Estimated Valuation }�'4p I hereby affirm that I am exempt from the Contractor's License Law for the following �'�4 V 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 th requires e 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 violation of Section 7031.5 by any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalfy of not more than five hundred dollars ($500)- Plan Chk- Bal. ❑ 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, Bussness and Const. 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. provided that such improvements are not intended or offered for sale- If, however, the building 50 or improvement is sold within one year of completion, the owner -builder will have the burden Electrical of 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 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 S.M.I. was 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 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 ElCopy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) 1 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 ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Sid(: Setback from Property Line Lender's Name Lender's Address FINAL DATE LINSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to FINAL expiration if work thereunder is suspended for 180 days. 1 cerfity that I have read this application and state that the hove information is correct Issued by: Date ermit I agree to comply with all city and county ordinances and stare laws relating to building construction, and hereby authorize representatives .of this city to enter the above - mentioned property for Inspection purposes- Validated by: Signature of applicant _ Date Mailing Address Validation: City, State, Zin _ _ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL SQ. FT. ® 2ND FL SQ. FT. @ POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SQ. FT. SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM iMOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L 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. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® Vic HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE i 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 ROCK STORAGE FOUND. REINF. GAS (ROUGH{ 3k -1co / METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP.?/&`l(�d FRAMINGJ'� l�0 GN 1' ! FINAL INSP. ^ d L ROOFING 1 (� � /� 6 �� l �� 7 G�L {/7 -1 r/?� � � �b c•/ t I-q/ �/13 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LAT ING u F cm C ,p MESH INSULATION/SOUND L�0 FINISH GRADING FINAL INSPECTION�h CERT. OCC. FENCE FINAL INSPECTOR'S S[GTiATUiiES/[NITIALS GARDEN WALL FINAL Shining Brighter Than May 1, 2002 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Dear Homeowner: (760) 7 7 7 - 7 0 0 0 FAX (760) 777-7101 Please be advised of a clarification to the street name for the following structures. The structures formerly addressed on Via Calienta will now be addressed ending with an "e" as follows: o F = MENEEMW 78-345 VIA CALIENTE 604-203-012 78-355 VIA CALIENTE 604-203-006 78-360 VIA CALIENTE 604-202-008 78-365 VIA CALIENTE 604-203-007 78-370 VIA CALIENTE 604-202-007 78-375 VIA CALIENTE 604-203-008 78-380 VIA CALIENTE 604-202-006 78-385 VIA CALIENTE 604-203-009 78-390 VIA CALIENTE 604-202-005 78-395 VIA CALIENTE 604-203-010 The Assessor's Office, Post Office, utilities, and Riverside County 911 have also been notified. Please contact me at (760) 777-7019 if I may be of further assistance. Thank you. Sincerely, Diane Aaker Building & Safety Department