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07717 (SFD)r- Building Address 78_395 Yid Calieata Owner Mailing Address City Izip ITel. Contractor Address City Izip I Tel. State Lic. City & Classif. Lic. # Arch., Engr., Designer Address Tel. City I Zip I State J Lic. # P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 LICENSED CONTRACTOR'S DECLARATION I hereby affirm Itat I am licensed under Provisions of Chapter 9 Rcorrlmencing with Section 70pOj of DlvisioP'3 of the Business d Profpssions Code, and my license is in full force and e}Fact: SIGNA7L3eE• -^�� _ f' GrtTE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: fseo- 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 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 properly 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.) ❑ I, as owner of the property, am exclusively contracting 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 contractor(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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Phis section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I earthy that in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certfllcate of Exemption you should become subject to the Workers' %Compoftsalfon provisions of the Labor Code, you must forthwith comply with such provisions or this peemff shalt 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 Thfs 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. 1 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 ate Mailing Address City, State, Zip BUILDING: TYPECONST A.P. Number M OCC. GRP Legal Description Tract 23971 Project Description Phase 1—A Lot 72 07717 Sq. Ft. ,�� No. ! 2 Size Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $134,038 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 380.08 Const. 762.00 Mech. 66.50 Electrical 135,98 Plumbing 8 S.M.I. 9.45 Grading Driveway Enc. Infrastructure 3,015.86 TOTAL f REMARKS ir,) LFI 1 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 4/26/9Permit Validated by: Validati CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT. @ POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. ® WALL SQ. FT. SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC, BAR SINK POWER OUTLET I 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.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,TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE I CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMB] UNDERGROUND A.C. UNIT COLL. AREA _i SLAB GRADE . l 'O ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF� GAS (ROUGH) �ti L 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. LUMBER GR. FINAL INSP. Z t7 FRAMING J '% -11 J FINAL INSP. j ROOFING �� R ( � I d 3 I T Fli n Ru cf ,7 '} I��7�j} ��/) �`- �C�l� (��izi��` loJk'-9 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S 51GNATURESJ1H171AL5 GARDEN WALL FINAL Shin1Og Brighter Than May 1, 2002 P.O. Box 1504 78-495 CALLE TAMPICO LA Q,UINTA, 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: 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, 4io�O-Avl� Diane Aaker Building & Safety Department c> p G) w s v n O w co Ci W c � n O d o � r• t7 o_ h c (D (D m � 0 o � a ((D L n N ; N O � v � O � � C : z 8 z pp C b C N r > 0 � r O cn Fm G w \V 0j O 0 0 a a fA O .2 `-A = f�D -t �G r 0 `�C 0 cx to o = c � 0 C C ^+' `• N Zr = 00 4Q m Ln N. q�rf Ln W C "I -�► r ��J i �♦ CD 7 . W p O n � m G C Z. a 2z (nto