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4011 (SATT)' �,� �•" '- •• P.O. BOX 1504 'Building . 78-105 CALLE ESTADO Address 19-840 Olympia Fields ,LA QUINTA, CALIFORNIA 92253 ' r . Owner : Mailing Address 75-005 COSI �I^jp` �� Drive,_ City • Zip Tel. Palm Desert 91.260 Contractor ' S City lZip State Lic. & Classif. 28.8130 Arch., Engr., Designer Address BUILDING: -TYPE CONST. OCC. GRP. - A.PrNumber •, 3�1 wesiq - Tho aretens Legal Description Project Description - Phaae 3G Cit Lic.# , ,.. »... Sq. Ft. Size Tel. City Zip State 1L.ic. # 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 effect . xx s J. ry , T,j.r>..,..,•'•. t t�..,, r,y' •f r.T SIGNATURE' `'" DATE .' OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following * reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a 1312 No.. No. Dw. Stories Units 4 New ❑ Add ❑ ' Alter ❑ Repair ❑ Demolition ❑ t' (Estimated Valuation $95#217 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 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 thathe is exempt therefrom, and the basis for the alleged exemption. Any Section 7031.5•by 'any for Plan Chk. Dep. - violation of - applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars (8500). O I, owner with Plan Chk. Bal. , 34103"71 as of the property, or my employees wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bussness and Const. } 0 ! ,o Professions Code.: The Contractor's License Law does not apply to an owner of property who F� _ E � builds or improves thereon and who does such work himself or through his own employees, Mech. 39.00' 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 of proving that he did not build or improve for the purpose of sale.) s. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing #7 s 00- 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. - 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. 4 Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION r• : I hereby affirm that 1 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 i ❑ Copy is filed with the city. ❑Certified copy is hereby furnished. TOTAL,r CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars $100 valuation ( I gt II>t4' ° � ` �'�'W" .. -? iii f .� _`W �.' 4' I certify that in the performance of ing 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 to the Workers' Compensation ZONE: BY: •' subject . provisions. of the • Labor Code_ you must forthwith comply with such provisions or this permit shall be deemed revoked. . • : Minimum Setback Distances: ' Front Setback from Center Line ;:. Rear Setback fTom Rear Prop. Line CONSTRUCTION LENDING AGENCY - Side Street Setback from Center Line Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 309«, Civil Code.) •..ti .^ 'Side Setbackffmm Property Line 'Lender's Name •''Lender's'Address'' - `.. .- , -: v• •- FINAL DATE .. -- '' '. ' INSPECTOR This is a building permit when properly filled out; signed and validated, and is subject to expiration it work thereunder is for 180 days... 12/88 suspended I certify that I have read this application and state that the above Information is"cortect. I to Missued by: DatePermit agree comply with all city and county ordinances and state laws relating to.bullding - construction, and hereby authorize representatives of this city to the above . •, t o- . ;enter mentioned property for inspection purposes: ',', w . Validated by Signature of applicant Date` ' , + Mailing Address L Validation: r • - r _+ City, State .Zip [• r ' •' �; 4 WHITE FINANCE PINK GREEN BUILDING, GOLDENROD ASSESSORS OFFICE HARD sty« �, yx *APPLICANT tj - t� �.. r ��.r• 2-.v. +•.i•"t ' yv -.. �. :.S .>' :5 COPY -FILE-. -...,. _. r.: ./-. r^ .. :•?. '' _.fit.` ... ... ...... CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ISI FL SO F1 y $ 2ND FL SO FT. POR SO FT. ar GARSO. FT. iR CAR P. SO FT. 0 - WALL SO. FT. a SO FT a 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 lax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTONDISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEOUIP. LAUNDRYTRAY 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. SO. FT. ® c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID I IA c SEWAGE DISPOSAL SO.FT.GAR 3/4c HOUSE SEWER REMARKS: 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 8 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) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ c$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING , REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING V( CTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL a =. CITY OF LA QUINTA OF y DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 564-2246 24-HOUR NOTICE FOR INSPECTIONS Owner Sunrise Company Contractor National Mortgage Permit Number 1411 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES it JOB ADDRESS 79-840 Olympia Fields "Single Family Dwelling" �I TYPE OF INSPEc-noM DATE INSP. FOUNDATION & SETBACKI 'L 2. s: Y 74-,- C FOOTING STEEL I / MAIN GROUND SYSTEM GROUND PLUMBING PRE-GUNITE ' DO NOT POUR CONCRETE UNTIL ABOVE VAS BEEN SIGNED CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK � /,f/-0 I I DO NOT POUR CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING,' ROUGH GAS & GAS`TEST HEATING & VENT.! A/C FIREPLACE X ROOF BOND BEAM O.K. TO WRAP GROUT ❑ 4' O "S' FRAMING INSULATION Q %Z PRE -ROOF it COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH r POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK, FINALS ELECTRICAL /Z y PLUMBING �. FINAL GAS TEST �\ HEATING - A/C HOUSE NUMBERS JOB COMPLETED \ TEMP POWER �\ ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4/88