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003031 (RR)Bullring 2 le 79-47247•Ruer,ta Address c Owner 4 P.O. BOX 1504 •NO. 30321 78.105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing " Address City JZlp Tel. . Contractor C. V. tii67Ci1w. Address.. , .. BUILDING: TYPE CONST, OCC: GRP, A.P. Number 6 17-4,17-011S . Legal Description Project Descrlptlon'�" V. U. ,OR l z Sys City . ... ZIp Tel.. u t> dig 92202 » 398-5186 State Lic. City & Classif., C-39 352Wly Lic. kSqSize . Ft. : No. No. Dw. -Unita Stories " .Arch.; Engr.,. .. _.. .. ..:... .. .. Designer . New ❑ Add ❑ _ Alter ❑ Repair IX -Demolition ❑ Address Tel. - CityZIp State 77777 - Lic. q ... - LICENSED CONTRACTOR'I; DECLARATION, I hereby afflrm that•I am licensed under provleione of Chapter (commencing with Section 7000) of Dlvlelon 3 of the. the. and Professions Code, and my license to In full'force'and w s effect A AVVC .. .. .. .. .- .. S1DtlATU _. t ,.,� ,�. DATE OWN ER -BU ILDER-DECLARATION I hereby affirm that] am exempt from the Contractoes.License law for the following : reason: (Sec.. 7031.5,Susiness and Professions . Code: Any city or•. county which requires a permit. to conetruct,'elter, such permit to file a signed statement that.he Is licensed pursuant lmprove, demollsh, or repelrany structure; pdor to Its Issuance also requires the applicant for'-toPERMIT the provisions of the Contractor's License Law, Chapter 8 (commencing with Section 7000) of ' Division 3 of the Business end PiofesslonsCode,,or thahhe is exempt therefrom,'end 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): ' 01 1 I, as owner of the property, or my employees with wages ae their sole compensation, will ' do the work, and the structure Is not Intended or offered for sale. (Sec. 7044, Bulsness endConfit. Professions Code: The Contractor's License Lew does not apply to en_ owner, of ,property. who., builds or Improves theison and who does such work himself or through his own employees, - provided that' such Improvements are not Intended or, offered for, sale. •h, however, the building': or Improvement is sold within one year of completion, -.the owner•bufider will have the burden of proving that he did not build or Improvs.for the purpose of.sele.)- EStlmated. Valuation - ' AMOUNT Plan Chk. Dep.. Plan Chk.. Bal.. Mech. Electrical Plumbing ❑ 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 Lew 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.) O 1 am exempt under Sec. -B. & P.C. forlthis reason S.M.1. r Grading Driveway Enc, Date owner Infrastructure WORKERS' COMPENSATION DECLARATION • 1 hereby'affirm that 1. have a-'certlficate of consent to sell -insure,' or a certificate of `4 Worker's Compensatlon Insurance, or a certifled copy thereof. (Sec 3s00�Labor Code.) *' Policy No. Company fz` ay O Copy is filed with the city. ❑ Certified copy Is hereby.furnlshed. ., TOTAL r� CERTIFICATE OF EXEMPTION FROM WORKERS'• COMPENSATION INSURANCE . REMARKS (This section need not be completed if 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 anyparson In any manner so as to become' subject to the Workers' Compensation Laws of California. . Date Owner NOTICE TO APPLICANT:. If, alter making this Certificate of Exemption:you',should become' subject to the. Workers" Compensetion- provisions of -the Cabor' Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ' ' ZONE: BY:' Minimum Setback Distances: ` Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a'conetructlon lending aency forthe performance of the work for whlch.thls permit Is Issued. (Sec. 309.7, Civil Code.? . , - Lender's 'Nam Side Street Setback from Center Line Side. Setback from Property Line Lender's nddreea This Is a.bullding 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. I agree to comply with all city and county ordinances and state laws'-reiatlhg.to' building construction, and hereby authorize representatives -of .this city to enter the above-,- mentloned property for Inspection purposes. FINAL DATE Issued by: Validated by: INSPECTOR Date L/7/Ei7 Permit Signature of applicant —Date— ateMailing.Addrese Mailing. Addres ValldatlOn: City, State, ZIP E7692 4 7 2;;.50 Tl - HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. @ $ 2ND FL. SQ. FT. POR. SQ. FT. @ GAR. SO. FT• @ CAR P. SQ. FT. @ WALL SO. FT. @ SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM ' BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN 1URINAL WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR @ 3/ac HOUSE SEWER FRAMING FINAL INSP. 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 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 APPJEOUIP. 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. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL