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Commercial Complex - No Permit No.Building /"� O �Q Address /� Mailing Address Zip Contractor. Address u P.O. BOX 1504 ` r- , 78-105 CALLE ESTADO %��l � vf1G� a LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST ,r 1 ;.i-� � �-I � � Legal Description_ City IZip I I el. State Lic. & Classif. Arch., Engr., Designer Address Tel. City IZip I State LICENSED CONTRACTOR'S DECLARATION 1 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. SIGNATURE DATE OWNER•BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.S,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 Ucense Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt there/rom, 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 Ucense Law does not apply to an owner oI property who builds or improves thereon and who does such work himsel/ or through his own employees, provided that such improvements are not intended or of/eyed for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden o/ proving that he did not build or 6nprove /or 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 o/ property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. 8� 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 (This section need not be completed it the permit is for one hundred dollars ($100) valuation or /ess.J 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: H, after making this Certi/icate of Exemption you should become subject [o the Workers' Compensation provisions of the Labor Code, you must loRhwith comply with such provisions or this permit shall 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 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 I have read this appllcatlon 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 Hof this city to enter the above- mentloned property for inspection purposes. Signature of applicant Date Mailing Address _. City, Stale, Zip Project Description Sq. Ft. Size APPLICATION ONLY Stories OCC. GRP. Units New � Add ❑ Alter ❑ Repair ❑ Demolition lJ .S�t�� �ijCOPIG .K' • %�F��. �� Estimated Valuation �� ��� PERMIT AMOUNT Plan Chk. Dep. ,- Plan Mech. i Electrical s � Plumbing 1a.?� • 0® Grading , � � Driveway Enc. Infrastructure '�S/O �Oo TOTAL 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: Validated by: Validation: Date Permit A53b7 4 22 25a00 Tl BUILDING DIVISION CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL SO. FT, 0 5 0-) P 2ND FL =� ■ SO. FT. W y 0 0 POR. SQ. FT. GAR. SO. FT. @ CAR P. I 50.5I. ® ` WALL d Srd!�7. ® J -<9O SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ % UNITS / 1 0 / to0 YARD SPKLR SYSTEM MOBILEHOME SVC BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING 3,0470 — DRINKING FOUNTAIN URINAL W-, &2 0 — WATER PIPING A 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 LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET �b _ COMPRESSOR HP '� POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY � '� � AMPERES SERV ENT of S � SHOWER BOILER B.T.U. SO FT. ® c BATH TUB SQ. FT. ® c.0 f.7 ' 3 SI WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL I� P—/ SQ.FT.GAR ® AAc HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE /Q DBL TOTAL FEES MICRO FEE MECH.FEE ID 6.00 PL.CK.FEE CONST. FEE 617,36 70-00 ELECT. FEE i/F.4/1( SMI FEE is. S PLUMB. FEE 1,20.©0 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 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, FRAMING FINAL INSP. ROOFING .2 • 9 / ��ObO A«t REMARKS: VENTILATION� FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL I INSPECTOR'S 51iiNAS VHk511N11 IAL5