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003364 (SFD)Building Address Owner V\0 k Marian Whig Mailing ' Address City lZip Tel. Contractor �#owardxHogginsf. Es ;�,�ax�cxx�xx Address 310.-S. OuinCe Street. lZip State Lic. I City & Classif. Lic. # Arch., Engr., Designer P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No.. 003364 BUILDING: TYPE CONST. 1. OCC: GRP..' A.P. Number 774-274-020 Legal Description ion Sinal+ Family, f'welllna Ido Leer _ Project Descript Sq. Ft. Size 124 New ❑ No. No. Dw -. Stories Units Add ❑ Alter ❑• Repair ❑ Demolition ❑ Address Tel. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line City Zip State Side Street Setback from Center Line Lic: # FINAL DATE INSPECTOR _ LICENSED CONTRACTOR'S DECLARATION " Validated by: 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 Validation: effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation - �� sQ reason: (Sec. 7031.5,Buslness and Professions Code: Any city ,orcounty which requiies 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 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 Any Section 7031.5 by 'any for Plan Chk. Dep. alleged-, exemption. violation of applicant a permit subjects the applicant to a civil penalty not more than five hundred dollars ($500): Plan Chk. Bal. ^ ❑ 1, as owner of the property,. or my employees with wages as their sole compensation, will Tl q do the wdrk, and the structure is not intended or offered for sale. (Sec. 7044, Buisness 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. nn 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' - M j(� of proving that he did not build or improve for the purpose of sale.) Oi I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing i (1 13 x In 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. '• Q,.� . such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 0 1 Grading M. tin ❑ I am exempt under Sec. 1 B. & P.C. for,this reason Driveway Enc. 20.00 Date /)/;? J 1Owner Wit'%- - : 1 �+-?��s ��-�. Infrastructure 1.015.10 WORKERS' COMPENSATION DECLARATION I'hereby affirm that I have a c rtificate 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.. TOTALt'�t:€i3I.i1.Q3 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATIONINSURANCE (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 thg 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 subject to the Workers' Compensation provisions of .the Labor Code, you must forthwith 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, signedandvalidated, 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 relating to building construction, and hereby authorize representatives of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip HARD COPY L ' 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 14/87 Permit . Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE UGH PLUMB.V—y : YARD SPKLR SYSTEM 2ND FL. SO. FT. ® HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CARP. SO. FT. GAS (FINAL) TEMP. POLE WALL SO. FT. ® DRINKING FOUNTAIN SO. FT. 0 WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER Z/fA'ROOFING� C/ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM VENTILATION KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP I POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. ®c I WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER 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 UGH PLUMB.V—y : BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK / `GFiOUGH WIRING ��-� DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EOUIP. 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. AMINGy �^' �(� FINAL INSP. Z/fA'ROOFING� C/ r �� /_ i/`%(SGC/ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING 0- V MESH INSULATION/SOUND FINISH GRADING ��NAL INSPECTIONI-// CJ CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL