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Home My WebLink About09167 (RPL)Building Address Owner Mailing Address , City Zip 'V n 'A•..: —A. • d1' Cont 683€ 0" Ramon Road y TT P_ Ica*_ Mtv State Lic. ; +8 Classif. ; + ',Arch: Engr.; ' tiDesigner Address Citv CA P.O. BOX 1504 N o 78-105CALLEESTADO. V916 old Fade LA QUINTA, CALIFORNIA 92253: ,` r BUILDING: TYPE CONST. -OCC: GRP. A.P. Number • ' * - Tel. I 6 R IA, Legal Description Project Description + ' Tel.: ( lQ 22k- 60 City Lic. # Al Sq. Ft. No. No. Dw. Size Stories ' Units el. Zip State • . - I I Lic. # 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 licenseisin 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. 7031.5,Business and Professions- Code: Any city or .county which requires 'a -f'S 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 1 ;,subjects the applicanted rto a civil penalty ofviolation not more thanSection five h ndred by dollars 'any ant for a permit 0 I, as owner of the property, or rni 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 property who builds or improves• thereon and who does such work.himself orthrough his own employees, provided that:sucnImprovements 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.) ❑ 1, 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.) 0 1 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 0 p is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM 'WORKERS' COMPENSATION INSURANCE - (This section need not be completed if the permit is for one hundred dollars ($100) valuation. or less.) - I certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. New ❑ Add:❑, Alter ❑ Repair ❑ • Demolition ❑ ' BY: subject to the Workers' Compensation, provisions of the -Labor Code, you must forthwith- comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: n _ _ _ - - - - Front Setback from Center,Line -• Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY • . Side Street Setback from Center. Line Estimated Valuation xxxxtirM 2$..600 PERMIT _ " AMOUNT Plan Chk. •Dep. "Plan Chk. Bal. FINAL DATE i 9A A Const. _ in - Mech.2A_ An ' Electrical Issued by: }A Plumbing '- .y S.M.I. I . .. Grading Validated by: Driveway Enc. Infrastructure Validation: City, State, Zip i. `y L i Y'. +. t{t R,,, -`' SJ • 4r }. ; W .+ r !t, E •, i s v ! 1 Sy .F•: I T zi j i •iP f :'. +n. .Y,. .. 1%">:. }`Y, ,-.i t J.. .., , .f.••- N . •M .`.,a.. Y* `F.'Y} •Yy •+:• i"R . 1 •. .t r. . 'f' ic ' -►. T iA.b' i;+d' " a+r7 e 4.. TOTAL 524:35 - .5240`35 - REMARKS REMARKS f' • NOTICE TO APPLICANT: r if, after making this Certificate of Exemption you - should - become ZONE: ' BY: subject to the Workers' Compensation, provisions of the -Labor Code, you must forthwith- comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: n _ _ _ - - - - Front Setback from Center,Line -• Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY • . Side Street Setback from Center. Line hereby affirm that there is a construction lending agency for the performance of.the 7- .work for which this permit is issued. (Sec. 3097, Civil code.) ., • , • , - •Side Setback from. Property Line :.Lender's Name Lender's Address FINAL DATE INSPECTOR ' 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 application and state that the above, information is correct. Issued by: Date ^ Permit ' 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip i. `y L i Y'. +. t{t R,,, -`' SJ • 4r }. ; W .+ r !t, E •, i s v ! 1 Sy .F•: I T zi j i •iP f :'. +n. .Y,. .. 1%">:. }`Y, ,-.i t J.. .., , .f.••- N . •M .`.,a.. Y* `F.'Y} •Yy •+:• i"R .y`-ia J; ... Wl 5 .Y • j, ",i l'i r .'V... "•C t- l •_. .•:_ . " • moi.. Rl CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SQ. FT. ® GAR. SQ, FT, ® CAR P. I SO. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WA1ER PIPING NOTE: Not to be used as property tax valuation SLAB GRADE / FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SEWER OR SEPTIC TANK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK 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. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL BOND BEAM SQ.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP. l 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 1 —31 Fi( Lo UNDERGROUND / ( A.C. UNIT COLL. AREA SLAB GRADE / ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS / SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINk GAS (ROUGHI (- L METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEE GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. l GRADING cu. yd. $ plus x$ -$ LUMBER GR. FRAMING FINAL INSP`3 /j -L! C ROOFING _Xgg Q U✓tL1T~ // ( G 4 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION -L CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL