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Home My WebLink About07344 (BLCK)P.O. BOX 1504 Q Building78-105 CALLE ESTADO Address ' 44-405 hi igol'd,, ..- _a LA QUINTA• CALIFORNIA 92253 Owner .Windle i Mailing BUILDING TYPE CONST.' - - OCC: GRP.-•• Address 44-405liavigold. cac 's F1ovie' A.P. Number City „, ZiTel. _ - •j i.a ,Quinta _ • . . _ J.P3L 253 —13 9 Legal Description . Contractor Project Description 6 -foot x 163-fdot wden wa1'1' Address 34147 Ave. Eu .City Zip Tel.: ' Yucaipa' i ' 92399 -State Lic. 3City 595527 • Sq. Ft. & Classif. .. ..•w., Lic. # - Arch., Engr., Size 'No. No. Dw: - Stories Units • -• ' Designerti .. New ❑ •' Add'❑ :` ` Alter ❑ Repair ElDemolition ❑ Address • - Tel- Y. City Zip State - • .. Lica# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that l am,license%ynder provisions of Chapter 9 (commencingwith Section 7000) of Division of t hhq;pBu,ssi i•ness and Professions Cade; and my license is in) full force and ' 3u effect. •* c, t)r.1r Yr•-d il'?() _SIGNATURE 8 ;C - i / DATE ' f OWNEWBUILDER DECLARATION _ I hereby affirm that I am exempt from the Contractors License Law for the following ^ Estimated Valuation 200 _ SGM0 - •- - - reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires, a permit to construct, after, 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 alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. •, , subjects the applicant to a civil perWty of not more than five hundred dollars ($500). • _ Plan Chk., Bal. ❑ 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 COr1St. 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, provided that such Improvements are not Intended or offered for sale. If, however, the building QQ - Mech. •- • 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.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 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) fcncensed pursuant to the Contractor's License taw.) - ❑lam exempt•under SecB. 8 P.C. for this reason Grading Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company- ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL ;s7Z. Jb - CERTIFICATE OF EXEMPTION FROM - REMARKS - t WORKERS' COMPENSATION INSURANCE orless.)• -his section need not. be completed it the permit is for one hundred dollars ($100) valuation G•-"w- -• ^,-i,14y; 3 ? '., -!s ;.-_,+A,r •.3 r1s y:.y;.;' :r r.' I cern that in the certify 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: It, after making this Certificate of Exemption you should' become ZONE: BY: -• subject to the Workers' Campensaticn 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 from Rear Prop. Line CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the .. Side Street Setback from Center Line work for which this permit is issued. (Sec. 3097, C&8 Code.) , . - Side Setback from'Property Line Lender's Name Lenders Address ;FINAL' DATE INSPECTOR y } ' / 0 . - 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. - Icertify that I have read this application and state that the7above 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 author. representatives^•of this city to enter the above. mentioned property for ins tion purpose Pce PrP •.. - .. .. ._ ti 'Validated by: - Signature of applicant Date' _.Mailing Address .,Validation:- t' City,. State, Zip _ CONSTRUCTION ESTIMATE NO. f ELECTRICAL FEES PLUMBING FEES IST FL SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM F 2ND FL SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING, MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CARP. SO. FT. GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN. SO FT ® ATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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. SQ. FT. ® c BATH TUB LATHING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® V4c 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 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 APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM // ATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING v AL REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL