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10452 (SFD)Building Address IIIIIIIIIIIIIIIIIIIIIIIII 71 IE 54-295 Alvarado 0 t 4 atbitai� , No. 10452 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner Expectation Construction Mailing Address 54-295 Diaz City La Quinta Zip 92253 Tel. 564-0793 Contractor Same Address BUILDING: TYPE CONST. OCC. GRP. 773-235-015 A.P. Number Legal Description Project Description Lot 3 Block 264 SFD City Zip Tel. State Lic. & Classif. 613406 City Lic. # ___ Arch., Engr., Designer Sq. Ft. 1614 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter 0 Repair 0 Demolition 0 Address Tel. Permit does not include block City Zip State Lic. # .all or pool LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed undei 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', :r •rx j -r,• -... - .. 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 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 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 live 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 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 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.) ❑ 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 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.) ❑ I 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 Copy is filed with the city. 0 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 tilt) 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, 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 relating to building construction, and hereby authorize representatives iof this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip Estimated Valuation 98,555.00 PERMIT AMOUNT Plan Chk. Dep. 2 5 fS .. f) fl Plan Chk. Bal. 2$0 1.12 Const. Als.00 Mech. 444 _ nn Electrical 1 _ 44 Plumbing 157.00 S.M.I. 4.,Crti Grading 20_00 Driveway Enc. 20.00 Infrastructure 2086.39 TOTAL REMARKS 364-7.b0 ZONE• BY. 00;1.02, 1 Minimum Setback Distances: F .... 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO. FT. SO. FT. SO FT SO. FT. SQ. FT. SO. FT. SQ. FT. VALUATION @ $ STORAGE TANK• FORMS\ l` UNITS •_ ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. (ROUGH) METER LOOP 2ND FL. OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER YARD SPKLR SYSTEM FINAL INSP. POR @ GRADING cu yd _ $ MOBILEHOME SVC. FINAL INSP. plus x$ BAR SINK FINAL INSP. GAR. @ Pre eA,,ry, c21.9^ /c p n-`(&-tit49s n( ![.` 0 /LALATHINGAN/9 G� `, REMARKS: VENTILATION POWER OUTLET FIRE ZONE ROOFING ROOF DRAINS CAR P. GAR. FIREWALL G ®�j ' t MESH DRAINAGE PIPING 66 FINISH GRADING WALL /I/ FINAL INSPECTION-/ �r C CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS DRINKING FOUNTAIN ® URINAL ESTIMATED CONSTRUCTION $ WATER PIPING 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 COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM- FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. @ c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1V4 c SEWAGE DISPOSAL SQ.FT.GAR @ 3c 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 W GROUND PLUMBING,40240 UNDERGROUND A.C. UNIT COLL. AREA rf SLAB GRADE J ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK• FORMS\ l` / /nSEWER OR.CG� iij/�fiJ If ` _/GAS •_ ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. (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 _ $ LUMBER GR. FINAL INSP. plus x$ FRAMING 'iC/eth ( , 4 %%ll UUUU���V Y FINAL INSP. ROOFING /(? OL% Pre eA,,ry, c21.9^ /c p n-`(&-tit49s n( ![.` 0 /LALATHINGAN/9 G� `, REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL G ®�j ' t MESH / INSULATION/SOUND 3(23,6 2 CCC 66 FINISH GRADING /I/ FINAL INSPECTION-/ �r C CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL CALVIN C. KAMINSKAS Assistant Commissioner (714) 275-3000 DATE wte 02‘1, 9c1 OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite 7 Indio, CA' 92201 (619) 342-8291 CASE NO. DEVELOPER' S NAME: 37 M Swot. ADDRESS: cv_; 4a dtAeNf;L, I111111VIIIIIIVIII1111 72 IE DAN RILEY Sealer. Weights & Measures (714) 275.3030 .- �� RL -5 6a X191 LA- C ,. N)TA ca 9,,p,.4.51.3 TELEPHONE: (6/5) S7'/— 07, - Laf Loch'/ &4o &f 7 gtick38 ('ot ez Lof10 etod%Isy 61)210414a. Lid -21 BPe 3.2 9ua.1Qz Com , iii M. o Lo -t3 66,167 �Pa a Zell //55�/04.3 / M•bry 1,0f1 7 azQ 84u Atz (pts/ , Paeh.�'� �4Pua�do Dear Develo riVadr y Q oRa. LoT 9 Bio 's8► QiM►'.irk 07TH egarac66aft ft) t.ei work 6 i 074/5. co cora3 ►3c�kl13 p►A L.oTS /36 r z65 Ol3ERm►✓ Loi 3 gLoc4: 6c/ i4LvA &4Ob After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ from plant material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agricultural Conmissiois Office cc: Indio and Riverside 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 - FAX (714) 275-3012 uuiumhu� „ 11111111IIIIIHI1111 11173 Building Address Owner ce# 40darad P.O. BOX 1504 i Lr/ - P71-ACCAL FORMA 92253 0/A) C�ry i Mailing Address s co City, /X09- Zip Tel. S -I6 ii -Q75 Contractor Address APPLICATION ONLY BUILDING: TYPE CONST: OCC. GRP. � °' A.P. Number 7? /3 - 3 6-'^/' C0/ 5 Legal Description LDit " /% 3 26 Project Description 57/ City Zip Tel.. State Lic. & Classif. 6 73 ( fo 6 City Lic.# /Q6� Arch., Engr., Designer Sq.Ft. 7 No. Size /SS Stories No. Dw. Units New ❑ Add ❑ Alter 0 Repair 0 Demolition 0 Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION ro I hereby affirm : t I am Iicq sed u •er proyyr'iopg(of Ch er 9 (commencing with Section 7000) of Divisio 3 •f the Business a d Prof -5 i•vt- Code( tid my license is in full force and effect. GNATU DATE OWNER -BUILDER DECLA ATION I he :!firm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, atter, 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 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 live hundred dollars ($500). 0 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 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 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.) ❑ 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 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 I 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 Copy is filed with the city. 0 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.) 1 certify that in the performance of Mc) work for which this permit is issued, 1 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 tilled 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 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 BUILDING DIVISION Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. AMOUNT Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. t, frastructure,�� ueix2a r va4,1 TOTAL REMARKS c7 4 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE V NO.' ELECTRICAL FEES NO. PLUMBING FEES 1ST FL SQ. FT. SO. FT. SQ FT SQ. FT. SO. FT. SQ. FT. SQ. FT. VALUATION @ $ STORAGE TANK FORMS UNITS ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP 2ND FL. OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER YARD SPKLR SYSTEM FINAL INSP. POR ® GRADING cu yd _$ MOBILEHOME SVC. FINAL INSP. $ plus x$ BAR SINK FINAL INSP. GAR. ® REMARKS: VENTILATION POWER OUTLET FIRE ZONE ROOFING ROOF DRAINS CAR P. ® GAR. FIREWALL LATHING MESH DRAINAGE PIPING FINISH GRADING WALL FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS DRINKING FOUNTAIN @ URINAL ESTIMATED CONSTRUCTION $ WATER PIPING 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 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 SQ.FT.GAR @ 3/4c 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 APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu yd _$ LUMBER GR. FINAL INSP. $ plus x$ 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 SIGNATURESIINITIALS GARDEN WALL FINAL DESERT NOTICE: Document Cannot Be Duplicated Date 2/12/92 No. 11185 I Owner Name APN # Type of Development Comments SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 Indio, CA 92201 (619) 347-8631 Type of Permit Expectation Construction No. 54295 street Alvarado 111111111111111111111 74 La Quinta city La Quinta Zip 92253 Tract # Lot # Study Area Square Footage No. of units Permit # Log # 110 Single Family Residence • 1614 1 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.58 X 1,614 or$ 2,550.12 have been paid to D.S.U.S.D. for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Expectations Construction Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett Signature ffme_ci lOcuva.tit. Telephone 564-0793 Payment Received f• Check 'No. 0668 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting I IIIIIII VIII III VIII IIII 75 ....... E.___.. . I 11 I, ., _ _4_ r` i. �!' .p,... ''u �pJ n�,�,i _ --... _'_—- +__\ \�; i , i:. •—__-- \• �_ % ( Vii; l p�Yj S _ l� —_— — . �I , ' 8trit it ��• - � , _______ . , , etitc,4 ; II . _ ______:„;„ _ ,e_____ ;-." . ' . : , I 1 , I:!` ..„, l„ :„.„...., j --4K, _- ?a -- --- �: - --' F / Y < ter__ 4�-.c 4 � :s;.jw - ='op = yTFC Titu of a Ouinta if • .. iguitin anti �ifet Iiihitiion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various y 9 ordinances of the City regulating building construction or use. For the folio. wing: BUILDING- ADDRESS • 54-295 Alvarado i I 1 i ' , I. y is Use Clossification SFD Bldg. Permit No. 10452 , i , R3 T VN Fre Zone Use Zone SR Group Type Construction '•I } ,, Owner of Building Expectation Constructioadress 54-295 Diaz 1�� cit La Quinta, CA 92253 - y • Lonnie Day Ii �l By; i 11 Dote: 5/6/92 - ,I ILS II II I II�- II UMMICIII Building Official POST IN A CONSPICUOUS PLACE __ MEMINE = {. _-mac"=t --s-" _ _ I 1110111111I 011001111 76 7"5"1"1".§- �'• + :(7"4=7"4-7777.7,777 "4—` dam. #R- t COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL 7. f _, . 1-1" Received From: Address* Account No Service Addre Meter(s) Service(s) ❑ Backtlow(s) ❑ House Lateral(s) ❑ Detector Check(s) ❑ Meter Surcharge )(Sanitation � Sanitation Capacity Charge /❑ WSBFC 1n `1748 Date• c 14F5 O Temporary Construction Meter O Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - O Plan Check Fees Water 1 Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt ❑ Customer Deposit ❑ Other Remarks. ❑Copy to: Cash Check Money Order TOTAL $ (g/cas-7 Water Service Cashier CVWD-438 (11/89)