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12249 (SFD)54670 Avenida Alvarado Building Address ;III;;IIIII;I;;II;;;;III; 51 54—'70 AVENIDA ALVARADO 4 4 a d Ira P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner STHVE & MONICA MINER Mailing Address 1310 BATH ST. City SANTA BARBA zlp 9310 Tel. 305-564-3412 Contractor OWNER BUILDER Address SAME No. 12249 BUILDING: TYPE CONST. OCC. GRP.• A.P. Number 774-273-009 Legal Description LOT 16 SANTA CARMELITA AT VALE Dia %..y, 4‘ 10101 Project Description SINGLE FAFMILY DWELLING City Zip Tel. State Lic. & Classif. City Lic. #-- Arch., Engr., Designer WENDELL W. FRITH Sq. Ft. 1773 Size No. One (1) No. Dw. Stories Units New I Add ❑ Alter 0 Repair 0 Demolition 0 Address 4501 E. SUNNY DUNES Tel. 320-1211 PERMIT DOES NOT INCLUDE BLOCK WALL OR City PALM SPRINGS Zip 92262 State Lic. # C5297 POOL 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 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. 7031.5,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 five hundred dollars ($500). O 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.) - Q (Ilas owner of the property, am exclusively contracting with licensed contractors to con. sir➢ct 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.) f - O I am exempt under Sec B & P.C. for this reason Date f ' ' 4 Owner 't 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.) I certify that in the performance of the 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 •*gemploy of California. Date 1 f : , ✓ '.q Owner ^-- *.,. 'd4 ''`.."--- NOTICE "TO APPLICANT: If," afte4, making this Certificate o1 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 it 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 Estimated Valuation 105 s 477.00 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. $222.26 Const. 660.50 Mech.- 62.00 Electrical 134.58 Plumbing --144.00 S.M.I. 10.60 Grading 20.00 Driveway Enc. 0, Infrastructure 2,275.12 Precise Plan Iris In Publi 2.00 c Places 25.00 TOTAL " REMARKS $3.,629 00 / 43,579.Ut-"" 1 ZONE BY. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side S'e_tbackfrom.Property Line FINAL DATE Issued by: Date Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ' `1 1ST FL. SO. FT. SO. FT. SQ. FT. SO. FT. SQ. FT. SQ. FT. SO FT VALUATION ® $ HEATING (ROUGH) UNITS FORMS 2ND FL. ROUGH WIRING DUCT WORK ROCK STORAGE rs SEWERI7I Fyy3Lp FOUND. REINF. YARD SPKLR SYSTEM • of METER LOOP HEATING (FINAL) POR. ® REINF. STEEL ' IL MOBILEHOME SVC. TEMP. POLE p 26 BAR SINK GAR. @ SERVICE FINAL INSP. POWER OUTLET BOND BEAM ROOF DRAINS GRADING cu yd CAR P. ® • LUMBER GR. FINAL INSP. 3 / yyth [ $ plus FRAMING /"..../9g, ? 4,0 FINAL INSP. L_//,16//) ;J `ta '^ / DRAINAGE PIPING WALL @ REMARKS: DRINKING FOUNTAIN VENTILATION ® FIRE ZONE ROOFING FIREPLACE URINAL ESTIMATED CONSTRUCTION $ SPARK ARRESTOR WATER PIPING GAR. FIREWALL/' -3-5340 NOTE: Not to be used as property tax valuation LATHING /Z t FLOOR DRAIN MECHANICAL FEES MESH WATER SOFTENER INSULATION/SOUND / /„e9 2 a) ( J VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSPECTION4'RCW L CERT. OCC. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS LAUNDRY TRAY GARDEN WALL FINAL AIR HANDLING UNIT CFM 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. SO. FT. @ c BATH TUB SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11A c SEWAGE DISPOSAL SO.FT.GAR © 3Ac 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 )0...2Z-•0:13 L0 GROUND PLUMBINGgp 22-4j349IDERGROUND A.C. UNIT COLL.AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS ROUGH WIRING DUCT WORK ROCK STORAGE rs SEWERI7I Fyy3Lp FOUND. REINF. GAS (ROUGH)/ / /[( i(/ of METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL ' IL GAS (FINAL) TEMP. POLE p 26 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM' GRADING cu yd x$ _$ • LUMBER GR. FINAL INSP. 3 / yyth [ $ plus FRAMING /"..../9g, ? 4,0 FINAL INSP. L_//,16//) ;J `ta '^ / ROOFING t.,(1 4 3, ` (ew' (ewe -.11 -(F -I 3 La=" REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL/' -3-5340 LATHING /Z t MESH INSULATION/SOUND / /„e9 2 a) ( J FINISH GRADING FINAL INSPECTION4'RCW L CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL IIIIIIIIIIIIIIIIIIIIIIIII 52 M DESERT SANDS UNIFIED SCHOOL DISTRICT l._ 11111111R 82-879 Highway 111 Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 NOTICE: Date 110/18/93 No. (12481 I Owner Name Steve Ziemer APN # Type of Permit No. 54670 Street Avenida Alvarado La Quinta City La Quinta Zip 92253 Type of Development Comments Tract # Lot # Permit # Study Area Log # 110 Square Footage 11773 Single Family Residence No. of units 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 1.65 X 1,773 or $ 2,925.45 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 Stephen Ziemer Name on the check By Dolores A. Ballesteros Superintendent Telephone 342-6051 . Ze N ::-7 Oat.. ''.4.4e r t ;`,4 r Fee collected /exempted by Vickie J. Durrett : '` Payment Received '•- t. • Signature � "C.k.12/Vik.U.-- (tpeC,k. ,Ne: 100 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 Building Address I. 1IIIIIIIIIIIIIIIIIIIIIft 62 IE 54-670 AVENIDA ALVARADO 44a4106 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner STEVE & MONICA ZIEMER Mailing Address 1310 .BATH ST. City Zip Tel. SANTA BARBARA 9310 rd05-564-3412 Contractor OWNER BUILDER Address SAME F, No. '12249 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 774-273-009 Legal Description LOT 16 SANTA CARMELITA AT VALE tiLULK i68 Project Description SINGLE FAMILY DWELLING City Zip Tel. State Lic. & Classif. City Lic. # Arch., Engr., Designer WENDELL W. VEITH Sq. Ft.17 7 3 Size No. Stories One (1) No. Dw. Units New go Add 0 Alter 0 Repair 0 Demolition 0 Address 4501 E. SUNNY DUNES Tel. 320-1211 PERMIT DOES NOT INCLUDE BLOCK WALL OR City PALM SPRINGS: Zip 92262 State Lic. ff C5297 POOL 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 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. 7031.5,Business and Professions Code: Any city w 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 Contractors License Law, Chapter 9 (commencing with Section 7000) of Division 3 o1 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 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 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. f1, 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.) O 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 contractors) licensed pursuant to the Cbntractor's License Law.) ❑ 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 Copy is tiled with the city. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit 1s for one hundred dollars ($100) valuation or less.) I 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: 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 1 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 sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State Zip Estimated Valuation $105,477.00 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. Const. $222.26 660.50 Mech. 62.00 Electrical 134.58 Plumbing 144.00 S.M.I. 10.60 Grading ' 20.00 Driveway Enc. - 0 Infrastructure 2,275.12 Precise Plan 25.00 Arts In Publi c Places 25.00 TOTAL REMARKS $3,829.06 $3,579.06 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: II III 111111 53 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 ordinances of the City regulating building construction or use. For the following: ID:8059660811 OCT 18'93 9:59 No.001 P".01 - October 18, 1993 To whom it may concern: 11111111 lIJ) jII IIIII 1111 54 IE Please be advised that James Kanoski and Deborah Kanoski are authorized to act as my legal representatives in all matters related to the construction of my residence to be located in the City of La Quinta. James and Deborah are close personal friends who reside in Indio, California. Since my present home is in Santa Barbara, California, they arc assisting me in completing local construction arrangements which 1 am unable to do because of the time and distance involved to commute from Santa Barbara to La Quinta. If you have any quaestions regarding this authorization, please call me personally at: (805) 966-0811 -- 8:00 am to 5:00 pin Mon through Fri (805) 564-3412 -- All other times Thank you for your cooperation and understanding in this matter. Sincerely, Stephen E Ziemer RNA 0 • Contractor Owner C = TY OF LA (2jJ = NTA Address Job Address This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. It is the responsibility of the General Contractor or the Owner/Builder to monitor the sub -contractors that are on this list are the same persons performing the work. Any changes of this list must be approved by the City of La Quinta Department of Building and Safety prior to work being performed by a changed sub -contractor. Failure to comply will result in a stoppage of work and/or the voidance of building permit. TRADE SUB -CONTRACTOR NAME CONTRACTOR'S LICENSE NO. WORKMAN COMP. NO. ON FILE CITY BUSINESS 1 LICENSE NO. GRADE/ EXCAVATE ))✓t AtOe\/ Lp ili OA) ',1-(1-c -56-G \\\J PIPELINES • CEMENT/ FOUNDATIONS/`^Ai ?-14/A G-/ 2 30 �� / ' Dk- CEMENT/WALKS & DRIVES -- b y/ 17c-AAJe 30.5 ASPHALT pA lam'' • p'._ , 'FRAMING - ecactFuzi4,14 i-itmGs • I i & o STEEL/ STRUCTURAL 0 A- MASONRY ----01n^ r:-., O ey ,. SCo PLUMBING _lig- C L./ PaAi/ict'I-f+ivi rj 1 1 6 C) LATHING /031/ DRYWALL L 1. /° .jam' PLASTERING jL `6) 3 /Y HVAC tcerk-/ AI9` 2,r 02 ELECTRICAL 1-6-)p .S (C- Z2, ROOFING , )AiEc)P LAG%!i � 3UZ( SHEET METAL ) AO la° C (() '41-14C 302. ( • FLOORS " u1/41 �g� GLASS/ GLAZING V a f� N INSULATION (JCia 6 s ) �{ [ 0 ��3 ( / � c; ; c: SEWAGE DISP '"� C 'jF 6/-� k1140 PAINTING/ DECORATING I1F, I U�^,4re___ JIJa t<t "KAI TILE O (A,,Uga_ () CABINETS/ INSTALLATION ORNAMENTAL METAL //��( N 'C-. FENCES/ BLOCK WALLS S'� t Ai -1/ c C /� I 9 LANDSCAPING �•.54. e� 1 IIIIIIII IIIIIIIIIIIII IE OTHERS IIII 55 N w y� Vmx 9