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11038 (SFD)Building52--180 Monte-uma Address Owner Dodco Construction Address P. 0. Box 1012 J lAiil P.O. BOX ,504 - �� "� No. 11038 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC. GRP.; A.P. Number 773-201-013 City Zip Tel. La Quints 92253 564-6478 Contractor Dodco Construction Address Sarna City Zip --FT—ela State Lic. City & Classif. 397$34 B1 Lic. # 1375 Arch., Engr., Designer Address Tel. City IZip I State 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 license is in full force and SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 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 rile 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 1, 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.) 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 contractor(s) licensed pursuant to the Contractor'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.) Poll'�Y No. .Company I Copy is filed with the city. ❑ 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, 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: d, 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 Ihereby 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 ateMailing Address City, State, Zip Description Lot 15 Block 39 :t Description SFD Sq. Ft. 1504 No. Size Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit includes stucco wall; )ermit does not include block walls or pool stimated Valuation 95 172.55 PERMIT AMOUNT Plan Chk. Dep. 250.00- 550.00- Plan Plan Chk. Bal. 274.62 Const. 621.50 Mech. 49.00 Electrical 124.96 Plumbing 147.00 S.M.I. 9.60 Grading 20.00 Driveway Enc. _Infrastructure Infrastructure —0— 1954.39 TOTAL 34.51.07 3201.07 REMARKS 0Vi1',4*4Ai' 1J'l--- 1'it 0P 2111—,'_1,h 1 .y -11r 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 NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. 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 WATER PIPING NOTE: Not to be used as property tax valuation ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROCKSTORAGE GARBAGE DISPOSAL FURNACE . UNIT WALL FLOOR SUSPENDED GAS (ROUGH) 0 LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. O. FT. RESID ®1Y. c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/ac HOUSE SEWER rr / FRAMING rf FINAL INSP. GAS PIPING PERMIT FEE PERMIT FEE tPL.CK.FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.F CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK 01 GROUND PLUMBING 6 9NDERGROUND 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. REINF. GAS (ROUGH) 0 Q c 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. $ plus x$ _$ LUMBER GR. FINAL INSP. Q rr / FRAMING rf FINAL INSP. ROOFING g � / [ (• I�� 4Y►/ / V/ �/J� h 1 l/ ( REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING qj0JCVZO 'wmL L INSULATIONISOUND 02 FINISH GRADING FINAL INSPECTION e,411&1 2 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 6/18/92 1 Type of Permit I La Quinta No. 11` Permit # Owner Name DoDco Construction Log # No. 52180 street Avenida Montezuma city La Quinta Izip 92253 Study Area 112 APN # 773-201-013 Tract # Lot # 16 Square Footage 11504 Type of Development Single Family Residence No. of units Comments 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 11.504 or $ 2,376.32 have been paid to D.S.0 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 DoDco Construction Services Telephone 564-M78 Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Shelley D. Bennett S ,v,ea /� Payment, Rece d t' Signature �-1- ' _ Check -'No. 2552 Collector: Attach a copy of county or city plan check application form to district'cii iy'%r all waivers. Embossed Original- Building Dept./Applicant Copy - Appbcant/Receipt Copy - Accounting COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL Received Fro �'� .a �e. ) , l i r '- '� t i/ . . ''�/ �, Date} `' r t G ` - •f Address: _ Account No. �^ I;i_ Lots) = L Tract . _ Service Address `� �'- G.A. Code Meters) �� - . eJ Q �J Service(s) ❑ Backflow(s) ❑ House Lateral (s) ❑ Detector Check (s) ❑ Meter Surcharge �. Sanitation Capacity Charge ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water / Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other TOTAL Remarks: ❑Copy to: Cash _ Water Service Check Money Cashier Order CVWD-438 (11189) 'i • ' oF I�,•li' S �t� �� 1�utn�n•! i �i I it UXI 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: BUILDING ADDRESS 52-180 MONTEZUMA i ! ! " SINGLE FAMILY DWELLING . 11038 Use Classification Bldg. Permit No. ;; j ! ! ! E ! Group R3 Type Construction �IIJ Fre Zone Use Zons SR iii 1 Owner of Building DODCO CONSTRUCTION P.O.BOX 10 2 0 Address I ! i j I LA QUINTA, . City CA gy; LONNIE DAY � I � , �• II Data. OCTOBER 15, 1992 ! II Building Official POST IN A OONBTICUOUS PLACE -- -