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SFD (14905)53675 Avenida Martinez 14905 14905 . P.O. BOX 1504 N Q . Building 78-495 CALLE TAMPICO Address 53--575 Ave. Martinez LA QUINTA, CALIFORNIA 92253 Owner Ken Stemmer VN BUILDING: TYPE CONST. OCC. GRP.. ' AddreMailinss 77745 Delaware 7741--133-021 A.P. Number CityZip Tel. I Lot 9 Block 244 Palm Desert, CIN 92256 772-0046 Legal Description Contractor SF Same Project Description Address City Zip Tel.' State Lic. B 585937 City 211.9 & Classif. Lic. # Sq. Ft. No. No. Dw. Arch., Engr., Size 1600 Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Address Tel. Permit includes front entry porch. City- Zip State Additional patio eovera, block work, Lic. # LIC LANSESEi ---, D CONTRACTOR'S DECLARATION and/separately. or ool to be obtained . • , I heyyeby' affirm chat I,am licen ed,rb{lder,pr6 cions of Chapter 9.(commencing with Section 000.)jof+D_ ivisio- rl 3 ofthe,8usinee •and rofessiorSs Code, and my license is in full force and effecc, l s GN TUR DATE OWNER -BUILDER DECLARATION Estimated Valuation $97,308.00 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,ausiness 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) or 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. 250.00 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 Plan Chk. Bal. 256.99 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Suisness and Const. { 50 Professions Code: The Contractor's License Law does not apply to an owner of property who m • builds or improves thereon and who does such work himself or through his own employees, Mech. 62.00 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.) Electrical 127.70 tn ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 135.00 struct he 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. 9.73 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading 20.00 O 1 am exempt under Sec B. & P.C. for this reason Driveway Enc. 4 00 Date Owner Infrastructure 2,1135.51 Precise Pian 25.00 I - 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 Nn. Company 3 652.53 Vj,,. fopy is filed with the city. ❑Certified copy is hereby furnished. ► TOTAL 275.00 3,377.53 CERTIFICATE OF EXEMPTION FROM REMARKS 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 thq work for which this permit is issued, I shall not employ any personnia. in any manner so as to become subject to the Workers' Compensation r t { } Laws of Califor Date Owner NOTICE TO APPLICANT: ff, after making this Certificate of Exemption you should become ZONE: BY: 1 l 1 subject to the Workers' Compensation provisions of the Labor Code, you must forthwith .. comply with such provisions or this permit shah be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND - Side Street Setback from Center Line SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Side Setback from Property Line DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ' ATTORNEY'S FEES. This -is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR 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 ateMailing Address Validation - City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES . milw NO. PLUMBIWQ FEES '• A.C. UNIT COLL. AREA SLAB GRADE ' 1ST FL. SQ. FT. ® $ UNITS HEATING (ROUGH) STORAGE TANK FORMS YARD SPKLR SYSTEM s • 2ND FL. SQ. FT. p DUCT WORK ROCK STORAGE FOUND. REINF. /. } 1 MOBILEHOME SVC. BAR SINK POR. SO. FT. ® OTHER APP./EQUIP. REINF. STEEL GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GROUT DRAINAGE PIPING CAR P. SO. FT. ® FINAL INSP. WALL SQ. FT. WATER SYSTEM DRINKING FOUNTAIN SO. FT. ® _$ URINAL ESTIMATED CONSTRUCTION VALUATION $ FRAMING y % WATER PIPING NOTE: Not to be used as property tax valuation / / j/. //l IIA;Y- FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/a c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER FINAL INSPECTION / 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 , NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ' ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEW2 ORS 6_ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. /. } 1 GAS(BOUGH) ey f i / METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE dIlOff— GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM ' l WATER SYSTEM FINAL INSP. 3 /J GRADING cu. yd. $ plus x$ _$ LUMBER GR. FRAMING y % FINAL INSP. ROOFING g ! / / j/. //l IIA;Y- REMARKS: zt5,i/o2m lr ave VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND 7 FINISH GRADING FINAL INSPECTION / CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL P.O. BOX 1504 APPLIC TIO ONLY BuildingI 7/► 7&105 CALLE ESTADO Address 7 - iD S '/ / r'.7 LA QUINTA, CALIFORNIA 92253 Mailing ` Address7? 45' L` Cli 1 JZip Tel. ,41c n1 ' ev' ct ZZ 6 -7 -7 Contractor V0 Q. ty lZip Tel. State Lic. City & Classif. 9 3, iLic.# 21 Q Arch., Engr., Designer 1 Address J Tel. City Z ip State Lic. # r LICENSED bNTRACTOR'S DECLARATION I hereby tfy t at I am licensed under provisions of Chapter 9ycommencing with Section 7000 of Dli fi fo 3 f lFia BSsine- Professions Code, and m license is in full force and effect. SI n — /7 --,,_ go - 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). 17 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 suchimprovements 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 1 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.) 17 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 17 Copy 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. 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 -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING DIVISION BUILDING: TYPE CONST. A.P. Number Legal Description Project Description OCC. GRP. Sq. Ft. Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS 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 Issued by:— Validated by Validation: INSPECTOR sy__ .7-7= ' CONSTRUCTION ESTIMATE NO, ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. a $ 2ND FL. SQ. FT. @ POR. SO. FT. C• GAR. SO. FT. @ CAR P. SQ. FL 0 WALL SQ. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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. SQ. FT. ®c BATH TUB SQ, FT. © c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID 1V. c SEWAGE DISPOSAL SQ.FT.GAR @ !,,c HOUSE SEWER REMARKS: VENTILATION 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 APP.IEQUIP. 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. 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 SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio,,CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 3/30/95 Type of Permit I La Quinta No. 113388 Permit # Owner Name Ken Stemmer Log No. 53-675 Street Martinez City La Quinta Zip 92253 Study Area 110 APN # I Tract # Lot #.0 Square Footage 11600 Type of Development Single Family Residence I 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 1.72 x 1 600 or $ 2,752.00 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 Ken Stemmer Telephone: 772=0046 Name on the check y By Dolores A. Ballesteros r - Superintendent Fee collected /exe by Mitch Moldenhauer C Payment Received Signature Check No. 345 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 w `' 'b'Ml lf?' 3A '95 13 `z6 . PALM DESERT ESCROW , mouv"m OV OOW TrrLj GOMPAW 0 - o*ffr" N. Jadmoe am 41430 Alowida Carman "a"" La *O*ta. Ca. 92253 R -140236-I aw."L Twwwo" 4195k6 KM AT m Gly Dad - VOCUtWaAn TajuiVO, TAX IS SL a .,paie envrilf,"fr K! CIV d iaee= Q peke► a Q paced oa 4nSt v bt lea •A d 1Sa d4L a tiw.e .4 .ar, u.Q SMA VALVA Ul SW$,A7MM' r!' qK at wails a lret +y ,e Cxw, Ib4ged. r ' PAtdlA Ll% tlO ilm. so"i0fig Tru2t4e of tl* m 0. WnIWER AND PAULA FAKIL7 MUST ZiRTM, d&re_ - XrFW St. JACKSOOi AND PARIS J. Jill. a#W and Vito as ;Joint tenanu a, bbwft&Wg" icd p►o " is sc mast at aiewsido r.ee rcVx tA as 9 to by m of ff Wth tdr"llt* at ile in Boot 19. Page 92164 1"kkmfAaio'$27. a: st ase► 47► tive"Ide County. Situ$: laws, Laed. Avenida liart'ftl, U Cuiltte. Ca m 4 4 i nq 'ruxtae Zrof Q tm v w tam" cwr w. w .■w ww.+w MAL A# =MWTM Aw3v ,.3 ;'Ya` Ja>lea 10. 1l4S a 100. a►A'!t OF +C1LVORlA } 3 1PAULL ryPL 'M f 'J %`' }}M Od aM a C9 W rOiM btZrHi/ V+a i asuae K r 1» **owes O t7e MMRlYOM MANIM iM doew • w m 4 4 i nq 'ruxtae Zrof Q tm v w tam" cwr w. w .■w ww.+w MAL A# =MWTM Aw3v r _r 1 t ac••l1 ,.zx M'gM0O VtTr t2A0C3 ;r ;, -V CSrRMra ( 03 DDIt A A ] ,q I -MMI -0 0Wt 1i T; c raj :2 om ' 0 ee:tOsTmoi: b a.ah.h.Wed aY.bdlb r .b 7tDQi•ros#9a mrd a nx a ka 1 aoh cut ed .Nm4awro J-gJRAUAAV A XQP A,tUA9 Qi?A s33AIl'M .o =. Olt t, CWZnT ptvty' z .93DI31M ]J rWAa t1\ MAO Thr'/ TJIPl-4 0 uftair l. ? O taj, to 011-0 bAD toodn i MtMCI .L ZIJUq MtA RUXJAL .tt tIi k- bft=t' vkvcd co OZstevoot9 b v=m .tSQ ttRO asatup a.t sfsY tD 4t1rtnfta3 "IQ td tel 126M Rte toj to shtos t . 7b S8 .Qr saoa Rt ort! no W yd r --ata to .V*nro3 tatv*=t* ` of .etnta0 0.! .s att• tt nble YA .ksa.! setaacT ;c ttt swum = a u air ,ot bee zz .= _meq 4 + rht7y CA1 J C 1 Q ac+a„ o .MV ca d pct . . ,•a i uwr wrw.. y a eo...w, • . _ '.7Y C .!'rAD:.t•. " :X qc- e 9 cG7 f7 .: 4.1 " cstya i „0 M cam ,-'-p a m STRUCTURAL AND CIVIL ENGINEERING DENISE R. POELTLER, -INC. 79-301 Country Club Drive • Suite 202 • Bermuda Dunes, California 92201 1 March 1995 Mr. Mark Harold CITY OF LA QUINTA Building Department 78-105 Calle Estado La Quinta, CA 92253 RE: KEN STEMMER La Quinta Residence Dear Mr. Harold: I have reviewed the dead and live loads used for the design of gang -nail, wood roof trusses provided by WOODSTOCK, INC. and found them in substantial conformance with my original design loads. Respectfully submitted, ajffaa0z Denise R. Poeltler R.C.E. 33446 DRP/lm W.O. #95-116 CC: Ken Stemmer 77-745 Delaware Place Palm Desert, CA 92260 TEL. (619) 772-3966 0 Exp. 6-30-98 C 1 V OF CALIF/ FAX (619) 772-3986 A, I &AVV e Iti �/ len TiN of Iltt 'Outonta , - I - Nuilbing''allb �'afet�r "13-41NN'thin 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 53-675 Avenida Martinez Use Classiticotion Single Family DwellingBldq. Permit No. 14905 Group R-3 Type Construction VN Fire Zone Use Zone R-3 Ken Stemmer Address 77-745 Delaware. Owner of Building ' City Palm Desert, CA., 92260 By Daniel P. Crawford Jr. �­7A4!�_ ! Dote: April 18, 1'996 Building Official P"T IN A OONs11000U! PLACE