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SFD (12320)53745 Avenida Martinez 12320 Building 53-745 Martinez Address Owner Al Debbais P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 54-994 Inverness City Zip Tel. La Quinta., CA 92253 564-2856 Contractor Owner/Builder Address Zip State Lic. City & Classif. I Lic. # Arch., Engr., Ste 3EI; Nieto Designer t 423 Dr. Carreon Tel. City ZipState Indio, CA 92201 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70 OO) 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 Dirt Sion 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 provl :that he did not build or improve for the purpose of sale.) Mores 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 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. ❑ 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 tho work for which this permit is issued, I shall not mploy any person n any tha' ner so as to become subject to the Workers' Compensation Laws of Califdrnia nW ee 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 N o . 12320 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 774-131--024 Legal Description Lot 12 Block 244 Project Description SFD t Sq. Ft. 1640 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block wails or pool. Estimated Valuation $98,624.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 288.10 Const. 635.00 Mech. 62.00 Electrical 130.46 Plumbing 141.00 .S.M.I. 9.90 Grading 20.00 Driveway Enc. .00 Infrastructure 2,129.92 TOTAL 3,666.38 3, 416.3- U -X 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 INSPECTOR Issued by Validated Validatior CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE fj f' t BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SD. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. ® POWER OUTLET IROOF DRAINS GAS (FINAL) DRAINAGE PIPING CAR P. SQ. FT. GROUT WALL SQ. FT. SERVICE DRINKING FOUNTAIN. BOND BEAM URINAL SQ FT ® GRADING cu. yd. $ plus x$ -$ ESTIMATED CONSTRUCTION VALUATION $ FRAMING/ WATER PIPING NOTE: Not to be used as property tax valuation [.b VVc 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 LAUNDRYTRAY 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. SQ. FT. RESID ® 1+/a c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER FINAL INSPECTION l. -(j 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 fj 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 WATER SYSTEM FINAL INSP.] ��/ Irl/ FINAL INSP. S.i GRADING cu. yd. $ plus x$ -$ LUMBER GR. FRAMING/ ROOFING !� `� /%3 !/ l�Kw /atm !� -Z/ -�3 [.b VVc REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL G Ij` 3 L LATHING (o MESH INSULATIONISOUNDf1-3 FINISH GRADING FINAL INSPECTION l. -(j CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL (#t V -t IeAk Ttt r of tt Inta lluit.bing,anb Safet 34i.11iii1fin 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 53-745 Avenida Martinez Use classification Single Family Dwelling Bldg. Permit No. 12320 Group R3 Type Construction VN Fre Zone Use Zone SR Owner of Building Al Debbas Address 54-994 Inverness City La Quinta, CSA -T 92253 By Lonnie Day rsm 0 Date; January -11, 1994 Building Official POST IN A CONSPICUOUS PLACE I I