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SFD (001345)54335 Avenida Martinez 001345 Policy No. Company O Certified copy is hereby furnished. O Certified copy is filed with the City Building Inspection' Department or City Department Date Applicant APPLICANT NAME (L, F, MI) Const. ADDRESS P.O. Box 2288 PERMIT APPLICATION - _- City of La Ouinta Department of Building and Safety This permit becomes void if work not commenced within 180 days from date of issuance,'OR, if work has been suspended or abandoned for a period of 180 days. r CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed it LICENSED CONTRACTORS, DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 the permit is'for one hundred ($100) o, less.I certify that in the performance of the work for which this permit is (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force issued, I shall not employ any person in any manner so as to become subject to the Workers`Compensation Laws of and effect. California. License Class Lic.-Number Date Applicant. Date •- Contractor • % ' /-= NOTICE TO APPLICANT: If, after.making this,Certificate of Exemption, you should.become subject to the Workers' OWNER -BUILDER DECLARATION: I hereby affirm the I am exempt from the Contractor's License.Law for the Compensation provisions of the Labor Code, you must forthwith comply with such provisions octhis permit shall ' following reason (Sec. 7031.5. Business and Professions Cade: Any city or county which requires a permit to, be.deemed revoked. • . construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for. DIVISION OF INDUSTRIAL SAFETY PERMIT,CERTIFICATION: such permit to file a signed statement that he is licensed pursuant to the,provisionsofthe Contractor's License Law 01 hereby certify that no 6cavation five (5) or more feet in delith in -to which a person is required to descend. will be (Chapter 9 (commencing with section 7000) of Division 3 o1 the Business and Professions Code)or that he is exempt made in'connection with work authorized by this'permit, and that no building.structure, scaffolding, falsework, or therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit demolition or dismantling thereof "will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2: Art 2, Sec 341, Title 8. ' subjects the applicant to a civil penalty of not more than five hundred dollars ($500.): C.A.C.) O I, as owner o1 the property, or my employees with wages as their sole compensation, will do the work, and the. O As owner -builder. will not employ anyone to do work which would require a permit from the Division of structure is not intended or offered for sale (Sec. 7044, Business and - Professions Code. The Contractor's License -I Industrial Safety, as noted above, unless such person has a permit to do such work from that division. Law does not apply to an owner of property who builds, or improves thereon, and who does such work himself or BL through his own employees. provided that such improvements are not intended or offered for sale. If, however, the Q,Division of Industrial Safety Permit. No. building or improvemni is sold within one year of completion. the owner -builder will havetheburden ofproving that Date Applicant • he did not build or improve for the purpose of sale.). CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance - O 1, as owner of the property, am exculsively contracting with licensed contractors to construct the project (Sec.. :' of the work for which this permit is issued (Sec. 3097, Civ. C.). 7044.'Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Lender's Name builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Lender's Address O 1 am exempt under Sec. B. 8 P.C..(Attached Certificate). I certify that I have read this application and slate that the above information is correct. I agree to comply with all Date Owner°I city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above=mentioned property for inspection purposes. WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self•insure; or a' certificate of Workers' Compensation Insurance or a certified copy thereof (Sec^3800 Lab C ) Policy No. Company O Certified copy is hereby furnished. O Certified copy is filed with the City Building Inspection' Department or City Department Date Applicant APPLICANT NAME (L, F, MI) Const. ADDRESS P.O. Box 2288 CITY/COMMUNITY/STATE/ZIP Indio, CA 92201 JOB SITE ADDRESS/SPACE 54-335 Avenida Martinez CITY/COMMUNITY/STATE/ZIP .La 1Cu•ta/ .CA 92253 - BOK PAG X53 PRC' C Dont- Fee 388.00 TWN PING SE S TRACT LOT 4 MOD SB - TRACT NAME OWNER NAME fL. F, MI) l t - CONTRACTOR -FIRM NAME Applicant ADDRESS• .above CITY/COMMUNITY/STATE/ZIP ' above PHONE . I I I LICNC • - - ARC/ENG FIRM NAME' ADDRESS CITY/COMMUNITY/STATE/ZIP ' PHONE a - ' LICNC M USE OF PERMIT - Single family dwella nlg BL ZON FSB SSB SSB RSB I OFC ZONE ORD 0 ', LOT SZ END. SIDE Signature of Applicant or Agent Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF'ENTRY: (,certify I have read this application and state that* the information given is correct. I agree to comply with.alPstate'lawsand county ordinances relating to buidling construction, and authorize a'representative of the Citrj,L'a Ouinta Department of Building and Safety to enter upo he- propeFjyfor•which-1 Have applied for tKis permltfort a purpose of making inspections. Signature of Applicant or Agent Date Print Applicant/Agent Name APPL/PRMT 4'-21285 S.F.D. Permit to construct 1592 sq. ft. of s.f.d. & 91 sq. ft. of porch and 430 sq. -ft. of garage as per approved Plans. Mach. Fee 22.00 Plan Check Fee 306.33 Dont- Fee 388.00 Elect. Fee 43.13 SMI Fee 6.65 Plumbing Fees 50.50 2,000.00 TOTAL FEE A 0 7 8 3 BLDG. DEPT. 4- 23 28 VALUATION 84 417.00 NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts 2A Slab Grade 35 Furnace Compart. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck s , / 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. ❑ 43 Final 10A fireplace T.O. ❑ NON ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C7 Ceiling (Blown) 14 1 Final /f PLUMBING AP RCVALS 15 Ground Plumb / 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water,Softener 23 Water Service 24 Gas Test 25 Final Tank - Pit L. Line ELECTRIC APPROVALS REAR OF PROPERTY LINE PSL P) STREET NAME 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final x%PIED r. .o y BERMUDA DUNES r RANCHO MIRAGE t" INDIAN WELLS H 0 PALM DESERT a J' LA OUINTA ''gyp INDIO 1� Desert Sands Unihed School District 82-879 HIGHWAY 111 O INDIO, CALIFORNIA 92201-5678 0 (619) 347-8631 April 23, 1985 City of La Quinta Department of Community Development 78-105 Calle Estado La Qui*nta, CA 92253 Re: 54-335 Avendia Martinez Gentlemen: The developer of the above referenced . lot has mitigated its impacts on our overcrowded schools by payment of the amount of $628 per unit to be applied to the cost of district educational facilities made necessary by such new development. Sincerely, oo John D. Brooks Assistant Superintendent Business Services JDB/crm hAy 9-1 / IqO5 64- 6QWvl -79 CA -11C s iso cp, 19 -2-2 Ice-e- 4-1 7eA SWL VC 7- F le O -5 e7 1 dr Alp Vewt-1A f 7V< Z71 ?LZe-P1ll Apof e Afeeo azo, C 17 ve u 44-5 Yz 41 p