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SFD (10977)P.O. BOX 1504 Building��-2w48�- � r U 78-105CALLEESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Jesus Madrid Mailing Address Box 804 City Zip' ' Tel. ..UaQuinta 922.5 3. 3�'6--1Q(; Address" City- zip-, ,-, ✓,. Tel.? ..a- State Lic. �-/�'"�/ City c & Classif. Lic. # rw Arch., Engr., Designer Address - Tel.' City lZip I State 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 effect. 'y f J _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;Susiness and'Professions Code:•Any city or:county which requres 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 rive hundred dollars (E500). ❑ 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 appy 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.) 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.) O 1 am exempt under Sec. B. & P.C. for this reason No. 10977 BUILDING: TYPE CONST. OCC: GRP.; A.P. Number Legal Description Lot 5 Black 93 Project Description SFD Sq. Ft. 4 �� No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ . Demolition ❑ -Permit includes block wally permit does not, include pool valuation PERMIT . Plan Chk. Dep' Plan Chk. Bal. Const. Mech. Electrical, Plumbing S.M.I. Driveway Enc. Date Owner I Infrastructure 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.. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WO R KERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (5100) valuation or less.) I certify that in the performance of Ing 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 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 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. Signatureof applicant Date Mailing Address City, State, Zip TOTAL REMARKS 86,326.00 BY: Minimum Setback Distances: AMOUNT 250.00 Rear Setback from Rear Prop. Line 245.77 Side Street Setback from Center Line 581.00 Side Setback from Property Line, 55.50 FINAL DATE 124.84 '. Issued'by: 141.00 Validated by: 6.09 20.00 } {{20.00 1805.33 3250.08 3000.08 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 IST 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 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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. SO. FT. RESID ® 1 Vic SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3yic HOUSE SEWER FINAL INSP! �/�� G ROOFING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE en PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBIN l 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 / L 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. 7 FRAMING h FINAL INSP! �/�� G ROOFING y� ( 0 �� t„! J-14 /G) G� �1 e �%ttiyS--31a� WQ r (/ f (�/� v !�l l v' L ILIO n qla REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL H G Z MESH INSULATION/SOUND76 W 9.1 k, FINISH GRADING FINAL INSPECTION l CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 4 P.O. BOX 1504 APPLICATION ONLY Building n 78-105 CALLE ESTADO t Address 5 a - is d li j� i Z C' LA QUINTA, CALIFORNIA 92253 Owner .. _. maning Address �a� Fp 4 City I—— La V► -NT A . Contractor Address__-. _._ _ city _ 3 �xso i K-) quir AvT State Lic.-� & Classif' Arch., Engr., Designer _ Ziq -42- S 3 1Tel. 3 q 6 -1 4 O Qu( Ld E2 Zip 1� 92-zS3 Tel.. ' - 4454 45L City Lic. # BUILDING -TYPE CONST. OCC: GRP:-- A.P. Number Legal Description r' Project Description 5 ED- _ I� • Sq. Ft. Size New.A7 No: -Stories No. Dw. Units Add ❑ . Alter ❑ Repair ❑ -Demolition ❑ Address Tel. City Zip State 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 effect. - ' SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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 O 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). I, as owner of the property, or my employees with wages as their sole compensation, Will it the work, and the structure is not intended or offered for sale. (Sec. 7044,.Bulsness,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 cont 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 lwho?p Gds orImproves, thereon, and, who -contracts for such projects with a contractor(s) licensed 'pursrfant to the Contractor's License'Law.) " .Y : s ❑ 1 am exempt under Sec. B. & P.C. for this reason Y Estimated Valuation PERMIT AMOUNT - Plan Chk. Dep. - ''Plan Chk. Bal. Const.► McCh.;;!'', Electrical- - -, Plumbing Grading Driveway: Enc. Date - owner s -•- i "4.: '% nfrasfrUctur WORKERS' COMPENSATION DECLARATION �r I hereby affirm that I have a certificate of consent to self -insure, or a`certificate of. t Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy�y ❑Copy is filed with the city.om0 Certified copy is hereby furnished. t ; q }� (] 003 82sX` i`t A 5 <�c 7 K TOTAL 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.) j 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 1 Laws of California. J Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: ! BY: subject to the Workers' Compensation provisions of the Labor Code, you!must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY i 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 BUILDING DIVISION .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 i Issued by: Date Permit Validated by: �• Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. a $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SQ. FT. ®' SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK I 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 WASHER(AUTO)(DISH) APPLIANCE - DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRYTRAY 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 ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: 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 APPJEQUIP. 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) 347-8631 Date 5/26/92 1 Type of Permit No. 11418 Permit # Owner Name Jesus Madrid Log # No. 52085 street Avenida Navarro city La Quinta zip 92253 Study Area 113 APN # Tract # Lot # Square Footage 11466 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 11.58 1 X 1466 or $ 2,316.28 have been paid to D.&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 Jesus V. Madrid Telephone 396-1404 Name on the check By James E. Lively ��,yNNW - Assistant Superintendent, Business Services Fee collected /exempted by Shelley D. Bennett Payment `Received, SignatureD-6 H ^�+v '` Y Q Check_ Y. No. 103 Collector: Attach a copy of county or city plan check application form to dis%_rict co�ny'(r ill waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accoi'iAtin--' DATE `� 5� Z CASE NO. �f C�` _ S- /S `% 2 DEVELOPER'S NAME: 'eg�Q $ S IV c.o�i� cel ADDRESS: e O C? - TELEPHONE: Dear Developer: After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ from plant material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. ` Agricultural Commissi er's Office cc: Indio and Riverside i y i 1 4880 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 = FAX (714) 275-3012 t is Of of CALVIN C. KAMINSKAS r : s DAN RILEY. a Assistant Commissioner4 Sealer, Weights & Measures (7.14) 215.3000 C (714) 215.3030 OFFICE OF AGRICULTURAL COMMISSIONER "JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite.7 Indio, CA 92201 (619) 342-8291 DATE `� 5� Z CASE NO. �f C�` _ S- /S `% 2 DEVELOPER'S NAME: 'eg�Q $ S IV c.o�i� cel ADDRESS: e O C? - TELEPHONE: Dear Developer: After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ from plant material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. ` Agricultural Commissi er's Office cc: Indio and Riverside i y i 1 4880 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 = FAX (714) 275-3012 '`'�� • ! • I � � � ���� a� Qom. - �� * i 14 OF Ed (ouinta •�� ��i� !' �Ltt��tn �tn� ���1�P� �t�t�tun � '���!� � . 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 i ordinances of the City regulating building construction, or use. For the following: BUILDING ADDRESS 52-085 Navarro' ''! ;; � • ' ! ; 3 Use -Classification Single Family Dwellinq Bldg. Pormit No.'10977. ' Group RI Type Construction VM Fire Zone Use Zone RR I X 'I I Owner of Building Jesus Madrid Address P.O. Box 804 I I I III City La Quinta, CA - By; _ Lonnie Day - • � I i i Date: Nom=Mhinr 1 4, 1999 uild ng Official POST IN A CONSPICUOUS PLACE __