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SFD (12614)1 P.O. BOX 1504 No, 12614 Building e+ 78-105 CALLE ESTADO Address 52-000 AVENIDA NAVARRO LA QUINTA, CALIFORNIA 92253 Owner Address 72-850 SOME A RD. City Zip Tel. PALM DESERT 92260 346-2840 Contractor SAME AS ABOVE Address p I lel. State Lic. I City & Classif. B 533678 Lic. # Arch., Engr., Designer SME AS ABOVE Address Tel. City I Zip I State C. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of-Uie`Qusiness'arYd=Professions Code, and my license is in full force and effect. SIGNATURE f' - DATE r 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). ❑ 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.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con= slruet 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.) Policy No. Company O 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: 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 ateMailing Address City, State, Zip BUILDING: TYPE CONST. OCC: GRP. ,A.P. Number 773-275-002 ,Legal Description LOT 21 BLOCK 103 Project Description Sq. Ft. 1550 No. 'No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ PER141T DOES NOT INCLUDE BLOCK MALLS OR POOL. Estimated Valuation $881691.00 . PERMIT AMOUNT Plan Chk. Dep. 250.80 Distances: Plan Chk. Bal. 253.21 Const. 590.00 Mech. 55.50 Electrical 125.95 Plumbing 344.00 S.M.I. 8.86 Grading 20.00 Driveway Enc. It `' 1993 11 Infrastructure 1995.55 PRECISE PLAN 25.00 Validation: r s TOTAL 3468.07 3218.07 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 Proper,y_Line FINAL DATE INSPII TOva Issued by: Date �IU Permit It `' 1993 11 A Validated by: Validation: r s E s CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING . . IST FL. SQ. FT. ® $ UNITS A.C. UNIT COLL. AREA YARD SPKLR SYSTEM 2ND FL. SO. FT. HEATING (ROUGH) STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APP.IEQUIP. DRAINAGE PIPING CAR P. SO. FT. @ WALL SQ. FT. GROUT DRINKING FOUNTAIN SQ. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation =$ FLOOR DRAIN MECHANICAL FEES FRAMING /— O [�GP WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 D GROUND PLUMBING -3 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ok LX ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS Ch SEWER QQ-&f#Wr4* fC ,,2AROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) ^f� METER LOOP < HEATING (FINAL) OTHER APP.IEQUIP. REIN F. STEEL GAS (FINAL) ,G TEMP. POLE f ^3 -[ GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ =$ LUMBER GR. FINAL INS FRAMING /— O [�GP FINAL INSP. j —cl— ROOFING \ �i'QGJ�/►'LI�I �(/ Sal cO REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL f �,Z LATHING MESH INSULATION/SOUND _,Fi(� 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 922.01 Document Cannot Be Duplicated 619-775-3500 Date 112/29/931 Type of Permit ILa Quinta No. 112589 Permit # . Log Owner Name Sunrose Corporation No. 52000 Street' Avenida Navarro city La Quinta Zip 92253 Study Area 112 APN # I Tract # J Lot # 0 Square Footage 11550 Type of Development Single Family Residence No. of units 0 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 1.65 x 1 550 or $ 2,557.50 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 Sunrose Properties Telephone 346-2882 Name on the check By Dolores A. Ballesteros,rr.!( Superintendent Fee collected /exempted by Vickie J. Durrett z,.� Paymer t 6RZ ceived` Signature -, iCheckfN 5541 Collector: Attach a copy of county or city plan check application form to district ropy fir alf_waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy = Accounting COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL VIA Received From: --J v`r" f6-L.Ac l [-• ci G r4 Z.. t 0 a— Date: Address: � � �ov'n -! t_ /� © , arr zzo_ ti Account No. n Cod 14!n /, 1 o nL�ot(a) ` Tract Service Address 52 -30 U V £ . / � A 1Z A2? /Z. D G.A. Code 4-M -et ar(a) r ❑ Backflow(s) ❑ House Lateral(a) ❑ Detectorilk eck(s) ❑ Meter Surcharge nilatlon Capacity Charge 01 ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Tum on Charge ❑ Uncollected Account -Name ❑ Inspection Fee -Tract - Fee - ❑ Plan Check Fees Water I Sewer - Tract - ❑ Bond Pa ment - A D - Bond Assmt. ❑ Customer Deposit ❑ Other TOTAL $ Remarks: ❑Copy to: Cash Check Money Order Water Service Cashier QVWD-438111, CALVIN C. KAMINSKAS + +, DAN RILEY Asslslant Commissioner 0 a Sealer, Weights & Measures (714) 275.3000. ' (714) 275.3030 OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE. Commissioner. 83-612 Avenue 45 Suite 7 Indio, CA 92201 (619) 342-8291 DATE I �`�� CASE No. Cr DEVELOPER'S NAME s 5- CA_ K p10_5 e o �. •e,- ADDRESS: :22= SOkL ep-c,_ IcIr ' TELEPHONE s L� ' 5 --300 /lu�_ 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 d mtediately. Thank you for protecting and preserving the Coachella Valley's pest-free environment. 1 Agricultural Cominissi/one Office cc:'Indio and Riverside 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012 r, I 11 M C t of '14a ututa uta t U, �t°MUM 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 52-300 Ave: Navarro, Use Clas4ification single Family Dwelling Bldg. Permit No. -1.2614 Group R3 Type Construction VN Firs Zone Use Zone SR'" Owner of Building Sunrose Corp. Address. _72-850 Somera Road .Palm Desert, -CA 92260 City By;. Lonnie Day Dato; May 4-, 199.4 Building Official.. POST IN A CONS*ICUOUS PLACE