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10643 (SFD)Building Address ss 51-363 Caarranza Addr Owner Jim Walker Mailing Address P. O. Boy: 512 City Zip 1000 Palms 92276 Contractor Ren Stemmer Address 77745 Delaware City Zip P.D. 92260 State Lic. & Classif. $ 589937 4 P.O. BOX 1504 1t�, / IN 0. 10643 78-105 CALLE ESTADO t LA QUINTA, CALIFORNIA 92253 G BUILDING: TYPE CONST. OCC: GRP.: A.P. Number 773-081`007--7 Legal Description Project Description SFJ) 772--0046 City Lic.'# Sq. Ft. Size �i UNo. No. Dw. Stories Units Designer �, New ❑ Add ❑ Alter ❑ Repair ❑ _ 'Demolition ❑ Address Tel'. permit does r not include block wall or 061 City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby,affirm [hat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Jvision.3.of.threBusiness and Professions Code, and my license is in full force and Wt. ���1/ V. 1 -...� 'SIGNATUREb\1, DATE I R -BIDER DECLARATION, 1 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 rile 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 or 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 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- 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. I am exempt under Sec: B. & P.C. for this reason Estimated Valuation 80o816.00 . PERMIT AMOUNT Plan Chk..Dep. 250:0`0 ' - Plan Chk. Bal. 230. 21 Const.154.00 Mech. l 49 - rin Electrical ',,k - j, 1-1-20. 90 Plumbing 1,6 6 . 50 S.M.I. o !f 3 . 10 Grading 20.00 Driveway Enc. 20.00 Dale owner Infrastructure 1810,36 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 Jf the permit is fol one hundred dollars ($100) valuation or less.) I %" _ I_,% k ' I d 1' ` I certify that in the performance'df ihp work for which this permit is issued, I shall not employ any person in any manner so Aii,l become"subject>td`the,Workers' Compensation Laws of California. Date Owner � , NOTICE TO APPLICANT. ff, affer-making 'this Certiliage-°oL,.Exemptionyou should become subject to the Workers' Compensation provisions. of the Labor Code,' you must forthwith comply with such provisions or this permit shall be deemed revoked. I CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) .� Lender's Name Lender's Address This is a building permit wherf properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above, mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip TOTAL 1 3237.07 2987.07 REMARKS 1t 1 11'�adtt$g4a)41 �l5 "y" 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. ® $ UNITS A.C. UNIT 2ND FL.SO. FT. SLAB GRADE YARD SPKLR SYSTEM FOR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. S OR SEPTIC TANK DRAINAGE PIPING WALL SO. FT. ROCK STORAGE DRINKING FOUNTAIN. SO FT ® GAS (ROUGH) URINAL ESTIMATED CONSTRUCTION VALUATION $ HEATING (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES TEMP. POLE LLL WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM WATER SYSTEM FINAL INSP. / 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 FINISH GRADING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GARDEN WALL,FINAL " 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 d UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS S OR SEPTIC TANK e3ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE LLL GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. / FINAL INSP. �/� % ^ L $ / J loL r 1 (0r GRADING cu. yd. plus x$ REMARKS: _$ LUMBER GR. FRAMING j7 ROOFING t7 p� ✓� VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING S r 3/22 - MESH INSULATION/SOUND R ILZ FINISH GRADING FINAL INSPECTION ---7 �(a� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL,FINAL 4,4 Qluolom P.O. BOX 1504 APPLICATION ONLY BuildinAddress 61-363 ffif t CO, f r 7 &105 CALLS CALIFORNIAESTAD9 LA QUINTA, ORNIA 92253 Owner i.,, W A\ key BUILDING: TYPE CONST. OCC. GRP. Mailing Address Ur 5i Z A.P. Number% — !'1 i — nr-�7 `7 City Zip Tel. r , 7 La7 _ Legal Description Contractor Project Description . �\ _ r-- Address -7-2-24<- (1 Afro Cit Zip Tel. ^L Dcce.4 z -771--o State Lic. City & Classif..AV� ! Lic. # Sq. Ft. No. No. Dw. Size Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 1 � � City Zip State ,i Lic. # r`-1 LICENSED CORT CTOR'S DECLARATION I hereby aft th t,f anflicen ed-ugde ovisions of Chapter 9 (commencing with Section J 7000) of Divi on •usiegs s Code, and my license is in full force and effect. i ) OWNER- BUILDIWDECLARATION 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 , pity,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). ( 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 proving that he did not build or improve for the purpose of sale.) (I I, as owner of the property, am exclusively contracting with licensed contractors to con= struci 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) licenled pursuant to the Contractor's License Law.) f l 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 n 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 i1 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. Iagree 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 properly for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip _w BUILDING DIVISION PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical —Plumbing S.M.I. Grading Driveway Enc. f nfrastructure 00 M TOTAL REMARKS !102-27-92 14 1 JIHL Y 41_1 .VV 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 1ST FL. SO. FT. a $ COLL, AREA UNITS ROUGH PLUMB. BONDING 2ND FL, SO. FT. STORAGE TANK FORMS YARD SPKLR SYSTEM ROUGH WIRING POR. SO. FT. n ROCK STORAGE MOSILEHOME SVC. BAR SINK METER LOOP GAR. 7" SO. FT. ng OTHER APP./EQUIP. POWER OUTLET ROOF DRAINS TEMP. POLE GROUT DRAINAGE PIPING SERVICE CAR P. SO. FT. ® BOND BEAM WATER SYSTEM WALL SO. FT. _ $ LUMBER GR. DRINKING FOUNTAIN FRAMING SO. FT. G_n ROOFING URINAL ESTIMATED CONSTRUCTION VALUATION $J21.1 b VENTILATION WATER PIPING NOTE: Not to be used as property tax valuation FIRE ZONE ROOFING FLOOR DRAIN FIREPLACE MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD GAR. FIREWALL SIGN WASHER(AUTO)(DISH) ?/ APPLIANCE DRYER MESH GARBAGE DISPOSAL FURNACE UNIT WALL =FLOOR SUSPENDED FINISH GRADING ' LAUNDRYTRAY AIR HANDLING UNIT CFM FINAL INSPECTION KITCHEN SINK l 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..p c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11A c / �, SEWAGE DISPOSAL SO.FT.GAR ® 3lac HOUSE SEWER .N GAS PIPING s" PERMIT FEE ��L PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MEC�Hj.F�%EE E CONST. FEE ELECT./F�EEQ 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./EQUIP. 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S StGNATURES/1NITIALS GARDEN WALL FINAL 11 itlwv lb Ak it(gkrs of (f)rr I T -k 164k tvA Tit�1 of 14a (Quinta jluitbtnl� altb $afet�J 34illi"ehin 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 51-363 AVENIDA CARRANZA Use Classification SINGLE FAMILY DWELLING Bldg. Permit No. 10643 Group R3 Type Construction VN Fre Zone Use Zone SR Owner of Building KEN STEMMER Address 77745 DELAWARE City PALM DESERT, CA By. LONNIE DAY . Dote: JULY 2, 1992 Building Official POST IN A CONSPICUOUS PLACE i