12721 (SFD)Ta 0 Aiiili
Wif 4 Q944A
Building
Address 52-345 Ave. Carranza
Owner . Leonard M. Maier
Mailing
Address
P.O. BOX 1504
• 78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
City I Zip Tel.
CO :r °tO .: Construction
Address
Sage
i
City lZip Tela
State Lic. 639960 (city 2964
& Classif. ., Lic. #
Arch:, Engr.,
Designer
Address Tel.
City I Zip 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.
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 lila 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).
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 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.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
4 Y
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. O 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.) y
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
No. 12721
BUILDING: TYPE CONST. OCC: GRP.-
A.P. Number 773-255- Oi6
Legal Description Lot 5 Block 80
Project Description SPID
i
Sq. Ft. 1504 No. No. Dw.
Size I Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not include any block walls
or pool..
Estimated Valuation $131,522.00
PERMIT
AMOUNT
Plan Chk. Dep.
2550.00
Plan Chk. Bal.
262. 07
Const.
rb u 3.50
Mech.
Si. 50
Electrical
125.71
Plumbing
141.00
.S.M.I.
9.15
Grading 20.00
Driveway Enc. .00
Infrastructure 7 0.7
Precise -Lan Z . UU
TOTAL
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 frorn-Rroperty Line
FINAL DP
Issued by
Validated
Validatior
T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
FORMS /
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE �$..
DRAINAGE PIPING
CAR P. SQ. FT.
GROUT
WATER HEATER
WALL S0. FT.
FINAL INSP.
DRINKING FOUNTAIN
BOND BEAM
WATER SYSTEM
GRADING
FINAL INSP. CU. yd.
FINAL INSP.
14
� $ plus x$
REMARKS:
93J3,
URINAL
SQ. FT. ®
FRAMING
l
ROOFING �_2
VENTILATION
ESTIMATED CONSTRUCTION VALUATION $
FIREPLACE
WATER PIPING
NOTE: Not to be used as property tax valuation
LATHING
FLOOR DRAIN
MECHANICAL FEES
FINISH GRADING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
S0. 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
GROUND PLUMBING `�—.�
L OJNDERGROUND
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 APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE �$..
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
FINAL INSP. CU. yd.
FINAL INSP.
14
� $ plus x$
REMARKS:
93J3,
_$
LUMBER GR.
FRAMING
l
ROOFING �_2
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND +
FINISH GRADING
FINAL INSPECTION
3-2Zri�
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
CALVIN G KAMINSKAS . r, � : DAN RILEY .
Assistant Commissioner s ° Seater, Weights & Measures
(714) 276.3000 ' 1714) 276.3030
/ /,I OFFICE OF
<V-
AGRICULTURAL COMMISSIONER
��•. JAMES O. WALLACE. Commissioner
83-612 Averiue 45 Suite 7
Indio, CA 92201.
(619) 342-8291.
DATE / l O -- �{ CASE . ND. 7 G cl-S ID
DEVELOPER'S NAM-s c -j5 TOp d cfj'j n.V Co .
ADD[wss s 77-09-7 `fix v &-U D / S QaP4 1/0,
�'N
TELEPttom,
. ��9-�,,� . l�O �- 5' �3L�P-lam �" • • .
k
Dear Developers
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governing Lite Coachella Valley. If substitutions
do occur and they differ from plant material listed, this office must be notified
3mnediately.
Thank you for protecting and preserving Lhe Coachella Valley's pest-free environs, nt
. C ,
ltural Commissioner's Office .
cc: Indio and Riverside ,
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) ?75-3012
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This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building!
'W
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 52-345 Avenida Carranza
W!
Single Family Dwelling 12721
Use Classification Bldg. Permit .No.
Group R3 -Type Construction VN -Fire Zone Use Zone SR
A
Leonard -M. Meier 77-029 Iroquios
Owner of Building Address
City Indian Wells, CA 92210
Ill
:
By; Lonnie Da y
-
1
1( g
T
I
Date; March 22, 1994
Building
POST IN A CONSPICUOUS PLACIE
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 1/31/94 1 Type of Permit I La Quinta
No. 112635 Permit # 12721
Log
Owner Name Meier, Leonard
No. 52-345 Street Carranza
City La Quinta
Zip 92253 Study Area 112
APN # 773-255-016 1 Tract # Lot # 0 Square Footage 11504
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 1.65 X 1504 or $ 2,481.60 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 Leonard Meier
Name on the check
Telephone
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Peggy Reyes
Payment Received
Signature Check No 831
Collector: Attach a copy of county or city plan check application form to district copy for all waivers: ,
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting