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003176 (SFD)P.O. BOX 1504 N o . 003176 Building 78-105 CALLE ESTADO Address 52-480 Avenida Carrara LA QUINTA, CALIFORNIA 92253 Owner Mailing Address City Zip Tel. Contractor OiiLeiihtii.t' er Address City' State Lic. & Classif. Arch., Engr., Designer .. lZip City Lic. # 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. r,. _SIGNATURE - A -rA'• I ° - Y'r•' DATE f 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, atter, 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). 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.) ❑ 1, 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 a 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 ❑ Copy is filed with the city. 0 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 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., 9, 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. - BUILDING: TYPE CONST. OCC. GRP. A.P. Number 773-291-001 Legal Description Project Description Single F mi3y Mml2ino Sq. Ft. No. No. Dw. Size- - 1544 Stories Units New ❑ Add ❑ Alter ❑. Repair ❑ Demolition ❑ ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from.Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to Estimated Valuation expiration if work thereunder is suspended for 180 days. I certify that I have read this application and stale that the above information is correct. Issued by: PERMITAMOUNT I agree to comply with all city and county ordinances and state laws relating to building T. 'Plan Chk. Dep. S2 alta Plan Chk. Bal.,. Validated by: �,�► Const.447„00 Mailing Address Validation: Mech. Electrical Tq Plumbing�� ^ S.M.F. Grading T)_AfI Driveway Enc. -7n_00 Infrastructure TOTALa..�ri REMARKS VPD W14. Izf`l+ (¢.j_Q{5 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from.Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR 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 stale that the above information is correct. Issued by: Date OVIA/A% Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY T CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMING'FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. Q. FT. GAS (FINAL) WALL SQ. FT. DRINKING FOUNTAIN SQ FT ® WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED /9 LAUNDRY TRAY AIR HANDLING UNIT CFM REMARKS: 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. 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 MESH INSULATION/SOUND 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 ACK /� �� GROUND PLUMBING U 7 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 'I g, /• GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. l ROOFING /9 A REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL OC y ,I�Al-00, LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION s CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL P.O. BOX 1504 APPLICATION ONLY Building `�Z 78-105 CALLS ESTADO Address.) ddress y� D l.4 e r1 i# rrZ ft LA QUINTA, CALIFORNIA 92253 Owner M I ri 'n'�t'�' M :0 Ff �� �)-' , t' Ga��� BUILDING: TYPE CONST. OCC. GRP. Mailing ' Address A.P. Number 773 Z f/" City Zip Tel. Legal Description Contractor Project Description Address / City Zip Tel.. State Lic. City & Classif. Lic. # Sq. Ft.,J�/ No. No. Dw. Arch., Engr., Size S� 7 7 Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. I L 3O City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70(10) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER-BUILDER DECLARATION Estimated Valuation 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 Me a signed statement that he Is licensed pursuant to PERMIT AMOUNT 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 Plan Chk. Dep. -� �-0, 4 ,7 subjects the applicant to a civil penally of not more than rive hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. do the work, and the structure is not Intended or offered for sale. (Sec. 7044, Bulsness and Const. Professions Code: The Contractor's License Law does not apply to an owner of property who i builds or mproves thereon and who does such work himself or through his own employees, Mech. ,� provided that such improvements are not intended or offered for sale. If, however, the building - orImprovement is sold within one year of completion, the owner-builder will have the burden Electrical /71,0Z of proving that he did not build or improve for the purpose of sale.) ,O 1, as owner of the properly, am exclusively contracting with licensed contractors to con- Plumbing ,I,1r + fl. '1 a A •� f. 'I A ! QQ struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law ww does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) • ❑ I am exempt under Sec. a, g P.C. for this reason Grading 00 Driveway Enc. 2.0 Date 1-i - ? owner -�'� -- �- �� �'' �-^ - Infrastructure-7:5- Q PI, r. f- AIL.4ev Z 5� a 0- 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. ❑ Certified copy is hereby furnished. TOTAL � v c7 � � � . � CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed fl the permit is for one hundred dollars ($100) valuation 02.2 S07 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. Dateowner!"� r —/� >:t/_ NOTICE TO APPLICANT: If, ager making this Certificate o of - Ezerription you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Ciro code.) Side Setback from Property Line Lenders 'Name r Lenders Address /V FINAL DATE INSPECTOR 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. Issued by: Date Permit 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. Validated by: i Signature of applicant`-� r ��• -� I — 'Dale- -1-" -C�/ Mailing Address? v -'`�c� eJ, .M, i ,_- _ Validation: City, State, Zip / i, t . 1h �i , t •i -� t 2 BUILDING DIVISION CONSTRUCTION ESTIMATE Allib GROUND PLUMBING UNDERGROUND NO. ELECTRICAL FFAAL NO. PLUMBING FEES 1ST FL. y SQ. FT. ® �Q ROUGH PLUMB. BONDING UNITS STORAGE TANK FORMS SEWER OR SEPTIC TANK 2ND FL. SQ. FT. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) YARD SPKLR SYSTEM HEATING (FINAL) // REINF. STEEL GAS (FINAL) MOBILEHOME SVC. BAR SINK GROUT POR. SQ. FT. 0 I SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GAR. y SQ. FT. ® / LUMBER GR. POWER OUTLET FINAL INSP. ROOF DRAINS FINAL INSP. CAR P. I SQ. FT. @ ROOFING DRAINAGE PIPING WALL SQ. FT:.®4r .DO O DRINKING FOUNTAIN U 0 SQ. FT. ® ' % SPARK ARRESTOR URINAL ESTIMATED CONSTRUCTION VALUATION $19 C WATER PIPING NOTE: Not to be used as property tax valuation MESH FLOOR DRAIN INSULATIONISOUND MECHANICAL FEES FINISH GRADING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) FENCE FINAL APPLIANCE DRYER INSPECTOR'S SIGNATURESIINITIALS GARBAGE DISPOSAL GARDEN WALL FINAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. I 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 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 K% PERMIT FEE l PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE 6 " O 3! 3. 9 y' 79 '*6,12 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 SIGNATURESIINITIALS GARDEN WALL FINAL All /`ca fe's i S 5 (t d Desert Sands Unified School District CERTIFICATION OF PAYMENT OF S1'J SCHOOL FACILITY FEES fid TO: City of La Quinta DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certify that Ok-z— developer of , which is located at �2 / J0 within this District, has paid school faci ity fees imposed"Pursuant to the authorit enerated by Government Cole Se tion 53080 the amoun of Ill— $9-316 ( �y �.�e, ZAP.,;: — —�- - / on ) covering a total of square feet of (d-I—residential or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS•UNI IED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer . / / / (10)-37 POFFICE OF 0 RICULTURAL CO -M MISSIONER 4080 LCMON STREET, R00.M 19 RIVERSIDE, CALIFORNIA 92501 (714) 767.2561 Dear Developer/Landscaper: 46-209 Oasis Street,.P. om 14 Indio, CA .92201 (619) 342-8291 ' s._ E. LEON SRAUGY COMMISSIOUFJ1 MMES O. WALLACE ASSISTANT COMMIWOXER Thank you for inquiring with the Agricultural Commissioner's Office regarding local quarantine laws. Any diseases or insects associated with the plants/landscaping material presented on your landscaping plans do not pose a threat to the Coachella Valley Citrus, Date, Crape, Vegetable, or Field Crop industry.. Ve therefore approve your landscaping plans. If however., any substitutions of plants/landscaping materials within your plans occurs between now and the actual planting date, you must contact this office within 48 hours before eelivery into the Coachella Valley. Also, the substituted plants/Landscaping material must be held for inspection upon arrival. Any sub- stituted landscaping material found infected/infested with quarantine pests will be irLnediately treated or shipped out of the Coachella Valley at the discretion of the Agricultural Cocmissioner's Office, Lander penalty of perjury, I.the undersigned will comply with the above. Authorized Agent: Fare �ep)"q E' `�. C.7o!"Gio t't Date 6 Signature Permit Number(s) Z Developer ?ng - j1,.? 21 W. Address5-3-? jD GL„e L �, 4 ,-- , !, s 6 y -Z AGRICUL� TU AL CG'- ;ISS10" til S /?P -AL� zz4/OVDate. 6 - 1067 Authority cited: Agricultural Code; Sections 6301, 6461, 6452, 646+, 6501, 6521- 6524 cc: 2 Plan Clicic:, Ir.dio Office, Riversice O Tice