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88-0232 (SFD)Tihf 4 4a" C_? - Z _� Z___ P.O. Box 1504 APPLICATION ONLY Building 78-105 CALLE ESTADO Address7� _-Z 9<_9 of'411lL2-A LA QUINTA, CALIFORNIA 92253 Owner ,r, � )L Mailing) Address P L%. P30X 1'--S 7 City Zip Tel. LA 'UtnQT-A . Contractor / A _/G GL ✓fit `G__ fiDiv s T State Lic. City & Classif. !�ab&lp -/ Lic. # Arch., Engr., Designer Address Tel. City( Zip ( State I 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 1. 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 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 orImprovement 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 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 contractors) 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 ❑ 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 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 ame 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 ateMailing Address City, State, Zip BUILDING DIVISION WILDING: TYPE CONST. OCC. GRP. .P. Number -77 c/ ^ 0 S_/ -- 6 / -7— Legal Description Project Description �• /� - Sq. Ft. No. No. Dw. Size ��� © Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ I -/ie,-' / 7S" cvc a— 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: Estimated Valuation 3 PERMIT AMOUNT Plan Chk. Dep. -z S _ o Plan Chk. Bal. r Const. O Mech. I©0 - Electrical Q - Zv Plumbing 00 S.M.I. Grading Z Driveway Enc. zJ -Cz? Infrastructure '73 ./iLAw 2 K— • n TOTAL r O REMARKS VVl=VG LV V". I V V1' 4 A r:^Ll t ; nrA) 1 7tS x 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. SQ. FT. ® O $ �7 VZ UNITS SLAB GRADE ROUGH PLUMB. 2ND FL. SQ, FT. HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. DUCT WORK BAR SINK GAR. SQ. FT. ® POWER OUTLET METER LOOP ROOF DRAINS CARP. SO. FT. ® REINF. STEEL, GAS (FINAL) DRAINAGE PIPING WALL SQ. FT. ® GROUT DRINKING FOUNTAIN SQ. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ 3.01 GRADING cu. yd. $ plus x$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES ROOFING WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN REMARKS: WASH ER(AUTO)(DISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM J LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT 1-2, v SHOWER' BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c FINISH GRADING WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 1+/4 c l SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac CERT. OCC. HOUSE SEWER FENCE FINAL GAS PIPING PERMIT FEE PERMIT FEE lv —� PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEEPLUMB. FEE �•2v 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 r' 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 DATE - % - 2 / - 6,9' OFFICE OF E. LEON SPAUGY AGRICULTURAL COMMISSIONER COMMISSIONER JAMES 0. WALLACE AND ASSISTANT COMMISSIONER WEIGHTS & MEASURES CLEMENT BE`VENISTE SEALER 49-613 Hwy 86, Suite B-12 Coachella, CA 92236 619-342-8291 DEVELOPER'S NAME: ADDRESS: 14' Z) . &X ' 13 7 / TELEPHONE: (6/9) S6 - 3 S/ Dear Developer: CASE NO. /� $ 9 9 5 O 1 -J-/,4 - Q, l 6,�4, 2253 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. W Agricultural Commis Toner's Office cc: Indio and Riverside Office Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES €(1 TO: City of La Quinta DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253N NOTICE: THIS ®�r-.U�'IENT CANNOT BE DUPLICATED. This is to certify that developer of which is located at 3-d j within this District, has paid school fa ility ees imposed pu suant to the authority generated by Government C�od.e Se t' n 53080 in t e amount o covering a total of square feet of ( resi ntial or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS•UNIF ED SCHOOL DISTRICT F 1986 Cllytyii� Eylkjp'r;S1 d rgTXent • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer PLANNING V&f DEVELOPMENT DEPT. � . // a 9 (10)-37