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10348 (SFD)Building Address 53_375 Carranza Owner ittlir P.P;) P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 10348 ijf7 by .1aXk Kartzman TrusteeBUILDING: TYPE CONST. OCC. GRP. Mailing Address P. 0. Box 1813 A.P. Number 774--075-020`6 Legal Description Project Description Lot 8 Block 222 SFD City La Quinta Zip 92253 Tel. 564-6530 Contractor Jack Clark, Jr. Address F. 0. Box 1371 City Zip Tel.' LaQuinta 92253 564-3511 State Lic. City & Classif. 506667 Lic. # 1115 Sq. Ft. 1630 Size No. No. Dw. Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 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 is1n full torte 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 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.) Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. ^r 7 f� h - 1 0 ! 1 . 0 v Const. 612.50 Mech. 62.00 Electrical 129.23 Plumbing 141. 00 ' ❑ 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. 8 P.C. for this reason S.M.I. 9. 40 Grading 20. 00 Driveway Enc. 20.00 Date owner Infrastructure 2067.46 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 3582.59 3332.59 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) 1 certify that In the performance of thq work for which this permit is issued, I shall not employ anyperson 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. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line 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.) Side Street Setback from Center Line Side Setback from Property Line Lender's Name FINAL DATE INSPECTOR 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. Issued by: Validated by: Date Permit Signature of applicant Date Mailing Address Validation: City, State, Zip \ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES, 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ) ROUGH PLUMB. 2ND FL. SO. FT. HEATING (ROUGH) YARD SPKLR SYSTEM a FOR. SO. FT. ® MOBILEHOME SVC. BAR SINK ` GAR. SO. FT. ® POWER OUTLET ROOF DRAINS ~ CAR P. SQ. FT. ® REINF. STEEL DRAINAGE -PIPING TEMP. POLE WALL SQ. FT. DRINKING FOUNTAIN. WATER HEATER SO FT ® FINAL INSP. URINAL BOND BEAM ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING =$ NOTE: Not to be used as property tax valuation FINAL INSP. A101192 L� FLOOR DRAIN FINAL INSP. CD MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FIRE ZONE ROOFING FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK SPARK ARRESTOR 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 FINISH GRADING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1Vi c SEWAGE DISPOSAL CERT. OCC. SQ.FT.GAR ® 3Ac HOUSE SEWER FENCE 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 ROUND 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 APPJEQUIP. 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. A101192 L� FRAMING ! 31* FINAL INSP. CD ROOFING /42-2,b), 2 ( L REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. F REWALL THING MESH INSULATIONISOUND FINISH GRADING FINAL INSP ECTION`G� �� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL ARROWN PRINTING. INbla SSW 7100 aaataa•ci P.O. BOX 1504 APPLICATION ONLY Building3 , S Av�kDA Co, iM- LA QUINTA, CALIFORNIA 92253 Address .. Own r_ G IM >4Z1_ Yui' 2ev A Ta U& � BUILDING: TYPE CONST. f OCC. -GRP. Mailing ' Address V ' U B v -K f �f 3 A.P. Number —7 % C4. 01 -D L City Zip Tel. LA LJ(PYA (� V.L-C"3 $(cif _ (, Legal Description Z.t� B C -(L Z%z Contractor Project Description I Ar - 2 idress P. 6 g4X /37f Glt(,y _ Llp �_ CS � L N M State Lic. & Classif. S o (o b6 % Arch., Engr., Designer Address c?ZZ. r3 --5,6 Y— 3 Sr f City Lic. # el. City I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I h�t. 1 am icon ed under 1 Ions of Chapter 9 (commencing with Section 700tin ss an P es ns Code, and my license Is in full arca d eff L DATE OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following as reon: (Sec. 7031.5,Buslness and Professions Code: Any city or county whichrequires a permit to construct, after, hVrove, demolish, or repair any structure, prior to its Issuance also requires the applicant for such pemrft 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 (1500). 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. It, however, the building or improvement is sold within one year of completion, the owner-bu0der will have the burden . of proving that he did not build or Inprove for the purpose of sale.) b 1, as owner of the property, am exclusively corifracting 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 contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. a• & 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 Workefs 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, B the permit Is for one hundred dollars (5100) 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' Compe, ,aion Laws pf California. Oate_Li3IOwner /V) )CA W 19:7\ NOTIC O APPLICANT: It, eller making this Certftioate of Exemption you should oma 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 Address City, State, Zip ZONE: BY: Minimum Setback Distances: Sq. Ft. SlIe 16 30 New ❑ Add ❑ No. No. Dw. Stories Units Alter ❑ Repair ❑ Demolition ❑ Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Estimated Valuation Validated by: PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 271, AD Const. 6 Mech. 2 — Electrical r 2 3 Plumbing S.M.I. Qr. Grading -- Driveway Enc. --- nfrastructur p 17 5- 3 3a... 9 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 from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE -GROUND PLUMBING NO. ` ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ Iff UNITS .i HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ARD SPKLR SYSTEM Y FOUND. REINF. 2ND FL. SO. FT. @ METER L60P HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) _ TEMP. POLE MOBILEHOME SVC. GROUT BAR SINK SERVICE POR. S0. FT. @ BOND BEAM WATER SYSTEM 1 "GRADING - - Z.cu. yd. S Plus x$ - _ �__ -, • _ =S LUMBER GR. POWER OUTLET -FINAL INSP. ROOF DRAIN:, FINAL INSP. GAR. SO. FT. @ ROOFING REMARKS: VENTILATION DRAINAGE PIPING CAR P. SO. FT. @ FIREPLACE WALL SO. FT. @ 7A9,0- DRINKING FOUNTAIN GAR. FIREWALL SO. FT. @ , LATHING URINAL MESH ESTIMATED CONSTRUCTION VALUATION - $ - r WATER PIPING NOTE: Not to be used as property tax valuation 7<, - !. FLOOR DRAIN MECHANICAL FEES CERT. OCC. WATER SOFTENER .� VENT SYSTEM FAN EVAP.000L HOOD fq SIGN INSPECTOR'S SIGNATURESIINITIALS WASHER(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 = ,c POLE,TEMIPERM LAVATORY ' HEATING SYSTEM FORCED GRAVITY —' AMPERES SERV ENT SHOWER BOILER B.T.U. a I SO. FT. @ c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/. c SEWAGE DISPOSAL SO.FT.GAR @ Vdc HOUSE SEWER GAS PIPING PERMIT FEE .rLPL. PERMIT FEE r PERMIT FEE DBL TOTAL FEES MICRO FEE H.FEEEE CONST. FEE ELEC . FEE SMIFEE PLUMB.FEE 6.� •�a - 612 5v 1/-1'r `�/ �o Iyt, rV t . 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 L60P HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) _ TEMP. POLE GROUT "'WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM 1 "GRADING - - Z.cu. yd. S Plus x$ - _ �__ -, • _ =S 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 CALVIN C. KAMINSKAS Asslslonl Commissioner IM) 275.3000 OFFICE OF . AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite 7 Indio, CA 92201 '(619) 342-8291 DAN RILEY Seder. Welghls & Measures (7M) 275.3030 . DATE CASE NO. P C - n c,iS // - 13 - 71A DEVELOPER'S NAME :Irm c 2&,l� cl'_114 ADDRESS: 6r, I'ELEPIIONE: (Gl 9) 56 Y — 6 S' 3 0 Z2J_ 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 imnediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agricultural Conmiss' n is Office cc: Indio and Riverside 4080 LEMON STREET, ROOM 19, RIVERSIDE, C/\LIFORNIA 92501 — FAX (714) 275-3012 DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 12/10/91 Type of Permit I La Quinta No. 11045 Permit # Owner Name KMC EPP by Mark Katzman Log # No. 53365 street Carranza city La Quinta zip 922M Study Area 111 APN # Tract # Lot # Square Footage 116W 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: This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of1.58 X 11.630 1 or $ 2,575.40 have been paid to D.3.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 Jack Clark Tele phone^ '" Name on the check ` By James E. Lively Assistant' Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett Signature Payment Receive&` Check No. 87 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 WN a'(�'II►''. Tit�r of 14a (Guinta 1111t*tbton� anb �'dfjot�r 31t*llt*�stolln b 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 53-375 Avenida Carrariza I. SINGLE FAMILY DWELLING10348 Use Classification Bldg. Permit No. ! Group R3 Type Construction VN Fre Zone Use Zone SR ,I Owner of Building KMC EPP BY MARK KARTZMAN Address P'. 0. BOX 1813 TRUSTEE City LA QUINTA, CA 92253 LONNIE DAY BY; Q,��f.Date: AUGUST 10, 1992 71 Building Official "Y4 POST IN A CON9PI000U9 PLACE COACHELLA VALLEY WATER DISTRICT r CASH RECEIPT DETAIL Received From: - -�'` Date: Address: ^' f✓l/ / �i fi .!-1/� -���Z��J� �G.�s� TractAccount No. U Lot(s)r ' Service Address —� l®� ��?1� l Z-�i�f --� G.A. Code Meter(s) ❑ Service(s) ❑ Backflow(s) ❑ House Laterals) ❑ DetectorCheck(s) ❑ Meter Surcharge Sanitation Capacity Charge ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee -Tract - Fee - ❑ Plan Check Fees Water 1 Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assm't. ❑ Customer Deposit ❑ Other TOTAL $ Remarks: ❑Copy to: Cash 40 WaterService d C � � �r:.. „�i. Check 1 Money Cashier Order CVWD-438 (11189)