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9604-126 (SFD)of (�i#fir vi �tt I�uinttt Tsitilbing rznb�Safet� 34ilit"silln 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 53-405 Avenida Carranza Use Classificotion• Single Family Dwelling Bldg. Permit No. 9604-126 Group R-3 Type Construction VN Fire Zone Use Zone SR Owner of Building David Ross Miller Address P.O. Box 722 City La Quinta, CA., 92253 By, Daniel P. Crawford Jr. �1?r( Dom: July 15, 1996 g POST IN A CONS?ICUOUS PLACE II II I Ii I� ;y of (�i#fir vi �tt I�uinttt Tsitilbing rznb�Safet� 34ilit"silln 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 53-405 Avenida Carranza Use Classificotion• Single Family Dwelling Bldg. Permit No. 9604-126 Group R-3 Type Construction VN Fire Zone Use Zone SR Owner of Building David Ross Miller Address P.O. Box 722 City La Quinta, CA., 92253 By, Daniel P. Crawford Jr. �1?r( Dom: July 15, 1996 g POST IN A CONS?ICUOUS PLACE Notice: Document Cannot Be Duplicated Date 5/13/96 No. 14452 Desert Sands Unified School District 82-879 Highway 111 Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE APN # 774-075-021 Jurisdiction La Quinta Owner Name David Ross Miller No. 53-405 city, La Quinta Street Avenida Carranza zip 92253 Permit # Log # Study Area 112 Tract # Lot # Square Footage 1515 Type of Development Single Family Residence No. of Units 1 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 1.84 X 1,515 or $ 2,787.60 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 cc/ Capital Bank of North County/David R. Miller Name on the check By Dolores A. Ballesteros Superintendent Fee collected /exempted by Pauline Pearson Telephone 564-02,73 ' f• � r ^ Y I/ Payment Received $2,787.60 Check No. 3357 Signature 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 2 fZvS�" T ru (M LA QUINP.O. BOX 1504 APPLICATION ONLY Building T Address A, CALIFORNIA IA 92253 Owner ' ���� Mailing BUILDING: TYPE CONST. �r OCC. GRP. Address [•0 , 4gX A.P. Number City Zip 1, �. C�-z'Z , � Legal Description �.0 1 �li� 2 Contractor Project Description Address City Zip Tel. State Lic. City & Classif. Q(�'�� Lic. # S Sq. Ft. No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # ICENSED CONTRACTOR'S DECLARATION I hereby of 'rm lh 41 a l&-er dun erprovisions of Chapter 9 (commencing with Section 7000) of Dlvis 3 o a s an ProfessiorZs Code, an my license is in full force and effect. V cl 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 file 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. 00 subjects the applicant to a civil penalty of not more than five hundred dollars (5500). (; 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, Buisness and Const. 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, Mech. 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 Electrical 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- Plumbing 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 S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading I l I am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date owner Infrastructure 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. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS 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: U, after making this Certificate of Exemption 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, 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 it 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 Permlt _— I agreetti comply with all city and county ordinances and state laws relating building n construction, and hereby authorize representatives sof this city to enter the above- /A,[ � I mentioned property for inspection purposes. Validated by: 1 n Signature of applicant —Date— Mailing Date Mailing Address Validation: City, State, Zip Are 1 NJo I BUILDING DIVISION `�y I CONSTRUCTION ESTIMATE N0. ELECTRICAL FEES N0. PLUMBING F£FS''` A.C. UNIT COLL. AREA SLAB GRADE IST FL. SO. FT. 0 $ UNITS HEATING (ROUGH) STORAGE TANK FORMS YARD SPKLR SYSTEM .2ND FL. SO. FT. @ DUCT WORK ROCK STORAGE FOUND. REINF. MOBILEHOME SVC. BAR SINK POR. SQ. FT. @ OTHER APPJEQUIP. REINF. STEEL GAR. SO. FT. @ POWER OUTLET ROOF DRAINS GROUT DRAINAGE PIPING CAR P. SO. FT. ® FINAL INSP. WALL S0. FT. WATER SYSTEM DRINKING FOUNTAIN SO. FT. @ _$ URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR GRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRY TRAY AIR HANDLING UNIT CFM FIREPLACE 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. SO. FT. @ c BATH TUB MESH SQ. FT. © c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11A c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE 7NST. FEE ELECT. FEE 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 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. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL