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11234 (SFD)Building 53-900 Carranza Address mumbi l , .i nc . c&ty/, P.O. BOX 1504 i 1 No. 11234 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 mailing Address P. U. Box 1555 City Zip Tel. ..La Quinta 92253" 1 564-1338 Contractor Address. . sane City lZiD Tel.: State Lic. City & Classif. B 537333 Lic. # 25261 Arch., Engr., Designer Rob's Consultant Business Address ` ' Tel. 54085 Ramirez 364-3683 City Zip State LaQuinta ' 92253 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirP that I am licensed under provisions of Chapter 9 (commencing with Section 7t00Q) of Divi fo"n 3 of th /Business and'Qrotessions Code, and my Litcense is inn f II_force;and SIGNATOR i t DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason:. (Sec. 7031.5,Susiness 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 rile 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). 0 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 lm prove for the purpose of sale.) p I, as owner of the property, am exclusively contracting with licensed contractors.to com 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 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.) Pdlic�y 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 CertrTicate 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 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 Address City, State, Zip BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774-161-010 Legal Description Lot 15, Black 235 Project Description SFD ZONE: IBY: 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 bv: Validation: Sq. Ft. 135 Size • No. Stories, No. Dw. Units ' New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block walls or ,00l Estimated Valuation 82,104.80 PERMIT AMOUNT Plan Chk. Dep. 250.44 ' Plan Chk. Bal. 228.97 Const. 563.00 Mech, 55.50 Electrical '121.16 Plumbing 129:40 S.M.I. 8.30 Grading 20.00 00 Driveway Enc. . G0 Infrastructure . 1809 . i 1 TOTAL 3185.04 2935.04 REMARKS ZONE: IBY: 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 bv: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. ROUGH PLUMB. BONDING YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. I SO. FT. OTHER APPJEOUIP. DRAINAGE PIPING WALL SO. FT. GAS (FINAL) TEMP. POLFV 5 DRINKING FOUNTAIN SO. FT. ® GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REMARKS: LAUNDRY TRAY AIR HANDLING UNIT CFM 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11% c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic 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 �°� 41UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEW ERbR3tP�IN�C� q ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLFV 5 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FINAL INSP./ 0? �1 FRAMING { FINAL INSP. ROOFING II. �'( LN �j��/� owd f;BT'�j B-i3C°"""` It (7/iia REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THIN MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL P.O. BOX 1504 APPLICATION ONLY Building53_900 CARRANZA 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner MUMBIL. INC. Mailing Address P.O. BOX 1555 City L'AHQUINTA ZIp92253 Te564-1338 Contractor tNJMBIL, INC. Address P.O. BOX ISSN' City Zip Tel. LA QUINTA 92253 564-1338 State Lic. City^ �� B�Classif. B-537333 Lic.#!�"� Arch., Engr., Designer ROB' S CONSULTANT $USINBSS Address 54-085 ramirez Te56453683 City Zip - State LA--QUINTA 92253 Lic.## A LICENSED CONTRACTOR'S DECLARATION I hereby affirm that4ym licensed under provisions of Chapter 9 (commenci g with Section 7000) of D visio 3 ustrS�and P essions C•de, and my license is n full f �r an2 effect . SIGNAT AFF 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, after. 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). 17 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 suchimprovements 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 1 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.) 17 1 am exempt under Sec. B. 8 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 L4.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 �Hc�rk for which this permit is issued, I shall not employ any.. perspn in any mann / so as to ecome subject to the Workers' Compensation Laws of C li Date at NOTICE O APPLICANT: If, Rer 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 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 1 have read this application and state that the above information is correct. 1 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 I .BUILDING DIVISION BUILDING: TYPE CCO7NST. / /OCC: GRP. V A.P. Number / ! /6 ! ' / Legal Description - V 9/Al3_5 Project Description :`; f - Sq. Ft.No. No. Dw. Size %r Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ A 1 , / ZONE: BY: Estimated Valuation 2 / D I U ` �l7 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 0 5i.a2 0 1083 07-0--g.-229-9.91 Const. 10 UWA h 9. I U I R 1 t Mech. FINAL DATE Electrical 2! . t 6 Plumbing 2 S.M.I. Grading 201kv Driveway Enc. 14 I,rl�rastructure,, ! 41 ., - O TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line X� f'6 Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: t CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. nA $ RIF 92 UNITS SLAB GRADE ROUGH PLUMB, BONDING HEATING (ROUGH) STORAGE TANK FORMS YARD SPKLR SYSTEM ROUGH WIRING 2ND FL. SO; FT, (� ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) MOBILEHOME SVC. REINF. STEEL BAR SINK TEMP. POLE POR. SO. FT. GROUT WATER HEATER SERVICE GAR. SO. FT. @ �� POWER OUTLET BOND BEAM ROOF DRAINS GRADING cu. yd. g plus x$ _$ LUMBER GR. DRAINAGE PIPING FINAL INSP. CAR P. I SO. FT. FINAL INSP. ROOFING WALL SO. FT. REMARKS: DRINKING FOUNTAIN VENTILATION SO. FT. @ URINAL FIRE ZONE ROOFING ESTIMATED CONSTRUCTION VALUATION skanv I FIREPLACE WATER PIPING NOTE: Not to be used as property tax valuation SPARK ARRESTOR FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD i7 SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER INSULATIONISOUND GARBAGE DISPOSAL FINISH GRADING FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY FINAL INSPECTION AIR HANDLING UNIT CFM CERT. OCC. KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET 7,2 COMPRESSOR HP POLE, TEMIPERM r LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB �• SO. FT. p c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1 V. C 1 V61 1 SEWAGE DISPOSAL SO.FT.GAR @ 3/<c 0 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE ` PERMIT FEE DBL TOTAL FEES MICRO FEE ECN.FE�D P�F,F� CONST. FEE EEC . F SMI FEE PLUMB..f� 5S (' `� 63 2/ 6 � 29 I , v 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 APPIEGUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. g 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 SIGNATURES/INITIALS GARDEN WALL FINAL TOTAL $ 1 - `� 6?%) Remarks: ❑Copy to: Water Service Cashier CVW -438 (11189) Cash Check JOACHELLA VALLEY WATER DISI, .. Money CASH RECEIPT DETAIL��� f Received From e: C� Address: _D /. � Account No. L ) Tra Service Address " r ! G.A. Code Meters) .- $ F Services) ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) ❑ Meter Surcharge Sanitation Capacity Charge �� Z � ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water / Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other TOTAL $ 1 - `� 6?%) Remarks: ❑Copy to: Water Service Cashier CVW -438 (11189) Cash Check Money Order ' ' DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 7/31/92 No. 11607 Owner Name Type of Permit Mumbil Inc. No. 53900 street Carranza city La Quinta zip 92253 La Quinta Permit # Log # Study Area 111 APN # 774-161-010 Tract # I ILot # o Square Footage 1356 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 1.58 X 11.356 lor$2,142.48 have been paid to D.S.0 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 Mumbil, Inc. Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett Signature Telephone �� ff 0 Payment Receii4ed -- Gheck Pio.. 4.1 ,79 I*,.-* J`*- 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 A, CALVIN C. KAMINSKAS s DAN RILEY Assistant Commissioner 0 ° Sealer, Welghts & Measures (714) 275-3000 (714) 275-3030 OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite. 7 -Indio, CA 92201 (619) 342-8291 DATE 7/7 CASE NO. �t QD 70% E z'_ DEVELOPER'S NAME: WA Lk ADDRESS: �l — O O i S w ev �✓ 62, TELEPHONE: 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 immediately.. Thank you for protecting and preserving the Coachella Valley's pest-free environment. L- Agricultural Commiss' s Office cc: Indio and Riverside 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 = FAX (714) 275-3012