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07390 (SFD)Building Address »13 53-940 CaL8 Owner Aaron Hami i ton P.O. BOX 1504 78-105 CALLE ESTADO' LA QUINTA, CALIFORNIA 92253 Address -190 Rubio _ City Zip Tel. La Qu.inta 92253 Contractor Omer IZio I Tel. State Lic.I City & Classif. Lic. # Desig�..tp ner Address Tel. City (Zip ( State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licerseg"under provjrBns.of Chapter 9 (commencing with Section 7000) of Division 3 of the:Busi and Prof ons Code, and my license is in full force and effect./.,t>"s l7...a �:�:i0, SIGNATURE .�'—C DATE OWNEWBUILDER DECLARATION I hereby affirm that I aril exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Buskiess 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 fie a signed statement that he is licensed pursuant to the provisions of the Contractors license Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Protessions Code, or that. he Is exempt therefrom, and the basis for -the alleged exemption. Any viotation of Section 7031.5 by 'any applicant for a permit h subjects the applicant to a cmil penalty of not more than five hundred dollars (5500). I ❑ 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 Contractors License Law does not appy to an owner of property who builds or Inproves thereon and who does such work himself or through his own employees, provided that such Inprovements are riot 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, as owner of the property, am exclusively contracting with licensed contractors to cora 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 contractorfs) bcensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec B. & P.C. for this reason Date Owner WORKED' 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 WORKED' 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: lf, after makig this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions of this pemuT shelf 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, Chd Code.) Lenders Name Lenders Address This is abuilding permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that 1 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 .DING: TYPE CONST. Number 774-161-622 No. 07390 OCC: GRP. Legal Description L'4 14 Project Description Single !Family Welling TOTAL -#-387.42 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 3,/21/90 Permit Validated by: Validation: Sq. Ft. Size 1573 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $90,278 PERMIT AMOUNT Plan Chk. Dep. �D • Plan Chk. Bal. Const. 599. Mech. 55.50 Electrical - 107.00 Plumbing 17$, Q ' S.M.I. £.37 Grading 20.00 Driveway Enc. 20.00 Infrastructure I 92T. -No TOTAL -#-387.42 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 3,/21/90 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL SO. FT. ® $ UNITS UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE'jy f% YARD SPKLR SYSTEM 2ND FL SO. FT. @ BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR SO FT ® S R GAR. SO. FT, ® POWER OUTLET ROOF DRAINS FOUND. REINF.s.WACC %L� 9 DRAINAGE PIPING CAR P. SO. FT. ® METER LOOP HEATING (FINAL) WALL SO. FT. REIN F. STEEL DRINKING FOUNTAIN. SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE Not to be used as property tax valuation WATER HEATER FLOOR DRAIN MECHANICAL FEES SERVICE FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR, LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEWPERM 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 ® 1 Vi c SEWAGE DISPOSAL SPARK ARRESTOR SO.FT.GAR ® 3Ac HOUSE SEWER GAR. FIREWALL 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 GOND. SOLAR SETBACK ��j: !0 AAU GROUND PLUM UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE'jy f% /vN ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS S R ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.s.WACC %L� 9 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REIN F. STEEL GAS (FINAL) TEMP. POLE QQ GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING FINAL INSP. cu. yd. $ plus x$ =$ LUMBER GR, FRAMING FINAL INSP. ROOFINGI% �� O /"• `//%/'�y�J /�� %, 'Ij' 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 Desert Sands Unified School District CERTIFICATION OF PAYMENT OwwF01 ,�� SCHOOL, Ai.LI'TYY FEES TO: City OL If �Qv� �i `�cQ►��' DATE: D� nt`+ �o,, Cgau,nity Development ��/°8'105 Ca1�1�`Estado La Quinta, CA 92253 This is to ce tify that , developer ofwhich is located at , within this District, has paid sc ool faci ity fees imposed pursuant to the author't� enerat d by G ernment Cod Section 53080 'n th a ou o $ ; ( f covering a total of sqh e feet of (V) res a ti or ( ) industrial/commercial development and that builMItg permits for this footage in this development may now be issued by your jurisdiction. vit� b5l for DESERT SANDS IFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning 49 Pink - Accounting • Gold - Developer (10)-37 Tit�J IIf 1.4a (ouinta jluifbini�' dItb $dfet�J 34illirmhju 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 SFD 53-940 AVENIDA CARRANZA Use Classification Bldg. Permit No. 07390 Group R3 Type Construction VN Fire Zone Use Zone SR Owner of Building AARON HAMILTON Address 53-190 Avenida Rubio City La Quinta, CA By. MARK HAROLD . Dote: SEPTEMBER 13, 1990 ga "bai7ainglOffffiff POST IN A CONSYICUOU9 PLACE ■ c COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL ( W' 2 Q Received From ' ' - F'-#' &,-/ � Address: ' 0 • eOX 1-7'7/ a— r I - 1.--71\ e9ii: f l,ITA C A . Z Z 0'0 l LI Account No. Lot(s) Tract '- n Service Address — `o , ` ^ qZA— O.A. Code ❑ Meter(s) ❑ Service(s) ❑ 'Qackflow(s) ❑ House Laterals) ❑ Detector Check(s) ❑ Meter Surcharge nitatlonCapacityCharge ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn, on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water I Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other Remarks: ❑ Copy. to: Cash Check Money Order O a TOTAL $ 5 Z,5'- Water Service Cashier D- 11 / CVW 438 ( 88)