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06682 (SFD)4 P.O. BOX 1504 No. 06682 Building 78-105 CALLE ESTADO Address 77-200 Arteaga w LA QUINTA, CALIFORNIA 92253 Owner Mailing Dave & Haney Douttlialo BUILDING:TYPE CONST. OCC: GRP. Address P. 0. Box 579A.P. Number Santa Rosa Cave cityZip JTel. Capitoia, 95010 _ Legal Description Contractor Project Description SFD South Point Construction Address Tela Palm Desert 52253 345-5521.... State Lic. city & Classif. 477883 Lic. 1 L" Arch., Engr., Estimated Valuation X208 4 Designer PERMIT Address Plan Chk. Dep. $250.00 Tel. # I Sq. Ft. 2II121, Size city I Zip I State Lic. # LICENSED CONTRACTORS DECLARATION hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of bnnsion 3 of the Business and Professions Code, and my license is in full force and effect SIGNATURE --'7 DATE OWNER -BUILDER DECLARATION I hereby affirin that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5,8usrness and Professions Code: Any city or county which requires a permit to construct, after, irprove, demolish, or repair any structure, prior to its issuance also repdres the applicant for such permit to fie 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 hie e applicant to a c" penally of not more than five hundred dollars (E500). ❑ 1, 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 irproves thereon and who does such work himself or through his own employees, provided that such irprovements are not intended or offered for safe. If, however, the building or erprovernent is SW within one year of conpletion, the owner -builder wig have the burden of proving that he did not build or Yrlprove for the purpose of sale.) ❑ 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 bx does not apply to an owner of property who aMs or improves thereon, and who contracts for such projects with a contractor(s) 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.) Polity 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 cmpleted if the pemrt 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: ff. 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 On Permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 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.) Lenders Name Lenders Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 160 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 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ S.M.I. 14,61 Grading 20.00 Driveway Enc. 20.00 Infrastructure 6,000.00 rt TOTAL $8.426.82 REMARKS 1ti_ . ` CUP iIDTAL' i. U1 16. Uz: 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 11/21/89 Issued by: Date Permit Validated by: Validation: Estimated Valuation X208 4 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. S 604.24 Const. 11021.00 Mech. 74.00 Electrical 179.95 Plumbing 243.00 S.M.I. 14,61 Grading 20.00 Driveway Enc. 20.00 Infrastructure 6,000.00 rt TOTAL $8.426.82 REMARKS 1ti_ . ` CUP iIDTAL' i. U1 16. Uz: 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 11/21/89 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE �� f%� //4 ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SO. FT. @ FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) / Met A METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® n TEMP. POLE 6 y� [ GROUT DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. WALL SO. FT. ® WATER SYSTEM DRINKING FOUNTAIN GRADING Cu. yd. $ plus x$ =$ URINAL SO FT ® FINAL INSP. ?` FRAMING }/�� yv / ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation REMARKS: FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM SPARK ARRESTOR 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. SQ. FT. ® c BATH TUB INSULATION/SOUND 8 90 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SO.FT.GAR ® V4c 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 �/ !�� MBI UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �� f%� //4 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. a/ /0 GAS (ROUGH) / Met A METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL xJ 70 GAS (FINAL) 8/N n TEMP. POLE 6 y� [ GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING Cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. ?` FRAMING }/�� yv / FINAL INSP. i`%/J ROOFING/Y� �� ,/)// _L jy�f„y� / // ✓Tnr. ��✓ //i //7!�' /%f/�+�1�Q �� REMARKS: VENTILATION/�/TT�� FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL ��/ LATHING f-// U ,4 0 MESH INSULATION/SOUND 8 90 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL 0 4J. This Certificate issued pursuant to the requirements of Section 3,96 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 77-200 Arteaga Use Closoification RFD Bldg. Permit No. 06682 Group 'R3 Type Construction VN' Fire Zone Use Zone SR Owner of Building DAye & Nancy DougliSl$2 Address P O. Box 5.79 City Capitolia, CA '95010 BY; Mark Harold Date; 8/15/90 8;i�ftg Official 7 POSTIN A CONSPICUOUS PIACI Desert Sands Unified School District CERTIFICATION OF PAYMENT OF to SCHOOL FACILITY FEES LA TO: City of La Quinta DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 NOTICE: TH!3 DOC.MM"ENT CANNOT e� .BE DUPLICATED, This is to certify that D&OIJ JQ.Id , developer of 4 id mi A�Jb which is located at CCU within this District, has paid school facility fees i posed pursuant to the authority generate by govern ent/Co e Sect'on 530.80 in the ,aimo nt of �� 406 covering a total of— square fee of ( ) residential or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. K&'Z4 d6z4h 6L - ale J '&aj for DESERT SANDS•UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37