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10705 (SFD)r g � tlGl�trGu 11 Building 54-^680 RUIM Address Suncrown Co P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address $Oa, 804 City Zip Tel. La (,eluinta .92253 564-4977 Contractor Larry Doneho Construction Address 380 Sand Springs Dr Palm Specs '92263 322--'3569 State Lic. City &Classif. 627265 Lic.# 2154 Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7(100) of Division 3 of the Business and Professions Code, and my license is in full force and .effect �✓/,.; r .r.� .� .+ ,�-e�X ,.� 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 •ifs issuance also requires the applicantfor 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). q 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 appy to an owner of properly 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 wig have the burden of proving that he did not build or.tinprove 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 Contractors 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),ficensed 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,ora certified"copy thereof. (Sec. 3800,. Labor Code.) Policy No Company CTCopy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it 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. If, alter 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 Ihereby 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 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 lit :. No. 10705 BUILDING: TYPE CONST. A.P. Number Legal Description Project Description OCC: GRP. ?` "�'r� +1�,`: t�" '- *'�`ti' ' `r a ' 4 Plan Chk. Dep. Plan Chk. Bal. 251.31 Sq. Ft. 1373 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Electrical 120.66 Plumbing 154.50 S.M.I. BAD;, Grading 20.00 Driveway Enc. 20.00 Estimated Valuation $7,3.77.40 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 251.31 Const. j 585.50 Mech.. 70 Electrical 120.66 Plumbing 154.50 S.M.I. BAD;, Grading 20.00 Driveway Enc. 20.00 Infrastructure 1778.31 TOTAL 3244.5 -2994.58 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 NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® i 2ND FL SO. FT. ® POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. FT, ® ESTIMATED CONSTRUCTION VALUATION i UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation STORAGE TANK FLOOR DRAIN MECHANICAL FEES SEWER OR SEPTIC TANK ROUGH WIRING. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER OTHER APPJEOUIP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM WATER HEATER SERVICE KITCHEN SINK ABSORPTION SYSTEM B.T.U. ITEMP 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 ® 1Vi c SEWAGE DISPOSAL SO.FT.GAR ® 3Lc HOUSE SEWER FIREPLACE GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK 1100 GROUND PLUMBING ( 40NDERGROUND 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 APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT ���rL ST `f WATER HEATER SERVICE FINAL INSP. BOND BEAM 2o WATER SYSTEM GRADING Cu. yd. $ -Plus—X$—=$ LUMBER GR. FINAL INSP. FRAMINGco FINAL INSP. �� �13C� rl . C / G ROOFING L 12 CID [ C� � „ B/ Q„ Ga VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR FIREWALL CWTHING L MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION- NSPECTION CERT. OCC. CERT. FENCE FINAL INSPECTOR'S SIGNATURESIINTMLS GARDEN WALL FINAL .r t DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE:. Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 3/30/92 1 Type of Permit I La Quinta No. 11286 Permit # Log # Owner Name ►Suncrown No. 54680 street Avenida Rubio city La Quinta zip 92253 Study Area 110 APN # Tract # Lot # Square rootage 11373 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 11.373 or$ 2,169.34 have been paid to D.&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 Suncrown Corporation Telephone • 5644977 Name on the check By James E. Lively, Assistant Superintendent, Business Services Fee collected / pted by Shelley D. Bennett 'Yom. '"'; �• r r. .C;.�• .yam,}' !' Payment Receivee Signature :Check No. 229,2` Collector: Attach a copy of county or city plan check application form to district cop" -y- for all wsiv`ere Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting j Qgbtm P.O. BOX 1504 APPLICATION ONLY Building - 78-105 �� LA QUINTAC Address CALIFORNIA 92253 �_ Address f ✓(J 0 City Zip TgJ.f, �_,( Q 7 Contractor /' _..Icc_/� I(�•�_/ City _ Zip �p Tel.. State Ljc.�7 �� Lic. # � ty 8 Classif. ic. # Arch., Engr., / Designer 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 is in full force and effect. _05ATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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 live hundred dollars ($500). 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. If, however, the building. orimprovement 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.) ❑ 1, 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.) ❑ 1 am exempt under Sec. B.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.) Policy No. Company }dopy is filed with the city. O Certified copy is hereby furnished. I// v 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 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: 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. 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 ate.Mailing Address City, State, Zip FINANCE BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Project Description Sq. Ft. �� No. No. Dw. Size Stories Units New ❑ Add ❑ Alter C Repair ❑ -Dftolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. f astructure 7 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 `rom Property Line FINAL DATE INSPECTOR Issued by: Dat' Permit Validated by: Validation: `+ c1 0, .. •CALVIN C. KAMINSKAS_ t °� DAN RILEY Assistant Commissioner o Sealer, Weights &Measures (714) 275.3000 V C ' (714) 275-3030 OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner . 83-612 Avenue 45 Suite. 7 Indio, CA 92201 (619) 342-8291 DATE 3 I. I CASE NO. 3S DEVELOPER'S NAME: ADDRESS: c`1 TELEPHONE: S�tbg� Qub�� L.(46 QuI'-'J 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 - irimediately. Thank you for protecting and preserving the Coachella.Valley's pest -free environment. `J Agricbl ural Commissioner's Office cc: Indio and Riverside - 4880 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012 4 f.- jji',�s (i of Quanta jluttbtn anb �'afjo 31Wilemill 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 54-680 Rubio Use Classification SFD Bldg. Permit No. 10705 Group R3 Type",Construction VN Fire Zone Use Zone SR Owner of Building Suncrown Corporation Address P. O. Box 804 City La Qu.inta, CA ,:92253 Lonnie Day BY. Dote • 9/3/92 Building Official POST IN A CONSPICUOUS PLACE