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11248 (SFD)1�&* 4 a&Qgbrw P.O. BOX 1504 INo . 11248 Building 78-105 CALLE ESTADO ' y Aririrpcs 51-925 BERMUDAS LA QUINTA, CALIFORNIA 92253 � \ I Owner W.E.S. DEVELOPMENT Mailing Address 4102 MARBLE RIDGE City lZip Tel. SHINGLE SPRINGS 95682 916-676-3300 Contractor STOCKMAN HOMES City lZip State Lic. City & Classif. B1 642238 Lic. # 1534 Arch., Engr., I Designer STUDIO 4 Address Tel. 949 NNIVERSITY #100 916-920-1159 City Zip State SACRAHENTO I Lic. # 220044 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapte�9 (commencing with Section 7000) of Division 3` \.,- ofrthe Bu�z Business and Professions Code, and my license is in full force and effect:,--- `=,- Il i — - _ — J [ - � C`N-? 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 Ole 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 or Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five 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 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:) O 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.) ❑ 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.) Policy No. Company D' Copy is filed with the city. ❑ 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 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: O, after malting 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 if 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 ateMailing Address City, State, Zip 11LDING: TYPE CONST. OCC: GRP.. P. Number 773-184-021 ,Legal Description Project Description PLAY, 2 LOT 9 BLOCK 773-184-021 121 Sq. Ft. 1471 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT DORS NOT INCLUDE BLOCK N7 LC OR POOL Estimated Valuation $85,042.90 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. g • Const. 7 • S U Mech. 62.00 Electrical 23. t Plumbing 144.00 S.M.I. 8 • 0 Grading 20.00 Driveway Enc. .00 Infrastructure 191-3.47 L. blS.Oti TOTAL -J 55M. 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. ® $ UNITS 2ND FL. SO. FT. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. I SO. Fr. ® FORMS DRAINAGE PIPING WALL SO. Ff. ROUGH WIRING DRINKING FOUNTAIN. SO FT ® ROCK STORAGE URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation HEATING (FINAL) 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 GROUT LAUNDRYTRAY AIR HANDLING UNIT CFM SERVICE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET` COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER, B.T.U. SO. FT. ®c BATH TUB FRAMING 1� SA �� SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SO.FT.GAR ® Vkc HOUSE SEWER VENTILATION 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 PLUMBING9la ' UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER 9R-6EA'r ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. E plus x$ _$ LUMBER GR. FINAL INSP. ` �/ y� FRAMING 1� SA �� n FINAL INSP. `2 I ROOFING/O /� �� l l ( REMARKS: VENTILATION T W L r m v/ I n D FIRE ZONE ROOFING: FIREPLACE ^� SPARK ARRESTOR on - �- GAR. FIREWALL LA HING 149 gZ Gq MESH INSULATIONISOUND O G/ FINISH GRADING FINAL INSPECTION- 1 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 11/19/92 Type of Permit I La Quinta No. 111851 Permit # Log Owner Name W.E.S. Development No. Street See Below City La Quinta Zip 92253 Study Area 113 APN # I Tract # I J Lot # 0 Square Footage 17564 Type of Development Single Family Residence INo. of units 5� Comments 51-940 Ramirez (1660 s11 51-620 Vallein (1471 s_f_), 52-440 0brpgnn (1471 q? -1R'; HarrPra (1471 c f i, ';7-'IRl, Navarrn (1471 c f (2 me in study area 112, 3 res in study area 113) 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 7 564 or $ 11,951.12 have been paid to D.S.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 W.E.S. Development Co. Telephone 564-5154 Name on the check By lamps F. Lively Assistant Superintendent, Business Services Fee collected /exempted by Marcia J. Ewart Payment Received Signature �� ` ( �� Checp No'. Cash.iErs Collector: Attach a copy of county or city plan check application form to district copy for ali waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy - Accounting OIL if-v*1 l I I i`t I 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 51-925 Bermudas i use Clossificotion Single Family Dwelling Bldg. Permit No. 11248 Group R3 Type Construction VAT Fre Zone Use Zone 2 i i Owner of Building w. F . S _ nPVP 1 nrimerit address 41119 Markle Ridge Read IiI I,•li' city Shingle Springs, CA By; Mark Harold I ! Dote: December 3, 1992 Building Official POST IN A CONSPICUOUS PLACE