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09345 (SFD)r ' ' , • C&tyl i� ♦ tr F P.O. BOX 1504 —No., _09345 45 Building 78-105 CALLE ESTADO Address 52-905 Be3"I ud as LA QUINTA, CALIFORNIA 92253 iOwner P �" i tTf1X fi��Xi BUILDING: ,TYPE CONST. OCC: GRP. Mailing F Address A.P. Number City Zip Tel. (� Legal Description Contractor Project, es rjption Address • . ^ "iso_ cn Tfeeca A3 81 _ City Zip" ' Tel 13k^V-V-w4TA 01-3()l 14A-2010 I i State Lic.- City f(/ & Classif. Lic. # tfi-F No. Dw. 3$ " Size Stories Units f Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION :. I hereby afffiin that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of.Di�v . isk4.h3.QLtLe Business and Professions Code, and my license is in full force and effect° 1! e.sIGNATURE ! — DATE OWNER -BUILDER DECLARATION Estimated ValuationI 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 QA -21 -4 nfj permit to construct, alter, 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 PERMIT AMOUNT the provisions o/ 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 Plan Chk. Dep. , so mf) subjects the applicant to a civil penalty of not more than five hundred dollars (8500). Bal. O I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. M V « _ — — Professions Code: The Contractor's License Law does not apply to an owner of property who i~'x1 builds or improves thereon and who does such work himself or through his 'own employees, . provided that such improvements Mech are not intended or offered for sale. If, however; the building y� or improvement is sold within one year of completion, the owner -builder will have the burden a of proving that he did not build or improve for the purpose of sale.) Electrical s 1* ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing A 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 S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading O I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date Owner Infrastructure 1AAC A4 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.. TOTAL - 359S.69 3245.69 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (S100) 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 AOwner;`� NOTICE CANT: "^^ i/;(aR`e'rNmaking-MJ eertiricate of Exemption you should become subject to the Workers' Compensation provision --s 8f- 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 Address City, State, Zip REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback frcm 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 SLAB GRADE ^ 9� ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER OR SEPTIC TANK POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. I SQ. FT. ® OTHER APPJEQUIP. DRAINAGE PIPING WALL SO. FT. ® TEMP. POLE DRINKING FOUNTAIN SQ. FT. ® GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WAIER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES _$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH F_R(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, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c HOUSE SEWER MESH 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 8 AIR COND. SOLAR SETBACK i _30 —f/ / UND PLUMBINCf� UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ^ 9� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. �_3� .9i //'� GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. 9l� GRADING cu. yd. $ plus x$ _$ LUMBER GR. FRAMING 5��3�9/ FINAL INSP.Cj 0 1 ROOFING/�� �� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MWAI MESH INSULATION/SOUND S 9� FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL TA*h P.O. BOX 1504 APPLICATION ONLY Building/ n p� 7&105 CALLE ESTADO ArfrlrPsa 1 /ST Q Ak X47 til/F .RPPAJM/ LA QUINTA, CALIFORNIA 92253 Owner Prtnn MFl-A S/1-VER5rg-/iV BUILDING: TYPE CONST. A.P. Number • Legal Description Project Description OCC. GRP. Mailing ) City Coritiactor N C0057 RJCT 100 Address gra AVE 2 -VJIDy CityZip Tel.. uD �F 220/ Oq 310 2 zg State Lic.Q & Classif. Z Y 3�4 2) City Lic. # Sq. Ft. / No. No. Dw. / Size Stories Units Arch., Engr., /� p Designer LrA s PAti 6. s i 6 w r��Dv 1 New ❑ Add ❑ - Alter ❑ Repair ❑ Demolition ❑ Address Tel. 61q 320 12-1 I oe City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affir that I am li�cenedder provisions of Chapter 9 (commencing with Section 70f0�0c),ofDlv�si 3 of the Bd Professions Code, and my license is in full force nd �1.� SIG"rdRe 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 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) or 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). ❑ 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 or 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 or 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 Estimated Valuation /j '7,C'7 21 J irf ] f 6 PERMIT ' - AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech.�,. Electrical '�.. Plumbing S.M.I. i 2 Grading Zp Driveway Enc. �•� ---- Date Ownerfrastructur f P f 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.) 0367b♦ _ ; A Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. B- V CASH i Tf TAL 1 275.00 TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section neednotbe 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. REMARKS 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. ZONE: BY: Minimum Setback Distances: Front Setback from Center.Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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 Cade.) Lender's Aame FINAL DATE Issued by: Validated by: Side Setback from Property Line INSPECTOR - Date Permit + 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 Address Validation: City, State, Zip T r BUILDING DIVISION CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. , SQ. FT. ® $ SLAB GRADE UNITS -� BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK YARD SPKLR SYSTEM DUCT WORK 2ND FL. SO. FT. ® FOUND. REINF. GAS (ROUGH) METER LOOP FEATING (FINAL) 1,10SO. REINF. STEEL MOBILEHOMESVC. BAR SINK POR. FT. ® GROUT WATER HEATER SERVICE FINAL INSP. GAR. SQ. FT. ® BOND BEAM POWER OUTLET ROOF DRAINS GRADING cu. yd. $ plus x$ =$ LUMBER GR. DRAINAGE PIPING FRAMING CAR P. SQ. FT. ROOFING WALL SQ. FT. @ REMARKS: DRINKING FOUNTAIN SQ FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ FIREPLACE WATER PIPING NOTE: Not to be used as property tax valuation SPARK ARRESTOR FLOOR DRAIN GAR. FIREWALL MECHANICAL FEES LATHING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM CERT. OCC. KITCHEN SINK FENCE FINAL ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP GARDEN WALL FINAL 71 POLE,TEM)PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE FEE PERMIT FEE DBL TOTAL FEES MICRO FEE M ECH.FEE PL.CK. F���PPEERMIT CONST. FEE ELECT. FEE SMI FEE n;UjMB. ' . ,_ . 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 ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP FEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ 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 SIGNATURESIINITIALS GARDEN WALL FINAL 71 DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 4/18/91 No. 10549 Owner Name Type of Permit Pamela Silverstein No. 52905 street Avenida Bermudas city La Quinta zip 92253 La Quinta Permit # Log # - Study Area 112 APN # I Tract # I Lot # Square Footage 11714 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 Fl—.58--1 X 1714 or $ 2,708.12 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 Pamela/Elsie Silverstein Telephone ( Name on the check -5 Richard M. Beck Director, Facilities Planning & Development Fee collected /esmpted by Shells D. Bennett S� Payment Rec fivyed1 -_ Signaturer _ Check' Ivo. 513 Collector: Attach a copy of county or city plan check application form to district co -pi for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting tr : OFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES cnlvlN C. I<nMINSKns JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 As%hlonl Commisslornwr Agrlculturof Commlistonar RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISIE greclor of Wefghts A Meoswes Sooler (714) 787-2561 83-612.Ave.. 45, Suite 7 'Indio, CA 92201 ` �o , i (619) 3421 BATE CASE No. L o S A DEVELOPER'S NAM 0A"L 61 L.\1 C—(?_STE'1 M ADDRESS: 7 A VE L 7 _- u 0 Ll 17220 TELEPI IONS: (6 C) ` 2 .Z .. Dear Developer: C �� F� v A 14 QU ti l o 10— After C 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 noEified imnediately. Thank you for protecting and preserving the Coachella Valley's pest -free environfTent. A ultural Conmissioner s Office cc: Indio and Riverside Office If �4 rvS u 30 �u.���,.uSG- H Is b S 1 T -\\t^- S} WM Orr 4 4t X%Lk i pztnj�g Tiof 14a (Quinta 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 52-905 AVENIDA BERMUDAS SINGLE FAMILY DWELLING 09345 Use Classification Bldg. Permit No. Group ft3 Type Construction VN Owner of Building PAMELA SILVERSTEIN C 0 V Lki CA 9 Building Official. Fire Zone Use Zone SR Address 2177 E. BADILLO By; LONNIE DAY Dote; AUGUST 9, 1991 POST IN A CONSPICUOUS PLACE ....t ,. � . ... %. «J * ' y.; P.r �?'�i..�.-f .•set;,, _..