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11696 (SFD)ot 'n, - T P.O. BOX 1504 N o • 11696 Building 78-105 CALLE ESTADO Address 54-215 .A eni.da Bermudas LA QUINTA, CALIFORNIA 92253 Owner Mailing %Jail Roche BUILDING: TYPE CONST. OCC: GRP. Address P.O. Box, 4242 A.P. Number 774--223022 City Zip Tel. Palm Desert, C , 9226.0 Legal Description . ��� 10 Block 295 Contractor Project Description Dodc0 Construction Address. P.O. 18ox 1012 City Zip' Tel.: Asa 011 i ta. CA 192253 564-6478 State Lic. City & Classif., 397 $30 Br -1 Lic. # 1375 Sq. Ft. 1551 No. No. Dw. Size Stories Units Arch.; Engr., Designer Dodco New CY Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Permi - does not include block walls or CityZip State PQ©l • Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that'I am licensed under provisions of Chapter 9 (commencing with Section 4 7000) of Division:Tof the Business and Professions,Code„.and>my.license is infull force and effect SIGNATURE ✓*.�' �<'=✓' .f” L—�""`� DATE r✓ OWNER -BUILDER DECLARATION Estimated Valuation yin0 I hereby affirm that I am exempt from the Contractor's License Law for the following $9O r 2O6. 0 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 /or such permit to file a signed statement that he is licensed pursuant to PERMIT - AMOUNT 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 o/ Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. 250.00 - subjects the applicant to a civil penaky of not more than live hundred dollars ($500). Plan Chk. Bal. 261 .39 ❑ I, as.owner of the property, or my employees with wages as their sole compensation, will h do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness.and COf1St. Sg J • 0 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; t Mech. ?_ . 00 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 Electrical 12. 6• ij' of proving that he did not build or improve for the purpose o/ sale.). - - b. 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing s struct -the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law - ,1t does not apply to an owner of property who builds or Improves thereon, and who contracts for S•M.1. . such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading 2 t3.0 C? ❑ 1 am exempt under Sec. B. & P.C. for this reason Driveway Enc. j Date owner Infrastructure 2 r 005. 09 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 3,5til.11 :3,��is•�'-1 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE y (This section need not be completed If the permit is for one hundred dollars ($100) valuationk`) )q -l7 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. ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property'Line Lender's Name Lender's Address FINAL DATE INSPECTOR 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. 1 certify that I have read this application and state that the above information is correct. Issued by: Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE 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. SQ. FT. OTHER APPJEQUIP. DRAINAGE PIPING WALL SQ. FT. TEMP. POLE 311603 .9 DRINKING FOUNTAIN. SO FT ® GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER /� _ I[ —r/3 3 r �f\j�f` j aj L19 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REMARKS: LAUNDRYTRAY AIR HANDLING UNIT CFM 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 ISHOWER BOILER. B.T.U. SO. FT. ®c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic 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 y STRUCTURE DUMBING ELECTRICAL HEATING & AIR COND. SOLAR' SETBACK 3 ROUND PLUMBING �' UNDERGROUND A.C. UNIT01 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) 7-1-134? 3 (( J METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL z GAS (FINAL) TEMP. POLE 311603 .9 1 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FINAL INSP.ZZ-'j /jn FRAMING , l3 M4- FINAL INSP.f7—Z2.-C 3L ROOFING6-A2 G /� _ I[ —r/3 3 r �f\j�f` j aj L19 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION —7—IZZI) CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Professional Service Industries, Inc. AW American Engineering Division REPORT OF FIELD COMPACTION TESTS TESTED FOR: '�:)o C1 C- PROJECT:Y-N DATE: 3 S- c OUR REPORT NO.: 3 v TEST NO. TEST LOCATION ELEVATION IN FEET COMP CURVE NO. TEST MOISTURE % TEST DRY DENSITY LBS./CU. FT. RELATIVE COMP. % RETEST N0. NOTES PERCENT COMPACTION: Based on maximum density obtained on sample indicated by soil ID number 3. BASE COURSE 4. SUBBASE 5. SOIL CEMENT WITH SPECIFICATIONS C. TEST IS AFTER RECOMPACTION t3 jot .1 q45 I 2 LA I !► L- 109,9 1 5,5 C. q�3 l EE ..................................... N ACV • n leg, k NOTES: N DENSITIES SHOWN: Lbs. per cubic foot - (?FILL MATERIAL TEST RESULTS COMPLY WITH SPECIFICATIONS WATER CONTENT: Per Cent of dry weight 2. BACKFILL B. TEST RESULTS DO NOT COMPLY $ 11.5 fS 0 C, Imp (tel PERCENT COMPACTION: Based on maximum density obtained on sample indicated by soil ID number 3. BASE COURSE 4. SUBBASE 5. SOIL CEMENT WITH SPECIFICATIONS C. TEST IS AFTER RECOMPACTION 6. OTHER Respectfully submitted, M. r`0 M J Professional Service Industries, Inc. 42-240 Green Way, Suite C • Palm Desert, CA 92260 • Phone: 619/341-5790 • FAX: 619/341-5794 PSI A-1042 (M 1) DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 112/18/921 Type of Permit I La Quinta No. 111907 1 Permit # Owner Name Gail Roche Log No. 54-215 Street Avenida Bermudas City La Quinta Zip 92253 Study Area 110 APN # I Tract # I J Lot # 0 Square Footage 11551 Type of Development Single Family Residence No. of units 0 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 1551 or $ 2,450.58 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 Dodco Construction Name on the check Telephone By James E. Lively Assistant Superintendent, Business Services 4 Fee collected /exemp qd by 14yne Arthur - Payment Received Signature` Che ieli N'O.3278 Collector: Attach a copy of county or city plan check application form to district copy for zdtwa_ivus.k Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy - Accounting CALVIN C. KAMINSKAS Assistant Commissioner (714) 275-3000 DATE / �4 , DEVELOPER'S NAME: ADDRESS: Lo /O �Z Ca q 2 2 OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite 7 Indio, CA 92201 (619) 342-8291 —9 r� . CASE NO. TC L (J l o� L TELEPHONE: (6W) �_( y -- a V 79 Io- Qlu .� c Dear Developer: DAN RILEY Sealer. Weights & Measures (714) 275.3030 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 immediately. Ar Thank you for protecting and preserving the Coachella Valley's pest -free environment. r gricultur ommissioner's Office cc: Indio and Riverside 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012 0