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11752 (BLCK)4 4 P.O. 4 No. 11752 BOX 150 Building 78-105 CALLE ESTADO Address 54-625 Avenida Be=udaS LA QUINTA, CALIFORNIA 92253 Owner Dennis Wish Mailing BUILDING: TYPE CONST. OCC. GRP. Address A.P. Number City Legal Description Contractor Project Description 140' of 6' high block wail Delia Construction Addres 201 of 51 high block wall M22T Hai riling Ave... 125, 9 � of 4' high block wall City 11,Tela Venice,, -_m0231 (310)305-1248 - State Lic. 493782—B-1City - 8 Classif. Lic. # Sq. Ft. P No. No. Dw. Size. = -Stories Units Arch:,-Engr.; - Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 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 97000) of Division 3 of the,BGsiness and Professions Code, and my license is in full force and effect.2.1 _SIGNATURE - DATE OWNER -BUILDER DECLARATION 1 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) 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). ❑ 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.) ❑ 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 riot 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 Q'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 (S 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: 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 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.) 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 (Estimated Valuation $6,232.00 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS i 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: C CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES n IST FL. SQ. FT. ® $ UNITS SLAB GRADE Ow ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER OR SEPTIC TANK MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® FOUND. REINF. GAS (ROUGH) GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. I SQ. FT. ® GROUT WALL SQ. FT. SERVICE DRINKING FOUNTAIN SQ FT ® BOND BEAM3A UL URINAL ESTIMATED CONSTRUCTION VALUATION $ GRADING cu. yd. $ plus x$ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER I GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC - WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM I LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB LATHING SO. FT. ® c + WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac I HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE [PL!.CK.FEEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK 01. GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE Ow 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 APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM3A UL WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING 4:;;F8cjA C <C I 13 C904 &114z V1 3 c,0 � I��',� ����✓`�f�6��'�0 ..� 3ON3 m�- REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION C Z2� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL )Ifi24/t5, t'l1' 5r�E P _ PAGE 02 _ fwd tyr �'' .,..�- •- .� ��..:::.,.:� 45 , 11�. 4^1 P.O, BOX 1504 APPLICATION ONLY 713.105 CALLS ESTADO Addrdinl4 LA QUINTA, CALIFORNIA 92253 Ow r 3 BUILDING, TYPE CONST. Mellln0 OCC, (SRP, Afidrotas J� "7 _ Z D t Glt A.P. Number y ip Tot. V + LoSai Description two "tor Project Description ! 9 ? ddrgas - r' NA245- Zip V =Ilp fill. - ' ti's & VA elf,641321L 13-iI.IQYq ,q, pt, - No. No, O11I+. Arch., Enos, She Stories Unite Designer ( f New ITY`'/n Add Alter Repair n 2 Demolition 2 -city zip =gat 1 �33 t0otltatsftclaa with uctfon N OYrMf�4014DlR OQOtAMtION 1 lm"'no I= am ayea+Pt tram the tallor Zoe tatty !er In! tOIIDwIng ter! e. real l,tT.Ar.sa A,rR IMe:LRafone MrY t:ar w COtlntfr 11" t e101to.I l pAnrt GYitrtr0l, alta+, lnprove. s a�o+rr,. er repo or atniahat, t+rh+r to rn (Hunter afiv MaU•A! dM app#tant Rfr 14411 pannR ro IM r 4lJ td Ptatvoa 4 Mof he b lts�nle Otrri'�tr h fha ora4tµse,e err ane Contrlorant Lae+rAtr •law. �Appttr 0 foattmtnehp +xt1h 6A,rpvr, lQa1 of DrrdvAr pat rhs 1%gRrlit Aero ArrNnFARar• :ate, err tMr.M k nswnRt Narofm7h !rM me oral +tw ft aWpl0 exemPW_ MY tdohffan Or elov lie" o Cy am �ylO��p Ibr a Roma st,"Vo 4he i $' to It trrwt P•rafty 0%rof mom MN to Mevreo d -s. fsl# 4 I ' I, W awnlr et iha }fr rty, er try esnDlOy!!t w�lh wages �! !Mur pl* GGA1pdnletI", will d4 Ihs worn ar+A ate t1 Wr! t4 Ae1 It'itp<t!4 eyr plfeleC r�t:lt• f tae4, tMa rssi Rry k+ortlslatl scar rn• 4bnfraz or'1 lrtnu uw eros• rscr ry to err off+for of aropaay *Or, burial w Atprores +Hereon !Ao ttrha tlstt ouch wwA parutrfr or mravQa afa own smgfo", pr0•fi!!q that avoh tntprorlments In rpt inteetrptl err eNlrls ler. rt, rorrerar, rhA H�adGtp Or A /af0 tY^.hi1 OM Year d t�rthpllRSfn !nl OwYnet•6u',+ler .ay Mra Me bwdln � Ora�x'l' tMf M a9d nil a..mpror+ tar rhe r:urpaa! or eek.) . -. t, M owfler of the ptt#pert , r ttxitullrlh ooMrnotlnQ xfih ftOM�ed aanattclorl to am, alrutt tits prolsol. lslo, bpra, sOlmeae and rr►oraestamr Cow: me COntrecforl lloena4 ten bolt As! aa,>:y to an lRrM ?I prnoserr who tivAC• a thlp7G"I thlfeOM aRC wM 04Armtlh tW UrM prtr•et/ w2A ! c". aeterrat two pursuant to me :1onIJOArta L/*J I am erampt under Sao, _B. ! P.c. for this town 174113 „•„�,.,,,,,,,,�.,.R,Ownar ' wttRrkftB� CR1lrlNaATiGtI DiCIAAATION I ha eff3rm 1 t t novo oentrtrato of con "I to lelhtnw or a oen,ticaty of WOAsq s e or a cenInt ;*v lh 70F. *a. 7tf(t�. iaoar Coaa,J fty•allgt pantr �...,,,� — Is liltd,Milt the ciy. ❑ G+rtmld cLo�py la herel�bgy fumNhgd, wo v Ct tt41tt►7tlpN 11,91& tAi11CIt IN's alam7rt neap Pat 6l ceteellrle 6' fha ptdm8 At & snl atwmd dzu-s fs?00) V&POon w roar 1 I cysMf that In the QartrNtll" of t4 work for wracn mia permit 1! I&N. 1 shO not teawj or Ca�lflornls in PM r+sentt fo as to tecorna l�a�et to the YVorttlr4' Cimn Wlon Gats, SOP"A"M n ter r rr. Met aiiwha Mrs ett as ten yck lnotw oecorns sub}Ate to Ma N`Oraon' Ccrn:nno"" orovtW4 of the kot:or Cods, roe must hsrnffm oon!ptY zh fla3c ptorfarAs err 01%' Penn" tNo 60 o' owd t"kad CON97RVCTION Ll:NOINo A04hicy I hgrab�yy afftfm met tharo,ta a Cott esru ,pion It3ndtn0 apgnOy for *A pe'tottnance at t", wars; tat Vthttpl thea pafMIl la aauve. (Ser, 709?. C41f 4C1t,) Lardet'6 Nana 6lydtr'4 A40 Title to � Dulldlnp tNftMI wnaA pft31Taf9 111146 out, sf{tnW lr,d ratl;fatad, i1n0 Is gtlA}es1 to lzptrotlon 1f •ear" thmtthtdar,i autpensed fat 140 d*ye, I caftlly that I herrt� lead thio apoltoation ani slut lh$t tho ol;*Ve in} ,talon Is ec4 t eg,vt to eomply IIh All city ens eaunly er¢tteAeee end $14, IaWN rahittty to 0=9tng i cenitn,cftpn entltrllsy eufhorltA taivaaanta:Ives ,21 lftll arty to Quilt ltb req '' �rtloned stvplre� lot intimilan ;v"4c ���, ;drpnatur! of app�u►r,f.,,-.,„;, — - .. p�� - •. M.alpnp Atldrha]�e - _ �l��i,i•r'-iT„W,r'�a '- A .���"*.-�w-s� \",,,.,' i 'i�'w''S"�YA'�” �`i V O ,3 PERMIT moon. !I Electrical G di Drivel 3922• �- AMOUNT- moon. MOUNT- . e ZONE: 6Y: Minimum Setback Dlatan"ee- Front Setbaok from Center Line ' - Repr tstback from Rest Prop. Line Side Street Se=ck from Center Line,_„_.'.,,,.;._.:_ Side,S&Wi:K from Property Line-------- FINAL, DAT£''' INSPEGTOA t 180uod tyy: oate---pormlt f;•xp«u�i ,�tAa.�t;�R tea,.... . in.Y+a.`--' ...�....�.Y. +„zk�d..r�:�:—i.'-�"_�_--: f t ,.a.,s. „ __ r.Av xr MiwwwYsr,p9."►rRf'v - - ' j • . i .. i Building ner Mailing Address A.P. Number -77Y "�0Z — rDi Zip Tel. Z ` Legal Description Project Description ty lZip I Tel. State Lic. City & Classif. Lic. # Arch., Engr., Designer AddrPR.% I Tel. CityZip State ' C k) 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. 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 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 five hundred dollars ($500). 1 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 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.) 1 1 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 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 [7 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., U, after making this Certificate or 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 Address City, State, Zip BUILDING DIVISION Sq. Ft.�� 7` N0. No. Dw. Size Stories Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ ;timated Valuation r r 2, 3 15ICJ! r bO PERMIT { e AMOUNT Plan Chk. Dep. 2 iv '— Plan Chk. Bal. 2 Const. i Ito Mech. Electrical Plumbing 4►Q S.M.I. Grading W,cro Driveway Enc. .�— Infrastructure Z 2 qo ~. C nnca nn n r'T-Yr. t 4 _4 7_07 4 (� TOTAL is -`SAN 3.`�T[ TAL I 215.00 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 DA INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ ; SLAB GRADE UNITS BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING YARD SPKLR SYSTEM ROCKSTORAGE 2ND FL. SO. FT. �r GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEGUIP. REINF. STEEL GAS (FINAL) f �t� �7 MOSILEHOMESVC. BAR SINK WATER HEATER POR. SO. FT. @ FINAL INSP. BOND BEAM WATER SYSTEM GAR. S0. FT. @ =$ POWER OUTLET ROOF DRAINS FRAMING FINAL INSP. ROOFING DRAINAGE PIPING CAR P. SO. FT. a VENTILATION WALL S0. FT. @ FIRE ZONE ROOFING DRINKING FOUNTAIN SO. FT. @ SPARK ARRESTOR URINAL ESTIMATED CONSTRUCTION VALUATION $ LATHING WATER PIPING NOTE: Not to be used as property tax valuation MESH FLOOR DRAIN INSULATION/SOUND MECHANICAL FEES FINISH GRADING WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD FINAL INSPECTION SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FENCE FINAL GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GARDEN WALL FINAL LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. I TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP I POLE,TEMlPERM 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. S0, FT. RESID @ IIA c s SEWAGE DISPOSAL SO.FT.GAR @ ?bc HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEEPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE /I X1IfV STRUCTURE PLUMBING ELECTRICAL HEATING R 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 HEATING (FINAL) OTHER APPJEGUIP. 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 INSULATION/SOUND FINISH GRADING FINAL INSPECTION 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 1/5/93 1 Type of Permit I La Quinta No. 111948 1 Permit # Owner Name Dennis S. Wish Log No. 54625 Street Avendia Bermudas city La Quinta Zip 92253 Study Area 110 APN # 774-285-013 1 Tract #I I Lot # 0 Square Footage 11954 Type of Development Single Family Residence INo. 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 1954 or $ 3,087.32 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 Dennis Wish Telephone Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett u Payment Received Signature - ePieck 44o. 138 Collector. Attach a copy of county or city plan check application form to district copy for all waivers: Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy - Accounting