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11631 (SFD)Building y Address 79-3.80 Owner 4 P.O. BOX 1504 N o . 11631 78-105 CALLE ESTADO Holm Trail LA QUINTA, CALIFORNIA 92253 J. Peter Ministrell.i , Mailing Address 50-445 MoL't2' tai't2 Shadows City Zip Tel. La Quinta, CA 92253 Contractor Al Dukrett Address P.O. Box 3371 City Zip Tel.: Palm Desert, dk 92261 564-367.3 State Lic. City & Classif. 13 413015 Lic. # 1463 Arch., Engr., Designer Bill G. perry Address Tel. atria A.it•v •. /dA�.4'3it:l... City(Zip ( State _ Cdk i a irk n*n,y Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I :am licensed under,,provisions of Chapter 9"(commencing with Section 71X10) of Division 3 of. -the Business andl,Professions Code, and my license is in full force,and effect. r' /' �9��%� 7 f �> SIGNATURE DATE ,e_1 - - YOWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec.. 7031.5,Buslness 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 appllcant 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 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.) ❑ 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 ❑ .Copy is filed with the city. 0 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 (S100). valuation or less.) / , I I certify that in the performance of.thg work for.which 4his permit is issuedl�lshall not employ any Person in any manner so as'to become subject to the Workers' Compensation Laws of California. Date %1 . FJ-OwnerIL NOTICE TO APPLICANT: If, aftermaking 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. 1` - 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 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 759.-'550-017 Legal Description Lot 23 Painted. coap Project Description. SFD f ' _.dd Sq. Ft. Size 3225. No. No. Dw. Stories 1 Units 1 New'X Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block wall or T>001. _ Estimated Valuation182 223.40 PERMIT AMOUNT r Plan Chk. Dep. 250.00 P.lan Chk. Bal. 537.06 Const. 930.00 Mech. 89.50 Electrical 218-q'A Plumbing. 180.00 S.M.I. 18.30 Grading 20.00 Driveway Enc. Infrastructure 4,167.53 its -in Funlid TOTAL 6,616.92 6,366.92 REMARKS �;�r�}ti � � r� i�`awti �-��=:�7-a��";� tom}'^ �� • . s t 1 - - - .• _• 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: f ' _.dd CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CARP. SO. FT. ® METER LOOP DRAINAGE PIPING WALL SQ. FT. REINF. STEEL DRINKING FOUNTAIN. SQ FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER WATER PIPING NOTE: Not to be used as property tax valuatlon FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM. ' FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED _ _� LAUNDRYTRAY AIR HANDLING UNIT CFM VENTILATION 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/+ c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic HOUSE SEWER 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 ACK LIND 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 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. $ plus x$ _$ LUMBER GR. FINAL INSP. �j �3 ,M/FRAMING-TY FINAL INSP. ROOFING /�/• �/ �� _ _� REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL THINGMESH SULATIONISOUNDU FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL. FINAL Tq of Ila (Quinta U t* t b t* U �' anb $dfet� _330 )a !ei* 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: j j BUILDING ADDRESS 79-180 Big Horn Trail 1� Use Classification Single Family Dwelling Bldg. Permit No. 11631 Group ft3 Type Construction VN Fre Zone Use Zone SR Owner of Building J. Peter Ministrelli address 50-445 Mountain Shadows City La Quints, CA 92253 By'. Richard Kirkland c Date; April 21, 1993 Btfilding Official - POST IN A CONE?iCUOU! PLACE —