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11266 (SFD)Building 79-300 Briarwood Owner Strother Construction P.O. BOX 1504] N Q 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 / t 11266 -' d Mailing BUILDING: TYPE CONST. OCC: GRP. - address 41555 Cook St #260 A.P. Number Legal Description Project Description Ito:= 9 Orchards SYD City P.D. Zip 92860 Tel. Contractor Strother Construction Address same as above City Zip Tel.: State Lic. City & Classif. 365070 Lic. # 1849 Sq. Ft. Size , 4050 No. No. Dw. Stories Units Arch.,' Engr., Designer Sheehy -Iverson Assoc • New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address P. O. Sox 880 Tel. 761/661--7,905 Permit does not include any block wails or pool City Laguna Beach 1 Zip 92652 State Lic. # � LICENSED COrNTRACTOR'S DECLARATION I hereby affirTnithat I am licensV del provision3 of Chapter 9 (commencing with Section 70�) of Divisionn�3 off the/Busiiness acid ProfessioI Code, and my license is in f II�.fo/rce,and effect- ���t.1i ,t�.,if=1 ir1 � SIGNATURE r'=.•'' ( DATE r OWNER -BUILDER DECLARATION' I hereby affirm that I am exempt from the Contractor's Lirense 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 rile 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 or not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bussness and Cade: The Contractor's License Law does not apply to an owner of property who - builds,or improves thereon and who does such work himself or through his own employees. provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or Improve /or the purpose of sale.) - Estimated Valuation 315,696.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 900. 7 8 Const. • ] 50Professions Mech. 136 • 5 Electrical %cj(}5 Plumbing 225 • 00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property -who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - O I am exempt under Sec. B. & P.C. for this reason S.M.I. 31 • 60 Grading 20 Oji Driveway Enc. 00 Date Owner Infrastructure 6000.00 Arts`in Publi 539.24. WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company EyC py is filed with the city. 0 Certified copy is hereby furnished. TOTAL 0,749.07 9499.07 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS -. - ._ _ ,:,!!".J1!$a}i.a► I:•.1,+ls.py41,4.4- L. _+i. e i :r t Y .i (This section need not be completed it the permit is for one hundred dollars ($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. ZONE: BY: - Minimum Setback Distances: i Front Setback from Center Line Rear Setback from Rear Prop. Line 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.) Side Street Setback from Center Line Side Setback from Property Line Lender's Name FINAL DATE INSPECTOR' 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. Issued by: Validated IJy: Date Permit Signature of applicant Date - Mailing Address Validation: . . a ti City, State, Zip e CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. _ SQ. FT. ® $ UNITS COLL. AREA 2ND FL SQ. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DUCT WORK DRAINAGE PIPING WALL SQ. FT. GAS (ROUGH) DRINKING FOUNTAIN. SQ FT ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. $ -plus-x$ 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. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR @ Vic HOUSE SEWER SPARK ARRESTOR GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE rCQNST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBI 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 APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -plus-x$ _$ LUMBER GR. AL 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 SIGNATURESIINITIALS r GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 8/18/92 Type of Permit I La Quinta No. 111664 Permit f Log # Owner Name Strother Construction No. street See Below City La Quinta Zip 92253 Study Area 117 APN f Tract f Lot f Square Footage 1 &942 Type of Development No. of unite 0 Single Family Residence 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 ® or $ 13,180.36 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 The Orchards Telephone 568-2718 Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Shelley D. Bennett ii Payment Received, ! Signature ,L�E 0 &1'1�-t:t Check No. 1369 Collector: Attach a copy of county or city plan check application form to district 6apy for an waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting I xxx VIF I it of '14a (Quinta U t r �SP tt ton This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building! Code certifying thata't the time" of issuance this structure was. ' ' in compliance with the various ordinances of the City regulating building construction or use. For the following: 7 BUILDING ADDRESS 9-300 Brairwood Usi-Clossification .Single Family Dwelling Bldg. Permit No. 11266 Group R3 Type Construction VN Fire Zone Use Zone SR Owner of Building Strother Construction Address - 41-555 Cook St. #260 City Palm Desert, CA 92260 By; Richard Kirkland Date April 5, 1993 Building. Official MST IN A MtMCUOUS PLACV,