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13427 (SFD)CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING; FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL. SQ. FT. YARD SPKLR SYSTEM BONDING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® FORMS GAR. SO. FT. ® POWER OUTLET ROOF DRAINS ROCK STORAGE FOUND. REINF. DRAINAGE PIPING CAR P. SQ. FT. ® METER LOOP WALL SQ. FT. ® "' " DRINKING FOUNTAIN. SQ FT ® GAS (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used a:: property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED =$ LAUNDRY TRAY AIR HANDLING UNIT CFM FRAMING 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 D%Y 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 SPARK ARRESTOR GAR. FIREWALL LATHING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TCTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING lip UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER' 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. 9� FRAMING FINAL INSP. ROOFING Pr � ��A � (3�rCP REMARKS: VENTILATION D%Y FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING // MESH INSULATION/SOUND—3D-1lt/60 FINISH GRADING FINAL INSPECTION v� 9 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL _77— P.O. BOX 1504 No. 13427 Building 1-8-311 Calle Potrero 78-105 CALLE ESTADO Owner Rank Czeranski LA QUINTA, CALIFORNIA 92253 - 1 (waning Address 67-220 Rango Road City Zip 7321-8085 Cathedral Ci � 92234 Contractor Same Address Zip I Tel. State Lic. B c., 02905 ( City 2081 & Classif. Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section P00) of Divisiod'3 of the BTsiness and Professions Codej�h`d my license is in,full force a effect.r'l 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, atter, 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 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 1 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. 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 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. ff .t J /Date .,y. %:s. 1'' Owner !"'Y .� .� ,r"•.e- ^', OTICE 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3 09 7, 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. VN OCC: GRP.- A.P. Number 774-291-013 Legal Description Lot I Bloch 277 Project Description SFD R3 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line r Side Setback from Property Line FINAL DA Issued by: Validated Validation Sq. Ft. 1676 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block wails or pool. Estimated Valuation $98,748.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 2ii . U5 Const. 5. U0 Mech. 55.5u Electrical Plumbing IFT4. 1)U .S.M.I. 9.87 Grading ZO.00 Driveway Enc. -00 Infrastructure 2,173.11 Precise Plan 25. tx TOTAL s • U b • t% REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line r Side Setback from Property Line FINAL DA Issued by: Validated Validation AgLk f/ Ai db (fftrt I, " "i-, M A of Qor,- mg (t of 1a WU* - - �iitl�tn •nzt� � �'n��� �t�i�i�1n 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, 77-311 Calle Potrero Use Classification Single -Family Dwelling —Bldg. Permit No. 13427 Group R— 3 _Type Con'truction VN. Fire Zone Use Zone R-3 Ownei of Building Hank Address-Czeranski 67-220 Rango Road City Catherdral City, CA., 92234 Daniel P. Crawford Jr. --7-Wim - -, - I Date April 26, 1996 Building Official• PMT IN A WNSPICUOUS 'LACI I DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111, NOTICE: Indio, CA 92201 - Document Cannot Be Duplicated 619-775-3500 Date 5/16/94 1 Type of Permit La Quinta No. 112831 Permit # Log Owner Name Hank Czeranski No. 77311. " Street Calle Potrero City La"Quinta zip 92253 Study Area 110 APN #, Tract # Lot # 0 Square Footage. 1676 Type of Development I 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 1.65 x 1676 or $ 2,765.40 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. Hank Czeranski Telephone 322-8085 .Name on the check -By Dolores A. Ballesteros Superintendent ; Fee collected /exempted by Vickie J. Durrett =y Payment Received= Signature ',� Checit No. 2676 .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 HEN RECORDED MAIL 4O: Hank Czeranski 67200 Rango Road P% Cathedral City, Ca. 92234 ESCROW'NUMBER: 7374-1 ORDER NUMBER: Q 42W U z2 U N Tn 10,O M �1 09. p•- Y W co a M W U WIr 4 SPACE ABOVE THIS LINE FOR RECORDER'S USE 0 !, MAIL TAX STATEMENTS TO: Same DO MENTARY TRANSFER TAX $..30.25 as above . Computed on the consideration or value of property conveyed; OR ... Computed on the consideration or value less liens or encumbrances -� remaining at time of sale. tt �7 Signature of Declarant or Agent determining tai — Firm Nems GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Michael Donenfeld and Tracey Lea Donenfeld, husband and wife )i )i 1` hereby GRANTS) to hereby Hank Czeranski and-Johanna Czeranski, husband.'and wife as joint tenants the real property in the City of La Quinta County of Riverside , State of California, described as Lot 1 of Block 277 of Santa Carmelita at Vale La Quinta, Unit No. 25, as per map recorded in Book 19, pages 50 and 51 of maps, in the office of the County Recorder of said County. Dated March 2, 1994 STATE OF CALIFORNIA COUNTY OF ___•__ r%. M el Donen ld )55. Tracey L onenfeld COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL N° 48096 TOTAL $ f e Remarks: f 1 ❑COPY to: Cash Check Money Order - 1 Water Service Cashier CVWD- (11189) } Received From: i �.; — L, t Address: Account No. ', t Lot(s) ^"t Service Address' j tf P"Metef(s) ► } !r 1 Service(s) r ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) ❑ Meter Surcharge sanitation Capacity Charge = �' ' ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name 'r ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water / Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other x; N° 48096 TOTAL $ f e Remarks: f 1 ❑COPY to: Cash Check Money Order - 1 Water Service Cashier CVWD- (11189) } C•I TY OF LA QU=7NTA Contractor �2�� —7, Address / 7— ��� rvY� Owner,W411% Job Address yfV1""1 .. This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. It is the responsibility of the General Contractor or the Owner/Builder to monitor the sub -contractors that are on this list are the same persons performing the work. Any changes of this list must be approved by the City of La Quinta Department of Building and Safety prior to work being performed by a changed sub -contractor. Failure to comply will result in a stoppage of work and/or the voidance of building permit. TRADE SUB -CONTRACTOR NAME CONTRACTOR'S LICENSE NO. WORKMAN COMP. NO. ON FILE CITY BUSINESS' LICENSE NO. GRADE/ EXCAVATE PIPELINES CEMENT/ FOUNDATIONS -- CEMENT/WALKS & DRIVES ASPHALT FRAMING /J SX ` 1 er ,*rd E 61.-Z S -A STEEL/ STRUCTURAL MASONRY4S7 CD PLUMBING �efe�s / /� ,�/ti M LATHING DRYWALL 14c -L � 3134 Q k PLASTERING HVAC 4G; 2 y 2 %%L% S / ELECTRICAL /2 L{ 32. _ , 917 ROOFING SHEET METAL FLOORS GLASS/ GLAZING INSULATION SEWAGE DISP DECORATING re- � 22�- TILE CABINETS/ INSTALLATION /� e C �"� eS i-(Pr3g Q /70 ORNAMENTAL METAL FENCES/ BLOCK WALLS LANDSCAPING OTHERS