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14953 (SFD)Address in77-555 Calle Potrero Owner Sterling Homes Address P.O. BOX 450 - P.O. BOX 1504 78-495 CALLE TAMPICO LA OUINTA, CALIFORNIA 92253 City Zip Tel. La QUinta, CA 92253. 564-1866 Contractor . Lendel Ventures Inc. ' Address ! P.O. ' Bore 450 La Qt3�,t7.;��I, CA zip92253 Te1.:564-1866 State Lic. 638535 City 859 & Classif. - 1,8 Lic. # Arch., Engr., Designer Address Tel. City (Zip ( State r Lic. # 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 lice7s rs in full force I. � �-•94i% 11� r� iff!'..AXZ ZkJ `>..h� �_ _ / I : . e OWNER -BUILDER DECLARATI0 I hereby affirm that I am exempt from the Contractor License Law for the following reason: (Sec. 7031.5, Business and, Professions Cody city or county which requires a permit to construct, alter, improve, demolish, or repair y sWcture, pdor to its issuance also requires the applicant for such perm. to Ill. a signed tatement that he is licensed pursuant to the provisionsjof the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 o the Business and Professions Code, orlthathe 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). O 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'sLicense 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.) O 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.) • .- t• '•O 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.) PolNo, Company lcPCopy Is filed with the city. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff 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 Cparson in any manner so as to become subject .to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: ., 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This is a building permit when property 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 No. 14953 BUILDING: TYPE CONST. VN OCC. GRP. R3 A.P. Number 774-302--011 Legal Description Lots 1 & 2 of Block 312 Project Description 'c'F Sq. Ft. Size New ❑ 1757 No. Stories No. Dw. Units Add .O Alter ❑ Repair 0 Demolition O Permit includes 90 1.f. of 4' wallo 5o l.f. of 5 wall. stimatedValuation $107,492.00 PERMIT Plan Chk. Dep. 250.00 Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure Precise Plan rtA in Publ.c Places TOTAL 3,984.60 REMARKS qh block block AMOUNT 307.7+7 6617.50 49.00 134.76 238.00 10.75 20.00 .40 2,361.82 -25.0© 20.00 T ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setba Center Line Side Setback fro perty ne. FINAL DATE • P/E►,,CTORa Issued by:Da 'Q i' rPbeyr it Validated by: eV Validation: V / CONSTRUCTION ESTIMATE N0. ELECTRICAL FEES NO. PLUMBING; FEES —. 1ST FL. SO. FT. @ $ 2ND FL. SO. FT. POR. SO. FT. @ GAR. SO. FT. @ CAR P. I SO. FT. @ WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET X. YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be usec as property tax valuation SLAB GRADE �// FLOOR DRAIN MECHANICAL FEES STORAGE TANK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) METER LOOP GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REINF. STEEL �/� LAUNDRY TRAY 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 SHOWER BOILER B.T.U. SO. FT. @ c BATH TUB REMARKS: SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, 3.T.U. SO. FT. RESID @ 1 Ya c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac HOUSE SEWER FIREPLACE GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE JELECT.FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK C GROUND PLUM 61-2 �jUNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �// ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS �+� 9� SEWS OR ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. J! �� gS GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPIEQUIP. REINF. STEEL �/� GAS. TEMP. POLEj/ GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP/G iJ 7 GRADING cu. yd. $.—Plus—x$—=$— LUMBER GR. FRAMING ROOFING �� � � , 74" REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND /• FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 4/18/95 1 Type of Permit I La Quinta No. 113416 Permit # Owner Name Sterling Homes Log No. 77-655 Street Calle Potrero City La Quinta Zip 92253 Study Area 111 APN # Tract # Lot # 0 Square Footage 11757 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 1.72 x 1 757 or $ 3,022.04 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 Sterling Homes Name on the check By Dolores A. Ballesteros Superintendent Telephone '1418,66. Fee collected /exempted by Mary Lou Lopez Payment Receiver, Signature Check No.2629 Collector: Attach a 94of countyor citypla c ck application form to district copy for all waivers. Embossed Original- Building. Dept./Applicant Copy - Applicant/Receipt Copy - Accounting Fee collected /exempted by Mary Lou Lopez Payment Receiver, Signature Check No.2629 Collector: Attach a 94of countyor citypla c ck application form to district copy for all waivers. Embossed Original- Building. Dept./Applicant Copy - Applicant/Receipt Copy - Accounting .� EARTH SYSTEMS CONSULTANTS S.C. �/ BUENA ENGINEERS DIV. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 Client Name Client Address Client Phone DATE , TEST LOCATION JOB NO. PROJECT Flo LOCATION MOISTURE CONTENT % CONTRACTOR MAXIMUM DRY DENSITY % -OWNER / / WEATHER TEMP. oat AM ° at PM PRESENT AT SITE 3.6 //IV A! TEST NUMBER , TEST LOCATION LOT NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY lbs./Cu. ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY lbs./cu. ft. OPTIMUM MOISTURE CONTENT % 3.6 //IV A! i D -e^(- O cp t - REMARKS:: CLIENT REPRESENTATIVE SIGNATURE F REPORT L ' 7j-! TECHNICIANS SIGNATURE®A Gi'