Loading...
9620 (SFD)T a . 0 - iiv� 4 Building Address 78-640 Carnes Circle Owner Acacia Mailing Address 1021 Bastanchury Rca City I Zip Tel. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 r3d1iex"r—oT1 I :YA / L5l/Si L"t)iSi31► Contractor Acacia Construction Address ' p State Lic. City & Classif. B 2923954 Lic. # 1612 Arch., Engr., Designer Address CityI Zip I State 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 license is in full force and effect. r SIGNATl1RE'' 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, after, 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 Lfcense.Law, Chapter 9 (commencing with Section 7000) or 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 rive 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'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.) . 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 or 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. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATIONINSURANCE (This section need not be completed if the permit.is for ,one hundred dollars (5100) valuation or less.) . I certify that in the performance of thq 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. rrjf; Date L" 'V s: 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 torthwfth 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 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. 9620 BUILDING: TYPE CONST. OCC: GRP.- A.P. Number Legal Description Bot 58 Project Description Plan B2 Sq. It -No. Size. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 33558 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 507.35 Const. 612.50 Mech. 53.50 Electrical , * . 103.66 Plumbing 120.58 S.M.L. 6.58 Grading Driveway Enc., , Infrastrtictu�e 2105.06 1 t . TOTAL 3509.16 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 DATE INSPECTOR Issued by: Date Permit Validated by: . Validation: 4 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING 2ND FL. SO. FT. STORAGE TANK YARD SPKLR SYSTEM POR. SD. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. Q. FT. REINF. STEEL DRAINAGE PIPING WALL SO. FT. DRINKING FOUNTAIN. SO FT ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation LUMBER GR. FLOOR DRAIN MECHANICAL FEES FINAL INSP. 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 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SO.FT.GAR ® 3Yic HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING WVot(40 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE / ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS L EWER OR SEPTIC TANK ct ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REIN . -'7y ROUGH) O K vi METER LOOP GAS (ROUGH),/(5/f'?( HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING yd. $ plus x$ _$ LUMBER GR. FINAL INSP/4 p Ilcu. I FRAMING �lC� FINAL INSP. ROOFING �(( C�( o l K( �u I L� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING �Pfjt 4.1-12 MESH INSUILATIONISOUND O,fq( 04 to FINISH GRADING FINAL INSPECTION . h CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESJINITIALS GARDEN WALL FINAL Notice: Document Cannot Be Duplicated Date 4/29/98 No. 16965 Desert Sands Unified School District 82-879 Highway 111 Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE APN # 604-223-015 Jurisdiction La Quinta Owner NameKurt E. & Lexa S. Schoppe Permit # No. 78-640 Street Carnes Cir. Log # City La Quints Tract # Lot # Type of Development Residential Addition Comments Zip 92253 Study Area Square Footage 200 .,onvert 3rd bay of garage to 200 sq. ft. tor home o ice. No. of Units 1 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: Residential Addition 500 Sq Feet or Less This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 0.00 X 200 , or $ 0.00 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 B Lexa S. Scho e Y pP Teleph0aetj� Name on the check.''' 7, By Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Green Exempt Check No. N/A Signature NOTICE: Pursuant of Asseryfbly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run fronj the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. 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