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9964 (SFD)Building ArAroco 79-045 RIVER ROC Ari Owner ALFRED E. DURRETT Mailing ! P.O. BOX 1504 4 4 ! o. 9964 i� LA QUINTACCALIFORNIA 92253 d 9C/ ' BUILDING: TYPE CONST. OCC: GRP. Address 79-596 AVE. 4 A.P. Number City Zip Tel. BERMUDA DUNES 92202 Legal Description Project Description 262 LINEAR SINGLE FAMILY DWELLING FEET OF 6' HIGH BLOCK WALL Contractor OWNER BUILDER Address INCLUDED. FOOL IS NOT INCLUDED City Zip Tel.' State Lic. City & Classif. Lic. # Sq. Ft. 2��5 Size No. No. Dw. Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70 OO) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ' 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 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). .E1 1, 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, Bursness 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 rcontracts, for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)." ❑ 1 am exempt under Sec. B. &,P.0 or this reason r �r j, Estimated Valuation C g 9 V ! PERMIT AMOUNT Plan Chk. Dep. $25Q Plan Chk. Bal. / 2 . 84 Const. 1,094.50 Mech. • 0 Electrical K 147.06 Plumbing 168.50 S.M.I. 23.00 Grading 20. 0 Driveway Enc. Date Owner !'-�'r�'.,..!t '!`-rte Infrastructure 5,009.49 WORKERS' COMPENSATION DECLARATION /f. to I hereby affirm that I have a certificate of consent to self -insure, or a cert- iZ of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) - Policy No. Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. TOTAL -If! 4.11U . -6!# !160 . ti Y 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.) _ ,,` r I certify that in the performance of thg wolk;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 �/� c "/ ._ +� i :�' 1 rpt = /� ` f✓ NOTICE TO APPLICANT. Jf, '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. REMARKS L s ias s x, t t s x sr. ' ZONE: BY: Minimum Setback Distances: r' Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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 Setback from Property Line 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. FINAL DATE INSPECTOR 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 by: Date Permit Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CARP. SO. FT. WALL SO. FT. ® SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 IBATH TUB BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID a 1% c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3Yic HOUSE SEWER FRAMING — FINAL INSP. 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 GOND. SOLAR (/ (SETBACK OUNO PLUMBINl!qWj 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 4 UND. REINF. Of, Ul / I GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPIEQUIP. 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. FRAMING — FINAL INSP. ROOFING ©� J -T6 L;)� 1 rZ A2 /Jv / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH op 4 PG SULATION/SOUND 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) 347-8631 Date 9/10/91 No. 110852 Owner Name Type of Permit Alfred E. Durrett No.79-045 _ street River Rock City La Quinta zip 92253 La Quinta Permit # Lok # Study Area 117 APN # Tract # Lot # Square Footage 1 Type of Development I Single Family Residence No. of units Comments 99(1- an ft nar Tlnvclnnnr Acrrnmmnnt 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 Mitigation Agreement in the amount of 628.00 X10 or $ 628.00 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 t Fees Paid By Alfred E. Durrett Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /exem d by Diana M. Allard Signature Xyz- �*2v—�" �/" — Payment -_ Check No. 2885 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