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9540 (AR)T 0 0 ihf 4 4 a" P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 78-435 Band Plower P1 LA QUINTA, CALIFORNIA 92253 Mailing Address P. o. Box 3361 City Zip Huntington Pk 90255 Contractor ress Zip No. BUILDING: TYPE CONST. OCC: GRP.; A.P. Number 617-051-008-4 9540 Legal Description . JProject Description Room & Garage Addition State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. Sq. Ft. 902 Dwelli og Size 220 Gar. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ City Zip State Lic. # 4 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 of fact. i _SIGNATURE DATE OWNER -BUILDER DECLARATION hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness 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 of not more than rive hundred dollars ($500). ❑%l, 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, Estimated Valuation 47,823.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal.260.00 Const. Y 401.0 Vry Mech. 15.00 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 orimprovement 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.) Electrical 27, 00 Plumbing O I, as owner of the property, am exclusively contracting with licensed contractors to con- slruct 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 1 am exempt under Sec. B. 8 P11 . for this reason a f �, ,,•� J ,�' ,t' S.M.I. t� �i 4.90 Grading Driveway Enc. / �j�f� //,.�, Date t + downer �""(' : Infrastructure WORKERS' COMPENSATION DECLARATIrOP%_,— I hereby affirm that I have a certificate of consent"to se nsure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. .Company O Copy is filed with the city. O Certified copy is hereby furnished. TOTAL %' 07.9 0 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit Is,ror'one'hundred dbllars ($100) valuation or less.) - ,r I certify that In the performance of thq work for which this permit is issued�l shall not employ any person in any man er so to becometsutije ' torthe o ars' Compensation Laws of,Cali(ornia.. e ` Date +�i' p%` 'i'Owner %l ! A % �!�'���� 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, ­ 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 it 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 REMARKS. 005M.tt'i. it9 . 01_09_91_ 10 IV LH,11`1 3 t1:1ii Y ivoi :I?V 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: T4ht " �! P.O. BOX 1504 APPLICATION ONLY Building w YES �"' f]y.� r� G �A OUINTA CALIFORNIA 92253 Address Gil.. ! �r. fK^*`t.1 i If Mailing Address v p, 13 3 3 6 City Zip Tel. ij—slIfy - /6 ��. T aZ ems- `z 3 - 5 -34 City IZIP I Tel. State Lic. City & Classif. I Lic. # Arch., Engr., Designer Address Tel, City I Zip I State J Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) t.of Division 3 of the Business and Professions Code, and my license Is In full force and effec SIG NAt Alf OWNER -BUILDER DECLARATION I hereby affirm that l am exempt from the Contractor's License Law for the following reason: (Soc. 703 t.5,Bminess and Professions Code: Any etty or County which requles a PamHl to conslrucf, oiler, improve, damoNsh, or repair any slfacture, prior to Its issuance ad8o requires the applicant for such Parma to Hla a S.Ipryea sf8fament that ha Is acensed pursue"( ro rho ProvWbrisr of the CoryfraclorY License Law, C6WQr 8 fcommerrckrg with Section 7000J of Odvislon 3 of the Buslaoss and Prolesslons Code, or that -he is exempt therefrom, and rho basis for the alleged exaMlka. Any vlotelion of SoCrion 7031.5 by any applicant for a permit subjects Me applicant to it civU penalty of not more than live hundred donors ($500), >�„aa owner of the properly, or my employees with wages as ,their sole Compensation, will do the work, and the s4tictura is not intentled of offered for seta. fSec. 7044. Buisnass aril Professions Code: 'the Coanachurs License Law does not apply ro an owner of property who buM73 or Reproves thereon and who does Such work hlmsall or through his own 0mPMyae$, provided that such improvements are nor Intended or offered tot sera. If, however, the btdfdfrtg or Improvement is sold within one year at completion. the owner•buildor win have file burden el proving that he d/d not bod or Iniprovo for iho purposo 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, who contracts for such projects with a contractor(s) licensed pursuant to the contractor's Lic La 1 ❑ I am exempt under Sec., B. P.C. fo `Data Owttar 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' 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 ofnhorkfor wh this t is issuemploy any porson iany annarme a lec a Wor } Laws of cif r ' Date na fvarr TO AP /Y7. Ir, It m k rim to . Ex piiW you should ecem subject to the Workers' Comp sation 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. 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- monflotred property for Inspection purposes. Signature of applicant Date Mailing Address - City, State, Zip BUILDING: TYPE CONST. �r OCC. GRP. A.P. Number .7 legal Description Description II� v Sq. Ft. Size New ❑ Add ❑ No. No. Dw. Stories Units Alter ❑ Repair ❑ Demolition ❑ Estimated Valuatia 7, FA3 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical 222 Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Lane Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Perrnit Validated by: Validation: FINANCE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL, SQ. FT. @ 2ND FL SQ, FL @, POR, SO. FT, @ GAR. SQ. FT, @ CARP. � SQ. FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM IMOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as 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 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. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL SQ.FT.GAR @ 3/4C HOUSE SEWER 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 COND. SOLAR SETBACK GROUND PLUMBING 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 APP./EQUIP. 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 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL IN S P ECTOR'S S IG NAT U R MIN I T IA LS — GARDEN WALL FINAL CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. FOR. SO. FT. ® GAR. SO, FT. ® CAR P. I 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 HEATING (ROUGH) FLOOR DRAIN MECHANICAL FEES SEWER OR SEPTIC TANK ROUGH WIRING. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER OTHER APPJEOUIP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM WATER HEATER SERVICE 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, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic HOUSE SEWER FIREPLACE 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 UNDERGROUNDS Ci t 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 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. FRAMING 10 [0,VVI FINAL INSP. ROOFING �(j(q 1 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH \ . INSULATIONISOUND L FINISH GRADING FINAL INSPECTION3._(s-�-jq l CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINRIALS GARDEN WALL FINAL 4 MEMORANDUM TO_: Ron Kiedrowsk FROM: Tom Hartung RE: Addition at 78-435 Sand Flower DATE: June 5,, 1991 The room and garage additions at the above address have been permitted by the Building and Safety Department. I visited the site personally on June 4, 1991 to verify the setback and height requirements. The garage addition maintains the required 5' side setback. The exact property line is difficult to establish because of the large oleanders at the site, but at its closest point the new garage addition is 9' from the Vossler's block wall. Their block wall appears to be several feet inside the.property`line at that point. The allowed height for that area is a maximum of 351. The highest point of the addition will be approximately 18' high. Please notify me if there are any other concerns with the project.. TH/lc t,