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10571 (PAT)Building Address 76-995 Fernando Owner Mailing Address same City Zip La Quinta .92253 Contractor . Cada Cohstructibn Address . 78341 Darby Rd City lZip T a 4.4 0 . . 4tyl QUM k P.O. BOX 1504 _ ��_k N o , 10571 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 C BUILDING: TYPE CONST. OCC: GRP., State Lic. City & Classif. 400211 Lic. # 354 Arch., Engr., Designer Address Tel. CityI Zip I State I Lic. # e LICENSED CONTRACTOR'S DECLARATION Phereby affirm that I amrli'censed under provisions of Chapter 9 (commencing with Section MOO)of Division 3 of t Q'Business and -Professions Code, and my license is in full force and i 'ffect. SIGNATURE'•' !./'/ DATE 1 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, alter, 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). - ❑ 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 or 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.) 0 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 -6 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. Date 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 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 abuilding 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 A.P. Number Legal Description_ Project Description PATIO COVER Sq. Ft. 130 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 1.703 PERMIT AMOUNT, Plan Chk. Dep. .Plan Chk. Bal. 29.215 Const. • 45.00 Mech. a r Electrical Plumbing S.M.I. 20 Grading Driveway Enc. Infrastructure . TOTAL 74.45 REMARKS �.. 14.4 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 r Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE .2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH) DRAINAGE PIPING CAR P. SQ. FT. OTHER APPJEOUIP. REINF. STEEL / / WALL SQ. FT. TEMP. POLE DRINKING FOUNTAIN. SQ FT ® GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM 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,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SQ. FT. ® c BATH TUB SPARK ARRESTOR SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 V< c SEWAGE DISPOSAL LATHING SQ.FT.GAR ® 3/ec 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 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 C Z�(j� FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL LOS ESTADOS AT SANTA ROSA COVE ASSOCIATION ARCHITECTURAL/LANDSCAPE VARIANCE APPROVAL June 1, 1990 CR—e- quest # 76 995 Avenida Fernando Mr. Don Schuman 76 995 Avenida Fernando La Quinta, Ca. 92253. Dear Mr. Schuman: Your Architectural/landscape variance request to install a southwest style patio overhang approximately 9 feet:x 12 feet x 9 feet high as per attached.photographs was approved as submitted. GENERAL CONDITIONS: 1. All work shall be done in a workmanlike manner by competent and licensed professionals. 2. Actual modifications must conform to the plans and specifications submitted and approved. 3. All work is to be in compliance with local building codes and ordinances. 4. Any damage to the common areas resulting from this modification and its construction will be repaired at your expense. 5. Contractor must provide the Association proof of Workman's Compensation coverage prior to the commencement of any work. 6. You are to provide a list of names of the workmen for the security guards at the front gate. 7. Cost of installation and continued maintenance shall be your responsibility and that of subsequent owners. 8. You are required to execute a written agreement and a notice of that agreement using. the attached form for recordation. +X building permit issued by the City of La Quinta must be obtained and visibly displayed on the exterior of your home at all times during the construction of the approved modification; a copy of the permit is to be given to the Association prior to the commencement of any work and a copy of the signed off permit upon completion. All access must be done through the atrium and no work is to be done from the tiled roof areas. _X No construction material or dumpster is allowed to be placed in the street. All debris is to be removed from the roof area and common area upon completion of construction. X All construction -debris is to be removed from the site prior to each weekend in order to maintain order and retain the aesthetics of the development. .All electrical wiring must be contained within approved conduit painted to match the surface it contacts. Sincerely, Melissa Layton, Manager On behalf of the Los Estados Architectural Committee at Santa Rosa Cove Association I have read and agree to abide by the terms of the Architectural/landscape variance approval as set forth above. Please sign and return copy to Association office. . D V AJ S C- Name (Print) Date G - 7- C/o a-vtCA�� � � - 'i Signature