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08830 (OFC)Building 4 u P.O. BOX 1504 78-105 CALLE ESTADO Lndo LA QUINTA, CALIFORNIA 92253 Owner I Ohio Citizens ingest ent Address P.O. Box 780 City Zip Tel. La eta 92253. 564-2155. Contractor Stark Construction Address City Zip 'Tel. Palm Desert 92260 345.9711 State Lic. City & Classif.Lic. # ��� Arch., Engr., Designer Address I Tel. CityI Zip I State I 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. 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, 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). 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, Bulsness 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 Coder 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 5�7e 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 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 6lt.7f�/ No. 0883Q BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description Sq. Ft. 200 No.No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 3,139.15 Const. 7-L} Aa Mech. Electrical r Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 5 20 7 3 2 REMARKS nntrxlhl en Sa.AA...nn 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 � t - FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: T CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SQ. FT. BONDING POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET 1 ROOF DRAINS DUCT WORK j DRAINAGE PIPING CAR P. I SQ. FT. ® GAS (ROUGH) WALL SQ. FT. DRINKING FOUNTAIN. SQ FT ® REINF. STEEL URINAL ESTIMATED CONSTRUCTION VALUATION $ TEMP. POLE WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER 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 LUMBER GR. 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL FIREPLACE SO.FT.GAR ® 3/ac 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 APPJEQUIP. 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. �3 ft % FRAMING `�., '�'1 4 (� J !! FINAL INSP. ROOFING plte00 CCr �f �c _ V O Lt9 2 p�D Cc?Y^ �/ 1 �/q�� (� � " V REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL f ( L'j HING C It lot( MESH INSULATION/SOUND G� FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL � l T4hf 4 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 5642246 February 21, 1991 C17),OF 4 1991 Mr. John Walling QU/VrA Walling & McCallum, Ltd. 45-190 Club Drive Indian Wells, CA 92210 SUBJECT: ELEVATION REVISION TO AVENIDA FERNANDO GATEHOUSE Dear Mr. Walling: The Planning and Development Department has reviewed the above referenced subject, which is a deletion of the covered portions of, the south egress lane through the gatehouse. We understand that this change is necessary due to land acquisition problems. The Planning and Development Department has determined that the revision is consistent with the originally approved architecture; Design Review Board review of this change is not necessary and the revision is hereby approved. A set of the revised plans have been forwarded to the Building and Safety Department for their use during building inspection activities. Should you have any questions concerning the above, please contact the undersigned. Very truly yours, JERRY HERMAN PLANNING & DEVELOPMENT DIRECTOR /1/ Wallace H. Nesbit Associate Planner WHN : bja cc: Tom Hill, La Quinta Joint Venture fTom_Haw tung.;_Building>&=Safety Direct Tom Hutchison, Fire Safety Specialist Files : PP 90-448 TT 25237, Final Map LTRWN.014 MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 0 ,MEMORANDUM CITY OF LA QUINTA T '-;4,1 ,'7-Vlv&- 199, E'CLA F ROM 'Ty OF QUIW A 7- DATE - S-19 SUBJEC V/Z4 IL -A=:' Pile'- 72P 7-.P,17& I