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11789 (SFD)44a .P.O. BOX 1504 Building 51--8175 Juarez LA QUINOTAC Address CALIFORNIA 92253 Brian Stemer Mailing Address City Zip Tel. -- Contractor �jw� j` "j--/� q► ' VirYlo�le ./+G�i.{+� J.�AeIh• Address City Zip Tela State Lic.. City & Classif. Lic. # Arch., Engr., Designer Address Tel. City7771 p 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. i FIGNATURE 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 orlcounty which requires a permit to construct, alter, Improve, demolish, or repair any structure, f 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) or Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation or Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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, 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.) - ❑ 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.) O 1 am exempt under Sec. B. t;. P.C. for this reason Date Owner # a 3 {'^ vim^-•- - — 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 O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundred dollars ($100) valuation or less.) , I certify that in the performance of thg 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 or 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-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. BUILDING: TYPE CONST. OCC: GRP. A.P. Number 773-154-018 1.789 Legal Description Lot 6 Block 31 Project Description S . s, Sq. Ft. 1350 No. 2 No. Dw. Size Stories Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block galls or Pool . A Estimated Valuation $79,045.00 ' '..,PERMIT AMOUNT Plan Chk: Dep. 250.00 Plan Chk. Bal. 218.49 Const.,. 545, Ota Mech. -5S. 5o Electrical 118.75 Plumbing 141.00 S.M.I. 7.90 Grading 20.00 Driveway Enc. Infrastructure 1,756.01- i 5V 75V TOTAL 3, 3.L'.. .- __& —REMARKS 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 t FINAL DATE INSPECTOR Issued by: Date Permit r; r Validated by: r I Validation: CONSTRUCTION ESTIMATE NO.' ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SQ. FT. BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® 9E� SEPTIC TANK OUGH WIRING GAR. SQ. FT. `* POWER OUTLET. ROOF DRAINS FOUND. REINF. DRAINAGE PIPING CAR P. SQ. FT. HEATING (FINAL) WALL SQ. FT. REINF. STEEL DRINKING FOUNTAIN. SQ. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation WATER HEATER 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 LUMBER GR. LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. / -LZ 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 FIREPLACE SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL L LA HING C SQ.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 FINAL INSPECTION ZZ.i�Tj STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING l UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 9E� SEPTIC TANK OUGH WIRING DUCT WORK ROCKSTORAGE 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 —?'Z 3 FRAMING 3 J FINAL INSP. / -LZ ROOFING VENTILATION � "v/� e� � / � hod 'j— q j (� d REMARKS: FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL L LA HING C MESH INSULATIONISOUND Ola FINISH GRADING FINAL INSPECTION ZZ.i�Tj CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 11/29/93 1 Type of Permit I La Quinta No. 111985 Permit # Owner Name Brian Stemmer Log No. 51875 Street Avenida Juarez City La Quinta Zip 92253 Study Area 113 APN # 773-154-018-2 Tract # Lot # © Square Footage 11350 Type of Development Single Family Residence No. of units Q Comments 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 Government Code 53080 in the amount of 1.58 x 1 50 or $ 2,133.00 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. Fees Paid By Brian Stemmer Telephone Name on the check By lames F. Lively Assistant Superintendent, Business Services �`..,,. ,T� . Fee collected /exempted by Vickie J. Durrett ,; h Payment Received i— Signature =- Check No". 1072 - Collector. Attach a copy of county or city plan check application form to district copy for 511 waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy = Accountingr r " 01/19/93 13:24 FAX 1 714 275 9040 1ST AMERICAN TTL -+ FAT P.D. i4F4111111111110 NT 0 t"4'lkQM OTH94 aaBaR4lit 10 > Q - iA LLJ Wit ("F Na. Vin-, w Ewfole, Nil 11757. • 8FACff Alf -Wit T0415 LINT FOR iteCopagil-9 USE. 4. GRANT REE11' The urillerAigirett tlet-larre that the durunkentary trarinfre,lelj� S' 0 AI v%ecuputed an the full color of the Injerea f 11rdiverty rill .Irl .............................. 0 cur"porr,11 ore Ifir full value If" like 4,61W of halip, ur enroml,rim tgmnwnls ur fersh, i- Itewalrd in 'herran 81 the time Of MIL 7U.3m 13 uilkriwfr&11%I •oma(3 6ty of ............. LA QUINTA . ......... ............... and FOR A VALUABLE CoNilDERATION, MINIPIt of which ia firroriq acknowledgit;& LESLIE M. TAYLOR JOE fierthy GRANTiS) to MIN W.- STEMER, AN UNMARRIED MAN do (016%ri-1: &wribed re., property. In the CITY OF L,% (11"INTA county of RIVERSIDE g.f LOT 6.' IN BLOCK 31 OF SANTA CARMELITA AT VA(,F LA QIUNTA, UNIT NO. 2. AS SHOWN BY MAP ON FILE IN BOOK 18, PA.GFS 55 4 56* OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA. 4 . 12/16192 LESLIE i0y STATE OF CALIFORNIA Wtom op RIVERSIDE., an vft va 21T11 dftal DECEMBER Malay , ptieft 0 Led ior Lm Gothintj wd Swo. Pitrunsipy liPP11061013 LESLIE M. TAY .............. va rl2j?mqw to free an ft bililkil alL S ashissovaly "*PC* 1, be sw CONSTANCIIAL 5 GORSUCH'— :w t ..,to SIAluo LIE —, d6W Uw &X. 11.&0 all.. ;...... IUI*I;cn -Aremms MA yl 19111111 As.ftwr'& Pared No. Aimi. -rvt FrA1V.%lFNT% I'll 1-1lti'1' %I-jjjWN (j..4 110"Ill. hlAlla4tili CAP a slow' CAL. ICY lAw 2461 7* m I 0002/002 Of R,Y CALVIN C. KAMINSKAS Assistant Commissioner 0 a (714) 275-3000 DATE /�) ` 31—S OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite 7 Indio, CA 92201 (619) 342-8291 DAN RILEY Sealer, Weights & Measures (714) 275-3030 CASE NO. �� c"(3 DEVELOPER'S NAME: ADDRESS: (- TELEPHONE: ( > _ Dear Developer: After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ from plant material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agricultur Commissioner's Office cc: Indio and Riverside 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 = FAX (714) 275-3012 0