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14274 (SFD)C a ` 1 r 11 - • r ���� P.O. BOX 1504 Building 52-394 Ave.Juarez 78-495 CALLE TAMPICO Address LA OUINTA, CALIFORNIA 92253 Owner David Rasa Miller Mailing City Zip Tel, Contractor PaCifiC 'grades Address Same City Zip Tela N0. 142? BUILDING: TYPE CONST. VNOCC. GRP 773-251-009 A.P. Number Let 14 Black 8 Legal Description SFD Project Description R3. State Lic. City & Classif. B 425381 Lic. # 1955 Sq- Ft- 1600 No. No. Dw. Size Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition Address Tel. Permit does not include block wall or pool. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION k __I hereby affirm that I am licensed under Drovisions of Chapter 9 (commencing with Section 1 70). of Division 3 of the Business and Professions Code, and my license is in full force and Ifect.: "SIGNATURE DATE OWNER -BUILDER DECLARATION 1 leraffirm that I am exempt from the Contractor's License Law for the following Estimated Valuation $98j145.00 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 alsoth requires e applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT 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 Section 7031.5 'any for Plan Chk. Dep. U •Uri violation of by applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). Plan Chk. Bal. 2 r J 7 r- 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. 704,4, Buisness and Professions Code: The Contractor's License Law, does not apply to an owner of property who Const. i1C1 • au builds or improves thereon and who does such work himself or through his own employees,Mech. 55 • 50 - 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 Electrical - 9 • Gn of proving that he did not build or improve lot the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- _ Plumbing 4 • 0 r' struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law 9 a A 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.)- - S.M.I.- • -Grading • -i^ C I am exempt under Sec. B. 8 P.C. for this reason . Driveway Enc. • �% 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 G .:prfis filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (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 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: ff, 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant -Date- Mailing ateMailing Address City, State, Zip Infrastructure rr ti a. sv r: A. ai 2 5. 102110 TOTAL 2r 1•G a,4 5 a. 6 a REMARKS ZONE: BY: Minimum°Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Z11-1 Side`Setback from ProDe y Lin FINAL DATE INSPEC' Issued by: Date r Validated by: a 1t 1 Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. iST FL. S0. FT. ® S 2ND FL. SO. FT. ® POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION Y UNITS MOBILEHOME SVC. POWER OUTLET I YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation COLL, AREA FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.0OOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED (ROUG / LAUNDRY TRAY AIR HANDLING UNIT CFM OTHER APPJEQUIP. KITCHEN SINK ABSORPTION SYSTEM B.T.U. -EMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB GRADING cu. yd. a plus x$ SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® t1/. c SEWAGE DISPOSAL FINAL INSP. SO.FT.GAR ® 3hc HOUSE SEWER d/1— REMARKS: 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 i UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE _cq2`l ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE r� FOUND. REINF.GAS !� (ROUG / 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. a plus x$ -S LUMBER GR. FINAL INSP, !�s / FRAMING �Qs,// 7 FINAL INSP. ROOFING / l d/1— REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISHG DING FINAL INSPECTION CERT: -OCC. FENCE FINAL insrtc i un a a�unw � untanm i Www GARDEN WALL FINAL Building Address Mailing A.P. Number 1 Z- zS) - 0 09 (< ZIP � Tel. ) Legal Description La -c Project Description C Zip State Lic. I City & Classif. SC( 2 Sag Lic. # �G S Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # ,/�\ LICENSED CONTRACTOR'S DECLARATION I hereby ffirm hat ram licensed under provisions of Chaap e79 (commencing with Section 7000) of(Div sio of `he`9usiness and Professiii'ns Code, and mJ license is in full force and effect. i l� �lti—c- c Ln m) 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). - 17 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 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.) 1-1 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.) 17 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (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: 9, 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. r - 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 stale that the above information is correct. 1 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 BUILDING DIVISION Sq. Ft. Size New ❑ No. 600. Stories No. Dw. Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ . IEstimated Valuation ?9 (q 3" O D 7 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure . TOTAL REMARKS AMOUNT z 76. 6 2i . S'rt i yppy• quo !i 8/ 2e�•vo �9- 0/,65 v1 345/ o 5- ZONE: ZONE: BY: Minimum Setback Distances: Front Setback from Center Line— Rear Setback from Rear Prop. Line. Side Street Setback from Center Li Side Setback from Property Line_ FINAL DATE INSPECTOR Issued by: Date Permit Validated bv: Validation: CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ g 7 b BONDING UNITS STORAGE TANK FORMS 2ND FL. SO. FT, `y ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. YARD SPKLR SYSTEM POR. S0. FT. <U HEATING (FINAL) OTHER APPJEOUIP. MOBILEHOME SVC. GAS (FINAL) BAR SINK GAR. S0. FT. @ 8 GROUT POWER OUTLET SERVICE ROOF DRAINS CARP. SO. FT. BOND BEAM WATER SYSTEM GRADING cu. yd. g plus xg DRAINAGE PIPING WALL SO. FT. @ rZD 0 FINAL INSP. FRAMING FINAL INSP.' DRINKING FOUNTAIN SO. FT, @ REMARKS: URINAL ESTIMATED CONSTRUCTION VALUATION S WATER PIPING NOTE: Not to be used as property tax valuation FIREPLACE FLOOR DRAIN MECHANICAL FEES GAR. FIREWALL WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD LATHING SIGN MESH WASHER(AUTO)(DISH) APPLIANCE DRYER INSULATIONISOUND GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSPECTION LAUNDRY TRAY AIR HANDLING UNIT CFM CERT. OCC. KITCHEN SINK ABSORPTION SYSTEM. B.T.U. INSPECTOR'S SIGNATURESIINITIALS 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 SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. S0. FT. RESID @ 11A c / SEWAGE DISPOSAL SO.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 APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. g plus xg =g 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 INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 111/17/941 Type of Permit I La Quinta No. 113191 1 Permit # Owner Name David Ross Miller Log No. 52-394 Street Ave. Juarez City La Quinta Zip 92253 Study Area 113 APN # Tract # Lot # 0 Square Footage 11600 Type of Development Single Family Residence No. of units 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 1.72 x 1600 or $ 2,752.00 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 David Ross Miller Name on the check Telephone By Dolores A. Ballesteros Superintendent w ' a z1 4 Fee collected /exempted by Mary Lou Lopez2ZL Payment Received Signature / �� 7 4307= ,C11eck,No: Collector: Att ch a copy of county or city plan (14 application form to district copy for all'waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting Received From: ....... ..... .. � Address: Account No. Service Address Meter(s) Service(s)-- • Backflow(s) • House Lateral(s) • Detector Check(s) • Meter Surcharge A. Sanitation Capacity Charge 0 W.S.B.F.C. 0 Temporary Construction Meter 0 Turn on Charge 0 Uncollected Account - Name 0 Inspection Fee - Tract - Fee - 0 Plan Check Fees Water I Sewer - Tract - • Bond Payment - A.D. -- Bond — Assmt. • Customer Deposit 0 Other Remarks: 0 COPY to: Cash Check Money Order COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL C4 4 Mr N2 5RRf-.s Date: - -11- Tract — - G.A. Code $ TOTAL $ Water Service Cashier CVWD-438 (11189) oF I� II 1 i I 41 i I �/ ♦ u 1a Quiuta I This Certificate issued pursuant to the re uirements of Section 306 of the Uniform Building i' Code certifying that at the time of issuance this structure was in compliance with the various Y 9 P ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 52-394 Ave Juarez ; !' Single Family Dwelling 14274 Use Classification Bldg. Permit No. iI i Group R3 Type Construction VlV Fre Zone Use Zone SR I I 4 !, j ilj l li!li l�` Owner of Building David Ross Miller ,address 52-394 Ave Juarez E i i i I I !I City La Quinta , CA. , 92253 By; Daniel P. Crawford Jr. Dote; July 14., 1995 Building Official POST IN A CONSPICUOUS PLACE -- — NAN/N6