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08853 (SFD)` P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 53-700 Juarez LA QUINTA, CALIFORNIA 92253 Owner Pedro and Elisa Rojas Mailing Address City Izip ITel. tractor Ad City Izip State Lic. City & Classif. Lic. # Arch., Engr., Designer Ifthomad Wasif Address Tel. P.O. BOX 3126: 3 CityZip State palm ra. ►rt I92261 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 aid 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 pelrmit 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 or the Business and Professions Code, or that. he is exempt therefrom, and the basis _ .forthe 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 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 or sale.) O I, asowner 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.) ❑ 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.) r Policy No. � ��: ompany i r! fi� �« �r> ..A -i `,, :r r F.� ❑ Copy is tiled 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 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 of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby 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. 08853 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774-111-010-9 Legal Description Lot 15 Black"' -192 Sc 19 Project Description 8370 Sq. Ft. Size 1662 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 250 (10 Plan Chk. Bal. fiA Const. 599.0f. I Mech. rsS Electrical Plumbing 141 00 S.M.I. 7 Grading 20 04 Driveway Enc. 20 n© Infrastructure 1824.88 TOTAL 3307.38 «i AR REMARKS77 V \1 a ZONE: BY: Minimum Setback Distances.'W '�` �' `�` ` ` �' •�� elJ 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES. r 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE 2 �( 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SQ. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN SQ FT ® TEMP. POLE e URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTOHDISH) APPLIANCE DRYER FINAL INSP. /ir GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM REMARKS: 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic IHOUSE SEWER MESH 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 2, CRI011ROUND PLUM UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 2 �( ROUGH PILB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER dV ROUGH WIRING DUCTWORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE e GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu, yd. $ —Plus—x$—=$ LUMBER GR. FINAL INSP. /ir FRAMING 3-4-y/ /!�' FINAL INSP. 4 /� I i ROOFING/� Ala S-,3 fjlo- REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING WN MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL , 4 4 , P.O. BOX 1504 APPLICATION ONLY Building 78-105 CALLE ESTADO Addres LA QUINTA, CALIFORNIA 92253 Owner O � S Z'S a BUILDING: TYPE CONST. OCC. GRP. Mailing `� / r� �1 Address A.P. Number- // 7 ���1q le Cit Zip Tel. � — Legal Description /-7i^,s" (P//,- / 9� Sr- Contractor r Contractor -�, Project Description o� !� 7 J Address . City Zip Tel.. t State Lic. City & Classif. Lic. # Sq. Ft. / / No. No. Dw. Arch., Engr., rn �! Size- ( (�_ Stories 1 Units Designer m Lk h 0 New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address D ` � � � � Tel. City Zip State /pv�d g(o 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 Estimated Valuation 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 AMOUNT requires the applicant for such permit to rile a signed statement that he is licensed pursuant to PERMIT 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 t for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit -Plan Chk. Dep. 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 Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 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, Mech., 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 Electrical of proving that he did not build or improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 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 S.M,I, such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. 8 P.C. for this ason Grading Driveway Enc. Date owner `( r 412Infrastructure If SZ° WORK R '- 0 PENSATION DECLA 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. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit is for one hundred dollars ($100) valuation nncc 07 <A 7�n c '9.G"gn f , orless.)c 0✓ W Cl�SN� i MAL } 275.00 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 ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 1 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.) Side Setback from Property Line Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR 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. Issued by: Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip BUILDING DIVISION CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SQ. FT. OTHER APP.IEQUIP. DRINKING FOUNTAIN SQ FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR @ 3/4c HOUSE SEWER LATHING 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.IEQUIP. 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 INSULATION/SOUND 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) 347-8631 Date 12/21/90 1 Type of Permit I Lauinta No. 10345 Permit # Owner Name�g # Suarez/Rojas No. street See below city La Quinta zip 92253 Study Area Q APN # Tract M Lot • Square Footage 13324 Type of Development Single Family Residence No. of units Comments !;R_700.Tiinrp7 (Aron 111) and _d_700 .T17aTp7 (Aron 110) 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 11iis certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.58 X ® or $ 5,251.92 have been paid to W&U.&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 Don Mercedes Fine Woodworks Name on the check Richard M. Beck Director, Facilities Planning & Development Fee collected /exempted by Shelley D. Bennett Signature Telephone (213)25&5608 Payment Received L`heok -mo. 1698 Collector: Attach a copy of County or City plan check application form to Die,6,ct copy. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accouniing OFFICE OF 1� AGRICULTURAL COMMISSIONER AND WEIGHTS &MEASURES cnLvlN C. KnMlNslcns ±y,,','t�� �fflflonl Comr*dnlonm ' JAMES O. WALLACE 4080 LEMON SI"EEI, BOOM 19 CLEMENT BENVENISIE RIVERSIDE, cAurORNIA 92501, Seo�ef AplkAIROICommbflonm (I 14) 701.2561 p,.clw d WdOhb A M.o+ue� ' 49613 111911w8y 86, Suite. $12 Coachella, Ca. 92236 (619) 342-8291 DATE CASE MVEWPER' S `MM., 19 Lz>+-. y Dear Developers 0 s, -4-eDe After reviewing your lalxiscaping plans, all plant material listed ub Clot ti govern. t1le Coacilella Valley. If substitutions i' violation of quarantine laws go 9 do occur slid they differ frau plant material listed, tl>Iis office must be notified ` �I • immediately. !l n the Coachella Valley's pest -free .envirolment. ;i Thank you for protecting and preservi g Agr cultur an ss oner s Off ce. ��i cut Indio and Riverside Office Date: Tract S G.A. Code $ ud • Backflow(s) • House Lateral(s) • Detector Check(s) • Meter Surcharge Sanitation Capacity Charge 1_57 IS - • W.S.B.F.C. • Temporary Construction Meter • Turn on Charge • Uncollected Account - Name • Inspection Fee -Tract - Fee - 0 Plan Check Fees Water I Sewer - Tract ,- • Bond Payment - A.D. -_Bc1nd Assmt. • Customer Deposit • Other TOTAL 6 7Y, 00 Remarks: e 0 COPY to: Cash :r"An - Check A4 A Money • _,$• Order Water Service Cashier %J Nil CVWD-438 (11/89) CASH RECEIPT DETAIL Received From: Address: Account No.(' Lot(s) Service Address ,' .Ju (tye z_ 12f"'Meter(s) go'gervicelsl Date: Tract S G.A. Code $ ud • Backflow(s) • House Lateral(s) • Detector Check(s) • Meter Surcharge Sanitation Capacity Charge 1_57 IS - • W.S.B.F.C. • Temporary Construction Meter • Turn on Charge • Uncollected Account - Name • Inspection Fee -Tract - Fee - 0 Plan Check Fees Water I Sewer - Tract ,- • Bond Payment - A.D. -_Bc1nd Assmt. • Customer Deposit • Other TOTAL 6 7Y, 00 Remarks: e 0 COPY to: Cash :r"An - Check A4 A Money • _,$• Order Water Service Cashier %J Nil CVWD-438 (11/89)