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08588 (SFD)•� 71 44Q P.O. BOX 1504 N o . Building 78-105 CALLE ESTADO Address %A_n R .IrnARR7 LA QUINTA, CALIFORNIA 92253 Mailing -- Address POST nFlucy, City lZip I.Tel. Contractor .z State Lic. & Classif. City Lic. # Arch., Engr., Designer Address Tel. City - Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 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 i 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 (8500). ❑ 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 improvemerits 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date /,;'AA(23 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. O 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 (8100) 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 if work thereunder is suspended for 180 days. I certify that I have read this application and stale 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 BUILDING: TYPE CONST. OCC: GRP.• P. Number����g=�� :gal Description Sq. Ft. Size New ❑ Description_�4 dt No. Stories No. Dw. Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure Pr" iaty., Plom TOTAL REMARKS AMOUNT 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 Validated by:_ :Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SQ. FT. SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 FINAL INSP. Zf/ 11A SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic 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 PLUM BI ! NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �� ROUGH PLUM BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ROUGH WIRING DUCTWORK ROCKSTORAGE 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. Zf/ 11A FRAMING FINAL INSP. ROOFING VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 011, MESH INSULATIONISOUND !! FINISH GRADING FINAL INSPECTION ` 9� CERT. OCC. FENCE FINAL REMARKS: INSPECTOR'S 51UNAI UKE51INI I IALS GARDEN WALL FINAL k J Building Address Owner 11 Ax Mailing Address U City /,7,+, U c.c ti Address City State Lic. & Classif. Arch., Engr., Designer Address 4 P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO Mxn- -Z_ LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC. GRP. X %A.P. Number % Zip Tel. oiz _ Z 7 �� Legal Description / Project. Description Zip I Tel.. Lic. # Tel. City I Zip-- I 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. _SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Businass and Professions Code: Any city or county which requires a permit to construct, after, 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 Dfvfsfon 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 (41500). ❑ 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 safe. If, however, the building or improvement is sold within one year of completion, the owner -builder wig have the burden of proving that he did not build or inprove for the purpose of safe.). ❑ 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.) ❑ 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' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (41100) 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. 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.) Lenders 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 100 days. I certity 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 slate 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 ncrvomrimanr ,c nn s n AAA4 (17_'7 _q_O!1 S Al 1, 0 GASH i-116TAC i -275. 00 V ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: Estimated Valuation O4�-W` PERMIT AMOUNT Plan Chk. Dep. - _ O Plan Chk. Bal. 2 S . Q R Const. , OD Mech. , Electrical 68 Plumbing S.M.I. . 3 - Grading Driveway Enc. ..— Infrastructure IF 71 , f 2- (_9 d-4 _ 4Z,4 57 0 LD '. r TOTAL — v ncrvomrimanr ,c nn s n AAA4 (17_'7 _q_O!1 S Al 1, 0 GASH i-116TAC i -275. 00 V 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 Validated by: Validation: CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ SLAB GRADE i UNITS S BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK YARD SPKLR SYSTEM DUCT WORK 2ND FL. SO. FT. ® FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GROUT WATER HEATER SERVICE FINAL INSP. GAR. SQ. FT. ® Q + POWER OUTLET IROOF DRAINS GRADING cu. yd. $ —plus—x$_=$ LUMBER GR. DRAINAGE PIPING FRAMING CAR P. SQ. FT. ROOFING WALL - SQ. FT. ® REMARKS: DRINKING FOUNTAIN VENTILATION URINAL SQ. FT. ® FIREPLACE ESTIMATED CONSTRUCTION VALUATION $ SPARK ARRESTOR WATER PIPING GAR. FIREWALL NOTE: Not to be used as property tax valuation LATHING FLOOR DRAIN MECHANICAL FEES MESH WATER SOFTENER VENT SYSTEM F30- EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED CERT. OCC. LAUNDRY TRAY FENCE FINAL AIR HANDLING UNIT CFM INSPECTOR'S SIGNATURESIINITIALS IKITCHEN SINK ABSORPTION SYSTEM. B.T.U. GARDEN WALL FINAL TEMP USE PERMIT SVC WATER CLOSET 12, COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER [ BOILER B.T.U. SO. FT. ® c BATH TUB 2 �' SO. FT. ® c WATER HEATER 75' MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c 7 r SEWAGE DISPOSAL it SQ.FT.GAR ® 3/ac 7 HOUSE SEWER ZZ GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE S DBL TOTAL FEES MICRO FEE AECH.FEE PL.CK.FEE CONST.FEE ELECT. FEE SMI FEE PLUMB. FEE ^1r�!dl� ��$'•64 6 • 3 7 ,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. 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) 347-8631 Date 8/30/90 Type of Permit I La Quinta No. I 10125 Permit # Owner Name Max Reefer Log # No. street See comments below city La Quinta zip 92253 Study Area 110 APN # I Tract # Lot #E= Square Footage 14897 Type of Development Single Family Residence No. of units Comments 54-055 .Tiiarez, 54-(135 .Tiiarpz and 54-015 ,TugrP7._ 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 =W in the amount of 1.58 X 897 or $ 7,73726 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 Max C. Reefer. Telephone_. 42.8.8215 Name on the check ' .10 John D. Brooks Associate Superintendent, Business Services Fee collected /exempd by Joan Larson Payment Received Signature Check Collector: Attach a copy of County or City plan check application form to District copy. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting No. 1039