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11599 (SFD)P.O. BOX 1504 N o . 11599 Building 78-105 CALLE ESTADO Address 54-100 Avfe�lid ��t1r�X'r � LA QUINTA, CALIFORNIA 92253 r Owner Mailing Murabil. r Inc. BUILDING: TYPE CONST. SFD OCC. GRP. Address P.O. An„ 1555 A.P. Number 774-"194—OWS City Zip Tel. La o nf„A 1225' 5fi4-1338 1 Legal Description T^[- 7O 1n Vtlnr`1f 74.4 TT -mJ+ 9b Contractor Project Description Mumbil . Inc. Address City Zip Tel.: State Lic. & Classif. B-537333 City Lic. # 2526 ' Arch., Engr., Designer Address Tel. Sq. Ft. No. No. Dw. Size 1419 Stories . Units New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Pe it does not include block walls or City Zip State Lic: # Front Setback from Center Line LICENSED CONTRACTOR'S DECLARATION Rear.Setback from Rear Prop. Line I hereby affirm that.l 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. �., t, A t^ --+.e-• . � j t? I-?-; I ! _SIGNATURE •-✓' DATE Side Setback from Property Line 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, wiu 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, t �' 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.) .. FINAL DATE Estimated Valuation $ .t i 5 a . 10 -. PERMIT _ ` Plan Chk. Dep. t Plan Chk..Bal. Const. Mech: Electrical Plumbing ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- ^ Strutt the project. (Sec. 7044, Business and Professions Code: The Contractors License Law S.M.I. 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.) O I am exempt under Sec. B. & P.C. for this reason Grading 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 1" 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 ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject "to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agreeto comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip Infrastructure Precise olan 25.00 AMOUNT 243.79 576.50 •223.33 141.00 8.60 20.00 1,882.41 . Eli 31 k`' "� et9s ; 2' 7^ c• -� c ; -+ .. .I• P.^ L't•fS�t J.- Ia.I1Fi�.: t�' ���.1i,$L TOTAL 3,307.62 1 3,057.62 REMARKS 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 IST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. 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 ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES STORAGE TANK WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FOUND. REINF. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED HEATING (FINAL) LAUNDRY TRAY AIR HANDLING UNIT CFM GAS (FINAL) 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 LUMBER GR. SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic HOUSE SEWER VENTILATION 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 Z PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMSEWER 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 YAP cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. 34� f112 FRAMING R 7 FINAL INSP.//I �y�/{—� ROOFING { q 3 L -P �� ° G q. q 3 L -P REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING g 1� MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTIONG �/l �3 G 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 112/15/921 Type of Permit I La Quinta No. 11900 1 Permit # Owner Name MUMBIL, INC. Log No. 54-100 Street Avenida Juarez City La Quinta Zip 92253 Study Area 110 APN # I I Tract # Lot # Square Footage 1419 Type of Development Single Family Residence No. of units 0 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 1419 or $ 2,242.02 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 _ Mumbil, Inc. Telephone 564-1338 Name on the check By Tams F. Lively = , ; ", Assistant Superintendent, Business Services Fee collected /exempted by Layne Arthur Payment Received ri.. Signature r3� Check 'No. 5029 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy - Accounting CALVIN C. KAMINSKAS Assistant Commissioner (714) 275-3000 DATE �i(— q—T)_ DEVELOPER'S NAME: 4y OR,Y f' a OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite 7 Indio, CA 92201 (619) 342-8291 IL DAN RILEY Sealer, Weights & Measures (714) 275.3030 CASE NO.'PC C ( J )j Y 9 D �- ADDRESS: S/-0c)LJ(- Lx�_ 0� TELEPHONE: Dear Developer: ,( 3s Auf"e NO �ZZ�3 )( n 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. Agricult=Vl Commissioner's Office cc: Indio and Riverside cs 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012 c� COACHELLA VALLEY WATER DISTRICT _ CASH RECEIPT DETAIL 4 Q 43 f Received Fro _02—U-0 Address: zm 1 Account No. Service Address �Arvice(s)_T. ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) rSurcharge t. Sanitation Capacity Charge Q1 . D s S - ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account -Name ❑ Inspection Fee - Tract _ Fee - 11 Plan Check Fees Water I Sewer. - Tract - }� 4 ❑ Bond Payment - A.D. Assmt. ❑ Customer Deposit ❑ Other Remarks: "1^1L_ io g! —��- ❑Copy to: Cash Check 3�-l. 4 Money Order '; d Tract_ C _ R L4 C , ;2L `" ( G.A. Code $ X70 oc� �-^ 1 C/A 1, Water Service Cashier F CVW 438(11/89)