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11733 (SFD)P.O. BOX 1504 N Q . 11733. Building 54-310Jlriarez LA OUINOTAC Address CALIFORNIA 92253 Owner Marvin Jordan a Joan Brombdrig BUILDING: TYPE CONST. OCC: GRP. Mailing Address A.P. Number 774-233-003 City Zip Tel: Legal Description Lot 22 ti6ock 262 Contractor SFD 14 L Construction Project Description Address . P.O. BOX 228 City Zip Tel.: L Quinti:, CAI 92253 56 --444 State Lic. City & Classif. Lic. # S Ft. No. No. Dw. :��3335 �� i�5i q. Size 15?? Stories Units Arch.;: Engr.-, Designer New ❑" Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Permit does not include block walls or City _77 ip State �3p0� . Lic.'# LICENSED CONTRACTOR'S DECLARATION I hereb" 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 A. 9d _� e �GNATURE Y DATE OWNER -BUILDER DECLARATION Estimated Valuation I herebyaffirm that I am exempt from the Contractor's License Law for the following Professions 665.00 reason: (Se. 7031.5,Business and Code: Any city or county which requires .$093 s permit toafter, 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 PERMIT - AMOUNT - the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) o/ Division 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 .. - Plan Chk. Dep. .250.00 subjects the applicant to a civil penalty of not more than live hundred dollars ($500). Plan Chk. Bal. t �. - ❑ 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 andConst.. 612.50 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 provided that such improvements are,not intended or offered for sale. If, however, the building Mech:. - G 9 e1 66 V or Improvement is sold within one year of completion, the owner -builder will have the burden Electrical - 12." 3 j 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- Plumbing l41. 00 slruct 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.- 9 ..4 0 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ?j} ,0 ❑ I am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure 2,035.69 WORKERS' COMPENSATION DECLARATION I hereby affirm that I•have a certificate of consent to self -insure, or a certificate of Worker's,c6mpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ' Vopy is. filed with the city. ❑ Certified copy is hereby furnished. TOTAL 3,528.41 3,278.41 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 tha 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 shallbe 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 REMARKS ' Njlf i �..�M1 :dr�r 1' "+.i Mr.:fe t i f ,•�-� � � `{ 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. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ. FT. ® CAR P. SQ. 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 STORAGE TANK FLOOR DRAIN MECHANICAL FEES DUCT WORK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER REINF. STEEL GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. - SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL FIRE ZONE ROOFING ' SQ.FT.GAR ® 3yic HOUSE SEWER FIREPLACE 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 r - STRUCTURE ZLUMBING ELECTRICAL HEATING & AIR COND. SOLAR' SETBACK GROUND PLUMBING 13 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 t of q3 L GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu.yd. $ —Plus—X$—=$ LUMBER GR. FINAL INSP. lO -?0'3 FRAMING l �O FINAL INSP. �(Sis� ROOFING 0`4113 1,0 l jLJ 7 l/D c�Y n C �C�>� REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL LAT ING J MESH INSULATION/SOUND r/1 3 FINISH GRADING FINAL INSPECTION- NSPECTION CERT. 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 1/22/93 Type of Permit I La Quints No. 11976 Permit # Owner Name Marvin Jordan & Joan Bromberg Log No. 54310 Street Avenida Juarez city La Quinta Z I p 92253 Study Area 113 APN # Tract #I Lot # 0 Square Footage 11577 Type of Development Single Family Residence No. of units 1� 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 1577 or $ 2,491.66 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 ML Construction Name on the check Telephone 564-4447 By lames F. Lively Assistant Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett Payment Rcceiveci_t Signature g check No. J949 Collector: Attach a copy of county or city plan check application form to district'eopy for all-W'a-1vers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy -,At counting I, DO'Q -am the owner- of the property known s._ Avenida Juarez La 0uinta, California. a I hereby agree to allow Apt L Construction and1 or its subcontractor to build a partition block wall on the property line between Avenida Juarez and 34-310.Avenida Juarez. Apt L Construction agrees to.pay the cost of building said wall. :signature Date CALVIN C. KAMINSKAS Assistant Commissioner (714) 275.3000 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 DATE &Z J I 7 CASE NO.k LCA / Z'3 11 Z DEVELOPER'S NAIL: ADDRESS.: I, 4 -Ir e, 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 itmiediately. . Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agricu6bral Commi sioner's Office cc: Indio and Riverside 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012 i�