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13275 (PLBG)P.O. BOX 1504 Building 77-526 Calle Nogales 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Vis. Victoria Longstreet Mailing Address 5aMe PERMIT Ty Qainta , CA Zip 922553 Plan Chk. Bal. Tel. Contractor Mech. Dateland Construction Co. Inc. Address Plumbing 30.00 50--305 HWY Ill Grading Ci%achelia, CA Zip 92236 Infrastructure s�8 57�#4 State Lic. City & Classif. C-42 396698 Lic. # 33 Arch., Engr., 30 . Ori REMARKS Designer Address I Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I her5�"lvlsi6h affirm that I am licensed. under;pro .. ns of Chapter 9 (commencing with Section 7000) 3offhe Bus1inessandProfesss Code, and my license i_sd f Iorce,atn/deffectkfi �1 rL). ` J l 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 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 pekmit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). J t! ❑ I, as owner of the property, or my employees with wages as their sole Qdmgensa ion, will do the work, and the structure is not intended or offered for sale?eer X, 44, Buisness and Professions Code: The Contractor's License Law does not Ap I "t� atn` owner of property who builds or improves thereon and who does such work himself r through his own employees, provided that such improvements are not intended or offered or 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.) O 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. O Certified copy is hereby furnished. 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 lhp 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: It, 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 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 BUILDING: TYPE CONST A.P. Number I Description Project Description No. 132T5 OCC: GRP. Sever Connect Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ stimated Valuation $1,966.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing 30.00 .S.M.1. Grading Driveway Enc. Infrastructure TOTAL 30 . Ori 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 Propr�y Line FINAL DATE INS Issued by:DatePer Validated by: M74R. Validation: 1_19 Y_ STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING v � CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. p $ UNITS BONDING HEATING (ROUGH) STORAGE TANK 2ND FL. SQ. FT. SEWER YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DRAINAGE PIPING WALL SQ. FT. GAS (FINAL) DRINKING FOUNTAIN SQ. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 ® 11/4 c SEWAGE DISPOSAL INSULATION/SOUND SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE TNST. 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 ROUGH WIRING DUCTWORK 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: Pro. It On s w t © C-,/ L-1 -ef VENTILATION . m 1 ,c FIRE ZONE ROOFING O 54y FIREPLACE b5rf blt.e(r r --f l ; oO SPARK ARRESTOR GAR. FIREWALL LATHING O l H MESH To t re g INSULATION/SOUND ZU FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 71 .D�-T1�a 4f�y :� 3 � 9 � r� ,�¢�„ ,�.., goo ��, �..9r ,P.� aeP -�„ . use �,�a,� � ,� �,� �� � lwv-ry",- A -,L � �R., day � ..� - p,,;,Q o„�� CV b 78-105 CALLE ESTADO' LA QUINTA, CALIFORNIA 92253 (619) 564-2246 January 29, 1986 Mr. & Mrs. Young 52-711 Avenida Ramirez Ia (Minta, CA 92253 SUBJECT: Address Change Dear Mr. & Mrs. Young: Pursuant to City Council decision on January 21, 1986 your address is changed fran.52-711 Avenida Ramirez to 77-526 Calle Nogales (Lot 11, Block 154, A.P.N. 773-291-024'). It is requested that you post your new address numbers in a visible location using numbers that are 2 inches high and of a color that contrast the background color so as to make the numbers readily visible from the street. Your -old house numbers are to be removed at the same time. This should be ccopleted within 30 days frcin the date of this letter. If you have any questions, please contact the Community Development Department. Very truly yours, COMMUNITY DEVFIIiDPMENT DEPARTMENT BUILDING DIVISION Tom Graham Chief Building Inspector TG/psn CC: Post Master Fire Department Riverside County Assessor's Office Riverside County Sheriffs Department Roger Hirdler, Community Safety Coordinator - Imperial Irrigation District Coachella Valley Water District.. Southern California Gas Company MAILING ADDRESS P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 January 22, 1986 Mr. Lawrence • Stevens RECEIVED Community Development,,Director 78-105 .Calle Estado JANr2 3-1986 LaQuinta'• Ca. 92253 CITY OF LA QUINTA COMMUNITY -DEVELOPMENT DEPT Dear Mr. Stevens: + We want to express our thanks for your help -in presenting the problem. of a change of our street address to the: City Council on January 21, 19860 Based on your comments after the motion was-passed. �. 'in our favor, we are confident we will hear fromyou as ,soon as ' possible' advising us ;of our new nuinbur. (It. would be most helpful if an approximate date of the change would be submitted.to us so that our attention -could be focused 'on such, items as printed checks, etc.)' Your pr'oinpt attention to- this matter at hand wi11 -be most appreciated Yours very truly, Ann, & LoA Young- 52-711 oung52-711 Ramirez ' La- Quinta, -. Ca.. '92253 > _ .. ' •yam e