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11366 (SFD)` P.O. BOX 1504 Building 77_500 Calle Chillon 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Pwalden Evans Address City Zip Tel. Contractor Paulden Evans Address ity jZip Tel.: State Lic. City I Lic. # 2592 Arch., Engr., Designer Rajendra. Patel Address Tel. 73.4/359--6954 City Zip State Riverside 92504 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am -I cT ensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 o the Business an/d/#r/oJfessions Code, and my license is in full force and «� effect. i�.C/sa ► ... ,,. f • �,C�r+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 permit subjects the applicant to a civil penalty or not more than rive hundred dollars ($500). ❑ 1, 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 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 Owner r ` 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 ($100) 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 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. 11366 BUILDING: TYPE CONST. OCC: GRP.: A.P. Number Legal Description Istat 13 Project Description SFD Sq. Ft. 1637 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does .not include block walls or po01 4 Estimated Valuation 94,081.10 PERMIT AMOUNT Plan Chk. Dep. v 250.00 Plan Chk. Bal. 27..54 Const. 61!.00 Mech. 49. UO Electrical %r,128.50 Plumbing 144.00 S.M.L 9.50 Grading 20.00 Driveway Enc. .00 Infrastructure 2078.57 �tt��`?tt�•�lf f�-"'i f.`�'�17L iL"!�' ' � •'?�.1 b . 2 1 5 f TOTAL 3568.11 331U. -11 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. ® $ UNITS ROUGH PLUMB. BONDING HEATING (ROUGH) FORMS SEWER OR SEPTIC TANK ROUGH WIRING YARD SPKLR SYSTEM 2ND FL. SO. FT. ® FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAR. SO. FT. ® POWER OUTLET ROOF DRAINS BOND BEAM DRAINAGE PIPING CAR P. I SO. FT. ® _$ LUMBER GR. WALL SO. FT. @ ROOFING DRINKING FOUNTAIN, SO FT ® REMARKS: URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SPARK ARRESTOR GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAR. FIREWALL 0 G LAUNDRY TRAY AIR HANDLING UNIT CFM LATHING 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Va c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac 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 FEEPLUMB. FEE STRUCTURE /PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR s SETBACK GROUND PLUMBIN 7 UNDERGROUND A.C. UNIT COLL. AREA STORAGE TANK SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL I SP. �)� G o` / GRADING cu. yd. $ plus x$ _$ LUMBER GR. FRAMING ' X13 ROOFING _ ^3BT NIZICI-0 /Q ITT `� ' f I t (6 7i -Lt% REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL 0 G LATHING AHD l 3 INSULATION/SOUND FINISH GRADING FINAL INSP CTION ����` Z CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIA S GARDEN WALL FINAL 77-500 C a'l/ LL. o P.O. BOX 1504 APPLICATION ONLY Building 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Paulden Evans BUILDING: TYPE CONST. OCC. GRP. Mailing Address A.P. Number City Zip Tel. LOT -13. Legal Description Contractor Project Description FAST CORNER OF ' CALLE CHILLON Otft!ER71m-�R Addres1525 3rd STREET SUITE "F" RIVERSIDE 92507 "?14/788-6780 State sic. �� ` City 8 Classif. I Lic. # Arch., Engr., Designer (ARCH.) RAJENDRA PATEL Address Tel. (ENGR) JESUS TORRES 714/3691--`6954-- City 14/369=`6954"City Zip State RIVERSIDE 92504 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 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 su ' cfs the applicant to a civil penalty of not more than live hundred dollars (5500). 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 of sale.) I i I, as owner o1 tIR "p y, am exclusively contracting with licensed contractors to con- struct the pro'e�I. (Sec. 7 4, Business and Professions Code: The Contractor's License Law does not appI fe an owner of properly who builds or improves thereon, and who contracts for such projects ith a contra r(s) licensed pursuant to the SyllhBttor'S License Law.) I'! I am exe t under ec. B. & P . r this reason q Date Owner WORKERS' COMPENSATION DECLARATION 1 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 0 Copy is filed with the city. ❑ 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 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 'RAIM ()'—P '. nr-c=!., TM, T7 Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it 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 DIVISION _ .. r.:;`tai # d ,'� :' ^.•1 .� •�'l �l f1 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: Sq. Ft. ly Size 1,617 New ❑ Add ❑ No. No. Dw. Stories 1 Units Alter ❑ Repairs❑ Demolition; d j r O �• Estimated Valuation q� '/. /0 16Q,000.0' PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. , Const. & 7, eV Mech. 41 P, &V Electrical F'.5"o Plumbing , S.M.I. , S a Grading Driveway Enc. In±astructure'V Q 079, 57 357Z of, jg, r 10 TOTAL --� REMARKS _ .. r.:;`tai # d ,'� :' ^.•1 .� •�'l �l f1 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: -77 I'll klr'l7i-,4 i4J.", 11 7-'r L J�j _... � _...__ .�_.._.__-._._�___._._�_. ! _..-_-....-�.. ---. ' ._, __.. Viz. _,.. .__._._-_.__._-__-.' .�__..... f7 ,LI4':WYJo )'Ji S t 4 S a�ij -r..,rsqf 3tmj, 1 Wft'R11��7 PIf1YiIX'tt'i NIf1Y7'X��YI I - ,tIJQ �a>rf11.fi'C�'ri � � ,iCl"I ! Nl�l��'.;'.i l.i:i:.l. � .i'Si.-1L 11 SlOrl rMUS114 QTJI A—... V4d IV. NO .5;m z tpo, 5zjll i,/) �"r­ a Rts- e$w DIN r IN, 'A vl.i . . ......... 2•d H3G-lnud L2:VT S2—TT-26, J DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 111/10/921 Type of Permit I La Quinta No. 111823 Permit # Log # Owner Name Paulden Evans No. 77500 Street Calle Chillon City La Quinta Zip 92253 Study Area 111 APN # I Tract # I J Lot # 0 Square Footage 11617 Type of Development I Single Family Residence No. of units 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 1617 or $ 2,554.86 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 Paulden Evans Telephone Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett Payment Received Signature Check No. 329 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 P.O. sox 1504 76105 CALLE ESTADO LA OUINTA. CALIFORNIA 92257 Contractor it PAULDEN,EVANS Owner PAULDEN EVANS Address Job Address LA QUINTA, CA La Quinta City License No.: .2597 Expires: DEC. 92 Bldg. Permit No.: This form shall be posted on the job with the Buildinq Inspection Card and it shall be the duty of the General Contractor or if Owner -Builder Permit, the owner to see that all sub -contractors sign this card, giving his City of La Quinta Business License Number, Contractors License Number and a current certificate of Workman's Compensation Insurance Certificate when he starts the job: Failure to comply may cause Building Inspectors to stop work, or complaints to be filed against such contractors or owners. CITY CONT. SUB -CONTRACTORS NAME LIC. NO. EXPIRES LIC. NO. EXPIRES .405293 358495 521931 DO NOT REMOVE THIS CARD Before Final Building Inspection Will Be Made C4 1 �r7 'J; �I- M44-1�.,,- Grade i Excavate 2. Pipelines �3. Cement -Foundations 4. Cement Walks i Drives 5. Asphalt Paving 6. Framing 7• Steel Structural - Masonry. 9. Plumbing JEF PLUMBING 1987 12/31/92 10.' Lathing ll. Drywall L2. Plastering 13. HVAC PAUL'S AIR 1014 12/31/92 14. Electrical' LONG ELEC 559 12/31/92 L5. Roofing l6. Sheet Metal 17. Floors -All Types 18. Glass - Glazing 19. Insulation/Weatherstrip 20. Sewage Disposal 21. Painting/Decorating 22. Tile 23. Cabinets -Installations 24. Ornamental Metal 25. Fences/Blockwalls 26• Landscaping 27. Others 28. .405293 358495 521931 DO NOT REMOVE THIS CARD Before Final Building Inspection Will Be Made C4 1 �r7 'J; �I- M44-1�.,,- CITY OF LA QUITA PLANNING & DEVELOPMENT DEPARTMENT BulLWING DIVISION CONDITIONALLY ACCEPTED FOR CONSTRUCTION SUBJECT TO INSTALLATION AS PER POOL AREA TO BE FENCE. BYMINIMuM 5 FT-HIH ALL SEL SoCHING. SELF-CLOS'NG AND-LA AND ALL APPLICABLE C s DiE DATE W - --------- tLE CA S .0 . ...... .... 0 A 7 .Yia . . . . . . . . . . . . . . tel: a it cl/ IWF-- 7 9L A e% Ip STATE LICENSE j,-0— . AD STE. /6CITY CATHEORAL CA 92234 (619) U4.4460 QQ OL SPA Orzo ...f.c I r I C Ar i o x CODE ............. ....... 70 ............ %10L .............. GAL ................................... GRA01I4G .... Yk Al AVA.r 10 )q PRISED BOND SEAM ...... •FWAp SWIM OUT...... ......... ...FLAIL'S ........................... SPA .............. .......... misa .................... OUT K L DEEP Eno STEPS LOVE SEAT... ....... 6K ............... ..... RAISED BOND BEAN.. ................................ SPA ............... SURI CII ... ARG E SUCTIONT P L U M El I N 0 A E TUR, �.,INLETS POOL S,Y=Ep ....FILL LNZ ..../.......... ... . ................. ......... ................... ...... ..................................... .......... 3PA PLUMnINC) MAN DRAfN PETU,7.li ............... m:SC . ................... :.,., GRA3 rRAILS0 H O I N a OIV""*G P-OA,10 .......rV•SLID= ................ OTHERS ...... ............................... FILTER...... Q U FILTERA-, IO,,q p_ATE 1,9f4 . ....... pwap . . .,I ....... G.P.1.4 ............ ....................HP SLOI.-VER HEATER nE.-.107 8 CONTROL ................... I .......... POOL L, 8 .... I ..... POOL -SPA LIGHT.-- - ...... . .......... 42 A?�Al*o:, DIW;G 130A.41) ..................... CH'ORf.';ATOij vo ............. SLIDE ..... ............... GA^!3 RAILS ............ ......................... ........... ?.jISr ........ .......... som,,I OUT 0 U H I -r X CEEP E,4D �T�*P*,*:.::.: ...... LOvE SEAT ... /V c> ............ SPA . 1,!*,' GRAB,-jA;LS ...... / .....A. - .......... ...... CUP ANCHORS ..... RA:SEO SONO SEAM SUF;CP,ARGE ....... .......... .... Imsc, WEEP HOLE ................................ E . &kvp" C."". ... COPING .... ,!;Sr ................................ .................................... .1 PLATER OLOR - � 4M ............ CLjP A,:"Cpo;;s. ^/A Isr.... ............... LECT ...... .Q....... I .............. ............ ISG.... ... �10 Sc .. ........................................... -------------------- IT..", I.T .. . ..... . ..... .......... ............ I .............. .... ............................... ** .............................. ........................................... * ................ ................................................................... .............................. ­ ................................ ..... I ........................ * ............. ..................... ................. 4ER ...... P-L/J. 0 . ........ RES$ 14 7 .7 . ..... ............... .................................. ............ MAP PAGE ................. .............................TRACT ....................................... ...................................... * .......................... ­­ ................... ......................... ......... * .......... . ............................................ ............. OVED By .................