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11454 (SFD)Building Address 52-130 Cortez Pete Knudsen P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address BOX 1258 City Zip Tel. La Quin: a 1 92253 1 345--4354 Pete Knudsen Address Same _ State Lic.I City 2007 & Classif. 6I9'124B Lic. # 06%1 , ee" Let; Fabricators D'e�§ignery Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7dN' 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, after, inprove, demolish, or repair any structure, prior to its issuance also suant to the provisionires the s N t ►or such Contractors License rmit to le a Law, Chaptened statement (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therehom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civilpenally of not more than five hundred dollars (1500). ❑ 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 herself or through his own employees, provided that such improvements are not intended or offered for safe. Il, however, the building or fmprovement is sold within one year of completion, the owner-buider wig have the burden of proving that he did not build or improve for the purpose of sale.) ❑ 1, 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 inproves 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. 8 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 ff 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 alifornia.DateOwner NOTICE TO APPLICANT: 1l, after making this Certirncate 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 shaft be deemed revoked. CONSTRUCTION LENDING AGENCY 1 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 1 have read this application and state that the above information is correct. 1 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. 11454 BUILDING: TYPE CONST. OCC. GRP.; 773-202-007 A.P. Number Legal Description SFD Lot 16, Block 38 Project Description SFD Sq. Ft. 0( Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Permit do,. --q not incl6de block walls, voo3_, or Patio cove � Estimated Valuation $95,361.90 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 2.711.98 Const. 621.50 Mech. 49. ()0 Electrical 129,41 Plumbing i 4 _ nn S.M.I. 916n Grading 20 ^ nn Driveway Enc. _ o Infrastructure 21 %07 . 39 TOTAL 3.605.88 3. 355. RR 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 ,> 1ST FL. SO. FT. @ $ UNITS c c ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK POR. SO. FT. @ MOBILEHOME SVC. BAR SINK GAR. SO. FT. @ POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. SO. FT. @ TEMP. POLE WALL SO. FT. @ GROUT DRINKING FOUNTAIN. SO FT @ FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation =$ FLOOR DRAIN MECHANICAL FEES FRAMING7 L� WATER SOFTENER VENT SYSTEM. FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER REMARKS: 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. SO. FT. @ c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1Vi c SEWAGE DISPOSAL MESH SO.FT.GAR @ 3/ac HOUSE SEWER INSULATIONISOUND /'2 ; q^ 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 SETBACKLPF GROUND PLUMBING "i 2#NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE Xy ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) i 34 METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING A— cu- yd. $ plus x$ =$ LUMBER GR. FINAL INSP. 7/q3 m FRAMING7 L� FINAL INSP.3 hl 131 ROOFING �S 9ac� (p"leyOv��/ T !�^E REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL HING i C— MESH INSULATIONISOUND /'2 ; q^ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESJINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 111/16/921 Type of Permit I La Quinta No. 111837 1 Permit # Owner Name Pete Knudsen Log No. 52130 Street Cortez City La Quinta z I p 92253 Study Area 112 APN # 773-202007 1 Tract # I I Lot # 0 Square Footage 11639 Type of Development Single Family Residence INo. 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 1639 or $ 2,589.62 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 Pete Knudsen 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. 246 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 0 1 Orr tjq� T4 of 14a Ouinta This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: F : BUILDING ADDRESS 52-130 Cortez i' Use Classification Single Family Dwelling Bldg. Permit No. 11454 Group R3 Type Construction VN Fire Zone Use Zone SR Owner of Building Pete Knudsen Address P.O. Box 1258 City. 'La Quinta, CA B Lonnie Day I y; dote: February 19, 1993 Building Official __ POST IN A CONSPICUOUS PLACE