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13366 (SFD)P.O. BOX 1504 N o . 13366 Building 51-260 Ave. Velasco 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner David Ross Miller Mailing P.O. Box 722 Address City Quintat CA F� Zip 32253 Tel. 564-0273 COPWehc grader Address Same City Zip Tela State Ljc.B 425381 & Classif. icy# 1355 Arch., Engr., Designer Address Tel. City Zip _ State Lic. # R LICENSED CONTRACTOR'S DECLARATION t under Code, Section BUILDING: TYPE CONST. V1q OCC: GRP, A.P. Number 773--091-001 Legal Description Lot 1 Block 63 Project Description SPD R3 Sq. Ft. 1333 'No. No. Dw. t" Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit includes wooden fence and 10 14f. of 5' high gar -den wall. y OWNER -BUILDER DECLARATION $838147 aG Estimated Valuation I hereb 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 PERMIT 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 Plan Chk. Dep. subjects the applicant to a civil penally of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. Const. 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 Mech. ' 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 Electrical or improvement is sold within one year of completion, the owner -builder will have the burden or proving that he did not build or improve for the purpose of sale.) Plumbing ❑ 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 .S.M.I. such projects with a contractor(s)-licensed pursuant to the Contractor's License Law.) 0 I am exempt under Sec. B. 8 P.C. for this reason Grading Driveway Enc. Date Owner Infrastructure 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 N�� Company 014.-opy 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 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. 1 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 Pr,scise Plan TOTAL -3,300 REMARKS . • z AMOUNT 241.77 567.50 55.50 122.02 166.58 8.31 20.00 .00. 1.843.44. 25.00 S ACA A • ZONE: BY: Minimum Setback Distances: Front Setback from CeU1 ,r Line - I R ar Set/bac�fTom f�'ar P p Line Si a Steeet-Setbacklf om a `ter Line SI a Setnbacck from �Prro�peertly ine FINAL DATE I Ar R L JsJ&JOI Issued by: Dater'__1 Pe mit Validated by: ��` f { Validation: . • — •R CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE 07 VY ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. ( SO. FT. ® FORMS SEWERS ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® TEMP. POLEIj! G GROUT DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. WALL SO. FT. WATER SYSTEM DRINKING FOUNTAIN. - GRADING cu. yd. $ plus x$ _$ URINAL SO. FT. FRAMING g4—CItl FINAL INSP. r,�r� ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property talc valuation REMARKS: FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL_. HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE _ DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM SPARK ARRESTOR 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 ® 1+/4 c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER CERT. OCC. 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 SETBACK 1/ 7GROUND PLUMBING Z/S� (/j UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 07 VY ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWERS ROUGH WIRING DUCTWORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLEIj! G GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING g4—CItl FINAL INSP. r,�r� ROOFING �� ) .G} G/ //� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWAL LATHING MESH INSULATION/SOUNDs�s'1 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879`Highway 111 NOTICE: Indio, CA .92201 Document Cannot Be Duplicated 619.775-3500 Date 4/13/94 Type of Permit La Quinta No. 12766 - Permit # R Owner Name. David Ross Miller Log No..51260 Street Avenida Velasco City La .Quinta Zip 92253 Study Area. APN # Tract #1 Lot # 0 Square Footage 11393 Type of Development, 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 patio's /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 1.65` X 1393 or $ 21298.45 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. David Miller Telephone 564-0273 Name on the check By Dolores A. Ballesteros Superintendent Fee collected /exempted by Vickie J. Durrett Payment Received Signature r � . .Check"4 No. 4072 Collector: Attach a copy of county or city plan check application form to district copy'fo •'all,waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting a LOTS AND LAND PURCHASE"CONTRACT AND RECEIPT FOR DEPOSIT THIS IS MORE THAN XRECEIPT FOR MONEY. IT ISJNTENDED TO BE A LEGALLY BINDING CONTRACT-READ IT-.CAREFULLY. CALIFORNIA ASSOCIATION OF REALTORSe (CAR) STANDARD.FORM DATE: f 1 1(s ,f' G_qq ,, AT t (' Cis t i /1 T[� �T— California, RECEIVED FROM ��� ti (�1 f r2 / P r ("Buyer") THE SUM OF _nn t — e `�A rte- Dollars $ f D D Cl?� BY ❑ Cash ❑ Cashier's check 1�t Personal check Or ❑ PAYABLE TO 0-6^_• ) ,I TO BE HELD UNCASHED UNTIL ACCE PTANCjtpL this offer as a deposit to be appli d toward the (� I. PURCHASE PRICE OFIr-Nt" C e� �f-I"- ollars $- FOR PURCHASE OF PROPERTY S UATED IN t� COUNTY OF_ �ypa^.�� California, DESCRIBED AS ` ASSESSOR'S PARCEL # 773 —e/) 9) — Q12 1. FINANCING: The obtaining of Buyer's financing is a,contingency of this agreement. A. DEPOSIT upon acceptance, to be deposited into. E d $ L)U a a a B. INCREASED DEPOSIT within calendar days frohi"�agceptance to be deposited into $ C. BALANCE OF DOWN PAYMENT to be deposited.fito _ c;^f � on or before $ a AQ. (�D D. 'BALANCE OF PURCHASE PRICE AS FOLLOWS: f E. TOTAL PURCHASE PRICE: ................. $ 12T-!�) F. Buyer agrees to act diligently and in good faith to obtain all applicable financing. G. ADDITIONAL FINANCING TERMS: COACHELLA VALLEY WATER DISTRICT ' CASH RECEIPT DETAIL 4 % 94 i Received From: % L 7 Date: y Address: i Account No.—=�) /a /G/ L/ �-E� �,-� J t Lot(s) -c � � ' Trac � � �7�J Service Address ��/�/� /��' r� 2 .-- G.A. Code mss.. A,eter(s) i3vService(s)�/ ❑ Backflow(s) ❑ House Laterals) m ❑ DetectorCheck(s)• ❑ Meter Surcharge "anitation Capacity Charge t `--�— a ❑ W.S.B.F.C. ❑ Temporary Construction Meter • ❑ Turn on Charge ❑ Uncollected Account -Name ❑ Inspection Fee -Tract - Fee - ❑ Plan Check Fees Water / Sewer - Tract - ❑ Bond Payment - A.D. - Bond Ys Assmt. ❑ Customer Deposit ❑ Other TOTAL Remarks: .N ❑Copy to: Cash Water Service . Check Money Order U 111 Cashier CVWD-438 11189) �:, 4ir twvn This Certificate issued -pursuant, to the requirements of Section 306 of 'the. Uniform -Building! Code certifying that at the time ofJssuance this structure, was in, compliance .with the various drdinances of'the,,City regulating building construction br.U'Se.�,,-,For*the .,foilbwing;,, 51.-260- Avenida,.Vel sco BUILDING -ADDRESS',. Use Cldssification Single Yarftily Dwelling,, -B.Idg. Permit No.- 13366, R3 VN SR Group Type Construction Fire Zone Use Zone 'Dayid Ros's Miller-,, P.O. Box'' 7722 -1 Address City Owner of Building,'— Ifla 'Quints,' 'CA92253,, Lonnie Day_ By... Dot#;, iulJuly1.5,'1 i,-94 Building Official -POST IN A CONIVICUOW PLACIE