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12244 (SPIN)44 P.O. BOX 1504 N 22" Building 51-311 VELASCO 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner _= DANIEL J. GAZA Mailing BUILDING: TYPE CONST. OCC: GRP.- Address SAME A.P. Number City Zip Tel. LA QUIXTA 192253 1.564-3723 Legal Description ContractorSPECIAL IRSPECTI©N ' OWNER BUILDER Description Address. 6_ X-13 UTILITY ROOD ERICLOSURE- - SAME City Zip Tela State Lic. City & Classif. Lic. # Sq. Ft. 78 No. No. Dw. Size Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I em 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 n SIGNATURE C 4 V +111- -1111.. .: %".v° ry' 1.11!"'x -r"+•->`-'" c^'4'� n. DATE - OWNER -BUILDER DECLARATION Estimated Valuation er... 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, I prior to its issuance also AMOUNT 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 penalty of not more than five hundred dollars ($500). O I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 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 Mech. or improvement is sold within one year or completion, the owner -builder will have the burden Electrical 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 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.) Grading O I am exempt under Sec. B. 8 P.C. for this reason 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 No. Company 0 Copy is filed with the city. ❑ Certified copy is hereby furnished. n TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATIONINSURANCE (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 ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback*JTom. Property Line Lender's Name 'tO° Lender's Address TSEP „r This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE 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. Issued by: DatePermitI 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.Validated by: 0 1993 mentioned property for inspection. purposes. Signature of applicant Date Mailing Address Validation: City, State, Zip { p y CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ,. 1ST FL.SO. FT. ® $ UNITS SLAB GRADE C� BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ FORMS SEWER OR SEPTIC: TANK ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. @ TEMP. POLE GROUT DRAINAGE PIPING CARP. SQ. FT. @ FINAL INSP. WALL SQ. FT. WATER SYSTEM DRINKING FOUNTAIN. GRADING cu. yd. $ plus x$ =,$ URINAL SO. FT. @ FINAL INSP. FRAMING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation j FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 INSULATIONISOUND SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL SQ.FT.GAR @ 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE IMECH.FEE EPL.CK.FEE CONST. 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 OR SEPTIC: TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. 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 j REMARKS: VENTILATION G (s FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL CV TA 78-495 CALLE TAMPICO — LA OUINTA, CALIFORNIA 92253 - (619) '777-7000- FAX' 77-7000FAX' (619) 7774101 September 7, 1993 s Ms. Pamela Shanabarger. Medallion.Mortgage Company 5750 Division Street, Ste: 109 Riverside,.CA 92506 c Dear Ms. Shanabarger;, Re: Special inspection located at_51-311~Avenida Velasco. Our findings areas follows: , Owner exposed.two post footings from post and beam patio... Roof load is carried off them. Setbacks and egress are ok. Some things are covered up and unable to verify, such as ,beam size,. rough electrical, wiring, insulation, drywall and. lath nailing. However, all- construction appears to be sound and seems-to be to code set backs. Sincerely, r` YBUILING AND AFETY DEPARTMENT Lonnie Day Building'Inspector I LD:es velasco.ld MAILING ADDRESS' - P.O. BOX 1504 LA OUINTA, CALIFORNIA 92253