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15329 (SFD)Building Address 79-311 Tom Pati© William Turpin P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Mailing Address 54.936 Shoal Creek City Zip Tel. y ' La Manta 1 92253 1 777-76131 Contractor Construction 54v-936 Shoal Creek City Zip Tela La Quints 92253 777--7611 State Lic. City & Classif. I Lic. # Arch., Engr., Designer Address Tel. City IZip I State 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,Busfness and Professions Code: Any city or county which 'requires a permit to construct, atter, Improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile 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 of not more than rive hundred dollars ($500). ❑ 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 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 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, alter 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF.COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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. 15323 WING: TYPE.CONST. VN OCC. GRP. R3 A.P. Number 1�-;^ -7 Legal Description ir��it i f Z3 Project Description 7 401 ' 5.3 0-013 6 L ]) 76� - orii -oi i MEuD Sq. Ft3359 No. No. DIN. Size Stories Units Newt► Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not inclade Block walls and/ or Pool Estimated Valuation $288t487.00 PERMIT , BY: AMOUNT Plan Chk. Dep. Wild Plan Chk. Bal B38.39 Const. Side Seytback from Property Line $1301.00 Mech. INSPECTOR $ 1170.50 Electrical Issued S 226.67 Plumbing $ 235.54 S.M.I. Validated by: $ Grading S 20.00 Driveway Enc. Infrastructure $6000.44 krts in Public Pl.act�l;3 411. 2 D t;3a.tc3�7UCL.L pp , .Lau V 1czJDV*VV 642.1. TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street -Setback from Center Line ^ Side Seytback from Property Line II FINAL DATE INSPECTOR V f i ) ' Permit 11 2. 5 I-395 Issued y- DIt e), Validated by: - Validation: — - CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW; FEES s IST FL. SQ. FT. @ $ UNITS .� LAB GRADE / !l "� ROUGH PLUMB. '__BONDING Y ARD SPKLR SYSTEM 2ND FL. SQ. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. @ DUCT WORK ROCK STORAGE GAR. , SO. FT. @ POWER OUTLET ROOF DRAINS HEATING (FINAL) . DRAINAGE PIPING CAR P. SQ. FT. @ GAS (FINAL) , _ l�, 6 TEMP. POLE WALL SQ. FT. @ DRINKING FOUNTAIN SO. FT. @ ATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ INAL INSP Cti WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ - —Plus—x$—=$ WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER ROOFING 16 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REMARKS: 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. SO. FT. RESID @ 11/. c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac HOUSE SEWER MESH 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 PLUMBINGELECTRICAL HEATING & AIR COND. SOLAR ETBACK 1IND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA LAB GRADE / !l "� ROUGH PLUMB. '__BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC ROUGH WIRING DUCT WORK ROCK STORAGE UND. REINFg �14l GAS (ROUGH!2, q -L,7 [ METER LOOP HEATING (FINAL) . OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) , _ l�, 6 TEMP. POLE GROUT ATER HEATER SERVICEOK INAL INSP Cti BOND BEAM WATER SYSTEM GRADING cu. yd. $ - —Plus—x$—=$ LUMBER GR. ( NAL INSP. _!(i! FRAMING !o—/� �—� !!! FINAL INSP.�rF✓/_� P�� ROOFING 16 K� ` 6 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL ATHING MESH ApISU LATION/SOUND /U—/) . FINISH GRADING INAL INSPECTION . (l. L• CERT. OCC. FENCE FINAL INSPECTOR'S SIONATUPESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA ' 92201 Document Cannot Be Duplicated 619-775-3500 Date 6/28/95 Type of Permit La Quinta No. 113525 Permit # Owner Name William Turpin Log No. 79-311 Street Tom Fazio South City La Quinta Zip 92253 Study Area 106 APN # Tract # Lot # 0 Square Footage 13359 Type of Development I Single Family Residence No. of units r 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 1.72 X 3 359 or $ 5,777.48 have been paid to D.S.U.S.D. for the property listed above and that building permits arid/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By. J. William Turpin Telephone A `77 7611 Name on the -check By Dolores A. Ballesteros C__ Superintendent i.. y,. . r Fee collected /exempted y Ma Lou LO ez s r . ; �t Payment Received - Signature Check No. 152 Collector: Attac py of county or city pl Keck form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting Cs] i JON TANDY 3580 Condalia Ave. Yucca Valley, CA 92284 (619) 365-5045 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER J08��TtCrf�l 1 So� ' -� Lo, K U `� REPORT SEQUENCE N0. TVP F STRUCTURE �^ ,O • uep, � PERMIT NO. Of -1Z- S DAY OF WEEK MATERA DE RIPTION f� ' Sv ARCHITECT A "m-rE: INSPECTOR HRS. CHARGED + ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL /1 CONTRACTOR U1� SUB CONTRACTOR �-a P Co ��c- S • k �' C�o1 S N \ems¢ 0 ty OF LA 01JUNTA COPY SENT TO CUENIA/Li CONTINUED ON NE PAGE ❑ PAGE OF 571,.1 1 d 1TII U / CERTIFICATION OF COMPLIANCE BUILDIpnANOBAFETYINSPECTED TO THE MY ESTOFKNONLEDG OF THE REPORTEDUNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PIANS. SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGVAYURffOF REGISTERED DATE OF REPORT REGISTER NUMBER i '7a REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 3580 Condalia Ave. Yucca Valley, CA 92284 (619) 365-5045 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE \?6TRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALTO HER Q ❑REINFORCED MASONRY ❑FIRE PROOFING S& d JOB(LO�A Nr 1�IwA ` —PT -Zi O L � 1 � J 6 Qu' � (A REPORT SEQUENCE N0. TYP11 jII +T CTURE PERMIT NO. DATEDAV 3 �y 1 ® OF WEEK MATERIAL DESCRIPTION ARCHITECT�� ^ '� 17 TO HRS. CHARGED e-� ` E-�� i- I ENGINEER ��tSoN ASSIST1ANTS HRS. CHARGED DATE INSPECTION SUB GENERACCONTRACTOR ) vf-p/^f 1 f j,, / `�( CONTRACTOR � R A �% `' � C.! � G �SHOP WEW1wqw. Ced 'OUpnR rall I co � WT. TO f',;Y I C -As C--()V-t PA E4LC4 �' � - 91p / COPY SENT TO CLIENT ' CONTINUED MT PAGE ❑ PAGE OF 1 ., CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIj6N#4URE OF REGISTERED INSPEC 0 DATE OF REPORT REGISTER NUMBER