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07111 (SFD)Buildin Address 78-685 Avenida P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner DGH CAmstructfort Mailing Address P.O. BOX 2982 City Zip Tel. . Paha . Deser 92260 340-6807 S48 Constrfactiou 44-341 Sa4ewood Dr. State Lic. City & Classif- 480121 Lic. # Arch-, Engr., Designer _14.r, Address Tel. 73-965 Hwy 111 Suite it 568-6633 Cityip State Palm �reTz 92260 Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions, of Chapter gi(commencing with Section 7000) of Division 3 of the Business and Professions Code, andy license is in full,force and �?,• 1'. _ .,$:i�_ �.'r..l e'. J 14�'J.+ . E:.'�f � ! � F .1: .4; SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,80siness and Professions Code: Any city or county which requires a permit to construct, after, 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 Sectfon .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 five 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 Coder The Contractor's License Law does not apply to an owner of property who builds or /nproves thereon and who does such work himself or through his own employees, provided that such Improvements are not intended or offered for safe. If, however, the bunking 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.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to corn 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 contractors License Law.) O 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 O 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: 8, 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 property 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. 07111 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description 769-144-442 Unit a, H8 21/61-62 S • F• Q Loft 169 Sq. Ft- 2640 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Estimated Valuation $155,086 PERMIT AMOUNT Plan Chk. Dep. $250.00 I Plan Chk. Bal. $ 43841 1 Const. 886.f+ Mech. Electrical 156. 2 Plumbing Lai -4 " S.M.I. 1.. • �� Grading C+U ttY; Driveway Enc. Cbl+ Infrastructure t!><N� �r y t j TOTAL �G , ir:%.., ^:► REMARKS m 001141AKt iii IV:; 1 () GO -Stix a I V I SiL. 1. 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 2/3/90 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE S 2� ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SO. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® ROCK STORAGE FOUND. REINF. L GAS (ROUGH) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER DRINKING FOUNTAIN. WALL SO. FT. ® BOND BEAM WATER SYSTEM URINAL SO. FT. @ =$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FRAMING WATER PIPING NOTE: Not to be used as property tax valuation �)�]Q y J ,Q ��• DI©(K f:.tojA 01 (1 n AOj FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTONDISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE 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 ® 11A c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER FINAL INSPECTION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE !ELECT E SMI FEE PLUMB. FEE STRUCTURE PLUMBING j I ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBIN le UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE S 2� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. L GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 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/ d� FRAMING FINAL INSP. ROOFING �)�]Q y J ,Q ��• DI©(K f:.tojA 01 (1 n AOj REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL 1 4 Notice: Document Cannot Be Duplicated Date 8/14/01 No. 22373 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 , 760-771-8515 CERTIFICATE OF COMPLIANCE' APN # 770-172-003 Jurisdiction La Quinta Owner NameMiguel & Rosa Perales Permit # No. 78-685 Street Avenida Torres Log # City Indio Zip 92201% Study Area Tract # L,ot # + 160 Square Footage 2355 Type of Development Single Family Residence No. of Units 1 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: r EXEMPTION NOT APPLICABLE' This certifies that school facility. fees imposed pursuant to Government Code 53080 in the amount of 2.05 X 2,355 or $ 4,827.75 the property listed above and that building r permits and/or Certificates of Occupancy for this square footage in this proposed project may `nowbbe issued;,. Fees Paid By CC / Riverside County's Credit Union - M. Torres TelephofL,� : 760 i75- 028 Name on the check By Dr. Doris Wilson - Superintendent. Fee collected /exempted by Annette Barlow Payment Received $4,827.75 Check No. - 4404.572980 Signature-.;'::::::::::"-------------------------- IOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified bove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the Districts) or to another public entity authorized to ollect them on the District('s)(s') behalf, whichever is earlier. 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 ' t F: t 4 es oto.* , OFFICE OF AGRICULTURAL COMMISSIONER 7.• AND �,=•>,VI! WEIGHTS &MEASURES *., CALVIN C. KAMINSKAS JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Assistant Commissioner Agricultural Commissioner RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISTE 4 Director of Weights a Measures (7.14) 787-2561 Sealer 49613 Highway 86., Suite B12 i cCoachella, Ca. 92236 DATE l (% (619) 342CASEI NO. G CGO r7" DEVELOPER'S NAME.: ADDRESSR G 3� k �� PIQU\- TELEPHONEe Dear. Developer: After reviewing your landscaping plans, all plant material listed is not in violation of quarantine, laws governing the Coachella Valley. If substitutions do occur and they differ fram plant material listed, this office must be notified'. immediately. . Thank you for protecting and preserving the Coachella Valley's pest -free environment. gricult Coimnissioner's.Office .. cc: Indio and.Riverside.Office r= I4 }'4 - s� { It r Twit 78-495 CALLS TAMPICO LA QUINTA, CA 92253 (760).777-7075 APPLICATION FLOOD PLAIN DEVELOPMENT PERMIT BUILDING SITE LOCATION FLOOD ZONE 'AO* - DEPTH 1 COMMUNITY- PANEL NUMBER i— I y y — O O j. 060709 0005 B _ Map Revised: 8/19/1991 APPLICANT INFORMATION SECTION APPLICANT NAME OSc APPLICANT 1'' ` �O b' S Wi u Y it s 4 ADDRESS jl-2 (MAILING ADDRESS, NOT THE BUILDING SITE) �' /J { O . CU . �' DAYTIME TELEPHONE NO.. 3 9g - o ► q 3 �X ) Li m°'' �-71 INSTRUCTIONS 1. A Flood Plain Development Permit is required by LOW Section 8.11.040(A). The Applicant should complete the Applicant Information portion of this application and submit it to the Engineering Department along with the required documentation noted hereon at the same time the Precise Grading Plan is submitted to the Building and Safety Department for plan checking. 2. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuance • Copy of the proposed Precise Grading Plan for review and approval containing all information required by the checklist shown on the back of this application. 3. Documentation required for STEP 2 -OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval. Note, this approval occurs after forms for the lowest habitable floor are set and before the Building & Safety Department authorizes foundation construction. • Submit a completed FEMA "Elevation Certificate form to the Engineering Department. • Submit 95% relative density soils compaction certification to the Engineering Department. STEP 1 OF 2 APPROVAL The Precise Grading Plan submitted for this application has been reviewed and found to contain all data required to satisfy the requirements of LQMC 8.11 The proposed dwelling is eligible to receive a building permit upon satisfying all other Building & . Safety Department requirements. �TFP ep 2 APPROVAL All requirements have been satisfied. This Rood Plain Development Permit is approved. l✓ Tr - HORIZED SIGNATURE DATE AUTHORIZED SI DrE La Quinta Enging Depa ent a QuiMa Engineering Department ILE: Upon Step 2 approval, original goes in 'Flood Plain Development Permit" file. copy goes to Applicant