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14190 (SFD)P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 78--685 AveE Ultimo LA QUINTA, CALIFORNIA 92253 Owner i oulple V Construction Mailing 51-960 Ave. Herrera Address City Zip Tel. ',a Quinta: 92.253 771-1561 Contractor Same Address Zip State Lic. City & Classif. R 681012 Lic. # 323 - -Arch:; Engr., Designer Address Tel. City( Zip 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,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 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 five hundred dollars ($500). O 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.) 0 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 improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's 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 ❑ 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 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. 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 f 1 i A N o . 14190 BUILDING: TYPE CONST. OCC. GRP.. A.P. Number 7619-062-004 Legal Description Lot. 4 Desert Club Tract Project Description SFd ZONE: BY: " Minimum Setback Distances: OC Front Setback fro renter Line - 1 L` Rear Setback from Rear Prop. Line / ' Side Street Setbac t Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: ° Sq. Ft. Size 2290 No. No. Dw. Stories Units New ❑ Add ❑ _ Alter ❑ Repair ❑ Demolition ❑ Permit includes blobk garden walls. Pool permit to be obtained separately. Estimated Valuation $146t023.00 PERMIT AMOUNT Plan Chk. Dep. 250. 0U Plan Chk. Bal. - ' • 15 Const. i.� dU4 . UU Mech. * • T3 t . Mill Electrical Plumbing 156 . U0 .S.M.I. 14 .6 111,10 Grading 0. ou Driveway Enc. . V)0 Infrastructure J 0 U. -)d • wetlse { }� Abu Arta in - i I Flaces .I6 Ib . f✓ V f TOTAL • 39 4 t • 9 REMARKS ZONE: BY: " Minimum Setback Distances: OC Front Setback fro renter Line - 1 L` Rear Setback from Rear Prop. Line / ' Side Street Setbac t Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: ° CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING - 1ST FL. SO. FT. ® $ UNITS _ F YARD SPKLR SYSTEM Sir 2ND FL. S0. FT. FORMS SEWER ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. S0. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® GROUT DRAINAGE PIPING CAR P. S0. FT. ® FINAL INSP. WALL S0. FT. WATER SYSTEM DRINKING FOUNTAIN, GRADING cu. yd. plus x$ =$ URINAL SD FT ® FRAMING l✓ FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ A�G4 �Q f�r3S 12A 1 / 1 WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FIREPLACE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM 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 ® 11/4 c SEWAGE DISPOSAL FINAL INSPECTION SO.FT.GAR ® 3/4c 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 GROUND PLUMBING z DERGROUND A.C. UNIT COLL. AREA SLAB GRADE J ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. / GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) -y TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ =$ LUMBER GR. FINAL INSP. FRAMING l✓ FINAL INSP. ROOFING 1��30/f%(' A�G4 �Q f�r3S 12A 1 / 1 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHIN MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 10/11/94 No. 13115 Type of Permit I La Quinta Permit # Owner Name Double D Construction No. 78685 Street Avenida Ultimo Log City La Quinta Zip 92253 Study Area 125 APN # Tract # Lot # 0 Square Footage 12280 Type of Development Single Family Residence No. of units 0 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 1.65 x 2 280 or $ 3,762.00 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 Double D Construction Telephone 771-1561 Name on the check By Dolores A. Ballesteros Superintendent Fee collected /exempted by Vickie J. Durrett /F����..� Payment Received Signature Check No. 1326 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 M SEP 19 194 10:44AM FIDELITY TITLE P.1/4 FIDELITY NATIONAL TITLE INSURANCE COMPANY 4344 LATHAM STREET RIVERSIDE, CA 925.01 PHONE NO. (909) 682-8880 * (800) 439-8880 AMENDED NO. 1 YOUR C®PY PRELIMINARY REPORT Date: SEPTEMBER 19, 1994 To: GENERAL ESCROW Your No.: 10-31138 44900 SAN PABLO Order No.: 248120-JDP PALM DESERT, CA. Attn: BETTY COMAN Title Officer: JOHN D. PEREZ FAX NO. (9o9) 682-8812 Effective Date: SEPTEMBER 8, 1994 at 7:30.am The form of Policy or Policies of Title Insurance contemplated by this Report is: x California Land Title Association (Standard Coverage Policy - 1990) W thA.L.T.A American Land EndorsementAssociation Form 1Loan CoveragePolicy (10-17-92) American Land Title Association Residential Owners Policy SCHEDULE A The estate or interest in the land hereinafter described or referred to covered by this report . A Fee Title'to said estate or interest at the date hereof is vested in: WILLIAM R. BARNETT; JR., AN UNMARRIED MAN The land referred tLAinreport Stat4 of Californias, the and is described as of RIVERSIDE, City of QUINTA, follows: LOT 4 OF DESERT CLUB TRACT UNIT N0. 5, AS SHOWN BY MAP ON FILE IN BOOK 21, PAGES 61 AND 62 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA a Qum& 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) . 777-7000 FAX (619) 777-7101 April 3, 1995 Michael Dietrick 51-960 Ave. Herrera La Quinta, CA., 92253 Dear Mr. Dietrick, March 31, 1995 the foundation for the guest house at 78-685 Ave Ultimo, permit 14952, was poured without a foundation inspection. The Building Official has required the following to__ confirm foundation structural compliance. 1. Expose foundation footing four locations, one location each side of foundation with a pothole to confirm footing depth. 2. Expose two of the above named footings to confirm footing width. 3. Core foundation floor one location for confirmation of minimum 3.5 inch slab thickness. Stop all construction on guest house until foundation is inspected for structural integrity. Please schedule an inspection when above is completed. Sincerely, Depar ent of uuildin & Safety aniel P. rawfo d J Building Inspector I cc file 0 MAILING ADDRESS - P.O. BOX t4.1504 - LA QUINTA, CALIFORNIA 92253 0 EARTH SYSTEMS CONSULTANTS S.C. 79-811 B Country Club Drive �� Bermuda Dunes, CA 92201 • (619) 345-1588 CLIENT NAME CUENTADDRESS CLIENT PHONE DATE JOB NO. PROJECT 7a-1,55 tt /Tmm LOCATION REFERENCECURVE CONTRACTOR OVOER WEATHER C'(/(A 2 TEMP TIME PRESENT AT SITE MAXIMUM MAXIMUM OPTIMUM N- BER kX1..,1 r d ic. CLIENT REPRESENTATIVE SIGNATURE FIELD REPORT TECHNICIANS SIGNATURE �29 FIELD TESTING REFERENCECURVE TEST LOT MOISTURE DRY MAXIMUM MAXIMUM OPTIMUM N- BER ND. ELEVATION CONTENT DENSITY DRY DRY MOISTURE % Ibs/cu. ft. DENSITY DENSITY CONTENT QUS� /a % lbs/cu. it. % t 7-11p pul 13•3 /ov.L/ �� l►S.0 /CSS ell UkAOT 1,T i t p e,:CL i REMARKS: i` ! rf/7f�c1/��//AL1 7006 bf i L 7e , 7f. S%S C)/v � fin isf�fi.7 <i��t�f 1-4641.5, . ��/ /`>/(i;H/�//tif i 7 i •V f"l (f T�..�s �o$ ,� C, j/</1./JC //U /,0A X. Gf //S -o 'cl %SS7!� G,l.//!L kX1..,1 r d ic. CLIENT REPRESENTATIVE SIGNATURE FIELD REPORT TECHNICIANS SIGNATURE �29 OF (t ofutt This Certificate issued pursuant to the requirements of Section306 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: 78-685 2�ve'bltimo BUILDING ADDRESS Single -Family Dwelling' 14190 Use Clossificotion Bldg. Permit No. Group 'R3 Type Construction VN. --Fire Zone Use Zone SR. - Owner of Building Double D Construction Address 51-960 Ave Herrera City La buinta, CA-- 92253-- By: Daniel P, Crawford Jr Date; May 18 -1995 Building OfficiYT POST IN A CONSPICUOUS PLACE