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10726 (SFD).4 P.O. BOX 1504 �f%x Building 7&105 CALLE ESTADO� Address 52�^�'�% �`�� ejo LA QUINTA, CALIFORNIA 92253 Owner Ken Cokeley Mailing BUILDING: TYPE CONST. Address P. d. Box S-3254 A.P. Number City Zip Tel. Carmel--] 93923 408/625-1283 Legal Description Contractor Project Description owner/Sui..lde'r Address City Zip Tel.: State Lic. City & Classif. Lic. # Arch.; Engr., Designer J_JM . AVenel.A Address Tel. 52275 Vallejo- 564-2808 City Zip State • LaQi1inta 1 92253 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 affirin that I am exempt from the Contractors License Law for the following .., reason: (Sec. 7031.5,Business '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 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). ❑ I, as owner of the property, or my,employees with wages as their sole compensation, will . do.the work, and the structure isnot 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 unprove for.the purpose of sale.) bYl, 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' roves Hereon, and who contracts for - such projects with a contractor(s) licensed pursuant.to'the COn�tracfer s License Law.) - - O. 1 arq exempt under Sec f B.,B P.C. for th(wreason Date 4-I Il" IU 3 f owner •111111 IIAi / /'/ / WORKERS' COMPENSATION DECLARATION I hereby'affinn that I have a certificate of consent to self -insure, or a certificate of . Workers 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 thg work for which this permit is -issued, I shall not =any pperson in any manner so as to become subject to the Workers' Compensation Laws of Callfomia. 'Date -Owner NOTICE TO APPLICANT: N, 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. f 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.) Lenders Name Lenders 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 1 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. 10726 _OCC: GRP. SFD ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Sq. Ft. Size 1602 No. No. Dw. Stories -- Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does. snot include black galls or cool + Issued by: Date Permit Validated by: Validation: Estimated. Valuation '193 a 667. 8a PERMIT., AMOUNT Plan Chk•3.Dep. 250.00 Plan Chk. Bal. - 267.78 Const. 612.50 -Meeh - 49.00 Electrical 129.37 Plumbing 141.0 S.M.I. 9.40 Grading 20.00 Driveway Enc. 20.00 Infrastructure 2058..08. TOTAL 3557.13 3307.1.3 . • REMARKS dI'it��Sii.:.Y.,�Sd%il•'7i.'::tii+rth'►�.'i.:1t*-�7,t::�..;=,F.e •.�$5,t.` 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. i ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA 2ND FL. SQ. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ O IRING. DRAINAGE PIPING WALL SQ. Fi. ®' ROCK STORAGE DRINKING FOUNTAIN. SQ FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ HEATING (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation GAS (FINAL) FLOOR DRAIN MECHANICAL FEES �a WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SERVICE 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, 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER 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' 7 f T SETBACK GROUND PLUMBING LaNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMSER OR SEPTIC TANK O IRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL ' GAS (FINAL) TEMP. POLE �a GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FINAL INSP. 8 L� FRAMING / 'O FINAL INSP. Alim ROOFING w yV,� �pp �(�> �liG.2 `b REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL PING MESH INSULATION/SOUND FINISH GRADING ' FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURE9INITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 4/14/92 Type of Permit I La Quinta No. 11320 Permit # Owner Name Ken Cokely Log # No. 52970 street Vallejo city La Quinta Zip 92253 Study Area 112 APN # Tract # Lot # Square Footage 11602 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 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 11.58 1 XF—.65-T-1 or$ 2,531.16 have been paid to D.&U.SM 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. r,�v 4 <� rr Fees Paid By Ken Cokely Telephone 408-6.25-1283 Name on the check s `• A' By James E. Lively t ,- Assistant Superintendent, Business Services v • :` ` Fee collected /exempted by Vickie J. Durrett /—Payment Received Signature / ckAJU Check No.3 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 RILEY CALVIN C. KAMINSKAS+ s, ,DAN c Sealer, Welghis & Measures ' Assistant Commissioner a (714) 275 30J0 (114) 215.5000 OFFICE OF . ' AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite 7 Indio,'CA 92201 (619) 342-8291 y"> I / Z CASE NO .�C 1� ©,3 16 / , DATE, DEVELOPER'S NAME* ADDRESS: SZ 97 O C 114%2z TELEPIIONE:� 9) f' 2 !TO CIS" r,`* Dear Developer: After reviewing your landscaping plans, all plant material listed is not in the Coachella Valley. If substitutions violation-of quarantine laws governing do occur and they differ from plant material listed, this office must be notified ; immediately. Thank you'for protecting and preserving the Coachella Valley's pest -free environment. Agricul t (ural Coommiss io r' office • .; , 4 cc: Indio and Riverside 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275.3012 Received From: ` Address: 1 ..�� _ _ COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL _ ___ ✓ _ A �,; c: N1 Date: Lf - ��i•. " Account No. -� _Lot(s) �, 1 Tract��,_% Service Address G.A. Code ❑�Aater(s) 4ervice(s) ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) , ❑ Meter Surcharge / 911SanitationCapacity Charger— ❑ W.S.B.F.C. ' ❑ Temporary Construction Meter ❑ Turn on Charge ' ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ~= ❑ Plan Check Fees Water I Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other TOTAL $ �� Remarks: 71 iti\ bA Ate/ I.I, ,� I � - � ��,. �s �C`t,/�•SS4' � °ems �� - r . - - I I ' ! I } ofvf na. 1 I'. Ij ! } j � ti. • r- ��. � _ . i I I it i .I utl tip �z � det t�j.t,!�tun, This Certificate issued pursuant to the requirements of Section_ 306 of the, 'Uniform Building if Code certifying that at the time of issuance this structure .was in compliance with the various (I .: 1�1 ordinances of the City regulating building construction or use..'=.For' the following: BUILDING ADDRESS 52-970 Vallejo Use Classification Single Family, Dwellincl Bldg. Permit No. 10726 i Group R • Type Construction VN ire -Zone Use Zone Owner of Building Ken Cokeley Address P • 0: Box S-3254 f II h ( :City Carmel, CA 'Lonnie Day, Dote; August 4, .1992.' � Building Official - POST IN A CONSPICUOUS PLACE d -- --