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07719 (SFD)4`4 P.O. BOX 1504 No. 0771.9 Building 78-370 Via Cal fetes 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Deane Ids Mailing ,: BUILDING: TYPE CONST. OCC: GRP. Address 15 -Augusta A.P. Number City - - S Zip Tel. % Contractor• Siff Address City State Lic. & Classif. Arch., Engr Designer Mime 92270 321'-=4 Legal Descnptlon r'ciC Project Description Phase. I -A Lot 69 Zip Tela City Lic. # Sq. Ft.2700No. Z 1 2 No. Dw. Size-. Stories ! Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑, Address Tel. City zip. State Lic. # LICENSED CONTRACTOR'S DECLARATION t' I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section z 7000) oDivisio�+n.3 of the B�usinecss and Pro �'ss/ions Code, and my license I"s inrf II force and .,effect--,,' �"_T 'SIGNATURE'- - """- - ""•- a �'�' DARE OWNER -BUILDER DECLARATION' I hereby affirm that I am exempt from the Contractor's License1aw 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 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 rive 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.) O 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 contractors) 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 the work for which this permit is issued, I shall not employ any person in any manner so asto become subject to the Workers' Compensation Laws of California. . 1 t • - Date r; Owner' NOTICE TO APPLICANT:. If, after making this Certificate of Exemption you should become ZONE: Estimated Valuation 1134,038 PERMIT ' AMOUNT. Plan Chk. Dep: Front Setback from Center Line' Plan Chk. Bal. ti Rear Setback from Rear Prop. Line Const. ° Mech. Ihereby affirm that there is a construction lending agency for the performance of the ALM Electrical' ,i ty b Plumbing Side Setback from Property Line ' S.M.I. Grading Lender's Address Driveway Enc. INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to Infrastructure 3 J11SA5 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: Date Permit I agree to comply with all city and county ordinances and.state laws relating to building TOTAL REMARKS mentioned property for inspection purposes. Validated by: Signature of applicant Date Mailing Address 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 comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: ' ' Front Setback from Center Line' Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) t. Side Setback from Property Line ' Lender's Name Lender's Address FINAL DATE' INSPECTOR 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. Issued by: Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS SLAB GRAD :�2��C / 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. GAS (ROUGH) FIA, 4a v0 `` `i DRAINAGE PIPING WALL SQ. FT. OTHER APPJEOUIP. . DRINKING FOUNTAIN. SQ FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. �t1 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 1.$—Plus—x$—=$ LAUNDRY TRAY AIR HANDLING UNIT CFM ��/ /„g/J.,�/,/�— 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. SQ. FT. ®c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR ® 3/ac HOUSE SEWER LATHING d �� GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE LAECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR' SETBACK GROUND PLUMBIN� UNDERGROUND A.C. UNIT COLL. AREA SLAB GRAD :�2��C / UGH PLUM d/� BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCKSTORAGE FO REINF GAS (ROUGH) FIA, 4a v0 `` `i 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. LUMBER GR. FINAL INSP. �t1 FRAMING "� Zf 0 FINAL INSP. 1.$—Plus—x$—=$ ROOFING XL'( l C I N` ^ q / j jJ n[y ��/ /„g/J.,�/,/�— REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING d �� MESH INSULATIONISOUND�J7 �- FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL P.O. Box 1504 .I� 78-495 CALLE .TAMPICO 5hiningBright" Than F►ft LA QUINTA, CALIFORNIA 92253 May.1, 2002 Dear Homeowner: (7 60) 777-.7000 FAX (760) 777-7101 Please be advised of a clarification to the street name for the following structures. The structures formerly addressed on Via Calienta will now be addressed ending with an "e" as follows: r'• 78-345 VIA CALIENTE 604-203-012 78-355 VIA CALIENTE 604-203-006 78-360 VIA CALIENTE 604-202-008 78-365 VIA CALIENTE 604-203-007 78-370 VIA CALIENTE 604-202-007 78-375 VIA CALIENTE 604-203-008 78-380 VIA CALIENTE 604-202-006 78-385 VIA CALIENTE 604-203-009 78-390 VIA CALIENTE 604-202-005 78-395 VIA CALIENTE 604-203-010 The Assessor's Office, Post Office, utilities, and Riverside County 911 have also been notified. Please. contact me at (760) 777-7019 if I may be of further assistance. Thank you. Sincerely, Diane Aaker Building & Safety Department