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12012 (SFD)Building 51-2 75 JaciZmba Address Owner F Leonard, M. Meier P.O. BOX 1504 78.105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address City. Zip Tel. Contractor H.V.H. Construction 77029 Iroquois City Zip Tel Vadian Wells 92.210 345-7266 State Lic. City & Classif. Lic. # Arch.,-Engr., Designer Address . Tel. City. Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirmt't' I am licensed undersprovisions 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 V •/�-•_....�'--' 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 file a signed statement that he Is licensed pursuant to the provisions or 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 is not intended or offered for sale. (Sec. 7044, Bulsness 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 �-• 1✓]"Copy is tiled with the city. ❑Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it 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: It, atter making this Certificate of Exemption youshould 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 bLilding 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 3 No. 12412 BUILDING: TYPE CONST. - OCC. GRP.- A.P. RP. A.P. Number 769-115-013 t Legal Description Description - REMARKS 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: Sq. Ft. 1254 Size No. Stories No. Dw. Units New 1.1 Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Permit does not include block walls or , pool. Estimated Valuation $76,677.24 PERMIT AMOUNT Plan Chk' Dep. 250.00-;_\ Plan Chk. Bal. 212.61 Const. 536.00 Mech. 62.00 Electrical . `117 - 4 5. Plumbing 136.80 S:M.I. 7.70 Grading 20.00 Driveway Enc. --0,,, Infrastructure 1,686.98 r TOTAL 3,030.78 2.784.75 REMARKS 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. ELECTRICAL FEES NO. PLUMBING FEES s' IST FL. SO. FT. ® $ UNITS A.C. UNIT C` ty r SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SQ FT p HEATING (ROUGH) MOBILEHOME SVC. BAR SINK FOR. SO. FT. ® ROUGH WIRING GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH) DRAINAGE PIPING CAR P. SQ. FT. HEATING (FINAL) WALL SQ. FT. REINF. STEEL DRINKING FOUNTAIN. SO. FT. ® ' URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SERVICE FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER $ r�:i_ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR. LAUNDRY TRAY AIR HANDLING UNIT CFM I IKITCHEN 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SPARK ARRESTOR SQ.FT.GAR ® 3/ac HOUSE SEWER GAR. FIREWALL 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 [ UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEPTIC TAN [ fg F; ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE Q J ' GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ r�:i_ GRADING cu. yd. plus x$ =$ LUMBER GR. FINAL INSP. � � FRAMING % �Gv �� �./� FINAL INSP.y ,—/.�/fP L J ROOFING �3 � qr Q' iff J REMARKS: REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LA HING 1?�367 Q12 MESH INSULATION/SOUND ll7 FINISH GRADING FINAL INSPECTION 8— -93 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL . - I a_ w,,.. _,_ ___ _........ ........ a .. a I.. --- e. _ ., . DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 4/7/93 1 Type of Permit I La Quinta No. 112131 Permit .# Log Owner Name Leonard M. Meier No. 51275 Street Jacumba City La Quinta Zip 92253 Study Area 115 APN # Tract # Lot # 0 Square Footage 11254 Type of Development I 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 1.58 x 1254 or $ 1,981.32 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 Leonard M. Meier Telephone 345-7266 Name on the check By lamps - Lively Assistant Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett Signature `fit„ � �: ► .ls'..7r Payment ,Received' ,,rCh6Ck; No. 101 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 Building Address Ow Mailing Address City Addre: Citv & Classif. Arch., Engr., Designer I � r L.1\N...'�.+.' ► , Zip' Tel. N 0'T Q 0 rrff Tel.. GU --Zy City- fi f, Lic.# P.O. Box 1504 :.APPLICATION ONLY 78-105 CALLE ESTADO QUINTA, CALIFORNIA 92253 BUILDING: TYPE- CCON%ST. OCC. GRP. A.P. Number / (/%�� C(� /`� Legal Description 4o %/ %_ IZ3 Z_ Project. Description Sq. Ft. Size New ❑ sy Add ❑ No. No. Dw. Stories Units Address 1 Tel. Minimum Setback t/ City Zip State Lic. # c Side Street Setback from Center Line LICENSED CONTRACTOR'S DECLARATION I hereby �ffi(m that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Dtvisibn 3 of the Business ar d Professions Code, and my license is in full force andC�, effect. �.+�.. .tom. �.1�°1 - ""_"�__ �,a. 1�•.�<P _ SIGNATG �^�""'"" -DA, Date Permit OWNE"UILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation 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 PERMIT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis for thealleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I7 I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. Const. . 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 Mech. 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 Electrical 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.) Plumbing I 1 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 S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ! 17 I am exempt under Sec. B. & P.C. for this reason Driveway Enc. + 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 0 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, after making this j 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 sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address I City, Stale, Zip i BUILDING DIVISION Infrastructure TOTAL Alter ❑ Repair ❑ Demolition ❑ e /7 A 4171. ;0 AMOUNT 36,e� G2`ez� 7 . q9 .7 11rmAl"INZ) nn4; nT) 4A S7 5 R_ -4i'1, 1 10 - CASH 3. `r0T t_ i 'x-50.00 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 GROUND PLUMBING NO. ELECTRICA FEES NO. PLUMBING FEES 1ST FL. SO. FT. a $ 2ND FL. SO. FT. 0' POR. SO. FT, CIN GAR. 4IrI4 SO. FT. !g CAR P. SO. FT. 0 WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ � J ✓ O0 UNITS MOBILEHOME SVC. POWER OUTLET ` YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING STORAGE TANK NOTE: Not to be used as property tax valuation SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK FLOOR DRAIN FOUND. REINF. MECHANICAL FEES METER LOOP HEATING (FINAL) OTHER APP./EQUIP. WATER SOFTENER GAS (FINAL) VENT SYSTEM FAN EVAP.000L HOOD SIGN GROUT WASHER(AUTO)(DISH) SERVICE APPLIANCE DRYER BOND BEAM WATER SYSTEM GARBAGE DISPOSAL GRADING cu. yd. $ plus x$ FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR. FINAL INSP. LAUNDRY TRAY FINAL INSP. AIR HANDLING UNIT CFM ROOFING KITCHEN SINK REMARKS: ABSORPTION SYSTEM. B.T.U. VENTILATION TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM FIREPLACE LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER GAR. FIREWALL BOILER B.T.U. SO. FT. ® c BATH TUB MESH SQ. FT. p c WATER HEATER MAX. HEATER OUTPUT, B.T.U. FINISH GRADING SO. FT. RESID @ 11/- c SEWAGE DISPOSAL SQ.FT.GAR @ 3/<c CERT. OCC. HOUSE SEWER FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE 2�0 PL.CK.FEE I" I CONST. FEE 06f442.6, ELECT. FEE /17.It SMI FEE PLUMB. FEE op, 6V STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB, BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 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. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL REOUUM BY F ftec""equested By 0 ffill Affielican Title Insurance crfloa Au. elm O um lamm am I" M me vow= ;�;WQ WA UA $us~ to 1..—rd N. Nei or and Barbara J. s. major 19 low 00 ANN" %"a a"* as above W WfU/ n 1971416 a. 2-14861 SPACK "Ova Two U19 Pool MCOPWOM M I GRANT DEED THO UNDE.WWWW GRANTOR(6) DECLAW111) OOCUMENTARYTRAMM TAIL IIIIIII 46-30 EICOMputed an U value d WQWty OWNeyed, or 0 computed an full %ska Im vertuof hem or encumbrances Ie at low d s&W 0 ,xww,aWdr" 11 )4fturwof AND FOR A VALUABLE CONSIDERATION, reompt of whirl is hereby acknowledged. rad 8. Warner, 4'singla, can beartard X. War and Barbara lWer, husband and wife as joint tenants On 061o" *Wfto real property in the cvmrAy 01 Juversida, State at c4momis: Z09 2 JR S40c* 3 Of 160 D"OFC Oub rract Unit No. 2 as sham by sep on fJJ* In DOM ROP J0490 6 of Asjw* Records: of JUvorsido County, California OOoo 00 STATE OF CALWQVAA Cowwal I -0s. SuCZ67 Os_ 1179S — 60" Ms• the undw4wt a No" Pww in hid (11PIP11:141. so"' 4�601�0– of "1" 11115• TERRY W. FLEMING 1401ARoWNDFILCOMry • LV:Ah(AIAS COWN0 10. 1196 I �x��axtrg- Tit�1 of Ila Ouiuta jluitbtni�. tlltb ��l�P��J �11ibY�atDlt This Certificate issued pursuant to the requirements of Section 306 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: BUILDING ADDRESS 51-275 Calle Jacumba Use Classification Single Family Dwelling Bldp. Permit No. 12012 Group R3 Type Construction VN Fre Zone Use Zone SR Owner of Building Leonard M. Meier Address City Lonnie Day By:. Date; . July 23, 1993 Building Official POST IN A CON8PI000uB PLACE