Loading...
11747 (SFD)1 � Y 4 P.O. BOX 1504 Building 5-452 tiantexurra 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Mr. & I irs . Daniel Aguayo Mailing Address 54-585 Rubio CityZip Tel. La Quinta, CA 92253 1 564-2625 Contractor q1eam Builders Address 79-600 Cortes Lane City Zip Tela La Quinta 92253 347-3701 State Lic. City & Classif. B-580219 Lic. # 2859 Arch., Engr., 1.0. Roach Designer A. dress t 419 Sawg.ras Circle Tel. 360-1114 City Zip State Palm Desert, A 92260 Lic. # I 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 !' s' 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 of the Contractor's License Lew, 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 mors than five hundred dollars (8500). ❑ 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 ourpose 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 ❑ 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 (8100) 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 sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 11747 BUILDING: TYPE CONST. OCC. GRP.; A.P. Number 773`241-016--015--014 Legal Description Project Description SFD REMARKS tees redact lot morger inceati a program. 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. 2051.No. 1 SizeStories No. Dw. Units New O Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit includ--s stucco gall. Pool permit to be obtained separately. Estimated Valuation $125,715.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 w as Plan Chk. Bal. s Const. Mech. Electrical Plumbing S.M.I. 12.60 Grading Driveway Eno. AI I Infrastructure tirci, in Fu -BET., Pucci; b4.13 TOTAL r`�•5`J� 1 �:).S5 REMARKS tees redact lot morger inceati a program. 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. PLUMBIN(: FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SO, FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ FJ ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET ` YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE G A g 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 FINAL INSP. '7 � 3 --% SO. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+A c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic HOUSE SEWER VENTILATION 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 G Aq 0- GPI51ND PLUMBING jj,4 ERGROUND 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 APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE G A g GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. '7 � 3 --% FRAMING 3 -f� .44 � FINAL INSP., 1 ROOFING'j GD 'awl�rNl -1 } REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING Sim h L MESH INSULATIONISOUNDS/��&3 -V FINISH GRADING FINAL INSPECTION7-2-71/73 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL Building Address Owner , 4 47lu P.O. BOX 1504 Tr -78-105 CALLE ESTADO L It--t&LA GUINTA, CALIFORNIA 92253 Mailing Address City Zip Tel. I- Q3I r��. clZZ l Contractor ty lZip I Tel. State Lic. City & Classif. Lic. # Arcn., tngr., Designer Address 4I 1 "G.IIZ T�'a 2(s, I 14 Cit i 1 ` Zip State �lL� Lic. # LICENSED CONTRACTOR'S DECLARATION I he 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 1 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, atter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to his 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 .•nore 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 Wilds 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 ❑ 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 pparson in any manner so as to become subject to the Workers' Compensation Laws of Callfornia. Date Owner NOTICE TO APPLICANT: ff, 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 1 have read this application and state that the above information Is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to inter the above- mentioned property for inspection purposes. Signature of applicant Date .Mailing Address City, State, Zip FINANCE W APPLICATION ONLY .DING: TYPE CONST. yK OCC. GRP. Number _ —1-115 -24 l np i :p - Ol e, - O t 4 dDescription-22'45Z AVE N104 M(AV MI—OM� �r,t nperrintinn 2,051 S . F. `_=1 i INJ6=7 F FLMILY Sq. Ft.^r l s iF' No. No. Dw. I Size CTJ Stories Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. I rastructure TOL-sc- 72 _5,73o 7S TOTAL 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: DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 3/11/93 1 Type of Permit I La Quinta No. 112070 Permit # Log Owner Name Mr. & Mrs. Daniel Aguayo No. 42-452 Street Avenida Montezuma city La Quinta Zip 92253 Study Area 112 APN # 773-241-016 Tract # Lot # 0 Square Footage 12051 Type of Development Single Family Residence No. of units 1Q 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 2 051 or $ 3,240.58 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 Daniel Aguayo Telephone 564-2625 Name on the check . �• S By Tames F. Lively Assistant Superintendent, Business Services_r s r ` � Fee collected /exempted by Vickie J. Durrett Paymeri_r,-Received-.-' Signature Check No. 001 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 Professional Service Industries, Inc. American Engineering Division REPORT OF FIELD COMPACTION TESTS TESTED FOR: VVI //51 PROJECT: 5 DATE: �%G� Z OUR REPORT NO.: v-7,3 TEST NO. TEST LOCATION ELEVATION IN FEET COMP CURVE NO. TEST MOISTURE % TEST DRY DENSITY LBS./CU. FT. RELATIVE COMP. % RETEST NO. NOTES 4 4. SUBBASE C. TEST IS AFTER RECOMPACTION soil ID number 5. SOIL CEMENT no,q5Z 6. OTHER 1, Professional Service Industries, Inc. ILI NOTES: DENSITIES SHOWN: Lbs. per cubic foot 1. FILL MATERIAL A. TEST RESULTS COMPLY WITH SPECIFICATIONS WATER CONTENT: Per Cent of dry weight 2. BACKFILL B. TEST RESULTS DO NOT COMPLY PERCENT COMPACTION: Based on maximum 3. BASE COURSE WITH SPECIFICATIONS dry density obtained on sample indicated by 4. SUBBASE C. TEST IS AFTER RECOMPACTION soil ID number 5. SOIL CEMENT 6. OTHER Respectfully submitted, Professional Service Industries, Inc. 42-240 Green Way, Suite C • Palm Desert, CA 92260 • Phone: 619/341-5790 • FAX: 619/341-5794 PSI A-100.2 (# 1)