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10457 (SFD)4 / P.O. BOX 1504 f10457 Building�478-105 CALLE ESTADO r No. Address 1 �? 1. a LA QUINTA, CALIFORNIA 92253 Owner Expectation Constructio;z BUILDING: TYPE -CONST. -OCC. GRP. Mailing Address 54.-29 j Diaz A.P. Number City Zip Tel. i La Quanta 92253 564-0733 Legal Description � ii' y� l % /3 8e_61'e Contractor Project Description 5wie Address 'FD City Zip Tel.: State Lic. City & Classif. 613406 Lic. # 9 Se Sq. Ft. 1614 No.' No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter C Repair ❑ Demolition ❑ Address Tel. • Permit does not include block City Zip State ;r1a1 or poolLic. # 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 Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following 9 , reason: (Sec. 7031.5,Buslness and -Professions Code: Any city or, county which requires a 555.00 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 �. AMOUNT the provisions 0/ the Contractor's License Law, Chapter 9 (commencing with Section 7000) 01 - 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 Plan ChODep. subjects the applicant to a civil penally of not more than live hundred dollars ($500).' ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bu!sness and Const. Professions Code: The Contractor's License Law does not apply to an owner of property who 635. 0 0 builds or improves thereon and who does such' work himself or through his 'own employees, Mech. _ 00 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 Me burdenElectrical - 4 - 4 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- Plumbing 7 _ C30 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. �'��� % q such projects with a contractor(s) licensed pursuant to the Contractor's License Law.), Grading 20 ❑ I am exempt under Sec. B. & P.C. for this reason _ Driveway Enc. j tt, 20. 00 Date owner N, Infrastructure . 1 112086.39 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a.certificate of consent to self -insure, or a certificate of v Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800; Labor Code;) Policy No. Company ©iCopy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 3647.150 3397.60 CERTIFICATE OF EXEMPTION FROM REMARKS f;,}c r, rt ? S ()(� jc;c 11( .�'i WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (5100) valuation 10 U'AL I U I Fig. I :16; O. ov or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not Laws of Californian in any manner so as to become subject to the Workers' Compensation C111g� v':3(`�ii f�'c, j'Y�, ����. Date Owner X ii 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 SetbacklDistances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) 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 cartify'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. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SO. FT. ® CARP. SQ. FT. WALL SQ. FT. ® SQ FT ® 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 ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES STORAGE TANK WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FOUND. REINF. y GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED HEATING (FINAL) LAUNDRY TRAY AIR HANDLING UNIT CFM GAS (FINAL) 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 LUMBER GR. SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac 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 GROUND PLUMBING 3h 7 DERGROUND'? A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 2' V SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. y GAS (ROUGH) 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. $ plus x$ _$ LUMBER GR. FINAL INSP. �l FRAMINGCJ L 49/FINAL INSP. ` ROOFINGW ` � 1 c b v /_ / [� �7t (LG REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL MESH INSULATION/SOUND 736 FINISH GRADING FINAL INSPECTION- NSPECTION CERT. CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL QUIN& P.O. BOX 1504 APPLICATION ONLY Building j / ,/) 78 105 CALLE CALIFORNIA9 Address � C/(��'i— LA QUINTA, ORNIA 92253 Owner _ 1 Mailing Address Ci Zip Tel. . 714 a v;i�i7;� 9,_D93 I S6 y -,o,723 Contractor �L Address City lZip Tel. State Lic. City & Classif. 6Lic. q/, Arch., Engr., Designer Address Tel. City Zip State Lic. q LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 700D) 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 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). 1: 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 (hat 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.) 1 i 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.) I am exempt under Sec. B. 8 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 n Copy is filed with the city. C. 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, ddress City, State, Zip 11LDING: TYPE CONST.—OCC. G/R�P. P. Number 2_ O'` / 7 , 0 Q gal Description �/ /3 oject Description Sq. Ft. Size New O No. Stories No. Dw. Units Add O ' Alter ❑ Repair ❑ Demolition O PERMIT AMOUNT - Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. I rastructur 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: Cate Permit Validated by: Validat DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway '111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 5/22/92 Type of Permit I La Quinta No. 11413 Permit # Log # Owner Name Expectation Construction No. 52416 Street Villa City La Quinta Zip 92253 Study Area 112 APN # Tract # Lot # Square Footage 11614 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. 1.58 X 1614 or$ 2,550.12 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 Roger Snellenber>;er & Assoc. Telephone 771'M1 Name on the check Y By James E. Lively Assistant Superintendent, Business Services -Y . "r- t p Fee collected /exempted by Vickie J. Durrett Payment Received.- ? ` Signature �Q,� Check No. 1298 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 CALVIN C. KAMINSKAS + DAN RILEY �'"� ' o' a Sealer. Weights & Meosures Assistant Commissioner 9 (714) 275 J000 v (714) 275!3030 . Is _ ;.OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite 7 Indio, CA 92201 .(619) 342-8291 DATE 02 CASE NO. PG 9L & a q 9 / DEVELOPER'S NAME: 9 - ADDRESS- CA TELEPHONE: ( ). S c Cif % o (o so �e�i/S�/ �'aMau- ���� t-ts a&k4l Mho cef3 Uis-7 eawiiea d s 61";:01 Mho L d t 7 N10''4UaAa (ptw 064-4 Ou"do 'e vB/D DoT q l3loe,rs�l Jt t�oi 7 �L r IAO �+�So` Dear Develo Y�' s 3 �3Lav 3 Mia rx.�c �oTr3 r, /a>. V &LA �o Gora L e �/o�.n 6 y (lf1CA cors /3Lar�65. o,9&Tzw,�' co; 3 a K aby RcvA AAD After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions 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, ' Agricultural Comrnissio is Office cc: Indio and Riverside 4Q80 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 —.FAX (714) 275-3012 orp`v (t of �utl to �tnb $a t t tun This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building r 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 52-416 Villa Use Classification SFD Bldg. Permit No. '10457 Group R3 Type Construction VN Fire Zone Use Zone SR ' Owner of Building Expectation Construction Address 54-295 Diaz City La- Quinta, CA 92253 . - BY: Lonnie Day Dote; 8/7/92 Building official POST IN A CONePICUOUs PLACE