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08246 (SFD)Building Owner Mike Clark T4tyl P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address 635 Mariners Island Blvd. City Zip Tel. San Mateo 944Q4 Contractor South Point Construction ress Aaa41-910 Boardwalk B-14 Tel. fUGI No. I� BUILDING: TYPE CONST OCC. GRP._ A.P. Number Caren► Cog - 48245 Legal Description Project Description lingla —�-e � State Lic. I City & Classif. Lic. # 1t�t�'3tAQ Arch., Engr., Designer Address I Tel. City JZip i[S,1?te I hereby affirm that I am li n d under proy(sions 4Chapter 9 (commencing with Section 7000) of Division 3 of the B si ss and Profe§sionstC3gde, and my license is in full force and effect. dI / / I hereby affirm that I am exempt'from the Contractor's License Law for the following reason: (Sec. 7031.5,Business andiProfessions Code: Any city or county which requires a permit to construct, after, improveprdemolish, 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). 0 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 orimprovement 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 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 i1 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 peon in any manner so as to become subject to the Workers' Compensation Laws of Cali ornirsa. 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, State, Zip Sq. Ft. Size 5"o No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 1381,725 PERMIT AMOUNT Plan Chk. Dep. 260.00 Plan Chk. Bal. 1098.83 Const. 1626.50 Mech. _109.00 Electrical 289.52 Plumbing 345.00 S.M.I. 26.74 Grading 20.00 Driveway Enc. 20.00 Infrastructure 6000,00 TOTAL 9785.559 9535.53 REMARKS ��j'' `f�A.. f "1`f.�?r�l � �'' '35.54 •J 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 7/11/9 ermit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING 2ND FL S0. FT. STORAGE TANK YARD SPKLR SYSTEM POR. SO. FT. ® ' ' MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. REINF. STEEL DRAINAGE PIPING WALL SO. FT. DRINKING FOUNTAIN. SO FT ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation LUMBER GR. FLOOR DRAIN MECHANICAL FEES FINAL INSP. / /ri / WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING 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 //1 �P �/L( a vP GROUND PLUMBIN z� 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) s -/((q C 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 � (C. FRAMING If FINAL INSP. / /ri / ROOFING �'Z�'Q� /�Bt �i/L �( /�� I�TGe f vJ�StO� r�r.Q QID��Q �� �(/a "� l ` P✓ �'Z G� . )�rp n/}/f l 3� —cuLo /��GG� jI'''¢- —eS Ca VV ^^'` �G� 1 a l l l( jZ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL MESH INSULATION/SOUND S�(� 1-1' FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 7/23/90 1 Type of Permit I La Quinta No. 107 Permit # Log # Owner Name Mike Clark No. 77-192 stet Calle Flora city La Quinta zip 92253 Study Area APN # I Tract # I Lot # Square Footage I N/A Type of Development I 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 Mitigation Agreement in the amount of 0.00 X00 or $-D.00 $ 64T have been paid to D.S.0 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 _ Franklin Money Fund Telephone Name on the check By John D. Brooks Associate Superintendent, Business Services �� ,• ,- -mss: � %, Fee collected /exempted by Shelley D. Bennett Pa3 nent. tp.S,�P4ed- Signature 69AAQIil `r' _ 3 Check No. 418 Collector: Attach a copy of County or City plan check application form to-Dig-firict copy. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting (,� � • �- �\• '-•'--� -.Ili '� �' -.�.ii .n ,c,-. .. �1•�'ll•l i="- •1 illi, •� � � �� ! v J! II �� l` 41 Tit� -of -Ka Ouinta ll' � ' ��� �Llt��tl�t • �1It� ' S�t�P� �t%t�t�It 11•j, �'•�.:iii; 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 s M; ordinances of the City regulating building construction or use. For the following: I BUILDING ADDRESS 77-192 Calle Flora � ; I: (i •� Use CI'assification SFD Bldg. Permit No. 08246 j � Group R3 Type Construction VN Fire Zone Use Zone SR I Owner of Building Mike Clark Address 635 Mariners Island Blvd. city San Mateo, CA 94404 By. Lonnie Day 1 (.i I Vr•� �� ! ,, Date; 4/18/91 1 ' I I Building Official POST IN A CONe}►CUOU! PLACE - — • La Quinta Joint denture 41 July 13, 1990 Mr. and Mrs. Michael Clark - 77 -192 Calle Flora La Quinta, CA 92253 Dear Mr. and Mrs. Clark: Building plans for your,home at 77-192 Calle Flora, in The Enclave at Santa Rosa Cove are hereby approved subject to submittal of satisfactory landscape plans reflecting size, type and placement of plants, trees and other landscape materials. Very truly yours, LA QUINTA JOINT VENTURE 1� Tom Hill Project Director TH:eh P.O. Box 780, La Quinta, California 92253, Telephone 619 564-1315