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10540 (PAT)� IF�Qr�i�tw P.O. BOX 1504 r No. 10540 Building 78-105 CALLE ESTADO\Jt Address 78-815 Grand Traverse LA QUINTA, CALIFORNIA 92253 �� Owner T_ Ernest Doe Address same City Zip Tel. La Qui.nta 1.92253 Burgess Builders Address 81-263 Palo verde Dr City ' Zip Tel.: indio 92.201 347-8521 State Lic.I City & Classif. B 541464 Lic. # Arch., Engr., Designer Jeffrey B. Young Address I Tel. City Zip State Lic. # 43750 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 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-BUILDERDECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Bustness 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, 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.) ❑ 1, 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.) 0 I 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 as to become subject to the Workers' Compensation Laws of California. Dale v_ T " - Owge4 / . r ;�. �. NOTICE TO APPLICANT: it, after making this Certificate o/ Exemption you should become subject to the Workers' Compensation provisions o/ the Labdi 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 BUILDING: TYPE CONS OCC. GRP. A.P. Number ,Legal Description Project Description Patio Cover Sq. Ft. �� No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 5,240.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 52.65 Const. €31.00 Mech. Electrical Plumbing S.M.I. .60 Grading Driveway Enc. Infrastructure TOTAL 134.25 REMARKS `l x `its i T ` MTAI T - U4.25 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 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. $Q. FT. FORMS SEWER OR SEPTIC TANK POR. $Q. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEQUIP. DRAINAGE PIPING CARP. SQ. FT. ® TEMP. POLE WALL SO. FT. GROUT DRINKING FOUNTAIN. SQ FT ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation -$ FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM. FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SQ. FT. ® c BATH TUB GAR. FIREWALL SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 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 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 INSPECTIOI�I'lj��C i CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL L''-12-92 THU 14:42 MARQUIS MANAGEMENT P.02 MANAGEMENT GROUP 35-975 Date Palm Drive, Suite 200 Cathedral City, Celifornla 92234 (619) 324-7700 o FAX (619) 324-1908 DESERT FAIRWAYS ARCHITECTURAL VARIANCE AUTHORIZATION NAME Ernest G. Doe ADDRESS 78-815 Grand Traverse Ave (lot 47) Your request for Architectural Variance has been approved by the Architectural Committee. Any changes requiring a Building permit must be obtained through the City and must pass any City Inspection. All changes must comply with City and County Codes. SPECIAL NOTES Please submit copies of all City permits and final inspection upon receipt. Than Your Nanc D ne Account Executive 8UuoINc � 199 & SgFFy EpT REGIONAL OFFICES JA•N'-28-92. _! „F� 32 �MC%RQU I S MANAGEMENT P. «��3�;:^,_•: — �.� ' :. G... . . 7.,,,..... ....,. . ARCH URAL APPROVAL APPLICATION OCC 3 p 1991 UNIT ADDR"r:SS:��1� C^ raL�-'C�RAy DATE:�- MAILING ADDRESS: two C"o� 1'��'-? PHONE:� MODIFICATION REQUESTED: Architectural Committee: You arehereby advised that the following work is proposed and approval is re- quesled. Attached are drawings of the work to be done and types of materials to be used are indicated on the drawings. We understand that building permits for home improve.me::ts are required by the City of �nd that the Cost of the permits and the respo .sibi.lity of obtaining i sand subsequent inspection will be borr.e by the applicant. We acknowledge that all approved changes in the original design will be at our expense; that any damage to or relocation of existing sprinkler systems, under- ground utilities, building structure and exterior landscaping or other damage resulting from the construction of these permitted improvements shall be at our expense; and that the maintenance of the permitted improvenents shall be at our expense. We also acknowledge that construction•of the request -ed' -and approved modifica- tions must begin within thirty (30) days of our receipt of written: approval, ,and that said approved modification muse be completed within sixty (60) days of rgggipt of written -.approval. F.ailure .-to•.comply with these. -or -any--of the— =}- above specifications will result in the nullification of this do t and subsequent: approval thereof. .21-1OWNER: �» tNF.ST C • 'C - S IGNATURE (please print) iirtttlrt:fae#etlf�ltrttrr#ttirtii#*tt*t###tlir4lt##is!###ttttt7llltttrrftRt##t###t* The above requested has been reviewed by the Architectural Committee and has been: G APPROVED REJECTED HELD PENDING INVESTIGATION CCMUENTS Date reviewed; d7 -h 1- APPROVED;, must have 2 signatures) S END TO: MARQUIS MANAGEMENT GROUP, 35-975 DATE PALM DR. # 200 CAT'BI-IDRAL CITY, CA 92234 Board Member) (Board Member)