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04940 (GRES)Building Address 7$225 Na3cign Owner Pnk Tti►aS Mailing Address Same City Zip La Qninta 92.25 Contractor Address 77-350 Arroba State Lic. A Classif. Arch., Engr., Address 443118 ' u P.O. BOX 1504 78-105CALLE ESTADO LA QUINTA, CALIFORNIA 92253 3ity, : (Zip (State Lic. LICENSED CONTRACTOR'S DECLARATION 1hereby afftrm that.l am licensed under Pronisians of Chapter 9 (oc 70 19:bhtslon 3 of the,Businerss and ProfesWwm Code, and my Iic DECLARATION No. 04940 1 hereby affin. that I am exempt from the Contractors,Waense Law for the following reason: (Sec- 7091.5,8uafness and ProAaesians Code: Any city or comfy -wMch re0hdre! a permit 20 eanstnret„ after, brlWove, dente- -' or repay, any structure, prior to ds lssuence also requires flue appltcarrt for .each penia to ®e a thatz heis ficerrsed pursuant to Ore pror6iora of One C� arxore ticarhse Law, p�pter , 9 (e6rrananrJrg w0h Section 7000) of OINIslon; 9 of. the and Raises!ons. Code, or that. he is eirempt tberehom, and the basis lor the alleged a:erimpton. Any .ioIN' of Section 7031.5 by 'ay app6can! for a pemdf srdyecfs fire appthanf.to a civft penalty of noYmore tan five hundred dollars (9500). ❑ 1, as owner of the property,, or my employees with wages as their ads compensation, will do the work, and the stricture Is riot intended or offered for sale..(Sec. 7044, Sulaness and Protessions Code: Tho,Canhactora License Law does not apply'lo an owner of property who builds or enpm es themon and who does such rarer himself or Mrough his own employees. provided Olaf such kgxvvwnents are not Intanded or offered for soba. t, however, the bukft or briprovement is said wW& one .year of completion, the owner budder will have the burden of proving, that he did not buildor inprove for Ole purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with lid contractors'to con- struct the project. (Sec. 7011, Business and Ratesabrs Code: The Contractors License Law does not`appJy town owner of pigperty who builds or inpmves themon. and aft contracts for such prgjs�ia wftA a cmtraclor(sl 6earrsed Puisuwd to the ContractorsLloerae Lew.) . ❑ 1 am exempt under Sec. a a P.C. for this reason Date owner WORKERS' COMPENSATION DECLARATION I thereby affirm tthat l have a mentitie,ate of coneerhtr to self -Insure, or,a certificate of Workers Canpensation Insurance or a celtified copy th4ieof. (Sec. 9800, Labor Code.J ❑ (:opy is tied with the clty. ❑ Certified copjr tsdt�reby famished. CERTIFICATE OF IEKMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be 00 B tie 130nolf is foram hundred dogars 0100) valuation m leas.) I,certify that in the performance of ft work for which this permit Is issued, I shall not employ.arty person in any manner so as to become subjeetto the Workers' Compensstion Laws'of.Caiitomle. Data Awm r NOTICE TO APPLICANT. Q after imbig this Cerdlieffie of Eiemptar you should become at to flue' Mbdmv' Cmperamon Provisions of the Labor Coda. Yoe waist forthwith comidy with such Provisions or Ods permit shad be deemed revoked., CONSTRUCTION LENDING AGENCY 1 hereby affirm tet there is a construction lending agency for the performance of the work'for which this permit is Jssued (Sec. 3097; Chd Coda.) Lenders Name Lenders AddrAaa This is a.building permit when property filled out, signed and validated, and+is.subject,to expiration ItWork thereunder is suspended far 180 days. I certify that 1 have read this application and stats that the above Information is correct. I agree to comply c"truction and Wherel all pa hhoriae rept countyand ordinances of this cityyttso entergbuildi ng e - mentioned property for Inspection purposes, Signature of applicant bate Mailing Address City, state, Zip Estimated PERMIT BUILDING: TYPE CONST. A.P. Number Legal Description Project Description OCC: GRP. Cart barn - Const. 38.5.0 Mech. Electrical 46$ - _ Sq. Ft. 121 Size No.. No. Dw. Stories Units S.M.I. New ❑ Add ❑ Alter ❑ Repair ❑ Demolitiori ❑ Driveway Enc. Infrastructure cing with Section sin full force an nd '. V: : --f - C ,` DATE 1 hereby affin. that I am exempt from the Contractors,Waense Law for the following reason: (Sec- 7091.5,8uafness and ProAaesians Code: Any city or comfy -wMch re0hdre! a permit 20 eanstnret„ after, brlWove, dente- -' or repay, any structure, prior to ds lssuence also requires flue appltcarrt for .each penia to ®e a thatz heis ficerrsed pursuant to Ore pror6iora of One C� arxore ticarhse Law, p�pter , 9 (e6rrananrJrg w0h Section 7000) of OINIslon; 9 of. the and Raises!ons. Code, or that. he is eirempt tberehom, and the basis lor the alleged a:erimpton. Any .ioIN' of Section 7031.5 by 'ay app6can! for a pemdf srdyecfs fire appthanf.to a civft penalty of noYmore tan five hundred dollars (9500). ❑ 1, as owner of the property,, or my employees with wages as their ads compensation, will do the work, and the stricture Is riot intended or offered for sale..(Sec. 7044, Sulaness and Protessions Code: Tho,Canhactora License Law does not apply'lo an owner of property who builds or enpm es themon and who does such rarer himself or Mrough his own employees. provided Olaf such kgxvvwnents are not Intanded or offered for soba. t, however, the bukft or briprovement is said wW& one .year of completion, the owner budder will have the burden of proving, that he did not buildor inprove for Ole purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with lid contractors'to con- struct the project. (Sec. 7011, Business and Ratesabrs Code: The Contractors License Law does not`appJy town owner of pigperty who builds or inpmves themon. and aft contracts for such prgjs�ia wftA a cmtraclor(sl 6earrsed Puisuwd to the ContractorsLloerae Lew.) . ❑ 1 am exempt under Sec. a a P.C. for this reason Date owner WORKERS' COMPENSATION DECLARATION I thereby affirm tthat l have a mentitie,ate of coneerhtr to self -Insure, or,a certificate of Workers Canpensation Insurance or a celtified copy th4ieof. (Sec. 9800, Labor Code.J ❑ (:opy is tied with the clty. ❑ Certified copjr tsdt�reby famished. CERTIFICATE OF IEKMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be 00 B tie 130nolf is foram hundred dogars 0100) valuation m leas.) I,certify that in the performance of ft work for which this permit Is issued, I shall not employ.arty person in any manner so as to become subjeetto the Workers' Compensstion Laws'of.Caiitomle. Data Awm r NOTICE TO APPLICANT. Q after imbig this Cerdlieffie of Eiemptar you should become at to flue' Mbdmv' Cmperamon Provisions of the Labor Coda. Yoe waist forthwith comidy with such Provisions or Ods permit shad be deemed revoked., CONSTRUCTION LENDING AGENCY 1 hereby affirm tet there is a construction lending agency for the performance of the work'for which this permit is Jssued (Sec. 3097; Chd Coda.) Lenders Name Lenders AddrAaa This is a.building permit when property filled out, signed and validated, and+is.subject,to expiration ItWork thereunder is suspended far 180 days. I certify that 1 have read this application and stats that the above Information is correct. I agree to comply c"truction and Wherel all pa hhoriae rept countyand ordinances of this cityyttso entergbuildi ng e - mentioned property for Inspection purposes, Signature of applicant bate Mailing Address City, state, Zip Estimated PERMIT AMOUNT Plan Chk. ,Dep: Plan Chk. Bal. Const. 38.5.0 Mech. Electrical Plumbing S.M.I. .50 Grading Driveway Enc. Infrastructure TOTAL REMARKS 11i;�:e�7:S(.,:w.ic{?x i��7''�`�.�f'" f."�.–,z. r�.A ('.;•r" 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 12 6/88Permit. Validated by: Validation:— R CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ S UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO.. FT. ® FORMS SEWER OR,SEPTIC TANK ROUGH WIRING, MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. 0 POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SO. FT: ® GROUT WATER HEATER WAIL SO. FT. j FINAL INSP. DRINKING FOUNTAIN, SO. FT.. a WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be, used as property tax valuation FINAL INSP: FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE. DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING: 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. SO. FT. ® c BATH TUB W�IITHING 2 —� SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/i c SEWAGE DISPOSAL. SO.FT.GAR ® 3Ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.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 APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. S Plus 4 _$ LUMBER GR. FINAL INSP: R G'7- FINAL INSP. FING Z.i z r REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE ., S ARK ARRESTOR G LL 2 W�IITHING 2 —� MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL ' INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL l 6t 14 A I° Sally Allen Great Western Real Estate 73-261 Highway 111 Palm Dese:rt, California 92260 RE: 78-225 Hacienda Drive, La Quinta Dear Sally, On September 22., 1988 the'Architectural Committee of the Villa La Quinta Homeowners Association met and gave approval -for the golf cart; garage addition to the referenced property as proposed by Ken Pearson Construction._ I trust that this letter of approval will allow the removal of the contingency of your escrow. We look forward to having Mr. and Mrs.. Ross as.members of our Association. SiO.Brent erely, Bourdeau President,, Villa La. Quinta HOA JBB:jb cc: Mr. and Mrs. Patrick C. Ross xist bldg ;1'1. V. do' Z'eg 4Gffc, bv , Sectional garage door -f-flac'eled P001'equip r E,,.,,is,t. block Wall VHI S.- a mi i► I.