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11395 (SFD),;i ,91, ii, lZ'�=%/�/, --% \• - - _ )91)S 110. UIN �1 I MOF0 4 I;; ' i _• jluitbl-U4 anb $afvt t beitun This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building 3 ; 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: I BUILDING ADDRESS 53-970 AVENIDA MADERO t�/b4�t.ltkltt�£il�, '�1' �4t{ SINGLE FAMILY DWELLING 1139 Use Classification Bldg. Permit No. I (; Group R3 Type Construction VN Fre Zone Use Zone SR !:I!� Owner of Building KATHRYN HULL Address 41865 BOARDWALK, 4112 City PALM DESERT, CA 92260 BARK HAROLD Ii Date; MARCH 30, 1993 Building Official POST IN A CONSPICUOUS PLACE �- TA*hf 4 4Q abt I v �1 V40 LMAN C'IUkUl P.O. BOX 1504 �(fST APPLICATION ONLY Building ss ,- �5� �ZO&C6 78 105 CALLS ESTADORNIA 9r'Address�./,.JLA QUINTA, CALIFORNIA 9225 Owner " / - f yy� a BUILDING: TYPE COCC. GRP. Mailing Address /�/�—�/�� ASG �//o A P Number Por Zip :y Address . - . . -3 No. Stories City -` ' Zip Z� Tel.. Repair ❑ Demolition ❑ a r 1 State Lic. & Classif. 5 f�'9c�Zl� City Lic. # - Designer1. Address Tel. Front Setback from Center Line Cite ' Zip State Lic. # X,� Side Setback from Property Line Le Legal Description / Project Description W" ,53970 rS'Iv /f/loo�o LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under pro sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business d Pro ssions Code, and my license is in full force and �,,,�ffect. �S GNATU 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, 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 or sale.) O I, asowner 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 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 r ❑ Copy is filed with the city. O 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. 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 BUILDING DIVISION Sq. Ft.o�� -) Size No. Stories No. Dw. Units New ❑ Add0 ❑,, Repair ❑ Demolition ❑ a r 1 ,Alter � 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: Estimated Valuation / u? f 7 PERMIT AMOUNT Plan Chk. Dep. -r--- Plan Chk. Bal. Const. , Mech. Electrical 2 Plumbing S.M.I. Grading Driveway Enc. TOTAL REMARKS a r 1 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 GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES COLL. AREA SLAB GRADE 1ST FL. SQ. FT. ® $ -7 / UNITS STORAGE TANK i SEWER OR SEPTIC TANK ROUGH WIRING 2ND FL. SO. FT. ® ROCK STORAGE FOUND. REINF. a . YARD,SPKLR SYSTEM HEATING (FINAL) OTHER APPJEOUIP. q � MOBILEHOME SVC. BAR SINK GROUT WATER HEATER POR.2-7 SQ. FT. ® W BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ GAR. SQ. FT. ® O6o POWER OUTLET FINAL INSP. ROOF DRAINS FINAL INSP. CAR P. SQ. FT. DRAINAGE PIPING VENTILATION WALL SQ. FT. ® -� <D DRINKING FOUNTAIN SQ. FT. ® URINAL SPARK ARRESTOR ESTIMATED CONSTRUCTION VALUATION$ GAR. FIREWALL WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN INSULATIONISOUND MECHANICAL FEES FINISH GRADING WATER SOFTENER FINAL INSPECTION VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) FENCE FINAL APPLIANCE DRYER INSPECTOR'S SIGNATURESIINITIALS GARBAGE DISPOSAL GARDEN WALL FINAL FURNACE UNIT WALL FLOOR SUSPENDED — LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ,i - ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP 6 POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac y 7A I HOUSE SEWER 2 GAS PIPING PERMIT FEE S PERMIT FEE PERMIT FEE -� DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEtCONST. FEE ELE T. FEE SMI FEE PLUMB. FEE 6� vv �7'?W 8/y,So /S o0 STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR 111 ' 5^ 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. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND 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 Date9/18/92 No. . 11727 Owner Name Kathryn Hull No. 53970 street Madero city La Quinta zip Type of Permit I La Quinta Permit # Log # ooO 17 -VA 06 -aa C4 t Study Area 113 APN # 774-143-012&1 Tract # Lot # Square Footage 12577 Type of Development Single Family Residence No. of units 1� 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 12.577 or $ 4,071.66 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 General Construction Management Co. Telephone Name on the check By - James E. Lively Assistant Superintendent, Business Services p y Shelle D. Bennett Fee collected /e em ted b 7 PayEnt, Received- Signature rr) J ! ' , � _- Chactc No. 6207 Collector: Attach a copy of county or city plan check application form to district r,;c,pyf63all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting