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11692 (SFD)4 V P.O. BOX 1504 N o . 11692 Building 78-105 CALLE ESTADO Address 52-654 Eisenhower LA QUINTA, CALIFORNIA 92253 Owner LQC/Harlan Lee and Associates BUILDING: TYPE CONST. OCC. GRP. Mailing Address 310 Washington St. A.P. Number 773-301--009 City Zip Tel. Mission T321 ReY1, CA 94292 340-3113 Legal Description Contractor Project Description SFS Harlan Lae & Associates Address 'f Same City Zip Tel.: State Lic. 457700 City & Classif. Lic. # Sq. Ft. No. No. Dw. Arch., Engr., Size 16914 Stories Units Designer New Ll Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Permit does not include block walls or City Zip State nool Lic. # LICENSED CONTRACTOR'S DECLARATION 1 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 Lay for the following $99,447.40 g� A ��,� •� reason:, (Sec. 7031.5,Business and Professions Code: Any city or count 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 PERMIT AMOUNT 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 4 for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. 290.28 +y�AA 'i c3 subjects the applicant to a civil penally of not more than five hundred dollars ($500). Plan Chk. BBI. t 9 L ..x c7 ❑ 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 Const. 639 . r50 Professions Code: The Contractor's License Law does not apply to an owner of property who r� builds or improves thereon and who does such work himself or through his own employees, Mech. 55.50 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 Electrical3 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 144 .00 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. 10.00 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - Grading 20.00 ❑ I am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure 2,199.32 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.) PolicfiNo.Company 1 • � .? � '�^fiCopy is filed with the city. O Certified copy is hereby.furnished. Y i '" I t )��j ''� �f y I :. 1 lV1 TOTAL 3t741.23 3,49 .23 CERTIFICATE OF EXEMPTION FROM REMARKS 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 thip 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 ZONE: BY, sObject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. 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 it work thereunder is suspended for 180 days. 1 certify 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„ 1ST FL. SQ. FT. ® $ UNITS COLL. AREA 2ND FL. SQ. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DUCT WORK DRAINAGE PIPING WALL SQ. FT. GAS (ROUGH) 11 DRINKING FOUNTAIN. SO. FT. ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as properly tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM. FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. $ -Plus-X$-=$ LAUNDRYTRAY AIR HANDLING UNIT CFM FINAL INSP.��,ttt L� 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 SPARK ARRESTOR 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 Q3' UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER8�9EP%}@-FItNK-+j f 3 ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) 11 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.��,ttt L� FRAMING 2l (f-3 FINAL INSP. 1 G Q, ROOFING ;ZR 3 G n US �� rJ/ `��/ Well REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL RING MESH INSULATIONISOUND .Q cJ�/ FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL Received Address: Account No.�[%` - �� • Lot(s) Service Address P�/� ��.r�� •-�'�1�_�,e, �� U,*Y6_ter(s) rvice(s)- ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) ❑ Meter Surcharge ❑ Sanitation Capacity Charge ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract -. Fee - ❑ Plan Check Fees Water I Sewer - Tract - ❑ Bond Payment - A.D. - Bond' Assmt. ❑ Customer Deposit ❑ Other Remarks: ❑Copy to: Cash Check Money Order. N2 41631 Tract G.A. Code $ TOTAL $ Z46 CALVIN C. KAMINSKAS Assistant Commissioner (714) 275-3000 OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite 7 Indio, CA 92201 (619) 342-8291 DAN RILEY Sealer, Weights & Measures (714) 275-3030 DATE ,"2- /3 o Z( Z CASE NO. �� l a 30 �Z_ 14 - DEVELOPER'S 1LDEVELOPER'S NAME : ADDRESS:C� TELEPHONE: () � - Dear Developer: 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 Commission s Office cc: Indio and Riverside 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 = FAX (714) 275-3012 0 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. ordinances of the City regulating building construction or use. For the following: SUILDING'ADDRESS, 52-654 Eisephower.Drive Use Classification Single Family Dwelling Bldg. Permit No. 11692 Group R3 Type Construction V14 Fire Zone use zone SR La Quin I ta Cove Home, Inc. 310 Washington,'Ste. P214 Owner of Building Address City Santa Molica, CA 90292 By, Lonnie Day Date,April 21, 1993 Building Official POST IN A COINtIPICUOUS PLACE