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14443 (AR)P.O. BOX 1504 Building d 48'"217 Calle Floristas LA Q ress UINTA, CALIFORNIA 92253 Addr Owner & L`3i 3. DWA iiue�$.�sC�® Mailing same Address City Zip Faracy Construction Address 81824 Trader Place Cimdi.o,. CA, Zip 92260 State Lic. B 56.2506 & Classif. Arch., Engr:,"' Designer Address City of Zip .-775-=1760 City�� . Lic. # el. State Lic. # ' DECLARATION of Chapter 9 (commencing with Section Code, and my license is in full force and OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7Q31.5,Business and Professions Code: Any city or county which requires a permit to construct, after, 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 Buslness and Professions Cade. 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 penaltyof not more than rive 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 or improvement is sold within one year of completion, the owner -builder will have the burden or proving that he did not build or knprove. 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 �,te�rr'� WORKERS' COMPENSATION DECLARATION I hereby;6ffdrfi,that I have a certificate,ofoconsent to self -insure, or a certificate of Worker's req. mpensatfon Insurance; or a,&rtified copy thereof. (Sec. 3800, Labor Code.) ,.• . r,. Policy o. Company Copy Is filed with the city. ❑Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (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 thg work for which this permit.is issued, I shall not employ any pperson in any manner so as to become subject to the Workers' Compensation Laws of California No. 14443 ILDING: TYPE CONST. OCC: GRP.; Number Legal Description " Proj ct Description Room .AC1.Ci7 t:' on/Pstle—eaver Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ . Alter O Estimated Valuation PERMIT Plan Chk. Dep. - Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS Repair O Demolition ❑ ,778.00 AMOUNT 5.80 72. Cif? .GU 18.08 .00 .50 137.3U Date Owner NOTICE TO APPLICANT: ff. after making this Certificate of Exemption you should become ZONE: BY: subject to the" Workers' Compensation provisions of the Labor Code, you must forthwith Setback Distances: comply with such provisions or this permit shall be deemed revoked. Minimum Front Setback from Center Line Rear Setback from Rear Prop. Line WARNING: FAILURE TO SECURE WORKERS'COMPENSATION-COVERAGE IS UNLAWFUL. AND Side Street Setback from Center Line SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE i HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Side Setback from Property Line DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 Dateflul Mailing Address Validation: - City, State, Zip I C 1994- 994By BY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES IST FL. SO. FT. ® $ 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. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CARP. SO. FT. ® GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN SO. FT. ® 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 WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 LATHING 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 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 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 INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESlINITIALS GARDEN WALL FINAL 1• , Zq LACUNA68-895 Perez Road. Suite 23 (619) 329-5811 D E L A P A Z Cathedral City. CA 92239 FAX (619) 329-1701 8 November 1994 Mr & Mrs Don Guarascio 48-538 Via Encanto La Quinta, CA 92253 Mr & Mrs Joe Moyna 48-219 Calle Floristas La Quinta, CA 92253 C OA� The Laguna De La Paz Homeowners Association Board of Directors met on the 6th of November 1994 and again on the 7th of ..November 1994 to discuss the protest by Mr & Mrs Moyna relative to the modification of the structure located at 48-217 Calle Floristas as submitted to the Architectural Committee by Mr & Mrs Guarascio, owners of the residence in question. The HOA Board of Directors denied the protest and upheld the decision by the Architectural Committee approving the modification, as submitted, Four members of the Board of Directors were eligible to vote on the decision. ON BEHALF OF THE BOARD OF DIRECTORS C2 Ron Perkins, President cc: Herb Pachman, Chairperson Architural Committee Established 1984 '41ilica:e 0 "CIMEl iance: Residen>toal (Page ) of -9) CF -1 R r •oject Title Date Ll t�' 2 7 C,- CL r Rc. ! 1, oject Address Budding Permit a Plan CheCK i Date ocumentation Author Telephone Field Check i Date 3mpliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only 3ENERAL INFORMATION otal Conditioned Floor.Area: ft2 3uilding Type: Single Family _Addition :heck one or more) Mufti -Family,,--, _ _ �_ Existing -Plus -Addition =ront Orientation: J North / Eastouth / West / All Orientations (Input onentaooh in-ciegrees and circle one.) Number of Dwelling Units: loor Construction Type: Slab / Raised Floor (circle one or both) BUILDING SHELL INSULATION Construction Component Insulation Assembly LocatiorvComments Type R -Value U -Value (attic, to garage, typical. etc.) Wall .............. =yIL%L Wall ......... �� . ✓/ Roof ............. Roof ............. Floor.. Floor... Slab Edge .... FENESTRATION Shading Devices Fenestration Area Fenestration Interior Exterior Overhang Framing Type Orientation (sf) LI -Value (roller blind. etc.) (shadescreen, etc.) . (yes/not (metaltwoodlvinyl) Front..... ( 1 - Front..... Left ....... Left ....... Rear..... (� Rear ..... Right......( Right..... ( Skylight ...... Skylight- .... THERMAL MASS Type/Covering Area Thickness (slab/exposed. tile, etc.) (sf) (inches) Local ion/ Description (kitchen, bath. etc.) Revised January 1992 j Certificate of Compliance: Residential (Page 2 of 2) CF -1 R Project Title Date HVAC SYSTEMS Note: Input hydronic.or combined hydromc data under Water Heating Systems, except Design Heating Load. Distribution - Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat pump, etc.) (AFUE/HSPF) (ducts/attic, etc.) R -Value Type Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Configuration heat pump, evva�o. cooling) (SEER) (attic, etc.) R -Value Type (soli' or package) WATER HEATING SYSTEMS 1. For small gas storage (rated input S 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input 2 75.000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts t and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building pian to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business a Professions code) Documentation Author Name: Name: Tide/Firm: Address: Telephone: Uc. S: (signature) Enforcement Agency Name: Tide: Agency: Telephone: Tide/Firm: Address: Telephone: (date) (signature) (date) (signature/stamp) (date) RsvleW January 1992 Energy' Extemal Rated' Tank Factor or Tank Water Heater Distribution Number Input (kW Capacity Recovery Standby' Insulation Type Type in System or Btu/hr) (gallons) Efficiency Loss (%) R -Value c 1. For small gas storage (rated input S 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input 2 75.000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts t and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building pian to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business a Professions code) Documentation Author Name: Name: Tide/Firm: Address: Telephone: Uc. S: (signature) Enforcement Agency Name: Tide: Agency: Telephone: Tide/Firm: Address: Telephone: (date) (signature) (date) (signature/stamp) (date) RsvleW January 1992 34) `47".-,. - 1VE\A1 . EL 6 Vq-t-i o Y\ EIZVATION =M � L . P-; 67--� t /;-I -7>9,-/� 04 - _�i 4 cow REAR ELEVATION rl-7 .r . -sem,:.:: .... 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