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06312 (SFD)T-iht 4 4Q" P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 48-247 Mlle Floristas LA QUINTA, CALIFORNIA 92253 _ Abe r'S$t Thelma Crost3mm Mailing Address W10 Corbin Ave., S-3 City Zip Tel. Northridge 91324 No. Stories 818-345- IiS94 Contractor Alter ❑ Repair ❑ Demolition ❑ • 3-C..-.�OY$3�l • ice. rr. •,... ,, . Address ;f 6 City P•�ii3ii - S@tt ZIpg2 6i1 C, Te13445-5430. State Lic. E'r ,,�, 7Lic. Estimated Valuation City !" & Classif. 155333 b' # �•2�j�.' Arch., Engr., Designer X22.54 Address 626.00 Tel. City (Zip (State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section N 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect �• SIGNATURE DATE OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractors License Law for the following -� reason: (Sec. 7031.5,Buseness 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 fde a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or 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). ❑ 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 or property who (wilds 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 or completion, the owner -builder will have the burden or 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- 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 ' r 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 O Copy is filed with the city. ❑ Certified copy is hereby fumished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be Completed il 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 person in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT. N, 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 i5 issued. (Sec. 3097, Civil Code.) Lenders 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 No. 46312 BUILDING:' TYPE CONST. OCC: GRP. A:P. Number - ... 617 -652--424' Legal Description Project Description Tract 20 052-2, i ltm IRS Lit $4 Sq. Ft. 1852 Size "' No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $96,142 PERMIT AMOUNT Plan Chk: Dep. Plan Chk. Bal. X22.54 Const. 626.00 Mech. 63.00 Electrical 167•.28 Plumbing 1.32.50 S.M.I. 6.73 Grading Driveway Enc. Infrastructure 2,163.19 TOTAL $3,618.30 REMARKS 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�INNSPP CT�OR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO. FT. ® $ UNITS COLL. AREA SLAB GRADE ` � ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SQ. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT, ® DUCTWORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. SQ. FT. &GAS (FINAL) TEMP. POLE WALL SQ. Ff. DRINKING FOUNTAIN. GROUT WATER HEATER URINAL SQ FT ® FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE Not to be used as property tax valuation GRADING cu. yd. $ plus x$ FLOOR DRAIN MECHANICAL FEES FINAL INSP. ' — .Gil VV 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 ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® V4C HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE ' L.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK .� GROUND PLUMBI UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ` � ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OF Rgjj 9N" ROUGH WIRING. DUCTWORK ROCK STORAGE FOUND. REINF. fl/GAS (ROUGH) &0METER Il�wv 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 GSR. FINAL INSP. ' — .Gil VV &RAMING 1 L� r FINAL INSP. ' � � av( ;@/--ROOFING (1p, ' C I I CI � 0 � REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL /� //����—p W kATHING (� ^ U MESH LINSULATION/SOUND /—I L. Oto FINISH GRADING _ I FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL MAY — 5-9,2 FR I 10 1.5 MAROY I S MANAiGEMENT P 03 b APR t r 1992 LAGUNA ' ne i.n rnz ARCHITECTURAL VARIANOE REQUEST unit !� Date Street Address 1/012dje/len2s/111 Ls _l..2a�) Local Prone pl� �S�a�— other Phone -2) k) To the ArChiteatural Committee: we, the undersigned owners, request your approval of the modifiCattons proposed on the reverse side of this form. Atta;hed ere drawings of the work to be done; types of material to be used are indicated on the drawings. We understand tnat building permits for home improvements are required by theCity of La Quinta and that the cost of the permits and responslbili:y of ObtdiniRg permits and subsequent inspections giil be borne by 'us. We ackowledge that all approved changes in the original .! design will be at our expense; that any damage to Or =alocatlon of existing sprinkler systess, underground utilities, building structure and exterior landscaping or .• _ otter damage resulting froze construction of these permitted Improvements drill be at our expense; and that malntenanCV of • _-the permitted tmprovements will be st our aYpense: _ ,MAY— $-92 FRI 10:14 MARQUIS MANAGEMENT P.02 �� pi �/s maEwr.I V aROv9p • ' ` I 39"�RMSG� � 00#e6s� 2W ca CRY cafte" t 9=4 46191 324.x=. • FAX $19) =4.19M LAGUNA DE LA PAZ ARC)EEITECTORAL VARIANCE AUTHORIZATION NAME Darrell Clark Ortiz ADDRESS 48-24'7 Calle Floristas Your request for Architectural Variance has been approved by the Architectural Committee. Any changes requiring a , building permit must be obtained through the City and must pass any City inspection. All changes must comply with City And County Codes.. SPECIAL NOTES Please submit a new drawing and copies of Building Permit and Final Inspection Report Thank ou, Nancy Duan Account Executive . REGIONAL OF'F1CIM VWA* + PAROO Cueaenor9 2 0 &n CIOMOM • ULM BW • COACht" W4Y 6 S&A Dego A MAY— 0-92 FRI 10:15 MARQUIS MANAGEMENT P _ 0 4 Please pravide as much detail as possible .so that t ' he committee may const.dar approval without delay[ - dox— the above proposal hue been reviewed by the Architectural Committee and `+aa been: APPROVED RE,.�CT=� PENDING FURTHER ( � 0 INFORMATION . "„// Comments$ OATE$ Committee Comm[,%tee Committee member MemOer Member S PCS .