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15804 (SFD)A P.O. BOX 1504 Building 78-495 CALLE TAMPICO Address 47—%V; .Via LA QUINTA, CALIFORNIA 92253 Owner Landau Development Co. Inc. Mailing Address p.0. Box 1725 City Zip Tel. Palm SprinIsc 1 92263 It- 324-1476 Contractor Address P.O. BOX 2081 City Zip Tel.: Palm Springs 92263 328-2277 State Lic.. City 37 & Classif.` 91 - Arch., Engr., Designer ent3rr' .j. iTe.t: Address Tel. R.O. Boy: 1050 320-1211 City Zip State Palm Springs 922.63 Lic. #- LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) t. of Division-3.of''thie Busine��^ssssrrrand Professions Code, and my license is in full force and SIGNATURE ;::�a rVr' I Wa�A— PATE OWNEWBUILDER DEELA� TION I hereby affirm that 1 am exempt from thw((ConnlraCtor's License Law for the following C reason: (Sec. 7031.5,Business and Professions e: 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 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 of property who builds or Improves thereon and who does such work himself or through his own employees, provided that suchfmprovements 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 of sale.) O 1, 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 propertywhobuilds or improves thereon, and who contracts for such projects with a contractors) peened pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 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.) PolicyAo. Company opy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (This section need not be completed N 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 TO APPLICANT: h,' 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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. 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 ateMailing Address City, State, Zip N0. 15804 BUILDING: TYPE �C(ONST. V—N OCC: GRP. R3 f'3"C A.P. Number 3 — 11I1"o— 0 2-2, � 7� Legal Description i �� rf C7 261.5 1, Project Description , FD ZONE: 'BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear r rop. Line Side Street Setbackm Center Line Side Setback from Property �Line— FINAL DATE 7- INSPECTOR,��� Issued by:-- Validated y:_Validated by: Validation: Sq. Ft. 27r�yq Size No... .Stories No. Dw. Units New Y9 Add ❑ Alter ❑ Repair ❑ Demolition ❑ or pool. Estimated Valuation i7 ► 436 • 00 i PERMIT AMOUNT Plan Chk: Dep. • Plan Chk. Bal. 49=0 .03 Const. 7. 00-D Y' Mech. • Electrical Plumbing j S.M.I. Grading Driveway Enc. - InfrastructureI Joe 3:0 artu In Public is P'l f .Fes t60..5 TOTAL �' • • REMARKS ZONE: 'BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear r rop. Line Side Street Setbackm Center Line Side Setback from Property �Line— FINAL DATE 7- INSPECTOR,��� Issued by:-- Validated y:_Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES t 1ST FL. SO. FT. @ $ UNITS' �+ 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. @ MOBILEHOME SVC. BAR SINK GAR. SO. FT. @ POWER OUTLET ROOF DRAINS CAR P. SO. FT. @ GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN SO. FT. @ TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ROOFING �� Z 9,f LAUNDRY TRAY AIR HANDLING UNIT CFM EMARKS: 3 0 - e 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 MESH SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1 % c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac HOUSE SEWER CERT. OCC. 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 p �%� o GROUND PLUMBINqp9 S UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS �S SEWE R / ROUGH WIRING DUCT WORK ROCK STORAGE / FOUND. REINF. C �/9( ✓ 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 �� Z 9,f �!�/✓S J �/J /%��s�/�� /,/G��� 140rA r 0-5/4 (�!� / EMARKS: 3 0 - e VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND /� �/ 9✓ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED • SCHOOL DISTRICT i� 82-879 Highway 111- NOTICE: 11 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated, 619-775-3500 Date 8/22/95 Type•of Permit La Quinta ' No. 113633 Permit # Log Owner. Name. Landau Development Co. Inc: f. No..47575 Street-Via Florence City La Quinta Zip 92253 Study Area 123 ,APN # 643-110-022-9 Tract # 126152 Lot # 221 , Square Footage 12794 Type of Development Single Family Residence No. of units Comments At the present .time, the Desert Sands Unified School District does not c©llect 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' 1.72 x 2 794 or $ 4,805.68 have been paid to D.S.U.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 Imperial Sun Construction, Inc.Telep196ne2277 Name on the check, BDolores. A. Ballesteros k Y • Superintendent Fee collected /exempted by Pauline .Pearson Payment.Rece,Ved Signature ,N.tJ i 1 o iu �� PDP A► A ,P it'• ��,,. , i . V $4,805:68 Check No. 14029 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt' Copy - Am-counting N�lN��,2s 2�s�o '� pct :cry rc Rc'✓iCw-*;/ Fv �P.4gn1 t2 1�+9'h L oEFGEc�1/vNS . '7-a gE GESS 77! i9•N �owoi c (�EFe-ell N • l ��` 9 l�Fi?�!G $ bW 309N 9EI/1SE16 7M SFfvu) pLywoo.� ,Yffslni411v G 17Fi" /3-,FOtM04VO4 4w#t-y5IS �-ks mav►vlO ON sh, 4G oc S-MUcT iTFM '� l9 BC,JC4l�lG l�1or ►2E4D per? :out 0onliJr�2Si�?'i0�1 n 3 s B EEN R U rS O o S�vuJ , M ET4-L CotlnlE Tot. (►' /1-6 1 # Z 3 - TkA NOT6 SHOWN MJ > OOM0oft04, NowN IN lgox) 151EE j ►2>✓.v,sleo To mojrog 3►� C�!L,..( 2vM Si tckto2 To 13oT�mh o>= I7E M 4�. 24 - S N F uj 0ig IM (L