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10665 (SFD)P.O- BOX 1504 No. i©665 Building4 7&105 CALLE ESTADO Address 44-265 Vi31eL a Drive LA QUINTA, CALIFORNIA 92253 Owner La Quinta Vista Partnership Mailing BUILDING: TYPE CONST. OCC: GRP. Address P. 0. Box 227 A.P. Number City Qainta Zip92253 Tel-345-7872 Legal Description Tract 23269 Contractor Project Description Lot188 Plan 3 same Address City Zip Tel.: State Lic. City & Classif. 500341.6 Lic. # 164-6 sq. Ft. 2307 No. No. Dw. Size Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolitiori ❑. Address Tel. City Zip State Lic. # LICENSED CONTRACJOR'S DECLARATION I hereby _affirm that I am licensed under pr, visions of Ch pter•9 commencing with Section 7000)sof*Division 3 of the Busin °ss and Professions Code and y I'nc'ense is in full force and ,� < SIGNATURE s' DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following. Estimated VfllUatlOn': reason: , (Sec: 7031.5,Business and Professions ,Code: Any city or county which requires a a 123,308 permit to construct, atter, 'improve, demolish, or repair any structure, prior to its issuance also requires the applicant. for such permit to file a sidrled 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 for the alleged exemption. -Any violation of Section" 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars.(5500). n o ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal- J 8 w 60 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. Professions Code: The Contractor's License Law does not apply to an owner of property who 723. 50 builds or 'approves thereon and who does such work himself or through his own employees, Mech. 8 {� 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 Electrical -e of proving that he did not build or improve for the purpose of sale.)- 65 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to coo- . Plumbing 138. 50 . 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 $,M -I. 8 � 58 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading 0 1 am exempt under Sec. B. & P.C. for this reason Driveway Enc - `Date owner Infrastructure i 2774.43 Arts- -in Public, 58.27 WORKERS' COMPENSATION DECLARATION 1 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.) Po icy No. Company K'3 fi 17 . t e a ! 0 !P Ry Copy. is filed with the city. ❑Certified copy is hereby furnished.Yr`d `i�3f�' d Ant t t r TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (8100) valuation ' or less.) I certify that in the performance of thg work for which this permit is issued, I shall not =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: subject 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 if work thereunder is suspended for 180 days. ' I 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 IST FL. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SQ. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN. SQFT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES Ar. WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED CAx ( /' / O Y��� 3//^ 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. SO. FT. ® c BATH TUB 14 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 Vic SEWAGE DISPOSAL INSULATION/SOUND SQ.FT.GAR ® V4c HOUSE SEWER FINISH GRADING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE r 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 i Ar. WATER SYSTEM FINAL INSP. GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING FINAL INSP. ROOFING CAx ( /' / O Y��� 3//^ REMARKS: VENTILATION " 12 64 44 dA FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 14 MESH ZY Y 40 INSULATION/SOUND FINISH GRADING FINAL INSPECTION - NSPECTIONCERT. CER T.OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL n ' s DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 3/10/92 Type of Permit La Quinta No. 11246 Permit # Log # Owner Name La Quinta Vista Partnership No. street See Below i _ city La Quinta zip 92253 Study Area 0 APN # Tract # J Lot # E Square Footage 14614 Type of Dev0opment Single Family Residence No. of unite 0 Comments f AA -9.(; 1; Vildrd 7A__t;F;0 "RO—.P1n Vni1A-. ' 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 i t This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.58 X 4 614 or $ 7,290.12 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 Paidby Swan Development Co. Telephone 360-1619 Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Shelley D. Bennett; , Payment Recei=r 'c1 lk Signature ��� �Ch®ck No 001•:9' �V r�. Collector. Attach a copy of county or city plan check application form to district cop`fo,.sill evarv_ ers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting ` ` rr v 4n J�M of Kin U (0 t a uta to ani �S'afet30.1 t, This Certificate issued pursuant to the requirements of Section 306 of the Uniformi Building Code certifying that at the time of issuance .this structure was in,compliance with -the various 6rdinances of the City regyldting building construction or use. For the following: BUILDING ADDRESS 44-265 VILLETA DRIVE Use Clossif ication SINGLE FAMILY DWELLING Bldg. Permit No. 10665 Group R3 Type Construction VN Fire Zone Use Zone SR Owner of Building LA QUINTA VISTA PARTNERSHI Address 44120 CRISTOL PLACE City LA QUINTA, CA' 92253 BY. MAR . K HAROLD ... .......... Date; JUNE 23, 1992 Building Official POST IN A CONSPICUOUS PLA61E