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06612 (SFD)4 P.O. BOX 1504 N o . 06612, Building 78-105 CALLE ESTADO Address 55-305 Pebble Bea. LA QUINTA, CALIFORNIA 92253 Owner _ _ _ - uasrs. .avau siltavilcs Mailing Address 70 St. . S1 City Zip Tel. ✓ Costa Mesa 9Zb27 Contractor 3ASCORP 78-911 Country Club Dr., Suite _A City Zip Tel.- ftn ",An s*AAq_9040 State Lic. City ' & Classif. Lic. # Arch.; Engr., Designer Address Tel. City Zip State Lic. If LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under,provislons of Chapter 9 (commencing with Section =01 Division 3 of.the'Business and Piofestions Co✓dde` a_n�d my license is in full force and SIGNATURE DATE OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason:. (Sec. 7031.5,Busuress and Professions Code: Any city or county which requires a permit to construct, after, hinprove, demofsh, 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 provsiors o1 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 or Section 7031.5 by any applicant for a permit sublieds the applicant to a civil penalty of not more than five hundred dotlars (5500). ❑ 1, 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 Protessions Code: The Contractor's License Law does not appy to an owner or property who buff(% or improves thereon and who does such work himself or through his own employees, provided that such irprovemenrs are riot intended or offered for safe. lf, however, the building orimprovement is said within one year of completion, the owner -builder will have the burden or proving that he did riot build or irprove for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec. 7044, Busihess and professions Code: The Contractor's License Law does not appy 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 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No .Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the pemd 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 aliforniaDateowner NOTICE TO APPLICANT: lf, 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 shag 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 is issued. (Sec. 3097, Civil Code.) Lenders Name Lenders Address " This is a building permit when property filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. 1 certity 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 mf this city to enter the above-. mentioned property for Inspection purposes. Signature of applicant Date' Mailing Address City,. state, zip iUILDING: TYPE CONST. OCC: GRP. ,.P. Number PCA West egal Description SFD roject Description - M Sq. Ft. Size 6510 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ ftal not included! Estimated Valuation MOWS PERMIT AMOUNT Plan Chk. Dep. 525. Plan Chk. Bal. $1,419..91 Const. 2,942.50 Mech. 188.00 Electrical 32.3.99 Plumbing 327.00 S. M.I. 35.97 Grading 20.00 Driveway Enc. 20.00 Infrastructure 61000.0 TOTAL $19,625.57 A -_l REMARKS( r :n ',• n•w% :'�+s t2ct t 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 INSPECTOR Issued by: Date 10/31089- Permit Validated by: Validation: ARROW PRINTING, INDIO. Co. 2300 / }ea 263931•CH •4'r N Building 7&105 CALOLE ESTADO ' `O • 06612 Address 55-305 Pebble Beach LA QUINTA, CALIFORNIA 92253 Owner Mrs . Joan Brewer BUILDING: TYPE CONST. Mailina OCC: GRP. Address A.P. Number PGA West City Zip rel Costa Mesa 92627 Legal Description Project Description SFD Contractor JASCORP Address 78-911 Coiintry Club i City Zip Tela — Sta a 'c. Ciry gx Classif. LIC. # Sq. Ft. No. No. Dw. Size 6610 Stories Units Arch., Engr., New O Add 0 Alter O Repair O Demolition O Designer Address Tel. Pool notincluded City Zip State Lic. p LICENSED CONTRACTOR'S DECLARATION I try affirm that I am licensed under provisions of Chapter 9 (commencing with Section =Of 000) bW ivision 3 of the Business and Professions Code, and my license is in full force and %GNAMBE DATE OWNER -BUILDER DECLARATION reason =a7that from the �tor's��rse wryIor the following091.5.BaProtesslons ocowr pem* to cornstnrct, alter. hprove, dernofth, or repair any structure, prior to is Lssuance also for such permit to ft a prorisiDrs a Contractors Lkense Law. o*edChapter statement that kv h licensed pursuant io paha (es exenc6g witere Section an the of LYvtsicn 3 of the Business and Roersslorls Code, or that. he IS exempt Meretrom, and the Dosis for the alleged exenpfion. Any violation of Section 7031.5 by 'any 890cant for a peme sultnjects the - - I G m to a cW penalty of not more than the hundred do8ars (s500). ❑ 1. as Owner o1 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. (See. 7044, euisness and Professlow Code: The ContracWs License Law. does not appy to an owner of property who budtfs or in proves li terson and who does such work hhlsafr or through his own employees, provided that such improvements are nor Wended or offered for sale. ff. however, the buildingor hprovem�oif is soV within one year of conptetbn. tee owner-0uilder writ have the burden of provbg that he did not Oculi or hpvove for the purpose of sale.) 0 1, as owner of the property, am exclusively contracting with licensed contractors to con struct the proiect. (Sec. 7011, Business and Protessions Code: The Contrauxurs Lkense Law does not qViby to an owner of properly who builds or k proves thereon, and who contracts for such progio is with a uwrdractor fs) licensed pursuant to the Contractor's Lkense Lew.) ❑ 1 am exempt under Sec R, & P.C. for this reason Date WORKERS' COMPENSATION DECLARATION Workeraffirrn that 1 have a certificate of consent to self -insure, or a certificate of pensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE section need not be completed t the permit is for one hundred dollars 0100) valuation I certify that In the performance of the work for which this permit Is Issued, I shali not employ arty person in any manner so as to become subject to the Workers' Compensation Laws of Califorxxia Date Owner NOTICE TO APPLICAMr: M, after making this Certtlkate of Exemption you sIxxW become subyBCt to the VAwkers' C.orrpensa6m provfsioma of tee Labor Code, you must forthwith c r pty "dM such provisions or tNs peme shay be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3087, Civil Code.) Lender's Name Lenders Address This Is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder Is suspended for 180 days. I certify that 1 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 popery for inspection purposes. sumateo valuation $500;235 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 2.042.50 Mach. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 6.000.00 TOTAL c 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 INSPECTOR Issued by: Date142g Permit Validated by:__ Signature of applicantDatI e Mailing Address Validation: City, State, Zip `R— M k.: IWO by 1 D�� ��r i'I I i. f 0 or ,� ( t* t of a (Quinta .(utato _ 11*b* tii t1eiton an This Certificate issued pursuant to,the requirements of Seclion'306 of the Uniform Building!i ' �,� Code certifying that at the time of issuance this structure was in compliance with the various ordindnces of the City regulating building construction or use For the following: 55-305 Pebble Becich- BUILDING ADDRESS �Fb 6612 Use Classification Bldg. Permit NO. Group R3, Type Construction VNI Fire Zone Use Zone SR Owner of Building -Joan Brewer 'Address 670 West 17th St., Suite Gl City � Costa Mesa CA 92627 By. _-Richard -Kirkland. Date; 12/5/90 III 'Building Official POST IN A CONSPICUOUS PLACE !` aw CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS A.C. UNIT 2ND FL. SO. FT. wzs LAB GRADE 2 C YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. I SO. FT. ROUGH WIRING DRAINAGE PIPING WALL SO. FT. DUCT WORK DRINKING FOUNTAIN. FT ® qLr.A S (ROUGH) 6_/K URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation REINF. STEEL FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SERVICE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRYTRAY AIR HANDLING UNIT CFM WATER SYSTEM 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 ® 1+/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 ' j — GROUND PLUMBINCjI UNDERGROUND A.C. UNIT COLL. AREA wzs LAB GRADE 2 C ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC A4ik ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. qLr.A S (ROUGH) 6_/K MR LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING Cu. yd. plus x$ _$ LUMBER GR. F L INSP. FRAMING FINAL INSP. OOFING — REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL RING MESH &JNSULATION/SOON FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL Lead calculatioRs fora- ss� 5 19e_We t3e,,a { . C0.0 i'%+a CA, Air a©nditianirg - - - `- - - .- - - - - -. - -. - - - -. `'t"(� �> c,:a; watts sq. ft x 3 -watts - - - -���5� watts Appliance circuits Oven 4r 0k> Cook top------------ Dishwastie`r. - - - - - - -- - - - IS"�v - r Washer -Dryer' Trash compactor P®®1---- -------.- 31��� • . , - . �'L watts T o > r First 10,000 wattat _ First 100% L600. watts Remainder at 40t - - - t watts' . Future - - - - - - - - ?y p,o:;o watts watts. watts r 230: a.mps A O service to be installed TED/05005 12/30/86. x COACHELLA VALLEY .UNIFIED SCHOOL DISTRICT CERTIFICATE OF COMPLIANCE (Government Code §53080) Project Name: Project'Address: .55-305 Pebble Beach Drive, La Quinta, CA 92253 Project Owners Name: Joan.Brewer' Phone No.: Project Description: Dwelling 6 - Building Type (circle one) -Residential (Include No. Dwelling Units) %%% Commercial Industrial Tract No. 20717-2A. Lot No. 12 (If Tract attach Schedule "A" of all lots by tract, square footage for each lot and total.) Assessor's Parcel No. (If Schedule "A" is used show Assessor ,s Parcel No. -for each lot if one exists or Assessor's Parcel No. for parcels before sub -divided.). Total square feet of Building Area: 6,610 Sq.Ft. Certification of Applicant/Owner. The person signing certifies that the above information is'correct.and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: Signature: City/County Certification: (signature} OPTIONAL (title). (to be canpleted by.school district) School district requirements for the above project have been or will be sat' accordance with one of the following (circle one): Gov. Code Gov. Code Agreement existing Not subjec_ to 53080 65970 prior to 1%1/87 fee requirements (AB 2926) (SB 201) Total number of sq. ft. 6,610 Sq.Ft. Amount per sq. ft. $ 1.56 Amount collected $ 10,311.60 �. Assistant.Superintendent School District Offic' 1 Title Facilities & Operations Jorge B. Gutierrez phone NO. 6 = 399 5 37 Date 11 9 Note: AB .2926 and SB 201 ees are capped at'$1.56 per square foct for residential construction. AB 2926 is capped at $0.26-'per.square foot for commercial and industrial projects.