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11070 (AR)' `sr• z P.O. BOX 1504 No, 11070 Building 53 -pis Montezuma 7&105 CALLE ESTADO Address Ave.. LA QUINTA, CALIFORNIA 92253 Owner Ronald a Janet Phel7as Mailing Address sglue as a§bov City Zip Tel. La Quints 92253 X64-73133 Contractor Owner/Builder ty . State Lic. City & Classif. Lic. # Arch., Engr.,, Designer Address Tel. City(Zip- I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) effect. of Division 3 of the Business and Professions Code, and my license is in full force and SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,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 Ole 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 or 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 - ' sub acts the applicant to a civil penalty of not more than Ove hundred dollars (8500). - I, as owner of the property, or my employees with wages as their sole compensation, will o 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 of 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 Owners ,+�-{ •{+ /t (,f -> Z� f J WORKERS' COMPENSATION DECLARATION f' 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.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This i less.) section need not be completed if^the permit Is for one hundred dollars ($100) valuation I ` 1 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. / r� E Date Owner \/ `bbl ' >._e / ! =1 - ��� i P •" NOTICE TO APPLICANT: If, j9ker making this Certificate of Exemption you shouldbecome subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions of this permit shalt 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.) Lender's 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 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description (Project Description- r kto-1 OV. Game Rocs - sf .. 06,087. 00 Bath Add. - 186 sf - 9,518.60 Garage Conn_ -. 440 sf`- '14,828.00 ,.r Sq. Ft.,, No.;,`'.., r t. No. Dw. Size - t; . 'Stories-" Units New ❑ Add•O' .� Alter•❑ :} Repair ❑>.. FDemolition ❑ Estimated Valuation 50,433.60 PERMIT AMOUNT Plan Chk. Dep.' Plan Chk. Bal. 301.60 Const. ' 1 464.00 Mech.. 39.04 Electrical -• �' 60.94' Plumbing . 76..00 S.M.I. 6.10 Grading Driveway Enc. Infrastructure ,l` 2 � � ` ' �fi(�5'f8`-'•=1C7 �±�# .#�8 ;�73�'�t�yry">f:. ear %� TOTAL 946.62 REMARKS ZONE: BY: Minimum Setback Distances: i 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 Permit Validated by: Validation: If11V t ? w CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ, FT. ® CAR P. I SQ. FT. WALL SQ. FT. SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. I 1POWER-OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES STORAGE TANK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROCK STORAGE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRYTRAY AIR HANDLING UNIT CFM METER LOOP 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 SERVICE SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® V/ac HOUSE SEWER LUMBER GR. 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 SLAB GRADE GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA 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 APPJEQUIP. 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. �G l FRAMING 2S// / FINAL INSP. 11 (M6,2' ROOFING y� �! �� �/nREMARKS: VENTILATION[cG� FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL F HING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 8/3/92 Type of Permit I La uinta No. 11610 Permit # Owner Name Ronald & Janet Phelps Log # No. 53490 street Ave Montezuma city La Quinta zip 92253 study Area 112 APN # Tract # Lot # Square Footage 1647 Type of Development Residential Addition No. of units 1� Comments 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 This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 11.58 1 X647 or $ 1,022.26 have been paid to D.S.0 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 Janet Phelps Telephone 564-7303 Name on the check By James E. Lively 4 Assistant Superintendent, Business Services% 3 Fee collected /exempted by Vickie J. Durrett. ry n Payment Received. Signature CheckNo: 0293 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 - Accounting OWNER -BUILDER VERIFICATION Attention Property Owner: An Owner/Builder building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to,avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: k-?-� a V(Al ;M; . NAME: ADDRESS: CITY: STATE PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: '-�0 Z&_', &�� NAME: ADDRESS: CITY: _ PHONE: STATE CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME Very truly yours, ADDRESS CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-105 Calle Estado La Quinta, CA 92253 (619)564-2246 FAX: (619) 564-5617 PHONE OlrER,:A SIGNATURE/DA PROPERTY ADDRESS PERMIT NUMBER(s) TYPE OF WORK �/W�D_ 7-1 OWNER / BUILDER: INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is. $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permitsare not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-105 Calle Estado La Quinta,. CA 92253 (619) 5 -2246 F#(61 (619) 564-5617 t�'S SIGNATURE/ DATE PROPERTY ADDRESS PERMIT NUMBER(s) October 12, 1995 Tit� 4 4a Q" 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000 FAX (619) 777-7101 Ronald & Janet Phelps 53-490 Avenida Montezuma La Quinta, CA 92253 Mr. & Mrs. Phelps Cer[ified Mali It has come to the attention of this department that the separate structure located on your property is now or recently has been used as a rental unit in violation of La Quinta Municipal Code Chapter 9.42 which lists allowable and conditional uses of an SR Zone (special residential single family). I have attached a copy of this chapter with this letter - Upon receipt of this letter, you are requested to cease all rental activity at your Montezuma property as soon as possible. If you have any questions regarding actual allowable uses of your property, please contact the Community Development Department at City Hall. I thank you, in advance, for your cooperation in this matter. Respectfully, 'b G.___ Lt�zv Don Whelchel Code Compliance Officer II Roger Hirdler Community Safety Manager DW -.es Enclosure 53490mon MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253:)