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05165 (SFD)• 4 " JIM A ^ P.O. BOX 1504 NO� Rk 78-105 CALLE ESTADO "AN ADEQUATELY ,,ILED DEBRI V i IR LA QUINTA, CALIFORNIA 92253 IS REQUIRED ON TIJE J00 -SITE DURING PHtiSES OF CONSTRUCTION it BUILDING: TYPE ST. OCC: GRP. Building Address 79-780 Horseshoe Road. Address City Zip Tel. Contractor jr! Address City State Lic. & Classif. Arch., Engr., Designer Address City P. Number 617--111_x)12 Description rt Description C -'V -TT 4 Zip Tela City 476007 Lic. # Sq. Ft. 2026 No. No. Dw. " Size Stories- Units. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Tel. Pool and block wall not Included Zip State ' Lic. # LICENSED CONTRACT0_Ws_ DECLAOTION at I am licensed underiproviy``i'ons of Chapter 9 (commencing with Section of the Business and Proions Code, afid my license is in full force and OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Bsiness and Professions Code: Any city or county which requires a permit 10 construct, after, improve, demolish, or repair any smrchne, prior to its issuance also requires the applicant for such permit to Me 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 vkNation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred doffams ($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 such improvements are not untended or offered for safe. ft, however, the building orumprovement is sad within one year of completion, the owner -builder wig have the burden of proving that he did not build or improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Prolessknns 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 cordector(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. R_ & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to selfAnsure, 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 H 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 NOTICE TO APPLICANT: 8, after mafvg this Cerrdicate 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 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 if work thereunder is suspended for 180 days. I 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 -of this city to enter the above-, - mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip REMARKS 'illi 5, �: 'II iY�Yr X ^LY W l } w ��a.4 ♦ .. '-r i 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 12/28/88 Issued by: Date Permit Validated by: Validation: Estimated Valuation $105.126 PERMIT AMOUNT Plan Chk. Dep. `75n nn Plan Chk. Bal. 1!)7 C1 Const. �� anR Mech. 36 00 Electrical � rt 1 Plumbing S.M.I. Grading 3n A r% Driveway Enc. go. on InfrastructureA �A TOTAL 1$3.577-31 REMARKS 'illi 5, �: 'II iY�Yr X ^LY W l } w ��a.4 ♦ .. '-r i 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 12/28/88 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SO. FT. ® - HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CARP. SO. FT. GAS (FINAL) WALL SO. FT. DRINKING FOUNTAIN. SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ -Plus-X$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER �OAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED f LAUNDRYTRAY AIR HANDLING UNIT CFM 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. Fr. RESID ® 11/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/.c 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 GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SE 1 T 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 WATER SYSTEM GRADING cu. yd. $ -Plus-X$ _$ LUMBER GR. FINAL INSP.11 ?j7 FRAMING �Z �OAL INSP. OOFING _/ f 100, REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND �( FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 1)i 111•E ur A13HICUL I URAL CUMMISSIOLIt ANO w1:16111 S. b. MEASURES 49_613 nwy 116, mote 11-12 'CvacJoe ltoo s CA 91216 619-341-619i E. LEON SPAIH",Y C0•.r.n"nr..ln Wir.S U WALIKE ��S�srr�1 r.r.•r•.nSSnrL� CLEME-41 (1F.`VEC.I5IE unun 171V 1)EVELAI'EII' 5 1•U11.1E� AI) RESS7 7---------------- 'rELt•;1'jKMEr lQ7 )1 .=` bear Wvelvpero 4 After reviewing your 10110scty)incl plasm, fill 111011t 1lyterlal listed Iq"Otutivlls violation of yuarelltlne 11149 quvei11111y tile Co,jcllella Valley. do occur mid they diller IrUll 1110"t I'vileo Ial ,sled, tools office must lx' notified ilnllediately. 'r1im& you tur protectbig Cold lrieservilly Agrcul.tutal. Cauiss tier s UL [ice CCI 11010 cold Itiverside V[ [ ice t11e Coachella Valley's pest -[Lee envlrou113"t. Desert Sands Unified School District CERTIFICATION OF PAYMENT ®��°►�� THIS DOCUMENT SCHOOL FACILITY FEES �+ BE ®UPLICATEU, TO: City of La Quinta DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 10 which isWNFRA'A within this District, has paid school facility fees imposed pursuant"to the authority generated by Government qode��53080, 'n the a;oun o s a111f T— covering a total of are feet of (k) sidenti 1 or ( ) industrial/com ercial development a d that buieddin�g permits for this footage in this development may n be issued by your jurisdiction. or ESERT SANDS U IFIED SCHOOL DISTRICT White - Buildinj Department *Yellow - Facilities Planning 0 /Pink - A counting 0 Gold - Develo er