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09060 (SFD)Building CO _ Address K.- .1f4 Owner ;�8 �a Mailing Address _ T4tit 4 4 " P.O. BOX 1504 No. 78.105 CALLE ESTADO f r._ LA QUINTA. CALIFORNIA 92253 r' 1 2- Z _ Ltry Zip Tel. t lm Desert 1 92260 Contractor OwncrBuilder Address City Zip State LIC. & Classif. 24 8 B 2 3 Arch., Engr., Designer Address City Zip BUILDING: TYPE CONST. _OCC. GRP. A.P. Number 340--1361 Legal Description -,+- ? 7 Project Description Tel. City Lic.# Sq. Ft. ��� No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Tel. State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professlons Code, and my license is in full force and effect. IGNA oATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's Llcense Law For the following reason: (Sec. 7031.5,8usiness and Pwfassfons Code= Any rimy at county which raquyss permit to 4nrrafrucf, nitor, improve, demofish, or repair any structure, prior fo its Issuance elsea {squires the applicant for such permit to f9a a signed arafernenl that he is licensed pursuant to the provisions oY the Confraclors Lfcsnse Law, Chapter 9 (corm eacing with section 7000) of ❑iwalun 3 of the Business and Professions Code, Or that. he Is exampf rhararrom, and rho basis far }he alleged exemptWn. Aray violaflon of 5acttan 7031-5 by 'any appfk;anf for a permit M1]acls foe applcant 10 a civil penally o! nvt mere than live hundred dollars (5500]. i, as owner of the property, ar my empigyees with wages as their sale compensation, will the work, and the structure ls. oat Intended or offered for sale. (Sec. 70t4, f3ulsness and Aralessfans Code: The Conlractar's Cleanse LAw does no[ apply fg era awnar of p+opOrly who builds ar krrpraYes thereon and who does aucn work himself nr through his awn amployaes, pmvlded Pita[ such Impravaments are not int®mfed or aflered fur sale. II, however, ?ha building or knprovemenf is sold within one year of completion, lha Awner-bulh?er wilt Piave the burden of proving that he did oar build or rrrrprove !pr rho purpose of sale-] Cl I, as owner gF the property, am exclusively contracfirq with licensed contractors to con- struct the projgci. (Sec- 7044, r3usloess and Prolessions Coda; The Conlraclor's License Law does nor apply to an owner of property who builds or improves ihareah, and who contracts for such pfajects with a conlraclor(s) licensed pursuant to }tie Contractor's Lfcanse Caw.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner r WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a a6rtificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, ota certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Compdny r popy is filed with the city. M Certified copy is hereby furnished. Y CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (3100) 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 NOT;CE TO APPLICANT: It, after making this Carffffcate of Exafnplfon you should become subject to the Workers' Compensaflon provlstoris of the Labor Cade, you must forthwith comply with such provisions or this permit shall ba 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 ex pirail on 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 authgrize representatives or this city to enter the above• mentlpned property for inspection purposes - c_sufnateo vaivaiion 85046.05 PERMIT AMOUNT Plan Chk. Dep. 2 y0 (!`1 Plan Chk. Bal. 4 r; Const. Mech. R Electrical .1 7 4 , Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMA 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; Validated by: Signature of applicant Date Mailing Adores Validation: City, State, Zip Date Perm CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES $ UNITS 1ST FL. SQ. FT. ® YARD SPKLR SYSTEM 2ND FL. SQ. FT. MOBILEHOME SVC. BAR SINK POR. SQ. FT. POWER OUTLET ROOF DRAINS GAR. SQ. FT. DRAINAGE PIPING CAR P. SQ. FT. DRINKING FOUNTAIN WALL SO. FT. URINAL SQ. FT. WATER PIPING ESTIMATED CONSTRUCTION VALUATION $ FLOOR DRAIN NOTE: Not to be used as property tax valuation MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) GARBAGE DISPOSAL APPLIANCE DRYER LAUNDRY TRAY FURNACE UNIT WALL FLOOR SUSPENDED KITCHEN SINK AIR HANOI INC UNIT rFM ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' POLE, TEMIPERM LAVATORY COMPRESSOR HP HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER SQ. FT. ®c BATH TUB BOILER B.T.U. SQ. FT. ® c WATER HEATER SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL MAX HEATER OUTPUT, B.T.U. SQ.FT.GAR ® 3/4c 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 PLUMBI' Q UNDERGROUND AC, UNIT TOLL. AREA SLAB GRADE ( ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK SEWE ROUGH WIRING DUCT WORK ROCK STORAGE FORMS FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. �SiEiNF. STEEL h. GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYS I EM GRADING LUMBER GR. FINAL INSP. (p 9/ cu. yd. FRAMING 3a FINAL INSP. $ pfus 4 =$ !/ ROOFING �j♦ REMARKS VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREy►W�ALL rr LATHI11Gg!1V� f! !!! MESH INSULATION/SOUND /I. A10 J FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL I NSPEC70 R'S 51G NATL R ESf I N ITIALS GARDEN WALL FINAL TW(f 4 6CfV (4" P.O. BOX 1504 APPLICATION ONLY Building�'� �J1 /I 78-105 CALLE ESTADO Address J_57[ �i�.�rFf 't LA QUINTA, CALIFORNIA 92253 M+ ► aTT1 Mailfng Addresst C [C< f L City Zip Tel. r Contractor Address City lZip ITel. State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. City Zip I State I J1 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed unde: prrvi4;ions of Chapter 9 (commencing with Section t. 7(XIO) of Division 3 of the Business and Profes:;iun; Code, and my license is in full force and effec 51GNATURr DA-M OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason, (Sec. 7p3I.5,BuaHmess and 13ofasslons: Code: Any city or county which requires a permit to construct, alley, Improve, demolish, or (apalr any structure, prior to Its Issuance also requi(e8 the applicant for such pormk to No a signed statement that he is licensed pursuant to the provisions of the Contractors License Law, Chepfer 9 (commencirg wHh Seetlon 7000) of Division 3 of the Business and Prolesslens Code, or that, he is exempt therefrom, and the basis for rho Moped exemption. Any violation of Section 7031.5 by any applicant for a pem* subjects the applicant la a eivli penally of not more. than live hundred doriars ($500), E. I, as owner of the properly, or my employaea with wages as their sole compensation, wail do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professlons Code: 'rho Contractor's License Caw does not apply to an owner of property who buMds or OWroves thereon and who does such worfr himsarf or through his. own 0mpFDy9es, Provided that such improvements are not intended or offered for sale. if, however, the bulldog of improvement is sold wNhln one year of compretlan, the owner•buMar will nave the burden of proving tbet he dirf 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 Professions Code: The Contractor's License Law does nor apply to an owner of property who builds or froproves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Confracfor's License Law.) ❑ I am exempt under Sec.—B. & P.C. for this reason Date Owner _d:2� I- WORKERS' COMPENSATION DECLARATION I hereby affirm that I hav'r a certificate of consent to self -insure, or a certificate of Worker's Compensation InFurance, 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 if 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 callifornia. Date Owner NOTICE TO APPLfCANT. it, alter making lhis Cerlificafe or Exemption you should become_ subject to the Wor"rs' Compensation provisrans of the Labor Coda, 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.) Lender's Name Lender's Address This Is a bullding 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 ally 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 applican —Date— Mailing Address City, State, Zip BUILDING: TYPE CONST- OCC.GRP. A.P. Number Legal Description Project Description Sq. Ft No. No. Dw. ize Stories _ Units New ❑ Add ❑ Alter Repair ❑ Demolition ❑ Estimated Valuation !r (J PERMIT AMOUNT Plan Chk. Dep. ; Plan Chk. Bal. Const. Mech. - 90 Electrical a 9-2 Plumbing O0 S.M.I. 3 Grading Driveway Enc. trastructure J63, TOTAL 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: Date Permit Validated by: Validation: BUILDING DIVISION CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. @ 2ND FL. SQ. FT. POR. SQ FT. @ GAR. SQ FT. ® CAR P. SQ FT ® WALL SO. FT. ® SQ. FT. p ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAPCOOI HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 SQ FT g c WATER HEATER MAX HEATER OUTPUT, B.T.U. SO. FT RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE 7 NST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK CFOUHD PLUA'B!N:G 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 APP.IEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP BOND BEAM WATFR RYRTFM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. INSPECTOR's SIG NATURE$lINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 12/18/90 1 Type of Permit I La Quinta No. 10&% Permit # Owner Name James Sattley Log ik No. 54257 street Carranza city La Quinta _ zip 92253 study Area 110 APN # I Tract# I Lot # = SquareFootage 11460 Type of Development I Single Family Residence No. of units 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 1.58 X 1460 or $ 2,306.80 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 Sattley and Sattley Telephone 340-1361 Name on the check Ln Richard M. Beck Director, Facilities Planning & Development Fee collected /exempted by Shelley D. Bennett Payment Received signature l Check No. 1121 Collector: Attach a copy of County or City plan check application form to DiArict copy. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting a it �iJ v a JAMES O. WALLACE Agricultural Commissioner Director of Weights h Measures DATE f Z , " -? ' % J DEVELOPER'S NAME: ADDRESS: OFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES CALVIN C. KAMINSKAS 4080 LEMON STREET, ROOM 19 Asililant ComrnlSSlarlOr RIVERSIDE, CALIFORNIA 92501 CLEMENT ISTE (714) 787-2561 sealer lor 49613 Highway 86, Suite B12 Coachella, Ca. 92236 (619) 342-8291 CASE NO. �C BLS 17 U .n-,e--ti �rrl = Lzs `_c k C_rr(�_ 6- F � �1" TELEPHONE: ( ) :, U J - ! 3 6 ( 0 T- 'L r� I I �_ -L ? ) Dear Developer: After reviewing your landscapi.ng plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ froin plant material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environnent. Agricultural CcurLissio er's Office cc: Indio and Riverside Office