05524 (AR)4
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 52-790 OBREGON LA OUINTA, CALIFORNIA 92253
11-lchae1 R. Neely
Mailing
Address Same
City lZip ITel.
OwnsT/Bulkier
Tel.
State Lic.I City
& Classif. Lic. #
Designer
Address
City IZip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
� effect.
SIGNATURE DATE
,k OWNER -BUILDER DECLARATION
.1 hereby affirm that i am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,61usiness and Professions Code: Any city or county which requires a
permit to 'construct. after. brmrove, demolish, or repair any structure, prior to its issuance also
urequires the applicant for such permit to Be a Signed statement that he is licensed pursuant to
..xthe,provisions-of'the Contractor's Ucerhse 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 ' aPejled • ;eF f -a ption-, Any viobtien of Section 7031.5 by 'any applicant for a permit
• subjects_ the applicant to a civil penalty of not more than live hundred dollars ($500).
O I, as owner of.ltie'property, or my employees with wages as their.sole compensation, will
do -the wort; and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code:, The Contractors License Law does not apply to an owner of property who
builds or uhrproves• such thereon and who does suwork himself or through his own employees,
Provided fhaf,sucl improvements are not intended or offered for safe. 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 Trip ve for the purpose of safe.)
O 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct
onstruct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or brrproves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractors,License Law.)
O 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
Worker's Compensation Insurange, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
O Copy is filed with the city. O 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 (S100) 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 APPUCANT: lt, after making this Certificate or Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such Prow ons 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.)
Lender's Name
Lenders 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
No. 05524
ILDING: TYPE CONST. VN OCC: GRP. R3
'. Number 373-315-020
Legal Description
Project Description Addition to Living Roam
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add W
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$288".00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal
35.10
Const.
54.00
Mech.
Electrical
Plumbing
S.M.I.
•.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
f
fF#-7711`.SSir
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 3/16/89 Permit
Validated by:
Validation: ___
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL SQ. FT.
HEATING (ROUGH)
STORAGE TANK
ORMS 3 - —
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
y OUND. REINF. 3-%—
f -/2
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CAR P. Sp. FT.
WALL S0. FT.
WATER HEATER
DRINKING FOUNTAIN.
FINAL INSP.
URINAL
SO FT ®
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
$ plus X$
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REMARKS:
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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.
SQ. FT. ® c
BATH TUB
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
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
ORMS 3 - —
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
y OUND. REINF. 3-%—
f -/2
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.
FRAMING
FINAL INSP.
ROOFING
VENTILATION
�n�
v`
[}[•-- %..C�/
a of�GLy
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESHNITIALS
GARDEN WALL FINAL7d
t
DESERT SANDS UNIFIED SCHOOL DISTRICT 1 "
{ '
7' 82-879 Highway 111
Indio, CA 92201
C��yIF�C� CItO L ,FACILITY FEE WAIVER
,^ �,:�`� ME: THIS V' ��u"'011 1
.!-E DUPLICATED,
TO: GL DATE:
This . i s to certify that
developer of
, which is `
` within
located at.
'
•..-this school dis rict, is not requ' ed to pay school fa ility fees
c N ► pursuant.to the authority generated by Government Code Section 53080.
Building permits for the project indicated above may now be issued by your ;
Jurisdiction.'�IF VALUATION INDICATED ON BUILDING PERMIT—EXCEEDS—$_20-,-000
THIS—WAIVER IS VOID AND A SCHOOL FACILITIES FEE MUST BE PAID PRI09—T27
i-ISSUANCE- -0F BUILDING—P-ERMI.T..� `
for DESER sANDS UNIFIED SCHOOL DISTRICT
r White-Building Department Yellow-Facilities Planning Pink-Developer (10)-38
.1,
78-105_ CALLE ESTADO — LA� WNTA, , CALIFOANIA''92253 - (619) 564-2246
FAX (619) 564-5617
September 3,,.1991
Michael Neely
52 7 9 0 Ave'nida Obregon.
La Quinta; CA .92253 -
Dear Mr. Neely:
It has come to the- attention of. the C-i.tyof .La Quinta Department
of Building and:: ..Safety that your bu"ild ng permit #05524• for an
addition to the living room -l`ocat`ed at; 52.-7'90 Avenida Obregon has .
expired.
According to `the Uniform Bui,ldi,ng.'Code, Section 303(d), no further
work shall be performed on the above ;:permitted job -site until a
new permit ..has :=been,'issued .or., an ktens•ion:'gr-anted.
Should you wish an extension of t'h '°:.perm>it_:you.._must request, in'
writing, for an extension within 14 ..''days of the date of this
letter.
Once a' permit has expred;a new permit must be obtained prior to
any further .work -or 'inspections. ,to'take place: The 'fees for a new
permit would be as listed 'in ''Sect.i'on 3U3( -,d) .
We appreciate your immediate -at•tention •to this. matter.
Sincerely,
BUILD G. AND- `,SAFETY DEPARTMENT..
l
Tom Hartung.
Director of Building -and Safety
TH/lc
MAILING ADDRESS P.O.'BOX 1504 - LA QUINTA; CALIFORNIA 92253