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001180 + 001979 (PATIO)1319 t111 35 IE PERMIT APPLICATION City 01 La Ouinta Department of Building and Safety • This permit becomes void if work not commenced within 180 days from date of issuance, OR, if work, has been suspended or abandoned for aperiod of 180 days. LICENSED CONTRACTORS DECLARATION:1 hereby affirm that I 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. License Class Lic Number Date •- Contractor OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt Iran the Contractor's Lidense Law for the . • following reason (Sec. 7031.5. Business and Professions. Code: Any city or county which requires a permit to construct, alter, improve. demolish. 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•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 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty•of not more than five hundred dollars ($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, Business 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 i mprovemnt 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.). . • • O I. as owner of the property, am exculsively contracting with licensed contractors to construct 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.). . • 0 I am exempt under Sec. c"� • Bii :C (Attach d Certificate). Date ' Owner ', � WORKERS' COMPENSATION DECLARATION: I hereby aftirm.that I have a certificate of consent to self -insure, or a: certificate of Workers' Compensation Insurance . or a certified copy thereof.(Sec. 3800. Lab. C.). ' x - • . . Policy No • Company . O Certified copy is hereby furnished. O Certified copy is tiled with the City Building Inspection Department or City Department:. Date Applicant APPLICANT NAME (L, F. MI) Brian MonrCie ADDRESS P.O. Box 1040 CITY/COMMUNITY/STATE/ZIP la Qu nta, CA 92253 J08 SITE ADDRESS/SPACE 54-405 Avenida Alvarado ['A CITY/COMMUNITY/STATE/ZIP T �- cA 92253 Jit / 6774 �9 P235 4J C9 .0 �430�sq. 7a�y�a Je as per w approved plans. . TWN RNG • SE S TRACT 107 22.00 MOD SB TRACT NAME Nowa OWNER NAME (1. F. MI) Brian Monroe CONTRACTOR -FIRM NAME Rick Johnson o net. •• ADDRESS P.O. cxi • 2288 CITY/COMMUNITY/STATE/ZIP •20•! .4 1 CA 92 6. PHONE 347-7171 • LLic39"116L9 43.13' ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE M Plying Fee LICNC to USE OF PERMIT single family dwelling BL • - ZON . 450.00 ' FSB SSB SSB RSB OFC , 18/0266.5 �66. ep/ ZONE ORD 1 -. . . LOT SZ (250.00) • END ' SIDE CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not becompleted if _ r ' the permit is for one hundred ($100) o, less. I certify that in the performance of the work lar 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 Applicant NOTICE TO APPLICANT: II: 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 shall be deemed revoked. •• DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: • O I hereby certify that nd excavation five (5) or more feet in depth into which a person is required to descend, will be made iri connection with work authorized by this permit, and that no building structure. scaffolding, falsework, or 'demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2. Grp 2, Art 2, Sec341. Title8, - C.A.C.) ' 0 As owner -builder, I will not employ anyone to do. work which would require a permit from the Division of Industrial Safety; -as noted above, unless such person has a permit to do such work from that division. • .O Division of Industrial Safety Permit Np. Date• Applicant CONSTRUCTION LENDING AGENCY: I hereby affirm that (here is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address - 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 consltuction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. • Signature of Applicant or Agent Date .CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that , .the information given is correct. I agree to comply with all slate laws and county ordinances relating to buidling construction, and authorize a'repreAsentative of. the City of La Ouinta Department of Building and Safety to enter . upon.-thar je�yorzwhic• hl,have appl daoythis permit for the purpose of making inspections. / Sig netu e o1,Ap )cant o�Ag7! r. Print Applicant/Agent Name Date APPL/PRMT ri fifl •1DA26-85 S.F.D. ' ` Permit to construct 1592 sq. ft. of S.F.D. 91 sq.ft. of porch and ft. of �430�sq. 7a�y�a Je as per w approved plans. . Mech. Fee '. 22.00 Plan Cbbck.Fee • -NM4,741 J'c ,J& Dont. Fee. , - v94 388 r p O Elect. Fee • - • ' 43.13' SMI Flee 6.65 Plying Fee 50.50 - Prap. Devel. Fee 450.00 .Ya •.3 18/0266.5 �66. ep/ �1 (250.00) PD. 12/14 ®.4.. . I,' •. /966,6/ • • - TOTAL .. ' FEE i . , ,, , ,, VALUATION BLDG. DEPT. 6'7� 5+f /, C / c/ NO. OPERATION DATE I INSPECTOR • NO. OPERATION DATE IINSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back ` 33 Ventilation System 2 Ftgs & Frms ./o1//qs !!! 'r 34 Plenums &•Ducts 2A Slab Grade 35 Furnace Compact.. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 . • Bond Beams 'Compressor 6 Roof Deck /38 / g /4 39 Appl. Clearance. 7 Framing 3j " fcr 40 Fire Damper 8 Vents . f 41 Smoke•Detection'Device 9 Garage Fire Wall 42 Commercial Hood ' 10 Fireplace P.L. • 43 Final, 10A fireplace T.O. ■ NON . ADDITIONAL INFORMATION . t SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 31/ /"*' 72 Internal Lath 12A Drywall / e7 T/ lC 13 Finish Grade 7 /" INSULATION Thick R u Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final ' "• PLUMBING APPROVALS 15 Ground Plumb n2/�Y/Fc �y '- . 16 Water Piping / /JJljI 17 Rough. Plumb / 3/jqJ g5— '/� 18 Vents 111 iii 19 Sewage Disposal. 41Q/ y I:74- 20 Sewer 7 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final Tank Pit L. Line REAR OF PROPERTY LINE ELECTRIC APPROVALS 26 Power Pole P/L . . P/1 • • 27 Conduit 28 Service Entrance 29 Wiring. 5- 774 29A Grounding Wire 7" 29B Bonding 30 Fixtures • 31 Service 32 Final STREET NAME• 11111111llIIIIIIEli 36 IE Building g �� Address54-405 Avenida 4 P.O. BOX 1504 4 aiiitrad 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner 7Ltd. W. Fasarx Mailing Address City La (Aainta Zip 92253 Tel. 564-0047 Contractor Cfsmribuilcler Address No. 001979 BUILDING: TYPE CONST. OCC. GRP. - A.P. Number Legal Description Project Description Patio.Cover City Zip Tela State Lic. & Classif: City Lic. # Arch., Engr., Designer q.No. Ft. Size'' . - Stories No. Dw. Units New m Add ❑ Alter ❑ Repair 0 Demolition 0 Address Tel. City Zip 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 Professions Code, and my license is in full force and . effect. . SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the• following reason: .(Sec. 7031.5,Business and Professions Code: Any city or county which requires a• permit to construct, alter, improve, demolish, 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 provisions of the Contractor's License Law, Chapter 9 (commencing with Section7000). of Division 3 of 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 subjects the applicant to a•civil penalty of not more than five hundred dollars ($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 intended or offered for sale. lf, • 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.) o 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.) 0.1 am exempt under Sec. - B & P.C. for this reason / 1 Date Owner, "" tr ✓f a WORKERS' COMPENSATION DECLARATION I hereby 'affirm that I 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 0 Copy is filed with the city. 0 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 California. Date Owner NOTICE TO APPLICANT: ll, 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 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 building•permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days.' 1 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 41-12.""" Date Mailing Address -% % City, State Zip HARD COPY Estimated Valuation $ 1,260.00 PERMIT AMOUNT :PIan.Chk. Dep. Plan Chk: Bal. 14.30 Const. 22.00 Mech. Electrical Plumbing S.M.I. .0 Grading Driveway Enc. Infrastructure TOTAL REMARKS 16.$10 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: Validation: Date 1 % R6s Permit A3%46 348(i_Ck CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL SO. FT. SQ. FT. SO. FT. SO. FT. SO. FT. SQ. FT. SQ FT. VALUATION ® $ STORAGE TANK � /eD RMSkit.._S /hie UNITS ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP 2ND FL. OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER YARD SPKLR SYSTEM FINAL INSP. POR ® GRADING cu yd =$ MOBILEHOME SVC. FINAL INSP. $ plus x$ BAR SINK FINAL INSP. GAR. ® /71 �J, #� �Y' /' l///� — / REMARKS: VENTILATION POWER OUTLET FIRE ZONE ROOFING ROOF DRAINS SPARK ARRESTOR CAR P. GAR. FIREWALL LATHING MESH DRAINAGE PIPING FINISH GRADING WALL FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS DRINKING FOUNTAIN ® URINAL ESTIMATED CONSTRUCTION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 34c 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 � /eD RMSkit.._S /hie SEWER OR SEPTIC TANK 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 =$ LUMBER GR. FINAL INSP. $ plus x$ FRAMING FINAL INSP. ROOFING /71 �J, #� �Y' /' l///� — / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL /We /c'i y 7 Receipt No. Issued By 11-t."--• District: Riverside ❑ Indio��, Hemet 0 Date !-s1 DISTRIBUTION: WHITE - Office File YELLOW - Applicant PINK - Building Dept. GOLDENROD - Pending File DOH SAN 122 (Rev 10/82) 1111111111111111111111 37 i IE 0RIVERSIDE COUNTY DEPARTMENT OF HEALTH APPLICATION FOR A SUBSURFACE DISPOSAL this form with three copies of a scaled plot plan drawn to county specifications A non refundable filing fee of $15 is required when the application is of Riverside. — — SYSTEM required on the submitted. Check must be ISECTION A 1 PERMIT Applicant: Submit attached check list. made payable to County Name /.3/4) //, / /i //-/''7, - rR Mailing Address 4r° x 1( //r City /,/ ( /,/,,7// State l/✓/ , Zip Code 7? S Phone s'---// 7/7t 'Property Address ,R/ / e-/ l 2 f/ (/ 7 7 *City or Community 7 /`/ r ((// 7/.9 *Legal Description of Property (Lot, (G Se e7 -1-e-,-'1-7 //-7/ Parcel Map, Tract) ,i /7 r"vc. *Assessors Parcel No. / 3 Lot size ,) Sl)( /( ri Water Serving Property From'--" i' .'./7 M C-i✓iri le/,)//, Ti -/.v i -/4/r ffr' ,ff//p /�1 , /1-^-r r1 f /,), e,,,W`-( /':)1"' e // /7 r Signature of Applicant Date *The above information must be verified from Building Application Staff Use — Do Not Write Below This Line ISECTION B WQCB Clearance required Soils feasibility report required Detailed boring report required Detailed contour plot required Comments: .a., initial Date ❑;�, �� ���'�" + I' 1 ,,,4 Yes • No 1 i Yes 1 No [1 1 i Yes ■ No ® 1 f Yes ■ No :� 1-+.,. ,!'11T:i - '+ � \.i © r\c l<. A,...4.-,�. 1.,� 71�,tc. 2tr4 tiNkt(. 7 J� Soils or boring report Approved by by U'\ �� • Date ' 1t' Date Soils Map Page Soil Type Tract File No Other Number of Bedrooms �rw.)t`C Septic Tank Size (gallons) I�.00 r-,c,\t, Rate Required t Sll / Type of System few Addition Replacement Leach line sq. ft. of bottom area trench Leach bed (sq. ft. of bottom area bed) Seepage Pit Diameter Number of Pits D rt..--- Seepage.Pit Depth B.I. c .. 11 Total Depth of Pit 5' ■ 6' ® Location of System Additional Requirements ,..Ai„ --,At,, \\L„r tx- ,Ns,, t=wit." - tt‘t<, \9'. +• -:t,v- ) u4(. ISECTION C A permit`is approved/denied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit is necessary for the installation of the above designed_ •y1} 1 stemn j_TUas / Signature of Health Official Date Receipt No. Issued By 11-t."--• District: Riverside ❑ Indio��, Hemet 0 Date !-s1 DISTRIBUTION: WHITE - Office File YELLOW - Applicant PINK - Building Dept. GOLDENROD - Pending File DOH SAN 122 (Rev 10/82) ,MED o \\ // //jo O y BERMUDA DUNES RANCHO MIRAGE C INDIAN WELLS H Ct PALM DESERT 4. kr LA QUINTA '')p INDIO •, • IIIIIIIIVIIIIIIVIIIIIII 38 IE Desert Sands Unified School District 82-879 HIGHWAY 111 0 INDIO. CALIFORNIA 92201-5678 0 (619) 347-8631 January 17, 1985 City of La Quinta • Department of Community' Development 78-105 Calle Estado La Quinta, CA 92253 • Re: 54=405 Avenida Alvarado Gentlemen: The developer of the above referenced ,home has mitigated its impacts on our overcrowded schools by payment of the amount of $628 per unit to be applied to the cost of district educational facilities made necessary by such new development. JDB/crm Sincerely; ohn D. Brooks Assistant Superintendent Business Services