SFD & CFO (10876)77225 Loma Vista
10876
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P.O. BOX 1504 No. 10876
auilding - 78-105 CALLE ESTADO
Address 77--225 Loma. V LA QUINTA, CALIFORNIA 92253 •- • '
Owner
Jim Johhston
Mailing
BUILDING: TYPE CONST. OCC: GRP:
Address
A:P. Number
City
Zip
Tel.
sift 23,'i3Cl$d Tt4
Legal Description
Contractor
Project Description
I'
Rancho Capistrano. Dev.
Address
_ .,.a......
P. 0. BO980
CityZi
p
Tel.:
t t7 i
La Qu nta
92253,
564--0705
State Lic.
City
' & Classif_ • 547975
Lic. # 1969
Sq- Ft.
4487..
No. • No. Dw.
-Arch., Engr., _
Size • - •-
-.Stories ,. Units
Designer Oall ng McCallum
New ❑ r' Add ❑
Alter ❑ Repair ❑ • Demolitiori'.❑
Address
5$ 4 Club
Tel.
360!--0250,Permit
€ oes
riot .rtclude any block awls, ,
City
Zip
State
or pool.
A.
l.V
42210-
Lic.#
- • LICENSED CONTRACTOR'S DECLARATION •-'
3 I hereby affirm that I am licensed under provisions of: Chapter 9 (commencing` with Section
' gft00) of Division 3 of the.Business and Professions Code, and my license is in'full force and
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.
\ct. -
i t
SIGNATURE - DATE
_
_ , •.
' —7— "'••`' , OWNER -BUILDER DECLARATION
Estimated Valuation
hereby affirlri that I am exempt from the Contractor's License Law for the followin338,814.
7031.5,Business
-
_ reason: (Sec.
reason: and Professions Code: Any city or- county which requires a
permit to construct, alfei, • improve, demolish, or repair any structure, prior to its issuance also
y ;
.• requires the applicant for such permit. to rile a signed statement that he islicensed pursuant to
-PERMIT
`•' - AMOUNT
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
.PlannChk. hep.
_
.250. 00 ;..• -
` subjects the applicant to a civil penalty of not more than rive hundred dollars.($500). '
• `., ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will
Plan Chk.. Bal.
,' 956. 0 5
do the work, and the structure is not intended or offered for sale: (Sec. 7044, Buisness and
Professions Code: The Contractor's, License Law does not appy to an owner of property who,
CiOTISt.1476.
-
- Q
builds or improves thereon. and who does 7such work himself or through his own employees,
_.provided that'such improvements are not intended or offered for sale. ff,•however, the building
-
'Mech. _
• - - - Y 0. '
- - - ,:t t: • 1.3s i/00
or fmprovement-is sold within one year of. completion, the owner -builder will have the burden'-
• of proving that he did not build or improve:lor the purpose of sale.)., •r-.,
• Electrical,
: Z. 35,
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
c'
..Plumbing.,'
.,211 5th
,. struct •the project. (Sec. 7044, Business and Professions Code:. The .Contractor's License Law-.
. "
-does not appy to an owner of property who builds or improves thereon, and whocontracts for •
.$•lVl_I_, ..
•. •• - `:33 90
• . such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
•n7 .
.O 1 am exempt under Sec. B. n
& P.C. for this reason.
v • g
Driveway Enc.
20.00
Date Owner
Infrastructure
60100.00
Arty in ]Publid 597 G4
WORKERS' COMPENSATION DECLARATION'
r
,
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.)
Poly No.Company .
0 Copy is. filed with the city. '❑ Certified copy is hereby furnished.
t
:fid x
.•
TOTAL'
9955.84 9705.34
CERTIFICATE OF EXEMPTION FROM
• WORKERS' COMPENSATION INSURANCE
REMARKS
(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 thg work for which this permit is issued, I shall not
rt =s
r.ew. -;.; r,r, d, , ' >
=any erson in any manner so as to become subject to the Workers' Compensation
p
Laws of California. - •
. . c-•. .,
{, ,;, v yi p 1 ; 1 { 'v-,'05 r . .
;i J .S'tr.Pi3 :L 0 ITAI A : Rl
' Date Owner
NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become
"
ZONE:
_ BY:nne.:•nn 4 ti r;n'^J4 AM 4 Cr
subject to the Workers' Compensation provisions of the : Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. ..
Minimum Setback Distances:
V-+ _ _ - k° t. '"' -. sr'
j t) t,/ ` ;, ' '#'( 7 I_ - , ,,, -1 St
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
I hereby is construction agency
Side Street Setback frOm,Center Llne
affirm that there a lending for the performance of the
work for which this permit is issued. (Sec. 3097, Civil code.)
. -,
-Side Setback from Property,' Line
Lender's Name
,
-- Lenders Address
This is a building permit when properly filled out, signed and validated, and is subject to •
FINAL DATE
INSPECTOR
expiration if work thereunder is suspended for 180 days.
I certify that have read.this application and state that the above information is correct.
-Issued by:
Date Permit"
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.
Validated by:
Signature of applicant Date
Mailing Address I
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SO. FT. ®
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM t
BAR SINK i
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB. BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
GAS (FINAL) TEMP. POLE
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
FINAL INSP.
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/e c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
VENTILATION
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 P ' ; Y HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING -0 ? DERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)Ala
TORAGE TANK
w
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
LAI
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 A3 egt j'
FINAL INSP.
ROOFING 91 Cft
4"", -7/1 .2—
Tp a—Qeriliv (?lcplll /` `
01V
1
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING I l 3 1.w
O w
INSULATION/SOUND O G
FINISH GRADING^
FINAL INSPECTION)QW)
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 5/11/92 Type of Permit I La Quinta
No. 11377 Permit #
Log #
Owner Name Jim Johnston
No. 77225 Street Loma Vista
city La Quinta zip 92253 Study Area 121
APN # Tract # Lot # Square Footage 14487
Type of Development 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 11.58 1 X 487 or $ 7,089.46 have been paid to D.S.U.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 Jim and Marilyn Johnston Trust Telephone 564-0705
Name on the check
By James E. Livel
Assistant Superintendent, Business Services
Fee collected /espted by Shelley D. Bennett
Payment Recei'vM *. p
Signature Ctieckr4o.- 1t05'
Collector. Attach a copy of county or city plan check application form to district copy for all`('waivere
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting;% , ^ • -•,
77225 Loma Vista
10876
77 kD
Off 01,
t u a Wu*nta
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the- following:
BUILDING ADDRESS 77-225 Loma vista
Use Classification -Single Family 'Dwelling Bldg. Permit No. 10876
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Jim Johnston .-,Address 77-225 Loma Vista
City La Quinta, CA Lonnie Day
By.
Data; December 22, 1992
Building Official
POST IN A CONSVICUOUS PLACE
a I