CP (9512-057) + SFD (15792)78825 Lowe Dr
9512-057
15792
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my
License is in full force and effect.
License #_ Lic. Class Exp. Date
Date Signatureof Contractor
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals Code).
( ) I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
( ) I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
(This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions.
Date: Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and shall
subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this application agrees to, & shall, indemnify
& hold harmless the City of Indian Wells, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon the
above-mentioned property for inspection purposes.
Signature (Owner/Agent) Date—
ALC
ate
A`ci
BUILDING PERMIT
PERMITi
ySB.Z J+7
DATE
VALUATION ar500m1 LOT
TRACT
JOB SITE ADDRESS
78-825 .c r E DR
APN
OWNER
CONTRACTOR ;
OW'Nl'a•:WBUILDER,
J FF & LIZ COOPER
SAM IF. AS A.80V
'79-765 LOWE DR
LA QUINTA CA 92253
CBL#
DESIGNER/ENGINEER
360-7fi44
USE OF PERMIPOOL AND/OR SpA
FEE DESCRIPTION
FEES
POOL AWOR SPA 8,500.00 LS
ESTIMTE D COST OF CONSTRUCTION
31500.('09
PERM -IT FEE SUMMARY
MAN CMCfC 1 -FEF.' 1.01.000-439-318 $70.20
CONSTRUCTION FEE 101-000-4113-000 4.108.00
.ME-CHAN''1CAl. F3 E -- POOL 101-000.421-000 $24.00
ELECTRICAL F'Eks — POOL 101-000-420.000 $45.00
Pi,t1NMINGS FEE ._ P00,,1. 101..000-419-000 $27.00
SUB -TOTAL CONS('RUCT ON AND PLAN CHECK
$274.20
LESS PRE -PAID FEES
$0.00
1_I T1: PERMIT FELS UE NOW
$274.20
D E C 2 1995
S
U
RECEIPT
By
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap tl 70
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPA
BLOCKWALL APPROVALS
Steel
So Backs of
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
AM Perev zoo a wmr i MO mb
FLFO 3-2y•98 sr,
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
Building
Address ' 78-825 LoveDr•
Owner LiZ & Jeff Cooper
P.O. BOX 1504
78-495 CALLE TAMPICO
LA OUINTA, CALIFORNIA 92253
maning
Address 78--865 Lore Dr.
City
Zip
Tel.
La Quinta, CA
92253
360-7644
Contractor
L.J. Olson Const. Co.
Address
78-765 Lowe Dr.
may Quinta, CA
Zip 32253
Te1360-7644
I
State Lic. B 377905
& Classif.
City 38041
Lic. #
Designer
Address Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S 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.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to Its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
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 rive 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. 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 Wild or improve for the purpose of sale.)
❑ 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 Wilds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 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 Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ 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 ($100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, 1 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: It, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions or the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
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. 157.92
BUILDING: TYPE CONST. VN OCC. GRP. R-3
A.P. Number 604-233-008
Legal Description Lot 177 'tract 23268
Project Description SFd
Sq. Ft. No. No. Dw.
Size 1801 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not include block walls or
pool.
Estimated Valuation $111079.00
PERMIT
AMOUNT
Plan Chk. Dep. 250.00
Plan Chk. Bal.
328.33
Const.
681.50
Mech.
62.00
Electrical
140.28
Plumbing
162.44
S.M.I.
11.20
Grading
20.00
Driveway Enc.
. 00
Infrastructure
2,501.57
Arts in 7Publi Flacea
29.95
TOTAL 4,186.75
3,9j6.75
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback frJRep.
ine
Rear Setback froineSide Street Setbnte ineSide Setback fro JX.
FINAL DA
Issued by: Date
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIWU FEES~ ,
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SO. FT. ®
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FRAMING
FINAL INSP.
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 n PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBINUNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. I z i.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 APPJEQUIP.
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
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION �.
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURES11NITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 9/25/95 1 Type of Permit I La Quinta
No. 113707 Permit #
Owner Name Liz & Jeff Cooper Log
N o. 78825 Street Lowe Dr.
City La Quinta Zip 92253 Study Area 233
APN # 604-233-008 Tract # 123268 J Lot #177 Square Footage 11801
Type of Development Single Family Residence I No. of units 1�
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 1.72 x 1801 or $ 3,097.72 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 Cooperson Project
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by
Pauline Pearson
Telephone 360=7644
Payment Received-,'-
Signature �Ou�Qe v.0 �p e,A A)01_� $3,097.72 Check No. 712
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
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78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
September 8, 1995
Mr. L.J. Olson
L. J. Olson Construction
78-765 Lowe Drive
La Quinta, CA 92253
SUBJECT: PRECISE PLAN 95-856 (Mr. and Mrs. Jeff Cooper Residence)
LOCATION: 78-825 LOWE DRIVE
Dear Mr. Olson:
This is to report that we have reviewed your revised construction
plans (dated September 7th) for the home you plan to build in the
Acacia Tract. We find.that you have modified your plans to meet
many of our earlier written comments we made in our letter to you
dated August 31, 1995. The final conditions of approval for your
case are attached.
If you wish 'to appeal the action 'of the Community Development
Director, please file your written appeal with our office within
10 -days from the date of this letter. Your appeal request, if
filed, will be heard by the Planning Commission. The filing fee is
$300.00.
If'you have any questions, please contact our office.by calling
(619) 777-7067.
Very truly yours,
JC17�iMU H RMA
C NI Y DE ELOPMENT DIRECTOR
RE �ROQDELL
AssoPlanner
GT.
Enclosure
c: Mark Harold, Building_ and Safety Manager,
CITY OF I. -A 01.1INTA
SEP ® 8 RECD
MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA, CALANWINP2S,KID SAFE'
CONDITIONS OF APPROVAL - FINAL
PRECISE PLAN 95-856 (OLSON CONSTRUCTION) '- REVISED
SEPTEMBER 6, 1995
1. All residences/dwellings are required to have illuminated building address numbers
per the La Quinta Municipal Code.
2. The front yard of all lots, and in addition the street side of corner lots, shall be
landscaped to property line, edge of curb, or edge of street pavement, whichever is
furthest from the house. .
3. The landscaping shall include trees (minimum two 15 -gallon trees on interior lots and
five 15 -gallon trees on corner lots), shrubs, and groundcover 'and/or hardscape of
sufficient size, spacing and'variety to create an attractive and unifying appearance.
Landscaping shall be in substantial compliance with the standards set forth in the
Manual on Architectural Standards and the Manual on Landscaping standards as
adopted by the Planning Commission. At least one specimen (24" box) tree shall be
provided in the front yard besides the landscape requirements noted above.
4. Landscaping shall be continuously maintained in a healthy and viable condition by
the property owner.
5. All landscape planting shall comply with the requirements of the State of Agriculture
Code and the directives of the Riverside County Agricultural Commissioner.
6. The developer/owner shall provide masonry block (tan slumpstone) wall fencing for
the new home and metal gates to match those used at the existing Acacia homes.
7. The roof overhangs shall be a minimum of eighteen (18) inches.
8. The garage doors shall match those on existing Acacia homes (i.e., metal roll -up with
recessed grids). Windows (lites) are allowed in the garage door(s).
9. All flashings, gutters, downspouts, vents, meter boxes, etc. shall be painted to match
the adjacent stucco surface.
10. The roof eave fascia shall be constructed of a 2" x 8" wood member with 1" x 4" cant
strip.
11. Desert colors shall be used to stucco and paint the exterior of the single family home.
12. The roof tile design and color shall be compatible with the existing Acacia homes..
13. All ground -mounted mechanical equipment shall be screened from view by either
CONAPRVL322
fencing or walls and/or landscaping and not placed in required setback areas.
14. The horizontal pop -out along the front elevation shall be constructed with a 2" x 8"
over 2" x 12" wood members.
15. All windows on the front and side elevations shall include 2" x 4" or larger trim and
stucco detailing. All gable vents shall include this architectural feature. All gable
vents facing a public street shall be decorative (e.g., round, half -circle, etc.).
16. The requirements of the R-1 Zone Code shall be met during plan check.
17. All requirements of Tract Map 23268 shall be met during plan check.
18. All street facing windows- shall be dual -pane with metal grids forming
concentric squares.
condprec
t. Vi
BOB HOFFMAN, Structural Engineer
Six Alfaro Drive, Rancho Mirage, 92270-4758
(619) 568-2967 T/F 773-3797
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Six Alfaro Drive, Rancho Mirage, 92270-4758
(619) 568-2967 T/F 773-3797
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Six Alfaro Drive, Rancho Mirage, 92270-4758
(619) 568-2967 T/F 773-3797
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