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BLDG (0005-350) + RPL (13225) + BLCK (13137) + SFD (12086)
54140 Avenida Martinez 0005-350 13225 13137 12086 LICENSED CONTRACTOR DECLARATION I, hereby affirm under penalty of perjury that I am licensed under provisions of Chapter b.(conimencing: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 Signature of Contractor .. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: j ( ) 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). ()6 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 is ripas t'ry Date ' ? ud d Signature of Owner s t ••f WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: X 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 3 00 of the Labor Code, I shall forthwith comply with those provisign s' Date: :5—`" 2 6' * t)BdAnnlicant , r'rt,e Warning: Failure to secure Worke sCompensation 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, 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) ~%F +^''Date BUILDING PERMIT PERMIT# Y DATE VALUATION LOT W05_24so TRACT 05/76floc $ti X-13.95 JOB SITE APN ADDRESS 54-140 AWMDAMA—IM. SUEZ OWNER CONTRACTOR / DESIGNER / EN (NEER JACK COWML 11,0..80,X 83s LA,QUWA CA 92253 USE OF PPEERRMIT1 jj{{ yy ,'y' t J • S GETNd.N.tS ,.W I.jS+JAJAYt V ry 63 LF. S' Hfaff CfA.RDEN W:AIA, (ORCO SYSTFA9) S PT, WALL 63,00 LF ES'TIMAT]IsM COSP OF CONSTRAIC'3"ION Mawr r": SUISMA Y CONST.i2,L)MION FEE 101.000.418.000 S33,fl0 0% SUB—TOTAL. CONSTRUCTION ION AND PLAN c5lWOR ,LESS PRE-P.AILDITES $U,flO TCYTA.LTER1+11,11KESD NOW c t RECEIPT DATE BY .- DA;E FIN D 4•fGi, INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR BUILDING APPROVALS Set Backs Forms & Footings Slab Grade Steel Roof Deck OX to Wrap Framing Insulation Fireplace P.L. Fireplace T.O. Party Wall Insulation Party Wall Firewall Exterior Lath Drywall - Int. Lath OPERATION DATE INSPECTOR MECHANICAL APPROVALS Underground Ducts Ducts Return Air Combustion Air Exhaust Fans F.A.U. Compressor Vents Grills Fans & Controls Condensate Lines Final I I BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain -Bond Beam .Q Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final .QO 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 Final COMMENTS: Final ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 54-140 Martinez LA QUINTA, CALIFORNIA 92253 °Tenyon and Brad Jones Mailin Address 79-738 Arnold Palmer Drive City Zip Tel. La Quinta, c 92253 772-0511 Contractor Larry Donaho Ad J 0st3 Sand Springs Drive I City Zi Tela atm Springs,CA 92252 322=-3559 State Lic. City & Classif. 627265 a Lic. # 2154 Arch., Engr., Designer Address Tel. City IZip I State I 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 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, 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner or 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 build or improve for the purpose of sale.) (YKas 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason / Date % 1U ki Owner ` s ` ✓ 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. 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 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 NOTICE TO APPLICANT: If, 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. 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 BUILDING: TYPE CONST .P. Number Legal Description Project Description Pool No. _OCC: GRP.; 13225 Sq. Ft. No. No. Dw. Size Stories Units New`❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ A Aong ls7p5neM coartrac6irl'on house. A -?-jill 10 1993 "`t S t IBy___ Estimated Valuation I PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS M AMOUNT 64.35 99.00 24.00 45100 27.00 259.35 ZONE: BY: Minimum Setback Distances: _ Front Setback from Center Line V Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR — ti Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. p $ UNITS SLAB GRADE l ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS POR. SD. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CARP. SO. FT. GAS (FINAL) TEMP. POLE WALL SO. FT. GROUT DRINKING FOUNTAIN SO. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation _$ FLOOR DRAIN MECHANICAL FEES ROOFING WATER SOFTENER VENT SYSTEM FAN EVAP.000L 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. SO. 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 ® 3/ac HOUSE SEWER FINISH GRADING 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—s-q UNDERGROUND f,t 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 APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP.L ? FINAL INSP.! —/Z GRADING cu. yd. $ plus x$ _$ LUMBER GR. FRAMING ROOFING S 6rh i ^ ' Py-) / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION l2_ Z J CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Building 4-140 Martinez Address P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 """ Kenyon and Brad Janes I Mailin Address 79.738 Arnold Paine City Zip Tel. La Qui.nta 192253 1 771-0511 Contractor Address Zip I Tel. State Lic.I City & Classif. Lic. # Arch., Engr., Designer Address IT City IZip I State I 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 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, 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). O 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 build or improve for the purpose of sale.) t & I as owner of the property, am exclusively contracting with licensed contractors to con - 'r pct 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.) O 1 am exempt under Sec. B. & P.C. for this reason Date 7' -tet 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. ❑ 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., If, 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 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. 13137 I LDING: TYPE CONST P. Number OCC: GRP. 5' Framed & Stucco wall Project Description t 00%1 a x s.4 . 1►, 251 4 t hi gb ._ 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: Sq. Ft. Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 4297. Qa PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 72.00 Mech. Electrical Plumbing S.M.I. .50 Grading Driveway Enc. Infrastructure TOTAL x • 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL, SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS BAR P. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SQ. FT. OTHER APPJEQUIP. DRINKING FOUNTAIN SQ FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. 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, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR ® 3/ac HOUSE SEWER LATHING © --43 LJ GAS PIPING PERMIT FEE MESH 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 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 a( —y3 4j (((111 11 FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING © --43 LJ MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION L(2_f I CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL r P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 54^140 Martinez LA QUINTA, CALIFORNIA 92253 Owner Ren and Brad Jones Address 79--738 Arnold Palmer City Zip Tel. La Quinta, CA 92253 772-0511 Contractor fflM8X)M=dft Larry Donoho Address 3280 San Spring Drive City Zip Tela Palm Springs, CN 92262 322-'3569 State Lic. &Classif. 627265 City Lic. # 21.54 Arch., Engr., Designer Address I Tel. CityI Zip I State I 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 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, 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, 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 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.) O I 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. ❑ 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, 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: If, 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. 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 sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant -Date- Mailing ateMailing Address City, State, Zip No. BUILDING: TYPE CONST. A.P. Number 774-222-006 I Description OCC. GRP.: s Lot 18 and sA of lot 19 Blk296 Project Description - SPI) REMARKS Permit fees reflect of merger iFc_ entiv*% program. 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: Sq. Ft. Size 1.698 No. Stories No. Dw. Units New C [ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block walls or pool. Estimated Valuation A $99, 993• 00 PERMIT AMOUNT Plan Chk. Dep. - Plan Chk. Bal. (250. UU Const. Mech. Electrical Plumbing S.M.I. til. Grading Driveway Enc. Infrastructure , ovy . U4 TOTAL if `.+►.V4 REMARKS Permit fees reflect of merger iFc_ entiv*% program. 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEE& 1ST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS AA 2ND FL. SO. FT. DUCT WORK YARD SPKLR SYSTEM FOUND. REINF. MOBILEHOME SVC. BAR SINK POR. SO. FT. ® OTHER APP./EQUIP. REIN F. STEEL GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. I SO. FT. WATER HEATER SERVICE DRAINAGE PIPING WALL SO. FT. ® BOND BEAM DRINKING FOUNTAIN SO. FT. ® =$ URINAL ESTIMATED CONSTRUCTION VALUATION $ FRAMING a.. / / WATER PIPING NOTE: Not to be used as property tax valuation GK - 6-7 .3 7 J/(2. l4i 3cr W Qj1(q { 3 c p FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE LAUNDRYTRAY 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. SO. 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 ® 3/ac HOUSE SEWER FINAL INSPECTION 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 PLUMBINT-/J _U tip UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS AA SEWERQ GH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS(ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REIN F. STEEL GAS (FINAL) TEMP. POLE 3/6/13 !3 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. — ..7 FRAMING a.. / / FINAL INSP. ROOFING &!1-412 GK - 6-7 .3 7 J/(2. l4i 3cr W Qj1(q { 3 c p REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND .6 _ q 3ze FINISH GRADING' FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL s DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 4/27/93 1 Type of Permit I La Quinta No. 112171 1 Permit # Owner Name Ken and Brad Jones Log No. 54-140 Street Avenida Martinez City La Quinta Zip 92253 Study Area 110 APN # 1774-222-006---1 Tract#1 Lot # 0 Square Footage 11698 Type of Development Single Family Residence No. of units 0 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 1698 or $ 2,682.84 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 Bradley C. Jones Telephone 771-0.511 Name on the check B . Y Jams Lively Assistant Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett Payment Receivec •. ; ` Si naturee Checkf' o '462^ 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 ' REC0Rb4N( RfCwtltiSTEW-113 1+' 6t ;t p( er*i,i:- l i'i , E lyiltcclCv lf5 AND WHEN RECORDED MAIL THIS DEED Ar;D UNLESS OTHERWISE SHOWN BELOW MAIL TAX STATEMENT TO: QO Name Mr'. K. Jones Mr. B. Jones Street Address 79738 Arnold Palmer city& La Quinta State CA 92253 Name Street Address City & State TITLE ORDER NO. 1.936578 E CHOWNO. 2-13407 SPACE ABOVE THIS LINE FOR RECORDER'S GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ 38.50 D computed on full value of property conveyed, or t:7 computed on full value less value of liens or encumbrances remaining at time of sale. G unincorporated area ❑ o`1;Ey of LA QUINTA , AND 1 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ARTHUR L. MUF,ILLO and CARMEN Z. MURILLO, husband and wife m hereby GRANT(s) to r KENYON JONES, a married man as his sole and separate property as to an \ undivided 2/3rd interest and BRADLEY JONES, a single man as to an undivided 1/3rd interest, as Tenants in Common the following described real property in the City of LA QUINTA County of RIVERSIDE , State of California: Lot 18 and the South half of Lot 19 in Block 296 of -Santa Carmelita at Vale La Quinta, Unit No. 27 as shown by Map on file in Book 19, Page 82 of Maps in the office of the County Recorder of said County rr C - Dated March— 4,-1992 ARTHUR L. MURIL STATE OF CALIF IAL'4 COUNTYO e_",ss' CARMEN Z. RILLO On this day of in the year 19:"4 ' before me, the undersign d, a Cary Public in n or said State, personally app ar d ',personally known tome (or proved to me on the basis of satisfactory evidence) to be the person, whose nam subscribad to the within instrument, and acknowledged to me that he -V rixecuted it. WITNESS my hand and official seal. Signature NOTARY PUBLIC IN AND FOR SAID STATE CO -441 ( Ev 4/85) MAIL TAX STATEMENTS AS DIRECTED ABOVE. OFFICIAL SEAL Diana C. T honey ®s % NOTARY PUBLIC - CALIFORNIA RIS--RSIDECOUNTY ra My Comm. Expires Aug. 31, 1995 (This area for official notarial seal) 7 0 tr U W ac N 8.1 0 > 1z' Q 11, It ~ V_ T W 0 .2 r'. /U 08 re O > W W= R as ►= .i .- a C.J SPACE ABOVE THIS LINE FOR RECORDER'S GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ 38.50 D computed on full value of property conveyed, or t:7 computed on full value less value of liens or encumbrances remaining at time of sale. G unincorporated area ❑ o`1;Ey of LA QUINTA , AND 1 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ARTHUR L. MUF,ILLO and CARMEN Z. MURILLO, husband and wife m hereby GRANT(s) to r KENYON JONES, a married man as his sole and separate property as to an \ undivided 2/3rd interest and BRADLEY JONES, a single man as to an undivided 1/3rd interest, as Tenants in Common the following described real property in the City of LA QUINTA County of RIVERSIDE , State of California: Lot 18 and the South half of Lot 19 in Block 296 of -Santa Carmelita at Vale La Quinta, Unit No. 27 as shown by Map on file in Book 19, Page 82 of Maps in the office of the County Recorder of said County rr C - Dated March— 4,-1992 ARTHUR L. MURIL STATE OF CALIF IAL'4 COUNTYO e_",ss' CARMEN Z. RILLO On this day of in the year 19:"4 ' before me, the undersign d, a Cary Public in n or said State, personally app ar d ',personally known tome (or proved to me on the basis of satisfactory evidence) to be the person, whose nam subscribad to the within instrument, and acknowledged to me that he -V rixecuted it. WITNESS my hand and official seal. Signature NOTARY PUBLIC IN AND FOR SAID STATE CO -441 ( Ev 4/85) MAIL TAX STATEMENTS AS DIRECTED ABOVE. OFFICIAL SEAL Diana C. T honey ®s % NOTARY PUBLIC - CALIFORNIA RIS--RSIDECOUNTY ra My Comm. Expires Aug. 31, 1995 (This area for official notarial seal) COACHELLA VALLEY WATER DISTRICTp =7;,,i CASH RECEIPT DETAIL 7 G t Q- Received From: _ - ._ r i i L ` N., ` c Address: Account No. f - ' ' Lot(s) Tract Service Address G.A. Code 1 L-4 ' ter(s) f S • U U ( u Services) ❑ Backflow(s) ❑ House Laterals) ❑ Detector Check (s) ❑ Meter Surcharge sanitation Capacity Charge ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge n ❑ Uncollected Account -Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water / Sewer - Tract - ❑ Bond Payment A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other " TOTAL $ o•• Remarks: ❑Copy to: Water Service Cash r l Check j'- J t Cashier 1 Money Order CVWD-438 (11189) Professional Service Industries, Inc. REPORT OF FIELD COMPACTION TESTS TESTED FOR: PROJECT: C p f'f1RR71VZ. Arno16 Patin -&-r- L r - Q \ Rta, G°- q iZS3 DATE: rj ' D3 OUR REPORT NO.: O 7 3 3 OV (p TEST DATA: TEST NO DATE ELEVMAXIMUM DEPTH SOIL ID NUMBER LAB DRY DENSITY WATER CONTENT IN PLACE DRY DENSITY PER CENT COMPACTION COMMENT 3 t'• U -0 P %Zb .5 17,U 7. t 119.4- 94 - 2 z .0 1Z1 Z 9G 3 •4 117,rJ 9Z 3.7 117.7 93 1 tSl LOCATION: NOTES: DENSITIES SHOWN: Lbs. per Cubic foot 1. FILL MATERIAL WATER CONTENT: Per Cent of dry weight 2. BACKFILL PERCENT COMPACTION: Based on maximum dry 3. BASE COURSE density obtained on sample indicated by 4. SUBBASE soil ID number. 5. SOIL CEMENT 6. OTHER REMARKS: 4. , A. TEST RESULTS COMPLY WITH SPECIFICATIONS B. RECOMPACTION REQUIRED C. TEST IS AFTER RECOMPACTION PSI A•100-2 (1) 42-240 Green Way, Suite C • Palm Desert, CA 92260 • Phone: 619/341-5790 • Fax: 619/341-5794 s Inc. of '1- 4 z NOTES: DENSITIES SHOWN: Lbs. per Cubic foot 1. FILL MATERIAL WATER CONTENT: Per Cent of dry weight 2. BACKFILL PERCENT COMPACTION: Based on maximum dry 3. BASE COURSE density obtained on sample indicated by 4. SUBBASE soil ID number. 5. SOIL CEMENT 6. OTHER REMARKS: 4. , A. TEST RESULTS COMPLY WITH SPECIFICATIONS B. RECOMPACTION REQUIRED C. TEST IS AFTER RECOMPACTION PSI A•100-2 (1) 42-240 Green Way, Suite C • Palm Desert, CA 92260 • Phone: 619/341-5790 • Fax: 619/341-5794 s Inc. Hogancamp Engineering Civil Engineering • Structures Hydrology - Land Planning April 21, 1993 Mr. Mark Harold Building Department CITY OF LA QUINTA, CALIFORNIA 78-105 Calle Estado La Quinta, California 92253 (619)564-2246 72-855 Fred Waring Drive Suitc !lC-18 Palm Dcscrt, CA 92260 (619)773-9373 (619)340-0601 FAX Donald A. Hogancamp, P.E. RCE 38239 Re: Structural Calculations for the JONES RESIDENCE, located at 54-140 Avenida Martinez, in the City of La Quinta, CA. Dear Mr. Harold: I am a Registered Civil Engineer, licensed to practice in the State of California and I have performed the following calculations for the referenced project at the request of Mr. Kenyon Jones. This calculation is performed in accordance with the Uniform Building Code, 1991 Edition. All normal vertical and lateral loads are considered. If I can answer any questions or be of further assistance, please don't hesitate to call me at (619)773-9373. Respectfully Submitted, HOGANCAHP ENGINEERING At, raxM c tnc a -,0 Donald A. Hogancamp; RCE 38239 License Expires March 31, 1997 QROFESS/pNq r^ No. 38239 -° !Jql C V \P F CAO5' Hogancamp Engineering SHEET Z OF 72-855 Fred Waring Drive JONES RESIDENCE suite aC-19 PROJECT Palm Desert, CA 92260 vr►iun►1 (OIY)//3-J3/ [; LItN ^LI'sIYIN VVI\LJ DATE nrn 1771 Sic Laic{ . . . l Roo t*d .Load ; " G D P . . . . . . . . .. . . . . 8" Cyps" 3 2 psi . . . . . . .. . . L . . . . Tr. Ksses. 3.. 6 ,. ,. ,. R 34. -Et -su (c oq Z. l . pg.( + . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Za. pfd Z, .,.We 1. 4 .q . Led 3 Li L/.Q ..Load)* 4d,(' Z IvS-f' 4• .Gjind), . us . C ' .70 . . . . . . . . . u .e 0, 03.vJ-. _ . 0,.83 2,5,ac 4 (O - ................... ,. + + ,. -c4 I . z3 / l fie) 0 . < . 2a DLRM w r II dl 2.312(h) .,. om 1 <.,. U S . D I?M . * -,r + Hogancamp Engineering JH- 72-855 Fred Waring Drive suite NC -1 g Palm Desert. CA 92260 SHEET 3 OF S PROJECT JONES RESIDENCE vr►umn►i onurr (619)773-9373 CLIENT r ErNTUfN LAUNE3. DATE NYN IYY3 (. ✓i/yS S . . . . . . . . . . . . . . . . . . . /z, X40)2 .. . . . . . . . . . . . 70 # S C s l IIC =. 4U k 700 - (G >< Zo - Gh G) - ( x J/C109Z # . + 9 --rom. Cwecrc/ a %o ! 7 or = A r (4(J.)( 4 -yq V- S ) 44 6.,"f I)- 5 ...,.c 1 M I• ,. + I• ,. + HoganceL m.p Engineering SHEET 4 of s 72:855 rred Waring Drive JONES RESIDENCE suite aC-18 PROJECT • Palm Desert, CA 92260 (619)773.9373 CLIENT KENYON JONES nQTF RPR 1993 Loi 4em BATH` 10 •" + Hogancamp Engineering SHEET 5 OF 72-855 Fred Waring Drive . JONES RESIDENCE" suite aC-1 a PROJECT Palm Desert, CA 92260 (619)773.9373 CLIENT KENYON JONEStteTF RPR 1993 Sh a -- ! a 11 eS ► . . . . . . . . . . . . . . . . . . . T= 1Z( -3)/z -7Wz . Cls PA l8 . 6.(61t)-. ' . ' -720. No ID orl lon 7f- A,"' G' .F