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BPOL2015-0081 + RPL (03983) + BLCK (03944) + SFD (3891)
54355 Avenida Martinez BPOL2015-0081 03983 03944 3891 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2015-0081 Property Address: 54355 AVENIDA MARTINEZ APN: 774253029 Application Description: CANTRELL RESIDENCE POOL REMODEL Property Zoning: Application Valuation: $20,000.00 Applicant: DESERT ISLES INC 41490 SPARKEY WAY BERMUDA DUNES, CA 92203 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury 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: C27. C53. B License 7763 Dat'r/ e& r l S Contract OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair . any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she 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 11, 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.). (J I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. . B.&P.C. for this reason_ Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Na Lender's Address VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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. fKA 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 and policy number are: Carrier:- Policy Number: 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 Sectio 3700 of the Lab?r Code, I shall forthwith comply with t se pr visions. Die: Z ( '5' Applicant[ 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. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this 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 , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 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 county ordinances and state laws rela ' ,puilding construction, and hereby authorize representatives of this ci to r upon t e above• mentioned p operty r inspection purposes. Date Signature (Applicant or Agent) Date: 4/27/2015 Owner: SHERRI CANTRELL P 0 BOX 851 LA QUINTA, CA 92253 F= Cr as , -o Contractor: DESERT ISLES INC v LU C3 o 41490 SPARKEY WAY Cq G BERMUDA DUNES, CA 92203 cal o z (760)345-3585 Llc. No.: 737763 [ C) 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. fKA 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 and policy number are: Carrier:- Policy Number: 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 Sectio 3700 of the Lab?r Code, I shall forthwith comply with t se pr visions. Die: Z ( '5' Applicant[ 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. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this 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 , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 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 county ordinances and state laws rela ' ,puilding construction, and hereby authorize representatives of this ci to r upon t e above• mentioned p operty r inspection purposes. Date Signature (Applicant or Agent) DESCRIPTION FINANCIAL .• 1• ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT 'PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forPOOL / SPA: TOTALS::• $279.91 $0.00 0i• Description: CANTRELL RESIDENCE POOL REMODEL Type: POOL Subtype: Status: APPROVED Applied: 4/24/2015 MFA Approved: 4/27/2015 KKI Parcel No: 774253029 Site Address: 54355 AVENIDA MARTINEZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 300 Lot: 6 Issued: UNIT 27 Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $20,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: POOL AND SPA REMODEL INSTALL NEW PLUMBING AND TANNING SHELF. THIS PERMIT DOES NOT INCLUDE BBQ, FIRE PIT, OR WALL. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. 3 1 Applied to Approved FINANCIAL INFORMATION Printed: Monday, April 27, 2015 3:35:00 PM 1 of 2 i SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE PHILIP JUAREZ 4/27/2015 4/27/2015 sent to philip 4/27/15 CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT DESERT ISLES INC 41490 SPARKEY WAY BERMUDA DUNES CA 92203 CONTRACTOR DESERT ISLES INC 41490 SPARKEY WAY BERMUDA DUNES CA 92203 OWNER SHERRI CANTRELL P O BOX 851 LA QUINTA CA 92253 FINANCIAL INFORMATION Printed: Monday, April 27, 2015 3:35:00 PM 1 of 2 i SYSTEMS f INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL" BLD PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Monday, April 27, 2015 3:35:00 PM 2 of 2 V?WsrsTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE - RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $0.00 PC Total Paid for POOL/ SPA: $279.91 $0.00 TOTALS::0 ••• INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL" BLD PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Monday, April 27, 2015 3:35:00 PM 2 of 2 V?WsrsTEMS Bin. # Qty. Of La QUintd Building 8r Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92233 -:(760) 777-7012 Building Permit' Application and Tracking Sheet Pemt,t # Project Address: _'Ajss MaOwner's Name: . A. P. Number. Address: - U` Legal Description: City, ST, Zip. C i Contractor. a Telephone: Project Description: Address: 1 `. City, ST, Zip: ' uOL&AE Telephone.--N State Lic. #: , City Lic.,, ( Arch., EW., Designer: e S•. 96440 / s Q g/" Address: City, ST, Zip: r _ 1121 SPE Lral? LOW UO t,TA Telephoae:'\ , Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Unit, State Lic. #: Z Name of Confect Person: Yti 0 Telephone # of Contact Pelson: Estimated Value of ProjeolL), O APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKNG PERMIT FEES- Plan Sets Plan Cheek submitted Item Amount Structural Cake. Reviewed, ready for corrections Plan Check Deposit... Truss CaIcs• Called Contact Person Pian Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Giadlog plan 2" Review, ready for correctionecaue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Pians picked up S3LL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctlowdiissue Developer Impact Fee Planning Approval Called Contact Person AAP.P. Pub. Wks. Appr ' Date of permit issue School Fees Total Permit Fees CITY OF LA QUIRTTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION! DATE Y 4 - - . -4 Q T-iht 4 Building Address 54-355 Martinez Owner Weeks Mailing Address same as above ' City Zip Tel. La thiinta 92253 Contractor P & F ftol i Address 78-755 Harti nicrue City Zip Tel. Bermuda Dunes 92201 State Lic. City & Classif. 476807 1 Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed -under provisions of Chapter 9 (commencing with Section 70DO) of DIvvIssIbh`3 of the Busirfdab-and Professions Code, and my license is in full force and 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) 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.) ❑ 1, 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.) ❑ 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. ❑ 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 (5100) 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: 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. 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 BUILDING: TYPE CONST. OCC. GRP. A.P. Number .774-253-016 & €313 Legal Description Project Description POOLS ` Shat Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $12,000 PERMIT AMOUNT Plan Chk. Dep. $64.02 r Plan Chk. Bal. Const. 98.50 Mech. 25.00 Electrical 16-00 - Plumbing 14.00 S.M.I. r Grading Driveway Enc. Infrastructure TOTAL REMARKS 14 •.t•t Z L - 'i :f #".i tt1 li!T♦ i J iY"r Y Ett i.ff "' f 61P7 .J +•.t ! -14, I ZONE: BY: ✓ i Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR 15/ 23/ 88 Issued by: Date Permit Validated by: Validation: 1 WHITE - FINANCE, PINK - APPLICANT, GREEN • BUILDING, GOL0E11IIi100 • A55665OR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO Fl rp S UNITS SLAB GRADE ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. C FORMS SEWER OR TIC A ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO FT at GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GARSO. FT. rcr TEMP. POLE GROUT DRAINAGE PIPING CAR P. SO FT. a FINAL INSP. WALL SO. FT. Q WATER SYSTEM DRINKING FOUNTAIN GRADING cu. yd. E —plus—x$ .S URINAL SO. FT. f6 FINAL INSP. FRAMING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE, Not to be used as property tax valuation REMARKS: FLOOR DRAIN MECHANICAL FEES a WATER SOFTENER VENT SYSTEM FAN EVARCOOL HOOD SIGN WASH ER(AUTOXDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM SPARK ARRESTOR 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 INSULATIONISOUND SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID g I'A c SEWAGE DISPOSAL SO.FT.GAR V4c HOUSE SEWER CERT. OCC. GAS PIPING PERMIT FEE FENCE FINAL 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 8 AIR COND. SOLAR SETBACK v GROUND PLUM ING _9 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR TIC A ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. E —plus—x$ .S LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING �///^/ C�T(� y/ e — REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIAlS GARDEN WALL FINAL Building Address Owner 4 P.O. BOX 1504 LA OUINTA CALIFORNIA 92253 Eddy T • Weeko . Mailing Oo DO= 394 Address ' - - City La Quint$ ZIp9225. 1 Tel: $64-0726. Contractor KMConstruction I Address State Lic. (City & Classif. Lic. # Arch., Engr., Designer Address Tel. City (Zip (State Lic. # LICENSED CONTRACTOR'S DECLARATION _ I hereby affirm that (4.m 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.ty+ti„.. •` SIGNATURE -•/ DATE OWNER -BUILDER DECLARATION 1 hereby affirm that 1 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 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.) ❑ 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.) ❑ 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. ❑ 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 1 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, Slate, Zip BUILDING: TYPE CONST. OCC. GRP. A.P. Number - Legal,.Description Project Description 7Z4-253-016 & 017 7S1 ©f 31 .High retaining Sq. Ft. Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 420050 Mech. Electrical Plumbing S.M.I. 050 Grading Driveway Enc. Infrastructure TOTAL t REMARKS i r:+ tfrt, is ::tKFrr l• v0--iiv .'1.'Jf,40 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 5/18/88 Permit Validated by: Validation: 1 WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, G060ENf100 • ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATE NO. t ELECTRICAL FEES NO. PLUMBING FEES ISI FL SO Fl y S UNITS SLAB GRADE ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. a FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO FT GAS (ROUGH) METER LOOP GARSO. FT. fc POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO FT. 9 GROUT WATER HEATER A WALL SO. FT. @ FINAL INSP. DRINKING FOUNTAIN SO. FT. a SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ -$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD • SIGN WASHER(AUTONDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION 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. SO. FT. ®c BATH TUB LATHING • SO. FT. g c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1 V c SEWAGE DISPOSAL SO.FT.GAR (g Y c 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 8 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 APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER A SERVICE FINAL INSP. BOND BEAM 6 Z'ATER SYSTEM GRADING cu. y0. $ plus x$ -$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING � yT REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR' GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS , GARDEN WALL FINAL 71 z P.O. BOX 1504 Building78-105 54-355 Avenida M artinez LA QUINTACCALIFORNIAALLE DO Address 92253 Eddy T. Weeks Mailing Address P. O. Box 390 City Zip Tel. La Ouinta 1 92253 554-072+6 Contractor Address City Zip Tel. Bermuda Duman 92201 345-7266 State Lic. City & Classif. Lic. # Arch., Engr., Designer 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 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). 0 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.) ❑ 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.) ❑ 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 (5100) 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 1 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 HARD COPY No. 003991 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 774-253-016 Legal Descripti Description Silnala h?r'!3"aily Dwellinn & 017 Sq. Ft. Size New ❑ 1.985 S No. Add ❑ Alter ❑ No. Dw Units Repair ❑ Demolition ❑ I of 6' slurm stone & rod iron wall Estimated.Valuation $114 r 740 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS AMOUNT 17A 935.00 ZONE: BY: Minimum Setback Distances:,tr ; ! .Y, Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 4/26j$Permit Validated by: Validation: I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIN(5 FEES V 1ST FL. SQ. FT. ® $ 2ND FL. SO. FT. ® POR. SQ. FT. ® GAR. SQ, FT. ® CAR P. SQ. FT. (q' 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 SLAB GRADE FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SEWER OR SEPTIC TANK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/. c SEWAGE DISPOSAL BOND BEAM SO.FT.GAR ® V4c HOUSE SEWER $ GRADING cu. yd. plus x$ GAS PIPING PERMIT FEE INAL INSP. 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 UGH PLUM 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 APP.IEQUIP. REINF. STEEL GAS (FINAL) eEMP. POLE ! _ I7 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ _$ LUMBER GR. INAL INSP. FRAMING % EwaFINAL INSP.dl G OOFING S -a �W 0— �1 s / <O REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL f0119 v LATHING MESH INSULATION/SOUND FINISH GRADING FINISH /J �± %A/ FINAL INSPECTION r ?-e- �1� o CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF CC Yc! SCHOOL FACILITY FEES �( TO: City of La Quinta DATE: Department of Community Development78-105 Ca �T La Quinta11CAEstado 92253 NOTICE: TV11 S DOCUMENT CANNOT BE DUPLICATE®. t This is to certify that — aQ�e- developer of which is located at ,Sf- / g Q , within this District, has paid school facil y fees imposed pur ant to the authorityen rated by Government Code Sec io1► 53080 in he amou t of $ 7 7 �� - 3v cov ring a total of / 9F -T- 6quare feet of (lc-) re -6i =M .or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS U IFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning •2 Pink)- Accounting • Gold - Developer (�/< ✓ 9/ (10)-37 qe 3s� l .r. 1. :',, ;�::, 7��Pi/?Cl elm' V.._..._.. Dated.... /' %:s�/t 'rl 1 1'�Ar. lI STATE OP ;hL�l'i.Hf;,r..• .. l.li jll ,:3nati• lYi r•:1 COUtirr r -)F -7- A • belofn ton, the uudot viln,:d, sonallyippeawd Ili.` '1/ cth r)IM How se? personally known to me (at proved to me on the oasis of snhslaetory -^-tip..`•. +r` OVIACIAL SEAL. evidancel to be the person!,) whose name(S) s/aro subscdbed to me -^,p?ANNE AIIIFIr ";tN9fC11AfK within msttumanl and actinowludgnd lit me mat he/she/They e+ucuted Y.J m2Y 'U 110.: - i AI A 1 the some. '•ty lama. alp..:.: l G I:, l:.i.9 . WITNESS my hand and otfictvl seal. J ( ITnis me, rut olnnet „oland edl• • `: . • Signeture�� . .� -.._ -_. 'Form]t95 MAIL TAX STATEMENTS AS DIRECTED ABOVE s . H .. ....... ..... Order No`.,:: Q Escrow No. — — — - p 6 v nLoan No. cc a ^m :3 ¢ Y u ti Off[ 1, u O cl Y (� WHEN RECORDED MAIL TO: LL ata Cq n Z, W I Edaaund £. 1Jc.ok.a Your/-7uL Ueta—A'.5 a :_ > y .t CU O :•11 53666 lidiejo p oc U ,t K •{ K w >. y o n La Quilta, CA 92253 c S;PACE AUOVE rrtlS LINE FON RECURDLR'S USL s MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX S. ............................................... haOle Clh taCout• ...... Contputati an the consioerotion Or value of property conveyed: OR ...... Computed on the consideration or value less liens or encumbrances rem-jining at time of kala. Sia ear ire of Decluent or Apent Oetermininp te+ - F 1—Neme- GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, 7KONAS ORDAN PIIN£R and JZIDI711 ANNE NOT, hwsCeznd and wile, JUC114RD l&MY HotdS&� II, An.: -Unmarried Man £LIZA13£7il ANN 11041S&� , An Unmarried Woman C` hereby GRANT(S) to EDUARD £, lJ££liS caul JUNE -74£ lJ££KS, hu.6eund and lo.il'c, a•i cummunitr/ pnupentU the real property in the City of [a. Qlvinia County of R.iven4,ide State of California, described as Loth 5 and 6 .in Reock 300 oe SAN74*CA1?n6LI7A A7 VAL£ LA (JUTA17A, LIN17 R27 rah pe:z male iz.eco/ided .;n Cook 19, paye82 o/ Plup.s, Raco.ulh of R.iuea.aide. Coaurtr/, Cu.Gloiuu:u. qe 3s� l .r. 1. :',, ;�::, 7��Pi/?Cl elm' V.._..._.. Dated.... /' %:s�/t 'rl 1 1'�Ar. lI STATE OP ;hL�l'i.Hf;,r..• .. l.li jll ,:3nati• lYi r•:1 COUtirr r -)F -7- A • belofn ton, the uudot viln,:d, sonallyippeawd Ili.` '1/ cth r)IM How se? personally known to me (at proved to me on the oasis of snhslaetory -^-tip..`•. +r` OVIACIAL SEAL. evidancel to be the person!,) whose name(S) s/aro subscdbed to me -^,p?ANNE AIIIFIr ";tN9fC11AfK within msttumanl and actinowludgnd lit me mat he/she/They e+ucuted Y.J m2Y 'U 110.: - i AI A 1 the some. '•ty lama. alp..:.: l G I:, l:.i.9 . WITNESS my hand and otfictvl seal. J ( ITnis me, rut olnnet „oland edl• • `: . • Signeture�� . .� -.._ -_. 'Form]t95 MAIL TAX STATEMENTS AS DIRECTED ABOVE s . H ,��•_� -� \r9• �gj Ot f If_E OF AGRICULI URAL COMMISSIONER AND WEIGH"I'S E MEASURES 49-613 Ilwy 86, Suite 8-12 'Coachella, CA 92236 619-342-8291 DATE DEVELOPER'S NAME - E. LEON SPAUGY COMMI5:10`ER TAMES 0 WALLACE ASS:STAM C.,)).Ur. MIUNEa CLEMENTBE`VENISTE SEALER CASE W. R 88/fS 0y274 ADDRESS: T a " % s o _ TEL UPI IONE: Dear Developer: i,,► - S Y- 3 ss 4 Q f e4 After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ fruit plam:t material listed, this. office must be notified imm' diately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. . Agricultural CumLi.ssi : r s Off ice cc: Indio and Riverside Office COACHELLA VALLEY WATER DISTRICT u ,/► CASH RECEIPT DETAIL Received Fro C'. r .GC.. Weal Address: / Dat . Account No. Service Address Lot(s) Trac ❑ Meter(s) G.A. Code ❑ Service(s) $ ❑ Backflow(s) ❑ House Laterals) ❑ DetectorCheck(s) ❑ Meter Surcharge ;•Sanitation Capacity Charge -- ❑ W.S.B.F.C. 4 ❑ Temporary Construction Meter ' ❑ Turn on Cfierge ❑ Uncollected Account -Name ---- ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water / Sewer - Tract - O Bond Payment - A.D. _ Bond__ Assmt. ❑ Customer Deposit ❑ Other ------------------ Rem rks' TOTAL $ Q ❑Copy to: Check C- ,v'• -"y4 `"`._3' •'.C`s ,.; . J t WaterServlce Cashier CVWD-438 (11/8g)