SFD (13070)P.O. BOX 1504
Building 52-415 Mendoza 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
La Quinta Cove Home, Inc.
Mailing
Address 310 Washington, Ste. P214
City Zip Tel.
Santa Konica, CA 90293 1(310)827-0171
Contractor
Same
Address
Zip ITel.
State Lic.I City
& Classif. Lic. #
Arch., Engr.,
Designer $
Address
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) �o�f/Division 3 of the BLsiness and Professions Code, and my license is in full force and
effect/
SIGNATURE - DATE
G— 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.)
❑ I, as owner of the property, am exclusively con?ratting 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 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 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. 13070
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 773-272-019
Legal Description Lot 8 Black 100
Project Description SPD
Sq. Ft. No. No. Dw.
Size 169Q Stories Units
New Add ❑ Alter ❑ Repair ❑
Demolition ❑
Permit does not include any
block walls
or pool.
Estimated Valuation $99r559.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
541.94
Const.
639.50
Mech.
62.00
Electrical
132.75
Plumbing
144.00
S.M.I.
10. 00
Grading
20-00
Driveway Enc.
—(—
Infrastructure
2,201.83
Precise Plan
25.00
TOTAL
3,777.02
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
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. p
POWER OUTLET
I ROOF DRAINS
CARP. I SO. FT.
GAS (ROUGH) [
ll _3
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN
SO. 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.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING m #L
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
,p 3 �
i
LAUNDRY TRAY
AIR HANDLING UNIT CFM
REMARKS:
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/4-c. - -
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
_ 9
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) [
ll _3
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-x$-=$
LUMBER GR.
FINAL INSP.//—j,0—q;!9
FRAMING m #L
FINAL INSP. 11 -?-?--73
ROOFING (�
,p 3 �
i
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
�1
GAR. FIREWALL
LATHING '—.2
MESH
INSULATION/SOUND —ZG
FINISH GRADING
FINAL INSPECTION
i
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111 0
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 6/23/93 1 Type of Permit La Quinta
No. 112286 Permit #
Log
Owner Name La Quinta Cove Home, Inc.
No. Street See Below
city La Quinta zip 92253 Study Area 113
APN # I I Tract # Lot # 0 Square Footage 115246
Type of Development Single Family Residence I No. of units
Comments 53-683 Avenida Alvardo, 52-415 Avenida Mendoza, 52-140 Avenida Velasco,
52-675 Avenida RLbio, 52-375 Avenida Navarro- 52-7,90 Avenida C'arranza,
5_I -R10 Villa S7-175 Avenida HarrPra1;1-771, AvPnirja Marfina7
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 1.65 x 15 246 or $ 25,155.90 have been paid to D.S.U.S.D. for
the -property listed above and- that building permits and/or Certificates:of.Oceupancy for
this square footage in this proposed project may now be issued.
Fees Paid By La Quinta Cove Home, Inc. Telephone 564-5540
Name on the check
By James F._ Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
Payment Received
Signature +'2' Check . No. 054138
Collector. Attach a copy of county or city plan check application form to district ropy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy -.Accounting
AUG 16 '9:3 11:5CDAI] BARF.-Y H BEF.'lKUS AIA
BARIWNBEKKUS
A.I.A.
August 16, 1993
Harlan Lee & Associates
310 Washington boulevard
Marina Del Rey, CA 90292
Attn: Randy
Dear Randy:
Per our phone conversation, I would like to clarify the location of the footing omission desenbcd in the
letter from Carl Schneider on August 12, 1993,
1. Due to the fact that the 3 -point bearing trusses have been redesigned as 2 -point bearing
trusses, the footing running the length of the house dividing the LIVING/DINING areas
from the SLEEPING areas may be onvtted. (not required)
If you have any further questions, please call.
Sincerely,
Barry A. Berkus, A.I.A.
Scott Branch
LA QUINTA
223 L. UC La Guctra
5,W11a barp3ra, CA 9310'1
J1()5/9W-b"4U11
Fax: 805/966-6846
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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..
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ordinances of the City.
regulating, building construction or use.' For the following:,
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BUILDING ADDRESS' 52--415 Avenida Mendoza' ''
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IISingle
Family Dwelling - 13070
Use Classification Bldg. Permit No.
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II
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Group R3 Type Construction Fire Zone Use Zone SR
III
La Qiiinta Cove- Home, Inc.
Owner of Building Address 310 Washington, Ste'. P214
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Santa Monica CA 90292
City Lonnie 'Day'
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t By., November 22•, 1993
Dote.
N4N/NG
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Building_ Official ,
"POST IN A CONSPICUOUS PLACE
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