SFD (001635)P.O. BOX 1504
Building 78-105 53-355 Mani . b LA QUINTACCALIFORNIAALLE 92253
DO
Address '
Owner a .
,D4Gt- +11Tr1ftvft �Cvn
Mailing
Address
P.O. Am 2288
City
Zip
Lic. # 2
3 tra. 9VO2
Contractor
--�
Designer
Address.
' Address
City .
above
BUILDING:'TYPE CONST. t? OCC: GRP. -R I . -
0
A.P. Number 77"92-017 lot S
Tel.
Legal Description
Project Description S�iQie femi1v ,
Tel... .
State Lic.
City
' urm 1592
& Classif.
Lic. # 2
Sq. Ft: No. No. Dw.
' 40.
• Arch.; Engr.; .. ... ..... - � ,� ..
}N
Size •- . •, Stories Units.
Designer
-New [X Add ❑ Alter ❑. Repair ❑ Demolition ❑
' Address
Tel.
City
Zjp
State
_
Lic: #
LICENSED CONTRACTOR'S DECLARATION;.
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section i`
7000) of Division 3 of the Business and Prof ssions Code, and my license is ircfull f/orce and :•
�\
effect. f 1. '}. '
-•\
SIGNATURE DATE
- -
-OWNER-BUILDER DECLARATION
I hereby -affirm that I'am exempt from the Contractor's License Law for the following
EStlmated Valuation
f� .447.60
•a'-
_ reason:.(Sec,;. 703 1,5, Business- and Professions Code: Any city or county which requires a" .: '•
permit to construct, alter, improve, demolish, o/repair any structure, pdor.Jo its issuance also,
requires the applicant for such permit to rile a signed statement that. he is licensed pursuant to,
-PERMIT AMOUNT '"-
the provisions of the Contractor's License Law, Chapter 9 (commencing with. Section 7000) of
+:•
• Division'3 of the "Business and Professions Code, or that: he is exempt therefrom, and the basis
for the alleged exemption.. Any violation of Section 7031.5 by 'anyapplicant for a. permit.
Plan Chk: Dep. ." .._
-
:Subjects the applicant to a •civil'penafty of not more than five hundred dollars ($500). - -
O I;
Plan Chk. Bal.. �
as owner"of.the ro erl , or m employees with wages as their sole compensation, will.
p p y y 9 p
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bulsness and
Professions
�r l
COf1St". ' 379.00
Code: The Contractor's License Law doesot apply to an, owner of:property. who
"builds or Improves thereon and who does such work himself or through* his own employees;
Mech. 711
. provided that' such improvements are not intended or offered for sale. If, however, the, building
.j 31.0 '
or Improvement is sold within one year of completion, the "owner -builder -will have the• -burden
, - •" �ftf �wf
0e.._G
. _ of proving that he did not build or improve for the purpose of sale.). •
.Electrical f -
❑ 1, as owner of the property, am exclusively contracting with'licensed contractors to:con-.
Plumbing , . 89.00
slruct the projeck (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
S. M.I.- '• - I - - -
such projects with a contractor(s) licensed pursuant to the Contractor's License
�
-Law;).-
Grading
O Lam exempt under Sec. B. 8 P.C. for -this reason
Driveway Enc. I�
Date Owner'
Infrastructure .,1a
WORKERS' COMPENSATION DECLARATION
" Thereby affirm that I have a certificate of consent to self-insure,'or a certificate.of '
Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.)
Policy No.
❑ Copy is filed with.the city. - ❑ Certified copy is hereby furnished:
TOTAL 2.,135..06
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS'. COMPENSATION INSURANCE
(This section need not be completed ff the permit. is for one hundred dollars (s 100) valuation
_. . or less.). .. ... . • . , .
I certify that in the performance of thg work for which this permit is issued, I shall not' •
I t
• employ anyperson in -any manner so as to become subject.to the Workers'. Compensation-
Laws of California.
I. .. ..
Dale -" .. Owner
- NOTICE TO APPLICANT: If, alter making this Certificate of aExernption you should become
ZONE: '• BY: '
subject to' the 'Workers' Compensation provisions" of. the Labor Code; you must forthwith
comply with such provisions or this permit shall be deemed revoked. -
Minimum Setback Distances
Front Setback from.Center Line
•
Rear Setback from Rear,Prop'Line
_ CONSTRUCTION LENDING AGENCY +
Side Street Setback from Center Linea '
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.) I
Side Setback from. Property Line -
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 for 180 days. - ' ' •
FINAL' DATE INSPECTOR '
-•�"+•�^;•`": �•~
"-
�.:.rmit
suspended .. - .. - . .
I certify that I have read this application and state that the above information is correct._ ..
..4 _L`:
' -.t
Issued by: - Pe
agree to comply with all 'city and county ordinances 'and state laws relating to building' .h
S
�. construction, and hereby authorize representatives -of this city to enter the above.
mentioned property for inspection purposes. ,. �..+, A'
-••''.•S�''�-wff... .i ce-•+ ,s3' ....:� ,A'
Signature of applicant:.Date �
Validated by:
..
Mailing Address
Validation:
City, State, Zip
A3489 12 6 2a3566'U
HARD COPY
'
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT. ®
POR. SQ. FT. ®
GAR. SO. FT, ®
CAR P. Q. FT. ®
WALL SQ. FT. ®
SQ. 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS a ��
LPTI�A
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLES
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.
SQ. FT. RESID p 11/a c
SEWAGE DISPOSAL
L -.t
SO.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
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
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS a ��
LPTI�A
SEWER OR SE
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLES
GROUT
WATER HEATER
SERVICE.
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
I I , j0
VENTILATION
L -.t
DEC a
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
1 �) INSULATION/SOUND /0 ('
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
GARDEN WALL FINAL
(I 1j 0R`Ili/kL
8-9
LV 1 VR J JIV1�M1 VRC�lI11Y 111/iLJ.
C,
h y0"
a.-0
-
Desert Sands Unified School District
H BERMUDA DUNES r
RANCHO MIRAGE
82.879 HIGHWAY 111 • INDIO. CALIFORNIA 92201-5678 O (619) 307.8631
INDIAN WELLS a ,
PALM DESERT a
P . LA OUINTA 11_
December 6 1985
-40 INDIO 1�
City of 'La Quinta
Department of Community
Development,
78-105 Calle,Estado
La Quinta, CA-92253
Re: 54-0.80 Herrera,
54-060 ,Herrera, 53-365 Mendoza, 53-615 Mendoza,
" 53-355: Mendoza';
54-435 "Madero
Gen emen:
" The developer. of the
above referenced lots,
has mitigated its impacts
on our overcrowded schools by payment
of the'amount.of $628.per unit to be applied to the cost of
district educational
facilities made necessary by such new
development.
Sincerely,
John D. Brooks
Assistant Superintendent
Business Services
JDB/crm
78-105 CALLE ESTADO - 'LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
June 26, 1985
17
092--0'
]Rick Johnson Construction 0
P. 0. Box 2288
Indio, CA - 92202
RE: PLOT PLAN,No. 85-170,, Approval to Construct a.g
-Sin le -Family Dwelling
on the West Side of'Avenida Mendoza, 200' South of Calle Monterey
Dear Mr. Johnson:
This letter is to report approval of your application to build a single--
family house at the locat' describect above.
location This approval is subject
to the'corxiiticns listed on the attached sheet.
Now that you have Planning Com-nission approval for construction of your
single-family hare, the next step is to submit plans to the camunity
DevelopIment -Department, Building Divisiont for plan checking.. An
instruction sheet is attached explaining the requirements that must be
ccupleted,prior to acceptance of the plans for consideration of approval.
Please contact the Building Division if you have any further questions
regarding fees, etc.
Very truly yours,
CONKJNITY DEVEIDPNENT DEPAFaMEW
PI+NNING DIVISION
Tamara CaTipbell,
Assistant Planner
TC:dmv
Encls: 1. Conditions of Approval
2. Instructions for suhnutting
Plans for Plan Check
MAILING ADDRESS -.P.O., BOX 1504 LA QUINTA, CALIFORNIA 92253
f :
THIS APPFO AL IS SIWErT 2D 7M FULL WING CONDITIONS:
1. The develWnent of the site shall be in amifoc , noe with the Dchibits A,
B and C contained in the file for Plot Plan No. , unless otherwise
amended by the following corxiitions.
2. The approved plot plan shall be used within two years of the approval date;
otherwise,, it. shall beoane null and void and of no effect whatsoever. By
"use" is meant the beginning of substantial construction, not including
gradings, ounte plated by this approval which is begun with the two-year
period and is thereafter diligently pursued to cmpletion..
3. Water and sewage disposal facilities shall be installed in accordance with
the requirements of the Riverside Ooanty Health Department.
4. Fire protection shall be provided in accordance with the standards of the
Miform Fine Code as adopted by .the City of la Quinta.
5. Prior to the issuance of a building permit, the developer shall submit
and have approved, a detailed landscape plan for the front yard showing
the species, size, location and spacing of all planting materials, including
a minimnm of . two (2) , 15 -gallon, street trees. 7he plan shall indicate the
irrigation system and the location of the required three (3) outdoor water. -
spigots. Prior to the issuance of a Oertificate of Oocupanc , the Applicant
shall install landscaping in accordance with the approved landscape plan.
All trees and plants shall be maintained in viable conditum for the life of
the approved use.
6. 7he heating and cooling mechanical equipment shall be ground nx mted, or
screened entirely by the roof structure.
7. Defuse containers and bottled gas oontainers shall be concealed by fencing
or larrlscaping.
S. 7he driveway shall be surfaced with concrete and have asphaltic concrete
connecting pavement (a 2" x 4" header) to the existing street pavement.
9. Mie Applicant shall obtain clearances arra/or permits from the following
agencies prior to submitting these plans to the Building Department for
plan check:
° Riverside County Health Department
° City Fire Marshal
° OaRmmity Developnent, Department, Planning Division
° Desert Sands Unified School District
10. r1he Applicant shall pay a school development fee as determined by the Desert
Sands Unified School District in accordance with the school mitigation agree-
ment as approved by the City Council and in effect at the time of issuance of
a building permit.. A letter from Desert Sands Unified School District stating
that these fees have been paid shall be presented to the Community Develognent
Department, Building Division, prior to issuance of a building permit.
11. 7e structure shall have a Class "A:' roof covering.
• r
el
THIS APPROVAL IS SUBJECT TO THE FOLLOWING CONDITIONS: (Continued)
.12. Plot Plan shall be reversed from that shown on Exhibits A, B and C.
13. Materials and colors shall be: '
Stucco: Light Brown
Wood Trim: Brown
"• Asphalt Shingles:. Tan
Exterior Detail Red Brick and•Drawn or Wooden Arches
on Garage Door
j
,; � .
„ -+. �)
�. ,�.
.. .. 'C
O
�
�
�
�,
..
�
�
�
`�'�
.
N
D
-�
r
N
s
s
n.Gf -S G4 f i.NAg5----
.-----._���%��_-_.._..T_w_a__-.-.f'vt�es-=-1S�--�
.._W.1�!�11-✓YLti.�N/1-+',-t:�'aj�� f-----._�.._.._�ee..�_..,.-�'_:T'-`'�£s~_��w.� c�,����
..........-...Z).._.._---�..r_.o_y.✓1 d.......�o.y:e.r �....l.a.n al.Su..� vi.� �.1 �vvt_.�..f7 ✓�..$� .�...
_...
}�,, 4'