SFD (9865)P.O. BOX 1504
Building,� 7&105 CALLE ESTADO
Address 50-245 Mountain Shadow LA OUINTA, CALIFORNIA 92253
Owner
Homes
Address 79811 Coup -try Club
CityZip Tel.
Bermuda Dune, 92201 345-�b225
Cherokee Hones
s amine
City
State Lic. (City
& Classif. 476007 B Lic. #
Arch., Engr.,
Designer
Address Tel.
CityIZip ) t I Stae
Lic.#
f LICENSED CONTR'ACTOR'S DECtARI TION
I hereby affirm that,t'am licensed underlproyisions 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. i f F n, i f .1 ! r t1 . 9
OWNER -BUILDER DECLARATION . \
I hereby affirm that I am exempt from the Contractor's License taw for the following
reason: (Sec. 7031. S,Bnuihess and RWas. nns Code: Any city or county which requires a
permit to construct. after. improve. demolil h, or repair any structure, prior to. its issuance also
requires the applicant for such permit to fie 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 cfvd penalty of not Ulan an five hundred dollars (E500).
❑ 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, Buisrhess and
Professions Code: The Contractors License Law does not apply to an owner of property who
builds or irnproves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. Il, however, the bumldirg
or Improvement is said wdlum one year of completion, Ore owner-buider will have the burden
of proving that he did not build arrmpvove for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con•
struct the project (Sec. 7044, Bntiress and Professions Code: The Contractor's License Law
does not apply to an owner of propertywhobeads or krproves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec R. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 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 fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed t the pend is for one hundred dollars ($700) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ anyperson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: 8, after nmauig this Certificate of Exemption you should become
subject to the Workers' Coupe cation 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 perfomhance 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 property 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
1 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. 3665
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number T
Legal Description Tract 25421 Lot 6
Project Description SFD
Sq. Ft. 3464 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
IEstimated Valuation 273-f 123.70
PERMIT
Plan Chk. Dep.'
Plan Chk. Bal. '
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
Arts in Publl
TOTAL
REMARKS
1
AMOUNT
250:00
765.17
1248.50
96.00
210.94
183.00
27.410
20.00
20.00
6000.00
x3.2.`31
'f%"Zfd`1i `�'f 82 Q t_`'� . Esc" 41#3. , 4
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. SO. FT. ® $
2ND FL. S0. FT.
POR. SO. FT. ®
GAR. SO, FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO. FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
STORAGE TANK
WATER SOFTENER
VENT SYSTEM. FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROCK STORAGE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
METER LOOP
LAUNDRYTRAY
AIR HANDLING UNIT CFM
OTHER APPJEOUIP.
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
WATER SYSTEM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
&INAL INSP. `L?
SO.FT.GAR ® 3/ic
HOUSE SEWER
ROOFING
VENTILATION
�f
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
UND PLUMBINf-/(/ UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS (gVEWER
OR SEPTIC
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REIN F. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
_$
LUMBER GR.
&INAL INSP. `L?
FRAMING
INAL INSP. �-lA
[
ROOFING
VENTILATION
�f
REMARKS:
. FIRE ZONE ROOFING
FIREPL4CE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be,Duplicated
(619)347-8681.
Date 18/7/91 Type of Permit I La Quinta
NO. 10788 Permit#
Log#
Owner Name, Cherokee Homes
No.50-245 street Mtn. Shadow
City La Quinta zip 92253 Study Area
APN # Tract # 25421
Lot Square Footage 13,464.
1
Type of Development Single Family Residence No. of units
Comments
At the present time, the Desert Sands Unified School District does not_collect
collect fees on
garages/carports, covered, patios/Walkways, residential additions. -under 500 square feet,
detached'accessory structures 6r,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
or 5,473.12 have been aid to D.S.U.S.D. for
M the amount of X rT464 p
the property listed above and that building perp- its and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By' Cherokee Homes
Telephone 345-6M
Name on the check
James E. Lively. By Y
Al - V,
Assistant Superintendent,. Business Services
4e
1
Fee collected ,Shelley D. Bennett
7—,
Payment�
Signature
Check` --W_ -:bo
1-
Collector- Attach a copy of county or city plan check application
form to district bQ fjAili waivers.
Embossed Original- Building Dept./Apphcant Copy - Applicant/Receipt Copy - Accounting
_N
] 1* t4V
;all J�w
PF
(t of� 1�utnta
utltet 41 *11*
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
ordinances of the City regulating building construction or use. For the following:
-BUILDING'ADDRESS 50-245 Mt. -Shadows
Use Classification Single Family Dwelling Bldg. Permit No.
9865 `
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Cherokee Homes Address 79-811 Country Club
city' Ber a
By. Richard Kirkland
Date : March 12, 1993
Building Official
POST IN A CONSPICUOUS PLACE