9408 (SFD)-P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 51"490 Carranxa LA QUINTA, CALIFORNIA 92253 -.
Owner
Berliner/Mulder/Frazier
Mailing
Address 68-73-3 Pe. -e2 Road fC14
City Zip I Tel.
Gat. Citi l92234 I 770-1975
Contractor
Nice Homes _ I
Address
68-73.3 err --z Road 4014
City lZip Tel.:
State Lic. City
& Classif.4 , 8700 bc.#
Arch., Engr.,
Designer -
Address Tel.
I
City Zip State
j.. F Lic. #
WCENSED:CONTRACTOR'S DECLARATION
• �btreby.affirm that.l crit licensed under provisions of Chapter 9 (commencing with Section
70 of Division 3 ohthe Business,and,Professions.Code,,,and my license is in futlforce•and ^�
r_u
I hereby affirm that I am-ekemptfrom the Contractor's License Law for the following
reason: (Sec. 7031.5,Busrgess and Professions Code: Any city or county which requires a
permit to construct, all(rImprove, 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 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 hnprove 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
C*Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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
Cali
omnia.
Date Owner
NOTICE TO APPLICANT: ff, 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 tots 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
I
No. 9408
11LDING: TYPE CONST. OCC: GRP.
P. Number 773-082-012
!gal Description Block 67, Lot 13
oject Description SFD
^Sgb Ft. 12� No. No. Dw.
S,iZe 8 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
73.591.60
PERMIT
AMOUNT
.Plan Chk. Dep.
250.00
Plan Chk. Bal.
205.58 _
Const.
522.50
Mech.
49.090
Electrical
118.46
Plumbing
160.50
S.M.I.
5. iii
Grading
20.00
Driveway Enc.
20.00
Infrastructure
1.623.19
•i
TOTAL
2974.41 2724.41
REMARKS
f!l13Z4 (3^l 4 it '11%7A`lV_ 4 r 04 i, ff
ZONE: BY:; C I. n .`F'�N S _10. UAL ..1 - 2724.41
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 Permi
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CAR P. SO. FT. ®
TEMP. POLE
WALL SQ. FT.
GROUT
DRINKING FOUNTAIN.
SQ FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
=$
FLOOR DRAIN
MECHANICAL FEES
FRAMING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REMARKS:
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.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
HOUSE SEWER
INSULATION/SOUND 6
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK Ap
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EWER OR SEPTIC TANK
OUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF. 2
GAS (ROUGH) / /
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.
FRAMING
FINAL INSP. Y
ROOFING/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING l ` k1,411
MESH
INSULATION/SOUND 6
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOh'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 4/11/91 1 Type of Permit La Quinta
No. 110536 Permit #
Owner Name Berliner/Mulder/Frazier Log #
No. 51-490 street Carranza
City
zip
Study Area 113
APN # 773-082-012 Tract # I ILot # ® Square Footage 11328
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 of1.58 X 11.328 1 or $ 2,098.24 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 Select Interiors, Inc. Telephone (619)770-1994
Name on the check
Richard M. Beck
Director, Facilities Planning & Development
Fee collected /exempted by Shelley D. Bennett-
���� Payment Received> =�"
Signature
r &A MCheck H 191=
Collector: Attach a copy of county or city plan check application form to district co& for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
•,
OFFICE OF
s it-*•
o r
AGRICULTURAL COMMISSIONER
AND
WEIGI-ITS & MEASURES
CALVIN C. KAMINSKAS
JAMES O. WALLACE
4080 LEMON SIREEF, ROOM 19
Ar14lnd CommiWrn.m
/fpr Whirol Commlfdonor
RIVERSIDE. CALIFORNIA 92501
CLEMENI DENVENISK
preCla of We1phN A Moo�moi
(714) 707.2561'
Sodlor
83-612 Ave. -45, Suite 7
'India, CA 92201
(619) 342-8291
DAr1I; 3 - S =
p
. / . / CASE No.
DEVELOPER'S NAME -i
ADDRESS:
(o8- 7.3� f�P -e z fcl /y
17u.deC, ' , 04x'22.7
'IELEPIIONE- (1,/9 ) 77C) - /9 75--
S�-)1 r._T r?"�a_71,-: A PN- 773 -1082- -I o% Z
doe AP r• p� (�7rra-12� G4alIJ1ldc.IgO
Dear Developer:
After reviewing your landscaping plans, all plant material listed is not i.n
violation of quarantine laws governing the Coachella Valley. If substitutions
do occur and they differ from plant material listed, - this office must be notified
imttledia Lely .
'11T,ank you for protecting and preserving the Coachella Valley's pest -free enviromient.
Agricultural CminissioneitYs. Office
cci Indio and Riverside Office
JAMES D. FEIRO
CIVIL ENGINEER - LAND SURVEYOR
P. O. BOX 12960
PALM DESERT, CALIFORNIA 92255
(619) 346$015
FAX (619) 346-2548
May 23, 1991
City of La Quinta
78-105 Calle Estado
La Quinta, Ca. 92253
RE: 51-490 Avenida Carranza peC,,,,,; - * 9,-108
This letter will serve to state that we have field checked the
finished floor and pad elevation of the above project and found
them to be:
Finished Floor 100.40
Pad 99.7
Benchmark used was assumed elevation 100.00 at the centerline
intersection of Avenida Carranza and Calle Hildago. Elevation of the
centerline intersection of Avenida Carranza and the prolongation of
the north property line is 99.00. The elevation of the centerline
intersection of Calle Hildago and the prolongation of the east
property line is 99.45.
k
Sincerely,
ames D. Feiro
P. CE=LS
0
r�
iso: 2'76 ro
OF-
_ LORES 12/31/93
t