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05450 (SFD)
TitT 4 4 Qgmz Building Address 52-88€3 Cars== Owner Tucker-Sattlev Address P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 CityZip Tel. 1619/ Contractor Sante Address Zip State Lic. I City & Classif. g..1 248863 Lic. # 856 Arch., Engr., Designer $qne Address Tel. City IZip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 301 the Business and Profen I Code, and my license is in full force and effect. (,' f' 4 + r • j SIGNATURE �•_ .F r DATE OWNMOUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,13usiress and Professions Code: Any city or county which requires a permit to construct, alter, irprove, dernoish. 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 (he Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Sus+ress 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 appicant to a cha peoafy of not more than five hundred dollars ($500). ❑ 1, 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 Contractors 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 irprovements are not intended or offered for sale. If, however, the building or improvement is Sob wthim one year of completion, the owner -builder will have the burden of proving that he did not bold 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) icensedpursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec_ Ft. 6 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, ora 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'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 lhg 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 mabV this Certificate of Exemption you should become subject to the Wbdters' Conpensafion provisions of the Labor Code, you must forthwith comply with such provisions or this Permit shag be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby 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 Lenders Address This is a building permit when property filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I cerlity 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. 05450 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 773-322-M7 Legal Description Lot 20, Blk 157 at Santa Carmelita at Project Description halt #16 f9m) Sq. Ft. 1421 No. 1 No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $78016,50 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 186.58 Const. 545,.00 Mech. 55.50 Electrical 113.32 Plumbing 160.60 S.M.I. 5.53 Grading 29.00 Driveway Enc. 20.00 Infrastructure 1,719.00 TOTAL. 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 3/8/39 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS 2ND FL SO. FT. COLL. AREA YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POR. SQ, FT, ® HEATING (ROUGH) GAR. SO, FT, ® POWER OUTLET ROOF DRAINS 00.1EWER OR SEPTI T* DRAINAGE PIPING CAR P. SO. FT. DUCT WORK ROCK STORAGE WALL SO. FT. DRINKING FOUNTAIN. SO FT ® METER LOOP URINAL ESTIMATED CONSTRUCTION VALUATION $ OTHER APPJEOUIP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER HEATER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEWPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB �j' SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% 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 SETBACK 1/ OUND PLUMBIN!y UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE/,Cj ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 00.1EWER OR SEPTI T* ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. 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 3yfiq FINAL INSP. =RooFN,- �j' 01Z T (.� (� ✓� �J S — Q - l / / ' REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING OVIFINAL INSPECTION -� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF L.1ffi '@ II"!fit ; ``'�.fF ++5 "U SOMOL FACILITY FEES ,,,, yydd gg pp l 6E DUIP- it"V Qi i ... sl — 7 -EV `ice TO: City of La Quinta DATE: ((»J(l/� J� Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certify ghat J q# developer of -oo 4L-riwhich is located at within this District, has paid school facil' y fees imposed pursuant to the au hor ty a era ed by Govern n Co S ct'qlwl 5 08 .in the a sent of A I cov ring a total of !z in squaret of,() residential or ( ) industrial/commer xal development and that building permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS UNIFIIEIDI SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting ■ Gold - Developer (10)-37 •p a 0 W m _ C g N N Em § z 'Sv z Eo c Qz ccU =La O w �.� a m._. it Y CC CL ow Lu zz V wQ y x 7 $ c m d1� � 5 F �_¢zQ , � zg-7c a V =~p is 2 F C7 F 0 0 0 0 zzzzz I ca"� _- '�o <vx = yoy-- c v a °� eJ cc w0w�a� z z z A m J 0�� ° ? (n CL = aN c° K m0 A F =NO.1 } } } } } } } } ❑ ❑ ❑ ❑ ❑ ❑ _ �� - Z .yid to tL V W i� O> 0 Z FL� a ❑ ❑ z E N o x �w ;a)m � Cc aig N : F ^ 1a aN1 $° U m W <_ << W N LOU v = a .a a € of �• W 888 8 8a�-om _n m E' 2 C L _ - aJ u 5El Q _ yF W W g a c ` r° �° H f9 ❑ �°��' D Em3 dl G J 3 N sa N M C �' LU f/�� an ^ wz N�� 3 W 2 Q Cw � m °C O ❑❑ w _ c U. S �„ C 0 0 O > � 0 a (/1 3 z _O ¢ 7 $' ' `� 20 Z •ap N } w C = 8J } f W ¢ iG� q Z aNa G 0 (�-2m f l` L �� >�j 0 ¢ `'� J (A ¢ is❑7 7 ~ c r" yy O.o aE ci aE�m n J Cp7w ¢O W 3 a cc �z d a E av'Sa¢ y a v � CL C, a 8 � _ � c m vi cp o 52 � � � � a � id a¢ � m L N a a CL W as a 1 '* 1 a 05 16 (�� co i J (�I1 U r1j v p 9a! 3 3 ih i a9 r i cu g I � z z0 cr m ,>, N c iz- 0 � � a �'1 ❑ ❑ ❑ ❑ ❑ cl5 c1 to d N01103S 13 N01103S 0 N01103S 7 0 N01103S p N Z N U z w w LLI x cr o 0 ()I I I(A of AGIIICULlURAL COMMISSIONER AND MAGI I I'S & t'ILASURES 49-613 Ilwy 06, Hulte it -1Z "CvncheHn, CA 92236 619-342-0291 E. LEON SPA(;GY )ANItS O WALLACE ASStS►A\► t;')1d'•Oatttl\►.P. CLEMENI 6F.-NVENISIE SLAUR UIY1'E� 1 , / �g G1SC (1U. � n1 C — DEVEWPCIt' S IWIE s J A-,,�. s _e A• -TTL J Y II J C. . TELI•XI1014E Dear Developer: After reviewing your lanclscalAnq 1)lans, 711 plant material listed is trot 3.11 violation of quarantine laws goveming the Coachella Valley. If substitutions do occur at►d they differ frc.m plant nviterial listed, this office must be notified blu ediately. Tionk you Lor prvtectittg and preserving the Coachella Valley's pest -free enviroment. 1lgricultural nl ssiotieris uL[ice ccs Indio and Itiverside U[[ice 40 * Buena Engineers, Inc. 79-811 Country Club Drive, Suite 4 Bermuda Dunes, CA 92201 - (619) 345.1588 / 328-9131 Client Client Address Client Phone DATE JOB NO. b7- PROJECT ELEVATION LOCATION "(./, -r' REFERENCE CURVE CONTRACTOR /,, 1,1FA j . S f OWNER WEATHER TEMP. oat AM oat PM PRESENT AT SITE �JII t1 4 /sI� c 5656 //-f /cX. 6 TEST NUMBERNO. TEST LOCATION ' LOT ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY Ibs/Cu. h. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY Ibsla. h. OPTIMUM MOISTURE CONTENT % f 4 /sI� c 5656 //-f /cX. 6 z 52_95 52-fr%5 52-k35 c4 X1S7Y ExisT/�✓� Ezisi/iVy R &N/bR C�tI P-1ZAI&A sz 8bU a 52-9-60 5241to © Fk m� O REMARKS: CLIENT REPRESENTATIVE SIGNATURE 485-�• FIELD REPORT TECHNICIANS SIGNATURE