001574 (SFD)4
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 53-65.5 A I26A t%rrA"W_%, LA QUINTA, CALIFORNIA 92253
Mailing
Address P.O.
City lZip ITel.
Contractor
State Lic. I City
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
CityI Zip 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 3 of the'.Business and Professions Code, and my license is in full force and
effect: ! 1 ,., .� . �• �\ ��
_SIGNATURE DATE
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 or the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
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 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 contractors) 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
O 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>,
w
Signature of applicant Y Date r• ` `.
Mailing Address
City, State, Zip
HARD COPY
No. 001574
BUILDING: TYPE CONST._ V N OCC. GRP. R 3
A.P. Number
Legal Description
Project Description
774-115""017 TA* 6
S.P.D.
Sq. Ft. DW 1592
Size CSR 430
No.
Stories
No. Dw.
Units
New Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$91,447.60
PERMIT
AMOUNT
Plan Chk. Dept
Plan Chk. Bal.
318.52
Const.
379.00
Mech.
31.01D
Electrical
70.12
Plumbing
89.00
S.M.I.
5.71.
Grading
Driveway Enc.
20.00
Infrastructure
1,221.71
TOTAL
2.135.06
.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 by:
Validation:
A1655 6 19
[J 35 G,6 CK
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
UNITS
SLAB GRADE
2ND FL. SQ. FT. @
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. @
GAS (ROUGH)
DRAINAGE PIPING
WALL SD: FT. @
OTHER APPJEQUIP.
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
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
!�^
DEC 17
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.
SO. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR @ 3/ac
HOUSE SEWER
A.LATHING
GAS PIPING
PERMIT FEE
MESH
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
'REBOUND PLUMBING /°�
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
T% /fROUGH PLUMB., V
o0
BONDING
HEATING (ROUGH)
STORAGE TANK
/// //
V FORMS p//
( WE OR S
I��ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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.
if FRAMING 5/
FINAL INSP.
ROOFING
!�^
DEC 17
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
A.LATHING
MESH
1INSULATION/SOUND,O D 1
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS.
GARDEN WALL FINAL
IE1) S
-o
y BERMUDA DUNES r
RANCHO MIRAGE
INDIAN WELLS H
PALM DESERT -b
%% LA OUINTA
'gyp INDIO y�
4
Desert Sands Unified School District
82-879 HIGHWAY 111 O INDIO, CALIFORNIA 92201-5678 • (619) 347-8631
r
June 19, 1985
City of La Quinta
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
Re
53-655 Carranza, La Quinta
Gentlemen:
The developer of the above referenced lot
I
has mitigated its impacts on our overcrowded schools by payment
of the amount of $628 per unit to be appl.i.ed to the cost of
district educational faci'li.-ties -made necessary by succi. new
development.
Sincerely,
�.J,
John D. Brooks -
Assistant Superintendent
Business Services
JDB/crm
T 0
4(4j z cu
a zQR&A
78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92263 - (619) 564-2246
June 12, 1985
� -7 4 - o / %
Rick Johnson Construction
P. O. Box 2288
Indio, CA .92202
RE: PLOT PLAN NO. 85-163, Approval to Construct a Single -Family House
on the West Side of Avenida Carranza, 250' South of Calle Colima
Dear Mr. Johnson:
This letter is to report approval of your application to build a single-
family house at the location described above. This approval is subject
to the conditions listed on the attached sheet.
Now that you have Planning Cc mission approval for construction of your
single-family hare, the next step is to submit plans to the Community
Develognent Department, Building Division, for plan checking. An
instruction sheet is attached explaining the requirements that must be
completed 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,
LAI
Lawrence L. Stevens, AICP
COmamity Development Director
LLS: dmv
Encls: 1. Conditions of Approval
2. Instructions for Submitting
Plans for Plan Check
MAILING ADDRESS - P.O. BOX 1504
LA QUINTA, CALIFORNIA 92253
"US APPYOM IS SUB -7 T 20 Rte FTJOWM OR�IDI'!'IC�1Ss
1. Rhe t of the site shall be in oonfarrunnoe with the Hdiibits A,-
8 and C oontairAd in the file for plot plan No. 85-163 , unless otherwiw
amended by the following d4t4.ons.
2. Rhe approved plot plan shall be used within two years of the approval dates
oU*xwise, it shall became mull and wird arra of no effect whatsoever. By
"use" is meant the beginning of. substantial construction, riot including
gradin9* cwte tplated by this appal which is begun with the to -year
period and is thereafter diligently pursued to oonpleticn.
3. Water and sewage disposal facilities shall be installed in with
the z 1, 1 iz a ents of the Riverside Oounty Health Department.
4. Fire protection shall be provided in accordance with'the standards of the
muform Fire Code as adopted by the City of la Quinta.
5. Prior to the issuance of a building permit, the developer shall subnut
and have approved, a detailed landscape plan for the front yard showing
the species, size, location and spacing of all planting materials, including
a minim= of two (2), 15 -gallon, street trees. Rhe 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 0=4mricyt the Applicant
shall install landscaping in acocrdanoe with the approved 1Wx1scape plan.
All trees and plants shall be.maintained in viable condition for the life of
the approved use.
6. The heating and cooling mechanical equipment shall be ground moxmted, or
screened entirely by the roof structure.
7. Fef use containers and bottled gas oantainers shall be c rxmaled by fencing
or landscaping. -
S. the driveway shall be surfaced with concrete and have asphaltic concrete
coamecting pavement (a 2" x 4" header) to the existing street pavement.
9. The Applicant shall obtain clearances and/or permits frau the following
agencies prior to submtlttlrlg these plans to the Building for
plan cbec k:
° Riverside County Health Department
° City Fire Numhal
° Desert Sands Unified School District
10. The 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 M=3-1 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 Development
Department,, Building Division, prior to issuance of a building permit.
11. The stivcture shall have a,Class "A" roof covering.