09060 (SFD)9�_
(4
>3-/ 14 r�10 �+1�11 �+�fs
- . 3i IoIU?a ,oa o P.O. BOX 1504 No. 09060
Building 78.105 CALLE ESTADO
Address LA 4UINTA, CALIFORNIA 92253 f
Owner I
Mailing
Address
City Zip Tel.
falm Desert 92260 340--3361.
Contractor
OwnerBui lder
Address
City l Zip I Tel.
State Lic. ' City
& Classif. 246823 Lic. #
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
700D) of Division 3 of the Business and Professions Code, and my license is in full force and
effect..
SSlGNArU$rry i]ATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the lollowing
reason: (Sec. 7031.5,Buslness 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 of the Contractor's License Law, Chapter 9 fcommancing with SeCNon 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the aUagad exemption. Any vlotalfon of Section 7031.5 by any applicant for a permit
subjects trio applicant le a civil penally of not more than live hundred dollars (,4500).
I, as owner of the property, or my employees with wages as their sole compensatlon, will
the work, and the structure Is nol intended or oflerad for sale- JSAv. 7044, auisness and
Professions Coca. The Conlraclor'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.nof 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.)
O I, as owner of the property, am exclusively L�ontiacting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professinons 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 coniractor(s) licensed pursuant to the Con!racfor�''s}}License Law.)
❑ 1 am exempt under Sec. B. 6 P.C. for this realign
Dale Owner
WORKERS'
I hereby affirm that I have a
Worker's Compensation Insurance,
Policy No. Com
^0 Copy is filed with the city.
RPENSATION DECLARATION
ificate of consent to self -insure, or a certificate of
certifled copy thereof. (Sec. 3800, Labor Code.)
Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need nor 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 pperson in any manner so as to become subject to the Workers' Compensation
Laws of Calilornla.
Date Owner
NOT)CE TO APPLICANT; ff after making (his Cerfilicale of Exemption you should become
subject to the Workers' Compensation. provisions of the Labor Code, you must forthwflh
comply with such provisions or INu pefmtl shall ba deemed ravoked.
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 lhls application and slate that the above information is correct.
f agree to comply wlth all city and County ordinances and state laws relating to building
construchan, and hereby authorize representatives c•1 this city to enter the above -
mentioned properly for Inspecflon purposes. _
Signature of applicant -Date
-
Mailing Address
City, Stare, Zip
LDING: TYPE CONST. OCC: GRP.
P. Number
Legal Description eft _?-, Ptlonk 7R7 tin4 t 244
Project Description SFn
Sq. Ft. 1460 No. 1
,Size Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
$5046 . 05
PERMIT
AMOUNT
Plan Chk. Den-
250.00
Plan Chk. Bal.q
Const.
t)
Mech.
_ O
Electrical
A q
Plumbing
179 in
S. M.I.
Grading
MA
Driveway Enc.
0
Infrastructure
i80-1 +
TOTAL
I%d' Sfi
r,>�
REMARKS
114.
.ZONE: - BY:
Minimum Setback Distances:
Front Setback from Center, Line
Rear Setback from Rear Pircip: Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE_
Issued by: —
Validated bji- -
Validation:
INSPECTOR
Date Permit
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE(!
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. ®
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT. ®
HEATING (FINAL)
DRINKING FOUNTAIN
SQ FT ®
GAS (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER HEATER
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GRADING
cu. yd.
plus x$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
I
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
FIREPLACE
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ic
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE JELECT.FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBI 6�/&
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE(!
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWE
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
F. STEEL 2 J?
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
$
GRADING
cu. yd.
plus x$
=$
LUMBER GR.
FRAMING 30 /
FINAL INSP.
ROOFING r1!�
/ �� /_
�/�
�%�� jJ� y` /.—
(/ "
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THIN
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Build
Addrl
M
T4hf44Q"`
P.O. BOX 1504 APPLICATION ONLY
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Address({/
City Zip Tel.
I
Contractor
S�
Address
ty IZip
State Lic. City
& Classif. s{ $Z77� Lic. #
Designer yy�
Address Tel.
CityI Zip ( State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70 OO) of Division 3 of the Business and Professions Code, and my license Is in full force and
effect.
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 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 rive 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
orimprovement 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 contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
%I
WORKEPS' COMPENSATION DECLARATION
I hereby affirm that I hav�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 furnished.
t
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
=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.
Signature of applicant Date
.Mailing Address
City, State, Zip
BUILDING DIVISION
LDING:- TYPE CONST: OCC. GRP.
A.P. Number ��v /
Legal Description �?z61 2R7
Project Description %e Tei. �-. •%�/
REMARKS t7 iR? i0 8598 12—to-90 to
IQ L;WiH 1 IUTAL Y (3. UQ
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:
Sq. Ft. l
Size l� %'�
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter -O
Repair O
Demolition ❑
Estimated Valuation
/I cam'
CJ J
PERMIT
AMOUNT
Plan Chk. Dep.
a
-�
Plan Chk. Bal.
Const.
Mech.
0
Electrical
2 • 9�2
Plumbing
X29. vQ
S.M.I.
.,Oz
Grading
20 • ift
Driveway Enc.
frastructure
803,•23
3s
• .55' Jf
32 93• ss
TOTAL
REMARKS t7 iR? i0 8598 12—to-90 to
IQ L;WiH 1 IUTAL Y (3. UQ
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. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. S0. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. S0. FT. ®
GAS (ROUGH)
DRAINAGE PIPING
WALL S0. FT.
OTHER APP.IEOUIP.
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 1
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
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,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/e c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
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
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
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.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
r
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 12/18/90
No. I 10335
Owner Name
Type of Permit
James Sattley
No. 54257 street Carranza
city La Quinta zip 92253
La Quinta
Permit #
Log #
Study Area 110
APN # I Tract # I Lot # Square Footage 114W
Type of Development Single Family Residence No. of units
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 of 1.58 X 11.460 1 or$ 2,306.80 have been paid to D.&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 Sattley and Sattley
Name on the check
Telephone
By Richard M. Beck
Director, Facilities Planning & Developments
Fee collected /exempted by Shelley D. Bennett
Payment'Receivel
Signature
-:Check
Collector: Attach a copy of County or City plan check application form to Diutrict copy.
Embossed Original- Building DeptJApplicant Copy - Applicant/Receipt Copy - Accounting
No. 1121
i ` er4 r`:, OFFICE OF
AGRICULTURAL COMMISSIONER
AND
WEIGHTS & MEASURES
CALVIN C. KAMINSKAS
JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Asshlanl Commisslonor
Agricultural Commissloner RIVERSIDE, CALIFORNIA. 92501 CLEMENT BENVENISIE
Director of Weights ✓!< Measures Sealer
(714) 787-2561
49613 Highway 86, Suite B12
Coachella, Ca. 92236
(619) 342-8291
DATE i L - -7 --7-) CASE NO. IAC P_LS i 79 0
DEVELOPER'S NAME: J4 •�+-� --1 �� r 7—
ADDRESS: LI l (oti SG I� �'t L
TELEPHONE: ( ) �� l► J (� 6
L (� I! L L ") 2
Dear Developer:'
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions
do occur and they differ from plant material listed, this office must be notified
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environunent.
Agricultural Conmissio er's Office
cc: Indio and Riverside Office