002356 (BLCK)I
4. At 002356.
P.O. BOX 1504 N Q ,
Building<� A 78-105 CALLE ESTADO
Address 54-405 Jjda ��f ! LA QUINTA, CALIFORNIA 92253
Owner _
Mailing' -
`^r BUILDING: TYPE CONST. OCC. GRP.
Address A. P.. Number �i rf 1-1 .-) () I
City Zip Tel. 9,. Tatoxi� 92253 Legal Description '}�
Contractor Project Description
Cwww/blder
Address
City Zip Tel.. .
State Lic.
City
Minimum Setback Distances:
& Classif.
'
Lic. #
Sq. Ft. No.
lin. ftStories
No. Dw.
Arch., Engr.,
Size-.
Units
• Designer
New ❑Z. Add ❑ Alter ❑ Repair
❑ Demolition ❑
Address
Tel.
Validation:
6-'-f0€!.1 hi* b16Ck U-311
A5555
' City
Zip
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
of fect.
_SIGNATURE DATE
OWNER -BUILDER DECLARATION
Estimated ValuationI
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
- PERMIT - -
AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
'
the
Division 3 of e Business and Professions Code, or that: he is exempt therefrom, and the basis
Any Section 7031.5 'any for
Plan Chk.� Dep. - --
- for the alleged exemption. violation of -by applicant a permit
- subjects the applicant to a civil penalty of not more than five hundred dollars ($500)."
Plan Chk. Bal.
25.02
❑ 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
Const.
' 50
. Professions Code: The Contractor's License Law does not apply to an owner of property who
-
•
builds or improves ihereon and who does such work himself or through his own employees,
Mech-
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
Electrical
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- -
Plumbing
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
S.M.I.
' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
i ❑.I am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
i Date Owner X t
Infrastructure
WORKERS' COMPENSATION DECLARATION
Ihereby 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.)
i Policy No. Company
❑ Copy is filed with the city.. ❑ Certified copy is hereby furnished.
TOTAL
64.02
i CERTIFICATE OF EXEMPTION FROM
REMARKS
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 the 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: ll, alter 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. -
I
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 tIt A, A � � t. -'t Date
Mailing Address
City, State, Zip
HARD COPY
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 5-8—$6Permit
Validated by:
Validation:
A5555
5 8 64,02 R
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
YARD SPKLR SYIJ-'M
2ND FL. SO. FT. ®
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
' POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. I SQ. FT. ®
6 b
GAS (FINAL)
WALL SQ. FT. ®
DRINKING FOUNTAIN
GROUT
URINAL
SO. FT. ®
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
cu. yd.
$ -Plus-X$-=$
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
VENTILATION
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.
SO. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
FEE
PERMIT FEE
DBL
-[-PERMIT
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./EOUIP.
REINF. STEEL
6 b
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
INSULATION/SOUND
FINISH GRADING
'
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS.
GARDEN WALL
FINAL
.1-,,..,=
a
T_itif 4 4(4ja�rw
78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
September 27, 1985
Rick Johnson Construction
P. 0. Box 2288 y _ Ll C� S
Indio, CA 92202 0�
RE: PLOT PLAN NO. 85-198,.Approval to Construct a Single -Family Dwelling
on the West.Side of Avenida Carranza, 150' North of Calle Temecula
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 C omission approval for construction of your
single-family home, the next step is to submit plans to the Ccmmmity
Development 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,
COMMUNITY DEVELOPMENT DEPARIT=
PLANNING DIVISION
Gary W. Price
Associate Planner
GWP:dmv
Encls: 1. Conditions of Approval
2. Instructions for Submitting
Plans for Plan Check
MAILING ADDRESS - P.O. BOX 1504 LA QUINTA, CALIFORNIA 92253
i
TMS APPROVAL IS SUBJECT M 71E FULIDWING CONDITIONS:
1. The development of the site shall be in oonfanranoe with the Exhibits A,
B and C contained in the file for Plot Plan No. 85-198, unless otherwise
emended by the following conditions.
2. The approved plot plan shall be used within two years of the approval date;
otherwise, it shall become null and void arra of no effect whatsoever. By
"use" is meant the beginning of substantial constriction, not including
grading, contemplated by this approval which is begun with the two-year
period and is thereafter diligently pursued to ompletion.
3. Water and sewage disposal facilities shall be installed in accordance with
the requirements of the Riverside County Health Department.
4. Fire protection shall be provided in accordance with the standards of the
U nifom Fire Code as adopted by the City of la Quanta.
5. Prior to the issuance of a building permit, the developer shall submit
and have approved, a detailed IwAsc-,ape plan for the front yard showing
the species, size, location and spacing of all,planting materials, including
a minimum of two (2), 15 -gallon, street trees. Tine plan shall indicate the
irrigation system and the location of the required three (3) outdoor water
spigots. Prior to the issuance of a Certificate of Occupancy, the Applicant
shall install landscaping in accordance with the approved landscape plan.
All trees and plants shall be maintained in viable condition for the life of
the approved use.
6. The heating and cooling mechanical em? Tint shall be ground mounted, or
screened entirely by the roof stricture.
7. Defuse containers and bottled gas containers shall be concealed by fencing
or landscaping.
8. The driveway shall be surfaced with concrete and have asphaltic concrete
connecting pavement (a 2" x 4" header) to the existing street pavement.
9. The Applicant shall obtain clearances arra/or permits from the following
agencies prior to submitting these plans to the Building Department for
plan check:
Riverside County Health Department
City Fire Mar inal
O Oom zdty Development Department, Planning Division
° 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 Council 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 Connunity Development
Department, Building Division, prior to issuance of a building permit.
11. The structure shall have a Class "A" roof covering.
CONDITIONS - PLOT PLAN NO. 85-198
12. Prior to issuance of a building permit for Plot Plan No. 85-198, the Applicant
shall submit to the Ccnnunity Development Director for review and approval, a
plan with specific information or details on stucco color, texture, trim, roof
design, other architectural features, and landscaping which will vary the
appearance of the house (Plot Plan No. 85-198) frcan the adjacent proposed house
(Plot Plan No. 85-199).
?,Ji",Vl a�j... � :..v ,
LIC. #661018
POST OFFICE BOX 2448
CATHEDRAL CITY, CA 92235-2448
(760) 360-7448 (760) 321-7448
Time -In
Date
Time -Out
Ordered by
Bill To`1
-;A'
Cust. Order #
Address
Ph.#
City
Mechanic
• Jnr+
Job Name and Location 1'— t i C J t f
Helper
Description of Work
rL ►
r L JC ._
Amnt. Pumped Y ti ! r% Gal D'Septic Tank Q Seepage Pit ❑ Cesspool El Grease Trap ❑Other
❑ System is Failing ❑ System Passes Inspection ❑ Excessive Sludge ❑ Roots
Quantity
Description of Work or Material Used
Price
Amount
Pump & Dump Fee per 1000 gal
Locabnq & Opening Fee(per hour X v
1 i l
Septic Inspection
Out of Area Fee
Fuel Surcharge
Snake Line ❑ Roo'
Video Pipe Inspection Camera 1st hour
Additional hours
Hi h Pressure Water Jet
Additional Hours
Labor per hour
❑ After Hours ❑ Sat. Charge ❑ Sun. Charge
A service charge of $20 will be due on all returned checks Total
18% per year will be charged on past due accounts over 30 days
rZ�
Paid By Jn z : f►t� . �\: •.� �' s C. D7:
Next Service Due
Check # ❑ MasterCard/ Visa El Billing On
Card # 6 U1_C] ( Ir ;,<<l Exp, Date / /:j
Signature Date Completed
X`. r "-- - '' \.. k�,— L , t 1 .