11675 (RC)1 n
AJ
P.O. BOX 1504 No. 11675
Building 78-105 CALLE ESTADO
Address 78-600 Hwv 111 LA QUINTA, CALIFORNIA 92253
Owner
�Tnhn de Vri -_s dba ���� � Sound WAVPS
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address 79-687 Country Club Dr., Suite 201 A.P. Number
City Zip T
el,
rl
Bermaa Dunes, CA 32201. Legal Description
Contractor Project Description Tenant iIitj?>woY7emeni.
Qesert Citic' s Develop en' t
Address
39-725 Garand, Suite B
City
Zip
Tel.:
Palm Desert, CA
92260
345-2472
State Lic.
City
& Classic 620242 $
Lic. # 2108
Sq. Ft. No. No. Dw.
' Arch., Engr.;
Size Stories Units
Designer MCG Avg. Roessler € esign GVOUp
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
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
7000) 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
Estimated Valuation $18,000.00
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
PERMIT - AMOUNT
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
Plan Chk. Dep.
subjects the applicant to a civil penalty of not'more than five hundred dollars ($500).
'. • r
Plan Chk. Bal.
❑ 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. +�
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
Mech.
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
J !0.
not apply to an -owner of propertywhobuilds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
S.M.I. . , - •.!1
Grading
❑ I am exempt under Sec. B. 8 P.C. for this reason
Driveway Enc.
Date owner
Infrastructure
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
a
t `s � 69
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
Iii t tf� i} `�j4t)'
TOTAL s -� �% • 'o �
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(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 thF 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
-
ZONE: BY:
subject to "the Workers' Compensation provisions o% the Labor Code, you must forthwith -
comply with such provisions or this permit shall be deemed revoked.
-
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
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.) -
Side Setback from Property. Line -
Lender's Name
Lender's Address
^- This is a building permit when properly filled out, signed and validated, and is subject to '
FINAL DATE INSPECTOR
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.
Issued by: Date Permit
I agree to comply with all city and county ordinances and state laws relatingto building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes.
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMEHNG FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
1
SO. FT.
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
f
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE . UNIT WALL FLOOR SUSPENDED
GAS (ROUGH)
LAUNDRY TRAY.
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U. -
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® V4c
HOUSE SEWER
MING a2_�
FINAL INSP.
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 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.
MING a2_�
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 SIGNATURES/INITIALS
GARDEN WALL FINAL
Overhead Static i� Date Inspector
Flush Date Inspector
Final Date Inspector
Fire Main Installer ! /
Underground §Utc Date Inspector
r
Final Date Inspector
' Hood/Duct Installer
£ is
t
3 Final',^ a Date .Inspector
Alarm Installer
" � �' -s ss.^ } 1 $� J. � +� ✓ '+} ^','�'•' 'i7d _ r. � ss .. � y y� ,� ..
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EXIST'G EXIST'G ROOF
PURLIN SHT'G OVER
POST `\ Tno iD
EXIST'G WALL
STUDS AND
SILL Il
-NOT[
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WALI
Project:
111 LA QUINTA CENTER
ROESSLER DESIGN GROUP
rdrj 5 Corporate Park, Suite 260 Irvine, Co. 92714 714-250-4222
SHOPS C
Prepared By. Date:
W.H.T. / P.J.S. 11/30/92
Subject:
Project Number:
REAR WALL DOOR OPENING
921035.40
++
SK -1
Ll
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4
A.-35 FLAT TYP.
zx12 W/ PC
EA. END'
4x6 EA. SIDE
2x6
SLEEPER
BC -6 TYP. FINISH
FLOOR
I -=`,7
EXIST'G WALL
STUDS AND
SILL Il
-NOT[
SHOT
WALI
Project:
111 LA QUINTA CENTER
ROESSLER DESIGN GROUP
rdrj 5 Corporate Park, Suite 260 Irvine, Co. 92714 714-250-4222
SHOPS C
Prepared By. Date:
W.H.T. / P.J.S. 11/30/92
Subject:
Project Number:
REAR WALL DOOR OPENING
921035.40
Sheet Number.
SK -1
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TEMPORARY
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This Certificate issued pursuant to the requirements of Section 306 of the, Uniform Building
I
Code certifying that at the time of issuance, this structure was in compliance with the various
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ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS - 78-600 Hwy 111
;
Use Classification Retail Bldg. Permit No. 11675-
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,
Group B2 ` Type Construction VN Fre Zone Use Zone (,PS
Owner of Building John de Vries dba Address 79-687 Country Club Dr., Ste 201
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Desert 'Sound Waves
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CityBermua Dunes, CA 92201 y, Richard Kirkland
I e
Dote. January 29, 1993
j
Building Official
POST IN A CONSPICUOUS PLACE
_
TEMPORARY
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01
Orr T -k -S.
ug
Tit�r of Ka Muinta
3Wuilbtnan�
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 78-600 Hwy 111
i Use Classification Retail Bldg. Permit No. 11675
Group B2 Type Construction VN Fre Zone Use Zone rpS
i' Owner of Building John de Vries dba Address 79-687 Country Club Dr., Ste 201201
' Desert Sound Waves
City Bermuda Dunes, CA 92201 Richard Kirkland
I
BY;
Date: January 29, 1993
Building Official
POST IN A CONSPICUOUS PLACt
i