001709 (AR)4
P.O. BOX 1504 No. 001709
Building 78-105 CALLE ESTADO
Address 49" 875 L.p Dr• LA QUINTA, CALIFORNIA 92253
Owner
Mailing
lm Warifta BUILDING: TYPE CONST. VN OCC. GRP. R 3
Address A.P. Number
City ZipTel.
' 92253 Legal Description
Contractor Project Description Goll C=t GaraM A&Utim
Address
77--350 A>
'
City. V,
Tela
? . 02253 S64-4660
State Lic. City
& Classif. Lic. # Sq. Ft. No. No. Dw.
11�it�a
Arch.; Engr., Size • 108 Stories Units
� -
Designer New Add p Alter O Repair ❑ Demolition O
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. J
SIGNATURE .Y4 t •�'� DATE "
OWNER -BUILDER DECLARATION ' Estimated Valuation
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 q Z _474 6n
permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance also AMOUNT
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT '
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). '
O I, as owner of the property, or my employees with wages as their sole compensation, will Plan. Chk. Bal. 16..25
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. {3i
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, 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.) - !� w W
O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
slruct 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 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
Q Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL 51.75
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 tha 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 it 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 cit �to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address i
City, State, Zip
HARD COPYI
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 94 -SS Permit
Validated by:
Validation:
A2541
9 6 51.75 CK _
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. p $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT. p
WALL SQ. FT. ®
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP.IEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR p 3/ec
HOUSE SEWER
REMARKS:
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.IEQUIP.
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 Q
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
41 11 sc/1
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION 1
CERT. OCC.
-
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
LAGO LA QUINTA HOMEOWNERS ASSOCIATION
Rte, - La Quinta, California 92253
Sept. 5, 1985
Mr. Charles Calandra
49-875 Lago Drive
La Quinta, CA 92253
Dear Mr. Calandra:
You are hereby authorized to proceed with the con-
struction of a golf cart Area as an addition to
your garage. It is to be constructed in accordance
with plans presented to and approved by Officers of
the Lago La Quinta Homeowners Association.
It is our understanding that T. A. Kennedy Construc-
tion Co. is to be the general contractor.
Yours truly,
GO LA QUINTA HO7�—AS.SOC.
ta,L. Gayer,/Secret
01
P
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-i .�in o
CITY OF LA QUINTA
Community oeveloomeriMdg. Dept.
ACCEPTED FOR
SUBJECT TO INSTALLATION AS PER
AND ALL APPUCABLE CODES
DATE =t6; A1:7
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.
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- --------------
-i .�in o
CITY OF LA QUINTA
Community oeveloomeriMdg. Dept.
ACCEPTED FOR
SUBJECT TO INSTALLATION AS PER
AND ALL APPUCABLE CODES
DATE =t6; A1:7
I
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J
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