003173 (SFD)MIN
Building
Address
Owner
Mailing
Address
City
La Qu
Contractor
-- 441}
P.O. BOX 1504 No. 003173
78-105 CALLE ESTADO
*enida Rubio LA QUINTA, CALIFORNIA 92253 r
51--740 Avenida Nemo
Zip Tel.
ata . 92253 1 1
Address
74-990 Ve2ie Way, ftit D
City Zip Tel.
PAIR ftsert 92260 346 -1808'a 54
State Lic. City
& Classif. 354141 Lic. # 925
.Arch., Engr., _.
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed undei p visions'of Chapter 9 (commencing with Section
7000) of Division}3 of the Busine3ss.and*Prroofessions Code, and my license is in full force and
F\ i effect. se /A i� c .11 1 /'f ,r Com/' 1 i ..
Ti i
F 1 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 rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000). of
Divi Sion 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).
Q 1, 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 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
C1 Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COM P ENSATIO N 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 or Exemption you should become
subjectto 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 city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
HARD COPY
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 773"212-018
Legal Description
Project Description Si"I.— 11V r.Vk T11rX0
Sq. Ft. 1435 No. No. Dw.
Size -Stories- Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ ~
pormit includes 166, # of 6 hl sth 4t'+DDd fence
.x
;timated Valuation
,
X79 n
PERMIT
AMOUNT
Plan Chk." Dep.
$;
Plan Chk. Bal.
Q 40.16
J
Const.
367.00-41 ..,
Mech.
33.01D
°:: • :,
Electrical
Plumbing.i�,a
S.M.I.
5 .�
Grading
Driveway Enc.
.00
Infrastructure
1,135.53
r
i
t.
TOTAL
S2-049_17
91,799.17
REMARKS
A'Aiq? fit
t'i s•trwar iiciinr. .r
).,. r..L,�.'
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
A
Issued by:
Date I�+,�13? Permit
Validated by:=r
r
Validation:
s
r;
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SO. 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
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.00OL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (ROUGH)
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
EAMPERES
LAVATORY
HEATING SYSTEM FORCED GRAVITY
SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/. c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FRAMING It/�
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
CSETBACK Cj- �/
ROUND PLUMBING
$
UNDERGROUND
A.C. UNIT
COLL. AREA
1L4 SLAB GRADE ��-
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
% C&FORMS Of - C -
EWER OR SE76J
C V
ROUGH WIRING
DUCT WORK
ROCK STORAGE
�6e OUND. REINF. 67. �/ - 0
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL � 'Ji71/g
! GAS (FINAL) 'j//7
//(TEMP. POLE
`{
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
ATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. / 7
FRAMING It/�
FINAL INSP.
ROOFING /O 7
pfcJ
lI
r
r
I LA L)
lC b (f
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
�6�HING//-
G -MESH
MESH
NSULATIONISOUN - d -f
FINISH GRADING
�4 NAL INSPECTION
CERT. OCC.
FENCE FINAL
C1:1 V H"J ,R3nA i YACSIInil 1 GALS.
GARDEN WALL FINAL
RECEIPT Date 9 � 833
Received From
A res
For
Dollars
ACCOUNT
AMT. OF MOW PAID �-
ACCOUNT CASH / �"
AMT. PAID (G
BALANCE CHECK
DUE MONEY �7
8KB06 gEp �M ® ORDER By
Board of Education
Desert Sands Unified School District
82-879 Highway 111
Indio, CA 92201
Re: Lot 7, Block 4', Santa'Carmelita at Villa, No: 4, La Quinta
Dear Members of the Board: 1 unit
In order to mitigate the adverse environmental
impacts of the above referenced development on your
already overcrowded schools.I herewith remit the sum
of $ 628.00 an amount equivalent to $628 times the
number of units in this development.
We understand that this amount will be used by
your district to reduce, insofar as possible, the
adverse effects of our development of your overcrowded
schools.
Sincerely,
1r?-c',?'�`,2�} c'� �r:;U LC!•!0'1 STf:EC7, f' 7
Nr
\ ___ 00'•1 1
(+IvUiSIDE. CALIFORNIA 52501
`1? ' X71.1) 787.2 51
. , 1B
6-209 Oasis Street, 1'Aon 14
Indio, CA .92201
(619) 3-42-8291
a..
Dear Developer/Landscaper:
1. LE0`2 S;1A 1GY
coli HISS;0-.FTt
J•% -"!FS 0. tvALLACE
ASS;5T&1iT Cb+imjSSiCt..,gn
Than': you for inquiring With the Agriculture
local quarantine laws, rl Co�issio.er's Office regarding
t•ny diseases or insects associated with the
on your landsca Plants /landscaping material presented
in
P g plans do not pose a threat to the Coachella Valley Citrus,
Date, Crape, Vegetable, or Field Crop industry. We therefore.approve your
landscaping pleas.
If however, any substitutions of plants/landscaping materials within your plans
occurs between now and the actual planting date, you must contact this office
within 48 hours before deliver} into the Coachella Valley, also, the substituted
plants/landscaping material oust be held for inspection upon arrival. �:ny sub
stitu_ed landscaping material found infected/ir:fested w
PEStS
be i.:=-*,ediately treated. or shiP2ed out of the Coachella ValleyGetnthe ydiiscretionl
Of the Agricultural Geissior.er's Office,
Under penalty of perjur}', I. the undersigned iiill comply with the above,
t.uthorized Agent:
Date
Signature
Fer;ait Numbers) 5 O 11 d -
p�r C, c,i • 3 S-6
Address 7Vl
LGRIC LT- T`L �:L Cl ^•:1S T(CS
i:uthority cited• A5ZI:,
cultural Coco; Sections 6501, 64;51, 64-62, 64;G';, 6501, 6521-
6524
cc 2 P1..
�ce, I i�crsic'e 0ficc
REMARKS
7
7 "' 5
u.S f .�l49 17 /3
w ,1-/t 14�
a
f t.
Signature
I 1RE T4 titr.
D!
.. ..... ..... ....
ch 11of
..... .. .. .. . . ..... .... ..... ... . .... 5:.7
Ell QF RUA] 1 ON DES 1 GN HAVY Q V ORM 2 HEM 1 OS
rMMIM 160 SO.M.
FI 011 F.
.. r.. ! 0.� .-Mumu ?R ..WALL 19
WINDQUAR 126 EMFT. PERCENT OF APRA 2.45901(,.'..)
FT . PERCENT OF AREA - 2 . Q49 I
ARFA CT LAST WINDOUS72 9Q.FT, PERCENT OF AREA 4.91803,".*'!
:54A SKYLIGHTS 0 SOMT. FERCENT OF AREA
I f: ! AREA 170 SOXT. PERCENT Or APEA 11.6120r.*2
i.;E OF THE WINDOWS IS 1,1 1,65MOL PANE, 1.1 =SINGLE PANE)
MIS OUILDTNG USES DRAPES & FLAT SHADING DEVICES ON WINDOWS&S.C.=.41)
"MMT-PLINDS; ROLLAR SHADES, VENETIAN BLINDS OR VERTICLE BANDS).
ME TO:,. S.C. OF THF WINDOWA jS Q,y,
5011111 1XIMMAND
--- HASS AREA - 270 SO&I,
AITTC AMA = 1460 S9.M.
FWPELTRATION (STO 0.01.B, HED 0,01q, TIPHT 0.012)7 014
[;�|PLIANCE CHECK LISl PER FESIGU DATA
SL�B O� GROUND, -4 POINTS
WALL INSULATION, 0 POINTS
CFILIAG INSQ-ATIOm, 0 POINTS
A[TlC, 4 POINTS
NORTH WINDONS GLAZ1NG 0 FOINTS
�*SlUIyDOWS ELAZl�G 1 POJUTS
S')Vll�1�INDOWS GLAZlNG -1 �OINTS
HEST WINDOWS GLAZING -9 POINTS
RKY/ TGHT GLAZIH� 0 POINTS
EA3l SHADING COEFFICIEN[ -1 POINTS
SO/'rH SHADING COEFFICIENT
0 POINTS
HEST SHADING COEFFICIENT -3 POINTS
UOP7H SAADJMG COEFFICIEWT 0 POIAT�
S;YLTG||T SHADING CUEFFICIENl 0 POINTS
IAFILTRAlION _1 POINTS
THERMAL MASS 270 5Q.FT. 6 POINTS
10OVT11 OVERHANG 0 POINTS
GAS FURNACE 76 SE AND REFRIGERATION COOLING
THE EER OF THE COOLING SYSTEM IS 8.7
CCOLI>|G 6 POINTS
T||E,ALLOWA��CE POINTS PEN AG 163 I8-4 FOR THIS AREA 15
T�� TOTAL POINTS ARE -2
THE FOLLOWING MANDATORY FEATURES/DEVICES ARE REQUIRED PERCAC TITLE 24
INSULATION AS -SPECIFIED; PER MANUFACTURES LADLE
INFILTRATION CONTROL. DOORS, WINDOWS FULLY WEATERSTRIPPED �
OPENINGS CAULKED AND SEALED AROUND 3OINTS IN WINDOW AND WALL SILL PLATES AND �
ELECTRIC OUTLET GASKETS ON ALL EXTERIOR WALLS
MA%UFACTU�ED DOORSSHALL MEET APPLICABLE STANDARDS
BACK DRAFT DAMPERS ON EXHAUST FAN .
FIREPLACES MUST HAVE TIGHT FITTING, CLOSABLE DOORS COVERING FIREBOX ' /
PROVIDE COMBUSTION AIR INTAKE DUCTS 16 SQ. IN.) WITH TIGHT FITTING DAMPER `
DUCTS; BUILT PER CHAPTER 10 U.M.C. �
GAS FURNACE SIZED TO 1~3 DESIGN LOGS + 10 BTUH PER SQ.FT' OR 45,000 BYU
SETBACK THERMOSTATS SHALL HAVE AUTOMATIC SETBACK CAPABILITY /2 PERIODS PER 24 H�
|/AlER HEATER TO "AVE R-12 INSULATION WRAPPING, AND R-3 ON FIRST 5'O` PIPE �
NAl' GAS STOVES SHALL NOT HAVE CONT. BUPNING PIOLTS '
LIGHT IU KITCHEN ANO PATH TO BE FLUDPESCEUT, EXCEPT BATH MIRROR, KIT SINK, TABLE
UP! IFIFD Bv 2-5-- 87
____-___-__=__���_____
L. FREDERICK PACK, R.C.E, 7448