003084 (BLCK)44
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 53-835 Avenida Ramirez LA QUINTA, CALIFORNIA 92253
Owner
Coachella Valley Ling Co. , . L•td. _ .
Mailing
Address 732 Williams Road
City Zjp Tel.
Palm Springs 1. 92262 32.2-1020
Contractor
. .Starr :`oast uctiAn CO-.
Address
732 WilliWa WWI
City JZip I Tela
State Lic. I City
& Classif. A-387,934 Lic. # 751
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
7000) of Division 3 of the Business and Professions. Code, and my license is. in full force and
reffect. r ,.
'SIGNATURE ' DATE
s OWNER -BUILDER DECLARATION
r 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 or 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 five hundred dollars ($500).
O 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
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 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
WORKERS' COMPENSATION DECLARATION
I hereby affirm'that'I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800; Labor Code.)
XPOlicy No. Company
Copy is filed with the city. ❑ Certified copy is.hereby furnished.
CERTIFICATE OF EXEMPTION FROM
fff 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: 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. 3 09 7, 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 Lhave 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
No. 003084
BUILDING: TYPE CONST. . OCC: GRP.
A.P. Number 773-322-01 "S
Legal Description Lot 5, flock 157, Unit 16
Project Description
ZONE:
BY:
Minimum Setback
Distances:
Sq. Ft. 1410 UNG
Size 428 GAR
No. No. Dw.
Stories Units
New @ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Pere 150
'
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date' %27.1.0 Permit.
Validated by:
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
>a306„20
.Const.
3ra3.03
Mech.
Electrical
Plumbing
99 M)
S.M.I.
5-22
Grading
2rA. nn
Driveway Enc.
20.00
Infrastructure
1093. 82
TOTAL
s7Qnft .;46
REMARKS
{)0ft J41 ice'
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' %27.1.0 Permit.
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT. p
POR. SO. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
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
STORAGE TANK
FLOOR DRAIN '
MECHANICAL FEES
DUCT WORK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REINF. STEEL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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 @ 11/4 c
SEWAGE DISPOSAL
FIRE ZONE ROOFING
SQ.FT.GAR Q 3/ac
HOUSE SEWER
FIREPLACE
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
LAB GRADES
`/rfiOUGH PLUMB.(- U.� BONDING
sc�
HEATING (ROUGH)
STORAGE TANK
ORMS %
WER ORPIIF001g , WAOUGH WIRING 6%?0-g 7
DUCT WORK
ROCKSTORAGE
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. ?j� Q�
(RAMING 3G.
FINAL INSP. r
U ROOFING / - 0 — �
��nn V/ d /J
C v
�— 3d ? -
O�� '7� 4L j/6
-
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 11w
MESH
CKNSULATION/SOUND)"a
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS.
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMENT'.
OF brJ
SCHOOL FACILITY FEES kA
cal
TO: City of La Quinta DATE:
Department of Community Development
78-105. Calle Estado
La Quinta, CA 92253
This is to certify tha '.
developer of which is
located at �¢.� within
this District, has paid school facility fees imposed pursuant to the
authority generate by Government Code Section 53080 .n the amount of
$1 -17 a 414 .SD
covering a total .of // S`i/ square feet of (k.—residential or
( ) industrial/commercial development and that building permits for
this footage in this development may now be i ed by your jurisdiction.
j-j-aa�-:�as�5-C
7e n ..�.--, S.?- Pas Sys,• sa-a-75' JSS
v for DESERT SANDS•UNIFIED SC OOL DISTRICT
White Building Department • Yellow Facilities Planning • Pink - Accounting • Gold Developer
STEWART TITLE
COMPANY OF RIVERSIDE COUNTY
700 E. TAHQUITZ-McCALLUM, SUITE H • PALM SPRINGS, CALIFORNIA 92262
(619)320-1101
April. 21, 198.7
City of La Quinta
P.O. Box 1504
La Quinta, California 92253
ATTENTION:' Jerry Herman
Dear Jerry,
As per our conversation this date,, please be*advised.'
that a search of the records reveals that none of the adjoining
lots_,included.on the attached Exhibit "A" have.ever been merged
and there should be no problem issuing building 'permits .on each
lot.
Very Tru Yours,
IZ.R . "Sy" „DANIELS,
President
Desert Division
EXHIi::IT "A"
PARCEL. A:
Lots 11 and 12, Block 207 of SANTA CARMELITA AT VALE LA QUINTA UNIT
NO. 20,"as shown by_ Map on file in Book 19 page 38, of Maps, Records of
Riverside,County, California.
PARCEL B:
Lots 1 and 2, Block 223 of SANTA.CARMELITA AT VALE LA QUI11TA"UNIT
NO. 21, as shown by Map on file in Book 20 page 22, of Maps, Records of
Riverside County, California.
PARCEL C:
Lots 1 and 2, Block 254 of SANTA'CARMELITA AT VALE LA QUIETA UNIT
NO. 24, as•, sh"own by Map on file :gin Book 19 page 44 and 45`; of Maps,
Records of. Riverside County, Caliiotnia.
PARCEL D:
Lots land 2, Brock 308 of SANTA CARMELITA AT VALE LA QUITTA UNIT
NO. 28, as"'.shown•by" Map ori file in Book 19 page 59 and 60`. of Maps,
Records of Riverside County, California.
PARCEL E:
Lots 23 and 24, Block 261 'of SANT:` CARMELITA AT VALE LA QUINTA UNIT
NO. 24, as shown by Map on file in Book 19 page 44 and 45,, of, Maps,
Records of Riverside County,.Cali ornia.
PARCEL F:
Lots 17 and 18, Block 312.of SANTA CARMELITA AT VALE LA QUINTA UNIT
NO. 28, as shown by Map on file in Book.19 page 59. and 60, of Maps,
Records of Riverside County, California.
PARCEL G:
Lots 4 and 5, Block 190 of SANTA CARMELITA AT VALE LA QUINTA-UNIT
NO. 19, as shown by Map on file in Book 19 page 33 and 34, of Maps,
Records -of Riverside County,_California.
PARCEL H:
Lots 5 and 6, Block 157 of.SANTA CARMELITA.AT VALE LA QUINSA"UNIT
NO. 16, as shown by Map on file in Book 18 page 99, of Maps, Records of
Riverside County, California.