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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
Lice,Yse # Lic. Class Exp. Date
�s�s�cJ Z?l•1 E�»t`3
Date Signature of Contractor
OWNER -BUILDER DECLARATION
W3'0M
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 1, as owr}er of the property, or my employees with wages as their sole
compensa 1Aoff, will do the Work, and the structure is not intended or offered for
sale (See7044, Business & Professionals Code).
( �I10Kas owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
bode). .
( ) I am exempt under Section B&P.C. for this reason
Date '1 / Signature of Owner
WORKER'S COMPENSATI , N DECLARATION
I hereby affirm under penalty of perjury one of, the following declarations:
( ) I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carver Policy No.
• �T.A.TkfI�'i�i� J�1SId"1-tY3 a
(This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions. I� }
._.,.
Date:_`; Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application_ is hereby,made to the Director of Building and Safety
for a permit subject to the conditions and restrictions `set' forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to by
any permit issued as a result of this applicaton agrees to, & shall, Inde
& hold harmless the City of La Quinta, its officers, agents an( YU B
2. Any permit issued as a result of this application becomes null�� voic iff
work is not commenced within 180 days from date of issuance
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above, information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize' representatives of this City 6 enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agentt)% Date r
BUILDING PERMIT PERMIT#
DATE// VALUATION LOT f(t� TRACT
`(O
ta/ •S / . � �J :s Alis 1 a. 71"2,
JOB SITE - _
APN
ADDRESS
514X15 A:VEM0ABt�d.lMA)A S
773 84-015
OWNER
CONTRACTOR/DESIGNER/EN INEER
.." .AMEWR
OWNER -IRLDER
Muil
USE OF
'�,,ppqq,PPEEgRp(M44ITgg y ry MI q * ya
SI'M . P&IMIT 1, DES NOT M CLL`IDE, BT O(,'K 'tibA4L.LJPOOIJf)RT+drWAY
APPROACH,
TRACT MMSTRUCTION l,;ra9n.Rf! 3F
PO �fK.',l'IO `SF
YAgR / yP J '� �y Opapi.fU
5 IT'lr'. °7i'Oe:1J'3 JE�'tilC:JY, �if).>Jii 1..J�
'
X&rXWATKD COU Or, (11101VIVIRUCIVY1.01K
98,994.10
P-:,$$.Y4�." F lull RUMUMV
CONSTRUCTIONIT;%, 101-0004) <Q Q $695.119
FEE DEPOSIT 101-000-439-318 -V150.00
1 I;ECiiAk JO�iP. PER 101.000.421.000, $60.00 -
1:r °C .`iL1C 0 t.�.fyiY 101-•OGO,420LOW $114.15
FLiJ4a+JGMIJ PCR 101.000-419.000 $113,25
STROM JOTJiirF Jal4 n MIM 101-000-241-000$9.90
C9;RADINO FEE 101-000-423-000 S26,t31i
DEVY,6.OP11R, JIMl''ACT MY
PRECISE PLAN 101-000441-34S $100,00
tpl.l+.]+J' C:JtZCK FN% 101-000-439-318 $t1J2:°7
,-b
t�
CHR
3-�" n`�1.•i.C:.�d'CYT`.1+RI1�.'°IA.OR A�d1�Ps..,AM M.
„s3"n'i.01
28-2001" LESS PRE41AM MEZ;
,11250,(X)
LAUU T(rM 'IMM' 11TTEN DATE NOW
RECEIPT
DATE
BY
DATE FI AL,�D
INSPECTOR
'>-d',f • Lei°
o
INSPECTION RECORD;
OPERATION
DATE
INSPECTOR
OPERATION I
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Forms & Footings �3.v`
Slab Grade •�
_'
Underground Ducts j
Ducts
Return Air j
Steel
Combustion Air
Roof Deck
Exhaust Fans j
O.K. to Wrap
57�%
F.A.U. I
Framing
. p(
SZ
Compressor
Insulation
Fireplace P.L.
��_p'
Vents j
Grills
Fireplace T.O.
Fans & Controls
Party Wail Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
j fJ -0e,
,5'7
Drywall - Int. Lath
..S (Q - O
5"
Final
Final
BLOCKWALL APPROVALS
OOOLS-SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover I
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines o (
7
Heater Final
Water Piping
/g -
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
3_,2'1i•
s7
Encapsulation
Gas Piping
j
Gas Test IWO
Appliances _
4U e(sc-rat C.
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole L f %
-�"—
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
i
i
i
P.O. BOX 150
APPLICATION ONLY
Building 78-495 CALLE TAM TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner
BUILDING: TYPE'CONST.
OCC. GRP.
Mailing
Address
-3..51 �
A.P. Number
Legal Description
Project Description
City
Zip
7
Tel.
-4 .
Contractor
Address
City r Zip
Tel
State Lic.
City`
& Classif.
Lic. #
Sq. Ft.
No. No. Dw.
r
Size
Stories Units
Arch„ Engr.,
Designer '
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
.c t7
jff�.iJ -]`�. .�
i
City
I A } t
Zip
C3a e-L
'State
Lic. #
-72
LICENSED CONTRACTOR'S DECLARATION
I
/)
I herebyy affirm that I am licensed under provisions of GFtapler 9 (bommencIng with Section
7000) of Divi8lon 3 0l Ihe.BZlsiraaas and Professions Gts, and my Ilcense is in felt force and
effect. �
�•
�A7llRE -F7A E
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contraotofs Ucense Law For the following
reason: (Sec. 7031. 5,Busjness and Professions Code: Any city or county which requires a
permit to construct, after. Improve, demt:Jrsh, of repair any srrvalura, pear to 8s issuance else
mgmres rho eppfic✓3.nt for such permit to life a Stooned sfaterreen( the! he is licensed pursuanf to
(ha pfnvWwr of the Conrrilclor's License Law, Chspfer 9 frwmmen1% with Section 7000) of
CivWon 3 of the $uskness and Professions Code, or the, he is exempt therefrom, and the basis
for the alleged ,exemption. Any violation of Section 703 1. 5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars f$500).
1-: I, as owner of the property, or my employees with wages as their sole compensation, will
Estimated 1 alualion
PERMIT
AMOUNT
plan Chk. De p
+-2---5
Plan Chk. Bal.
COnst.
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 (hereon and who does such work himself or through his own employees,
provided that such improvements are nor intended or offered for sale. If, however, the building
or improvement is sold wtlhiri 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 1 I, as owner of 1he properly, am exclusively contracting with licensed contractors to con-
Mech.
Electrical
Plumbing
slrurt the project. (Sec. 7044, Su.tinebs and Prafeasrons Code: The Confractor's License Law
does not apply ro an owner of propady who bwids or Improves rhereon, and who cantracls for
such inmiects with a contractor(a) licensed pursuanl to Ilia Contraclor's License Law.J
I I I am exempt under Sec. B. & P.C. for this reason
�[-
S.M.I.
Grading
Driveway Enc.
Date. Z • }�� . p r,) Owner �Z�. ",-z-�. o- _
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
(7 Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
REMARKS
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 fhaC In the performance of thV work for which this permit is issued, I shall not
employ re any penri in any manner so as to become subject to the Workers' Compensation
Laws a} California:
Date Owner
NOTICE TO APPLICANT. 7f, alter making (his Certificate of Examow you should become
subject to the Workers' Compansarion provisions of (he Labor Code, you must forthwith
comply with such provisions or this pannit shay he deemed revoked,
ZONE:
Minimum Setback Distances:
BY:
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 —_
FINAL DATE
INSPECTOR
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 clly And county ordinances and state laws relating to building
Constru c lion, and hereby authorize representatives of this city to enter the above-
menticned property for inspection purposes.
Issued by:
Validated by:
Date Permit
Signature of applicant— Date
Mailing Address
Validation:
City, State, Zi
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
CITY OF LA QUINTA SUB -CONTRACTOR LIST ����°Z��7
JOB ADDRESS 5) =E52!2 J:W ��� r , -' PERMIT NUMBER OWNER)69j%,64-1!!!., 9- R__. BUILDER
This form shall be costed on the job with the Building Inspection Card at all times in a conspicuo s place. Only/ persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Trade:[ Classification
Contractor
State.ContFactor's License .
Workers C ensatkm Insurance
City Business License
Company Name
Classification
le.g. A, B, C-8)
License Number'
Ixxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
le.g. State Fund, CalCompl(Format
Policy Number
Varies)
Exp. Date
Ixxlxx/xx)
license Number
(xxxx)
Exp. Date
(xxlxxlxx)
Affr" IIIC (C:12); 1��157
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FRAAAING IC -5)
9TAUCT. ; $TEEL
ZA
-
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MASONRY I -291
t
1= M -PT
PLUMBING (C-36).
VAM b
LATH, PLASTER to. )
a>_
1 -
DRYWALL .(..0-8) OY—
HV'A0 (C.40) .. �I.
C-
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02
o
/- /-
i�.X e44 P—
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- -
13.95
1/ /$ 01
ELECTRICAL (CAA) .
A-viC
R000 IN IC�39) .; ::.;
C - 3 9
F` / O
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8
%/1010(
SHEET' :METAL (C-431-
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GLAZING .10471 ` Q
lD
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lNSULAriO►N (c=) pl%.:
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PAINTINGS IC -33) .
CERAMIC TILE IC -S41
�fi�%?�/i�
CABINET$
FENOW tC=13)
LANDSCAPING IC -27)
POOL iC-53)
-,► rod►d !!wi'l� G{� Nils t� uc.
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
CERTIFICATE OF COMPLIANCE
Date 2/28/01
No. 21715 Jurisdiction
Owner NameLeonard M. Meier
No. 51-805 Street Avenida Bermudas
city La quinta zip 92253
Tract #
Type of Development
Comments
Lot #
Single Family Residence
APN # 773-184-015
La Quinta
Permit #
Log #
Study Area
Square Footage 1590
No. of Units 1
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered
patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It
has been determined the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of
2.05 X 1,590 or $ 3,259.50 the property listed above and that building
permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued
Fees Paid By Official Check - Washington Mutual - Barbara Teleph®ne
Name on the check ;
By Dr. Doris Wilson =
Superintendent
Fee collected /exempted by Ellen Patino Payment Received $3,259.�50'
Check No. 291154970
Signature �10PeC_t�;1,0
VOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
,ollect them on the District('s)(s') behalf, whichever is earlier.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
RC DISTRICT - PLANNING REVIEW FORM
This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential)
District, in order to determine the applicability of compatibility issues or need to require the filing of Master
Design Guidelines by the applicant. It shall be transmitted to the Building and Safety Department as your
correction list. Please attach additional explanations as necessary.
APPLICANT
SITE ADDRESS
APN - - BIN NO.:
LEGAL: LOT BLOCK
CASE NO,:
UNIT
S.C.@V.L.Q.
CHECKED BY: DATE:
Inform the assigned Building plan checker upon your assignment.to this case. The CDD Executive
Secretary maintains a log book to track applications and assign case numbers.
REQUIRED. ITEM
Y
N
COMMENT/CORRECTION
.49&ma4ity=Review.
Case logged and number assigned
Verify legal and APN information
Consistent with MDG on file (as.applicable
/
�(0
MDG filing required (5 filings since 9/3/98)
C-gmtisterrc ith street/surrounding area:
Colors
Materials
Architecture
Other Requirements:
APPROOED,G ; i�aZ3el��0v DEVELOPMEW
BY l C L` QATE
EXHIBIT
ASE NO. - —
DEP
T960
b�
MEMORANDUM
TO: Building and Safety
FROM: Wally Nesbit, Associate Planner G/
DATE: 02/07/01
RE: PLANNING CORRECTIONS - 51805 BERMUDAS
1. Chimney exceeds architectural projection limit by 6" - measures 20' 6" from
F.G. As verified by the Planning Manager, roof ridge point at tower feature
shall not exceed 17' height limit (measures ±1' over).
2. Compressor is located 2' into 10'. rear setback. Rear patio supports are also 1'
into rear setback.
3. Property is not in owner/applicant name. Verify owner/builder status prior to
building permit issuance - identify any affiliation of Kent Meier/Leonard Meier
for purpose of determining number of house approvals to date.
4. Exterior colors are to be desert tones.
Attachment.
C:\Wrkgrp\Memos\RC1ist. wpd
RC DISTRICT - PLANNING REVIEW FORM
Y//., No hv4lzr 14*114�le <!F 7�;IX 7V,� (T
This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential)
District, in order to determine the applicability of compatibility issues or need to require the filing of Master
Design Guidelines by the applicant. It shall be transmitted to the Building and Safety Department as your
correction list. Please attach additional explanations as necessary.
APPLICANT Kent Meier G'w r%/sc G. &�&, 4-rO - ^o -O ca) -ern, alt
SITE ADDRESS 51-805 Avenida Bermudas.
APN 0/ S BIN NO.: 3 CASE NO.: 2000-383.
LEGAL: LOT 3 BLOCK
CHECKED BY:
I2 /
Wally Nesbit
UNIT / Z S.C.@V.L.Q.
DATE:
Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive
Secretary maintains a log book to track applications and assign case numbers..
REQUIRED ITEM
Y
N
COMMENT/CORRECTION
Compatibility Review
N
Case logged and number assigned
Verify legal and APN information
Consistent with MDG on file (as.applicable
A114
MDG filing required (5 filings since 9/3/98)
K£~r 4(
Gsorae .•fw6rr �s 3
Consistency with street/surrounding area:
Colors
Materials
Architecture
?
>/
Other Requirements:
Approved OX Q t
D Planning Commission . .�
0 City Council
R Commu!IiW Dev. Dept. Z }
Initials
Co�s�� n S: s ca vuc�7s�1
Exhibit
f ArWith Conditions
4
Lw000u'm 4�
OFTMEMORANDUM
TO: Danny Crawford, Building Inspector II
FROM: Wally Nesbit, Associate Planner
DATE: 02/07/01
RE: PLANNING CORRECTIONS - 51805 BERMUDAS
In regards to item 2 ,of my memo on the subject residential plan check, dated
02/07/01, 1 have checked with the Planning Manager on the 'identified issues. As a
result, this is to notify you that the corrections in that item are rescinded. The current
plan provisions related to the, patio cover and A/C equipment are acceptable.
Feel free to call me at x7069 with any questions.
c: Cove plan check log
CAWrkgrp\Memos\RClist.wpd
MEMO -NOTE '
TO:
FROM: c✓.a-ct,y �� ��
DATE:
RE: .., -
GJtJt/J yv"v c,o0 K /1{ /�o of � A
,fGF�irno✓ /1�: �'�1v�tf „✓�nCEr tx�,c,�o1.' �\J
7D,w/S�i , ort K SO �, •• vr� ! �-ri >%PD F f iYi� c7?ir� ?
Go 4f R ,o'iCS 70 ���S�+ecL-44eA"' Q,r ru
9.50: RESIDENTIAL DEVELOPMENT STANDARDS
9.50.050 Maximum Building Height.
For purposes of this Code, the maximum height of buildings and other structures shall be defined
as the vertical distance from finish grade to an imaginary plane above the building site. The imaginary
plane shall be established above and parallel to the finish grade adjacent to the exterior walls at a vertical
distance equal to the specified maximum height. This definition is illustrated below:
STRUCTURE MAY NOT PENETRATE IMAGINARY PLANE
I _T.
II
11
• ter' ��`\„� � I
Max.
_ „••„ 1 Height
11 '
i 11
' II
Max. I I 1: --
Height _ Walls
-- round Exterior
Finish G(ede A
Figure 505: Measurement of Building Height
9.50.060 Architectural Projections.
A. Roof Projections. Notwithstanding Figure•505, chimneys, roof vents, finials, spires, and similar
architectural features not containing usable space are permitted to extend up to three feet above the
maximum structure height set forth in Table 501 preceding.
B. Projections' The following architectural projections are permitted to encroach into the required
setbacks specified in Table 501 preceding:
1. Roof overhangs, chimneys, awnings and canopies may encroach a maximum of two feet into
any required setback provided such projections. are no closer than 3'/z feet from any property
line.
2. Cantilevered seating windows or ledges, which are located a minimum of one foot above the
floor and do not increase a building's usable floor area, may encroach a maximum of two feet
into any required setback provided such projections are no closer than 3'/z feet to any property
line.
3. Balconies, exterior stairways, and elevated uncovered decks may encroach a maximum of four
feet into required front and rear setbacks provided such projections are no closer than 3'/Z feet
from any property line. Such projections shall not encroach into required side setbacks nor
increase a buildings usable floor space.
C:\My Documents\WPDOCS\zoupdate-residential&supres.wpd 50-8
Certificate of Occupancy
City of.La Quintal
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 109 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:
Use Classification:
Occupancy Group:
SFD
51-805 AVENIDA BERMUDAS
R 3 Type of Construction: VN
Owner of Building: KENT MEIER
Building Official
Bldg. Permit No.: 0102-080
Land Use Zone: RC
Address: 77-099 DESI DRIVE
City: INDIAN WELLS, CA 92210
By: STEVE TRAXEL
Date: 07-10-01
POST IN A CONSPICUOUS PLACE