002345 (BLCK)T 4 0
4&t 4 4a a"
P.O. BOX 1504
Building 78-530 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
ctwx 0=t.
Mailing -
Address 255 N. El OeJml'Rood
City Zip p� �*}CR Tel. ry.y {� yq
Palm asgXr*ng k '. 2.62 323" 7=
Contractor
Address.,
City
State Lic.
& Classif.
Arch. Engr.,
Designer
Address
jZip I Tel.
City Zip
LICENSED CONI
I hereby affirm that I am licensed under
7000) of Division 3 of the Business and Pi
r
effect.. f '\1;.,
Lic. #
Tel.
State
Lic. # _
rOR'S.DECLARATION
sions'of Chapter 9 (commencing with Section
ions Code, and my license
is in=full force and
_SIGNATURE -DATE
I OWNER -BUILDER DECLARATION Estimated Valuation
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, and,
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
the provisions or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of '
Division 3 or 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 or not more than five hundred dollars ($500).' '
0 I, as owner of the property, or my employees with wages as their sole compensation will. Plan Chk. Bal.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Cor1St.
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 EleCtrIC21 '
of proving that he did no( build or improve for the purpose of sale.) . _.
❑ 1, 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 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:J - - -
Grading
O 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
❑ Copy is filed with the city. . ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS
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 or 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.
No. 0132345 �
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 617-381-049
Legal Description lot 48
Project Description
Sq. Ft. LNLO No. Dw.
Size - t Stories Units
New p; Add ❑ Alter ❑ Repair ❑ Demolition ❑
ZONE: BY:
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 f FINAL DATE INSPECTOR
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. 4-30-86
I certify that I have read this application and statelthat the above information is correct. Issued by: Date Permit
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.} r^ w Validated by:
1
Signature of applicant ! "* "'-'�� t Date "f f
i Mailing Address 1 Validation:
City, State, Zip r
A5470 4 30 39.27 CR
HARD COPY
I T.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. p
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. Q. FT. ®
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN
SO FT ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
-$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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.
SO. FT. ® c
BATH TUB
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
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.IEOUIP.
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
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
(619) 327-7786
14 CHECKED BY DATE
Ly
SCALE oZ
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�1FIEp
� o
N BERMUDA DUNES r
RANCHO MIRAGE
INDIAN WELLS ti
PALM DESERT a
J' LA OUINTA
'IQ INDIO ti
Desert Sands Un&d School District
82-879 HIGHWAY 111 O INDIO. CALIFORNIA 92201-5678 • (619) 347-8631
January 13, 1986
City of La Quinta
Department of Community Development
78-105 Calle Estado
La Qui:nta, CA 92253
Re: Lot 48, Tract No. 1, Desert Club Manor, 617-381-048
Gentlemen:
The developer of the above referenced lot
has mitigated its impacts on our overcrowded schools by payment
of the amount of $628 per unit to be applied to the cost of
district educational facilities made necessary by such new
development.
Sincerely,, .
,,� rL "Ib. 'V*141 J..,
John D. Brooks
Assistant Superintendent
Business Services
JDB/crm
Building
Address
Mailing
Addres
T4tyl
"
P.O. BOX 1504 APPLICATION ONLY
78-105 CALLE ESTADO
, LA QUINTA, CALIFORNIA 92253
T- BUILDING: TYPE CONST.UAI_OCC. GRP.
Az C- �G�` � A.P. Number
Zip ITel.
9(9D 0 ILegal Description
ty IZip
State Lic. I City
& Classif. 2� l Lic. #
Arch., Engr.,
Designer�y/
Address Tel.
City IZIp Sta
ILic.t#
LICENSED CONTRACTOR'S DECLARATION
I hereb iaffirm that I am licensed under rovissl&s of Chapter 9 (commencing with Section
ef0 ee)t f [ lvislon?.o,Ohe Business and Professions Code, and my IiFense is}in fLll force=an�
Y / ,
OWNER -BUILDER DECLARATION
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 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
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ 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, Bulsness 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.)
0 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
❑ Copy is filed with the city. 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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, alter making this Certificate or 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 i1 work thereinoris suspended for 180 days.
I certify that I have read this application andastate that the above information is correct.
I agree to comply wlih all city and countypid)nance3 and state laws relating to building
construction, and^ereby authorize repro"se tatives 'of this city to enter the above-
mentioned property for inspection ppurposes.
Signature of applican,.t._�-%// / fly/� Date2_ �C�
Mailing Address r J
City, State, Zip
BUILDING DIVISION
Project Description
Sq. Ft. it cfy
Size 3 Z-6—
New
-SNewAdd ❑
No.
Stories
No. Dw.
Units
Alter ❑ Repair ❑ Demolition ❑
IEstimated Valuation .) ,) Sir 3 .
PERMIT
Plan Chk. Dep.
Plan Chk. Bal. 14-',-!�
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
Fringe -r �oaf
TOTAL
REMARKS
AMOUNT
a q.. Q' I
3ti . oa
1�.5a
Qt. GQ
IT .0 it
1G
:Z n U
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 l /4- JC Permit
Validated by:
Validation:
A 3 6 0 5 12 18 25Q00 CK
CONSTRUCTION ESTIMATE
GROUND PLUMBING
NO. ELECTRICAL FEES
NO. PLUMBING FEES
2 SS LA io '16 $
S
UNITS
BONDING
HEATING (ROUGH)
�-
1ST FL. SO. FT. ®
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
YARD SPKLR SYSTEM
GAS (FINAL)
2ND FL. SO. FT.
GROUT
WATER HEATER
SERVICE
AO
� L�
26
MOBILEHOME SVC.
WATER SYSTEM
BAR SINK
GRADING
cu. yd.
$ plus x$
POR. SO. FT. ® t
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
GAR. SO. FT. ® ' Q
ROOFING
POWER OUTLET
ROOF DRAINS
REMARKS:
VENTILATION
DRAINAGE PIPING
CAR P. SO. FT.®
I
FIREPLACE
WALL SO. FT..®
SPARK ARRESTOR
DRINKING FOUNTAIN
GAR. FIREWALL
SO FT ®
LATHING
URINAL
MESH
ESTIMATED CONSTRUCTION VALUATION $
$
WATER PIPING
Z �-
NOTE: Not to be used as property tax valuation
FINISH GRADING
FLOOR DRAIN
MECHANICAL FEES
CERT. OCC.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
CitSIGN
INSPECTOR'S SIGNATURESIINITIALS
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARDEN WALL FINAL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
'� S
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
S
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11A c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/c
HOUSE SEWER
?J. (�
GAS PIPING
PERMIT FEELQ
..
PERMIT FEE
�V —
PERMIT FEE
Lp
DBL
TOTAL FEES
MICRO FEE
MECH.FEE
PL.CK.FEE
CONST. FEE
ELECT. FEE
SMI FEE
PLUMB. FEE
ot
_7
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.IEOUIP.
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
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 SIGNATURESIINITIALS
GARDEN WALL FINAL