15713 (SFD)ce-4,,, 4
P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address + J- , 33 ' ,iria Ct ooc. LA QUINTA, CALIFORNIA 92253
Owner
(z1,1aLar
Mailing
Addressp . (). ';,io { 1 7 j f
City Zip Tel.
1 ..225 ; "r �1_� obi
J .... •1.. J
e
Contractor
Sparks COJIS-trUcLion _
Address
P.O. ;_rrx 1736
city. Zip Tel.
State Lic. City 1-1941
& Classif. ;5 f 4 U 7 4 Lic. #
Arch., Engr.,
Designer 01all inch : -ad McCeallwa
Address Tel.
45-190 Clue .360--0250
City Zip State
inrliari. 'N*lls_1Lic. # C7 424
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
7000) of DiVlsion•3of the Business and ProfesslooVCode, and rn ♦ license is In full force and
effect.
iiGNATURE t7ATr:
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractors License Law ter tha following
reason: (Sec. 7031.5.ausiaess and Proressions Lode: Any city or county whkh requires a
permit to construct, alter, fmprove, demolish, or repair any strucluro. prior to its issue ua also
requires the applicant for such permit to qle a signed statement that he is licensed pufsuanf to
the provisions of the Contractor's License Law, Chapter 9 (commencing wflh Section 7000) of
M,islon 3 of the Business and Professions Clods, or thar. he is exempt theralrom, and the basis
for the alleged exemption, Any vUaL'on of Section 7031.5 by any appllcanl for a permit
sub)acts rho applicant to a civil penalty of not more than live hundred dollars ($500),
❑ 1, as owner of the property, or my employees with wages as theif sole compensation, will
do the work, and the structure Is not Intended or offered for sale. (Sec. 7044, Bulsness and
Professions Coda: The Contractor's License Law does nor apply to an owner of properly who
Wids or Improves thereon and who dens such work hfmseff or through his own omplgyees-
provided that such Improvements aro not intended or offered for sale. It, however, the bcuiding
or improvement Is sold within one year of completion, the ownerbawar wig 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.~osslons Code: The Contractor's License Law
does not apply to an owner or 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, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company _
.Copy is filed with the city. ❑ Certified copy is hereby furnished.
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 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 at California
Date —Owner NOTICE TO APPLICANT: It, after rnakfng this Certificate of Exemption you should becom_
e
subject to the Workers' Coensafion provisions of she Labor Code, you must forthwith
comply with such provisions or this permit shalt be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($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.
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 f0 comply with all city and county ordinances and state laws relating to bullding
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
No. 15713
BUILDING: TYPE CONST_ II-, OCC. GRP.. =�?
A.P_ Number 769-760-018
Legal Description .s.:r'c 2f3 Arad 26524
Project Description SrD
Sq. Ft.
Size r y 0
No.
Stories
No. Dw_
Units
NewXj Add ❑
Alter ❑ Repair ❑ Demolition ❑
01; ��flvly •
Estimated Valuation
$ i 3 9 r K o 2` 0 0
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
1479, I
Mech.
1
Electrical
Plumbing
-+ •• to r
S.M.I.
Grading
20 no
Driveway Enc.
I ntrastryctu re
`
.L._ ...._tic-
2 t t1 Qu6
r pU
TOTAL
- - ; . • w
.. , ; L
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
Issued by:
Validated by:
INSPECTOR
Permit
I i � -• '1
j (li I
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBIW FEES
1ST FL SQ, FT. ®
2ND FL SQ. FT. @
POR, SQ. FT. @
GAR. SQ FT. ®
CAR P. S0. FT. ®
WALL SQ. FT.
SQ. FT.
ESTIMATED CONSTRUCTION VALUATION
$
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSI EM FORCED GHAVI I Y
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HFATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SQ,FT.GAR ® 3/4c
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
I� SETBACK /�V
6
C,ROUND PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
0�LAB GRADE 0
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EWE OR
ROUGH WIRING
DUCTWORK
ROCK STORAGE
r�I
'f/ FOUND. REINV12�
[[[������
/�j�
GAS (ROUGH)-/� /
,i
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
F NAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
F NAL INS/G
^ -
FRAMING
F AL INS6V P�jf, _��
%�/
ROOFING ! OL �/
[r•
T„� `-, .w�/yy� r��`
�j{�/�./�T/ / �I/'
YJ
P�
REMARKS:
VENTILATION
FIRE ZONE ROOFING/�vo
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
Ot;ATHING 3-
MESH
JL4NSULATIONISOUND�
FINISH GRADING
[FINAL INSPECTmV/G -_
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESl1NI71AL5
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 110/26/951 Type of Permit I La Quinta
No. 113818 Permit #
Log
Owner Name La Quinta Orchard Partners
No. 79335 Street Briarwood
City 'La Quinta Zip 92253 Study Area 116
APN # 769-760-018 Tract # 126524 1 Lot # 28 Square Footage 14100
Type of Development I Single Family Residence INo. of units 0
Comments
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 1.72 x 4100 or $ 7,052.00 have been paid to D.S.U.S.D. for
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 La Quinta Orchard Partners Telephone 7714941
Name on the check
J
By Dolores A. Ballesteros
Superintendent -'
Fee collected /exempted by Pauline Pearson
Payment Received
Signature �� $7,052.00 Check No. 2969
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
Desert Sands Unified School District
Notice: 82-879 Highway 111
Document Cannot Be Duplicated Indio, CA 92201
619-775-3500
r
CERTIFICATE OF COMPLIANCE
Date 6/4/97
No. 15594
Owner Name La Quinta Orchard Partners
No.78335 Street Briarwood
City La Quinta
Tract # Lot #
Type of Development New Residential Addition
Comments
onusonus ro momo
APN # 769-760-018
Jurisdiction La Quinta
zip 92253
Permit #
Log #
Study Area 125
Square Footage 670
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:
Add. of Sq. Ft. to New Construction
EXEMPT
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of
1.84 X 670 or $ 1,232.80 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 oc/Eldorado Bank _ Telephone .'771-1941
Name on the check = -
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Pauline Pearson
Signature ��>�a��n� u
Payment Received $1,232.80
Check No. 726185745
10TICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
bove 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
Certificate of Occupancy
City of La Quinta
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-
� �9--1-3S
BUILDING ADDRESS: *�BRIARWOOD
Use Classification: SINGLE FAMILY DWELLING
Occupancy Group: R3 Type of Construction: VN
Bldg. Permit No.: 15713
Land Use Zone: R3
Owner of Building: LA QUINTA ORCHARD PARTNERS Address: P.O. BOX 1716
Building Offici
City: LA QUINTA CA 92253
By: KIRK KIRKLAND
Date: 10-29 = 96
POST IN A CONSPICUOUS PLACE