Loading...
15714 (SFD)Building Owner P.O. BOX 1504- No. 15714 P�,0 BSic�z49�9C 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 s. mammy - Address P.O. Box 17416 City Zip - Tel:. La a rota., 92253 �'�1-1941 Contractor 5ptarxs Ci9I?lS>rructi Address ?A. -Box 1716, City :..: Zip Tel.: La- State a 92253 771-2941 State Lic. City & Classif. 674074 Lic. # 2996 Arch:; Engr., Designer:Wallinq and MlcCallum Address Tel. a100. Ct:i.ve 360-0250 City Zip State 'La , rota. . 92210 Lic. # 7464 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under pr visior?s of Chapter 9 (commencing with Section 7000) of Division:3-of+the Business and Prole4sio6s Code, and my license is in full force and SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License law for the following reason: (Sec. 7031.5,8nisiness and Professions Code: Any city -or county which requires a permit to construct, -atter, 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 or the Contractor's License Law, Chapter 9 (commencing. with Section 7000) of DivISIon 3 of the Business and Piofessions 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 rive 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, 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 or proving that he did not build or enprove 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.) O 1 am exempt under Sec. B. & P.C. for this reason j Date Owner WORKERS' COMPENSATION DECLARATION I hereby/affirm that I have a certificate of consent to self -insure, or a certificate of iWorker'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 I certify that in the performance of thg work for which this permit is issued, I shall not ' j 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. t i 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION'3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. j This is a building permit when.properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. . I agree to comply with all city and county ordinances and state laws relating to•buildIng construction, and hereby authorize representatives. -of this city to enter the above-. 1 . mentioned property for inspection purposes. CSignature of applicant Date { .. Mailing Address City, State, Zip - i BUILDING: TYPE CONST. Vwt4 OCC: GRP. R3 769—?.60-019 A.P. Number Lot 29 Tract. 261524 Legal Description Project Description ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Sq. Ft. Size 422.5 ' No. Stories No. Dw. units New3b Add.❑ Alter ❑ Repair �DDemolition ❑ Permit daes not i.uclude block wall or "nooi . Estimated Valuation :A I PERMIT ' AMOUNT Plan Chk. Dep.��'' Plan Chk. Bal. 4.7'$.7.`56 Const. 1514.50 Mech. 136.50 Electrical 256.75. . Plumbing 289.50 S.M.I. 34.92 Grading 20.00 ` Driveway Enc. Infrastructure 6000. € Q kris - in- Public Places 623.02. TOTAL 10128.75 9878.75 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 DATE INSPECTOR Issued by: Date Permit CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE /3Q 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS C44LOUND. REINF. Q - �j [ AS (ROUGH) ✓��� DRAINAGE PIPING CAR P. I SO. FT. OTHER APPJEQUIP. REINF. STEEL WALL S0. FT. TEMP. POLE DRINKING FOUNTAIN SQ. FT. ® GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ NAL INSP/oZ?J 9) WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES _$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER Dle T� wr2'q/0 ,• ' - / (,, G% GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM VENTILATION 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 FIREWALL SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER / 016S ULATION/SOUNa2 /JI GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DEL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. fEE ELECT. FEE __j SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK` a�-- 5� LIND PLUMBIN5 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE /3Q ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWE OR IC TANK ROUGH WIRING DUCT WORK ROCK STORAGE C44LOUND. REINF. Q - �j [ AS (ROUGH) ✓��� METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE NAL INSP/oZ?J 9) BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. AL INSP. S / RAMING /'� (� OjNAL INS .,�-' 59 OOFING . Dle T� wr2'q/0 ,• ' - / (,, G% REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR FIREWALL /�GGAR. (,[BATHING MESH / 016S ULATION/SOUNa2 /JI FINISH GRADING &FINAL INSPECTION V �� CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESJINITIALS GARDEN WALL FINAL Date 7/26/04 No. 26223 Owner Steven Zucker Address 79305 Briarwood City La Quinta Zip 92253 Tract # Type Residential Addition CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit # Study Area -No.-of-Units BERMUDA DUNES r rn RANCHO MIRAGE %,AJ INDIAN WELLS PALM DESERT y LA QUINTA QINDIO y� 772-020-019 La Quinta -1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 79305 Briarwood 336 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Y Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 336 S.F. or $0.00 have been paid 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 EXEMPT -William Rupelt Check No. Name on the check Telephone Funding Exempt By Dr. Doris Wilson Superintendent Fee collected /exempted by Beth Schieferstine Payment Recd 0.00 Over/Under SignatureAua- NOTICE: Pursuant to Government Code Section 66020(d)(1), 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 issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 La Quinta Permit # Log Date 10/26/95 No. 113817 Owner Name La Quinta Orchard Partners No. 79305 Street Briarwood Type of Permit City La Quinta Zip 92253 Study Area 116 APN # 769-760-019 1 Tract # 126524 Lot # 29 Square Footage 14225 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 4 225 or $ 7,267.00 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. * AN Fees Paid By La Quinta Orchard Partners Teleph lQ !x771-1941 Name on the check By Dolores A. Ballesteros _^ r Superintendent. ` Fee collected /exempted by Pauline Pearson Payment Received : •' Signature, o $7,267.00 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 Lino WALLING & McCALLUM /LIMITED ARCHITECTURE • PLANNING • ENGINEERING 46-190 CLUB ORIVE INDIAN WELLS, CA 99910 m". MA1iK "Ai?-OLo Gt-T-7 ON= L/a Q u 1 N37P b jn'sr-rm eat-cT aF Isu I wal N4 & R o. BoX lS L-A QultvTx� L Ca 92253 re -p-, W2oTs Z = S' Z5 `tl-rE ESTA.Ncaoms LA QVlv-- D 1 CA t*uw- MAa4,-- [619] 360-0960 FAX [619] 360-0786 I-� AvE L5)NT mo l rV"ro AN &alis --=am E -'JT Gu 1-fw 71 "= QST vcl,eas - (:5 a 13--s©rzvr-- 7we. F l "JAA , RzAm I N G To 1 T (5 1 n1 W tT- i T-te- Ptg:lw� S �. SPt -1 1✓t c^ --n ary s A S �'2Ep42�'� %-7 -r-441 S Cf =F1CL' , 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: BUILDING ADDRESS: 79-305 BRIARWOOD Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 15714 Occupancy Group: R3 Type of Construction: VN Land Use Zone: R3 Owner of Building: LA QUINTA ORCHARD PARTNERS Address: P.O. BOX 1716 Building Official City: LA QUINTA CA 92253 By: KIRK KIRKLAND Date: 10-29-96 POST IN A CONSPICUOUS PLACE