0212-087 (SFD)U)
H
N U)
W
ouch
d u7
W r'
C:5
CCD 00
F-
W W
-~a
Z
N
0 C7.
CL Q
Z
Lr) Q O
XW Y=
M <
O
a:
Z_
cb Z)
I- d
J
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.
License # Lip. Class 1 Exp. Date
f
Date / �' 'Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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, Business & Professionals Code).
(P I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&RC. for.this reason
'Date' "f • __j`4i Signature of Owner
WORKER'S COMPENSATION 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:
Cartier Policy No.
(This section need not be completed if the pe;mit 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.
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
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such D
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 to enter upon
the above-mentioned property,for inspection purposes.
r f:
Signature (Owner/Agent)" Date ' ? `
`y
BUILDING PERMIT PERMIT#
DATE VALUATION LOT .0212-0811 TRACT
L111 4/200 3.1. r ao 7 MX u
JOB' `�'��rE
ADL SS
APN
,. :� (:.1v14.9 CAD17.
_
OWNER
CONTRACTOR/DESIGNER/EN (NEER
U-730NARD b& NIM M4
OWNER _-,BXM-0-FK
`.
l .
USE OF PERMIT
SFD - LOT'7. PERMIT 06M NOT INCLUbE. 8LfiCK WALL3, POOL, SPA
OR DRJV1_3VAV,kii'kl`A0AZH
TRACT CONSTRUCTION A364.40 SF
P6RCI.1lRATIO, 953.00 SF'
�3A13Af9DTir�.�1d}'a'��.T �?'?,t�0 jDN�
N ►' Ka4,M COST OF (70NS"I'RUM, -£01q
2111 .OD
CONSTRUCTION FEE 101.000-418.000 $1,011,10
;?I.AN CH,R..i K ",F, 101.000-4 9_318 $857.37
FEE D POSIT 101.000 -439:18 -$UO -00
tARCHAVICAL FEZ 10 14*0-421 -000 $102.50
M,UC i R1CAL FZE 101-000-420-000 1201,38
PLUNIBINO "Is 101-000-419-000 $174.50
S'1 RONI O MOTION FRE - .RRIID 101.000-7 i 1.000 521.13
3. RA: D1'NQ 101-000-42-1-000 $15.0
DEVELOPER IMPACT FER 52;405m
ART I84 PUBLIC PLACn • RIMSIL 270.005-445-000 %29.35
F-770TAL CCTNSTR0C` 001 AND PLAN : INTZ ti
$4,836-73
LUSS PRE-PAtD F SS
4250.00
JAN 2 4 2003
BY
�.t
DA E FINALED
INSPE TOR
--
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
TINSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
'" U
Exhaust Fans
O.K to Wrap
p
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
_
-
Final
POOLS - SPAS
BLOCKWALL
APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
PLUMBING APPROVALS
Gas Piping
Gas Test
Electric Final
Waste Lines
_
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral_
Pool Cover
Sewer Connection
_
���
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
-12A
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G. F.1.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm) .0
Date
1/21/03
No.
24049
Owner
Leonard M. Meier
Address
77099 Desi Dr.
City
Indian Wells Zip 92210
Tract #
Type
Single Family Residence
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
Lot # No. Street S.F. Lot # No.
Unit 1 78190 Calle Cadiz 3364 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments OC #023685252 in amount of 7198.92, cash $0.04 cents.
4�J�F�Sc�o
o
BERMUDA DUNES r
RANCHO MIRAGE �f
INDIAN WELLS
�i PALM DESERT y
LA QUINTA
���INDIO 1^
O Y/
770-155-007
La Quinta
1
Street
S.F.
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 (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:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.14 X 3,364 S.F. or $7,198.96 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 OC/EI Paseo Bank -Leonard Meier. Check No. 023685252
Name on the check Telephone
Funding, Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Monica Guillen $7,198,98 $0.00
Payment Recd Over/Under
Signature
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
0 .?OHIO H HACKER C=V2L. ENG2NEER
RETENTION BA S I N S I Z Z NG
IROJECT NAME ............ Leonard Meier residence
AHR RAINFALL 3.5 IN(RUNOFF .7 )6HR RAINFALL 2 IN(RUNOFF .64 )3HR RAINFALL 1.8
:N(RUNOFF .62 ).RUNOFF AREA = 18056 SQ FT.... RETN AREA = 1950
;Q FT ......PERC RATE 1 INIHR.... DEPTH PERC AREA= 1 FT...DEPTH DRYWELL 0 FT
-0 MIN PERIOD 24 HOUR
STORM ......... OUTLET
FLOW= 0 CFS
�........... X AREA X
RAINFALL X RUNOFF......
LESS PERCULATION....
.012
44.2372
162.5
.013
47.92364
162.5
.018
66.3558
162.5
.021
77.4151
162.5
.028
103.2201
162.5
.029
106.9066
162.5
.038
140.0845
162.5
.046
169.5759
162.5
.063
232.2453
162.5
.082
302.2875
162.5
.071
261.7368
162.5
.073
269.1096
162.5
.101
372.3298
162.5
.114
420.2534
162.5
.104
383.3891
162.5
.085
313.3468
162.5
.014
51.61007
162.5
.019
70.04223
162.5
; .013
47.92364
162.5
.012
44.2372
162.5
.011
40.55077
162.5
.011
40.55077
162.5
.011
40.55077
162.5
.011
40.55077
162.5
REQUIRED RETENTION UnT.TTMF.
1261.774
0 MIN PERIOD 6 HOUR STORM
.036
.043
.048
.049
.053
.058
.067
.091
.116
.146
.251
.044
..........REQUIRED RETENTION
0 MIN PERIOD 3 HOUR STORM
.085
.101
.139
.174
.299
.203
.........REQUIRED RETENTION
.STORAGE
0
0
0
0
0
0
0
7.075928
69.7453
139.7875
99.23679
106.6096
209.8298
257.7534
220.8891
150.8468
0
0
0
0
0
0
0
0
CU FT
69.33504
81.25
0
82.81685
81.25
1.566849
92.44672
81.25
11.19672
94.37269
81.25
13.12269
102.0766
81.25
20.82658
111.7065
81.25
30.45645
129.0402
81.25
47.79021
175.2636
81.25
94.01356
223.4129
81.25
142.1629
281.1921
81.25
199.9421
483.4193
81.25
402.1693
84.74282
81.25
3.492821
VOLUME
966.74 CU FT
142.7327
81.25
61.48267
169.6
81.25
88.35001
233.4099
81.25
152.1599
292.1822
81.25
210.9322
502.0832
81.25
420.8332
340.8792
81.25
259.6292
VOLUME
1193.387 CU FT
,VAILABLE RETENTION VOLUME = 1950 +DRYWELL, 0 = 1950 CU FT
:UNOFF Q100= .9284996 C.F.S.... Q10= .4625917 C.F.S.
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name list ing.,yourseIf as the builder of the property
improvements specified. j -
For your protection you should be aware that as "Owner/B'uilder" you are the responsible, r y of record on such a
permit. Building permits are not required to be signed by property owners unless they;are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies.for the proper permit in his or her name.
Contractors'i�re required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license numbe.on all permits. for which they
apply.�'
If you plan to do your own work, with the exception of various trades that you plan to subcontract,�you should be
aware of the following information for your benefit and,protection:"
If you employ or otherwise engage any persons other than your immediate family, and the woi<k (including materials
and other costs) -is $200:00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, theri'!you may be an employer.
If you are an employer, you must register witli'the State and Federal Government as an employer and you are subject
to several-�ob'1'igpions i'nc'luding_ State and Federal, income tax withholding, federal -social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may -be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Adminstration). For_more specific information about your obligations under State
Law, contact the Department of Benefit Payments and ihe'Dimision of Industrial Accidents.
If the structure is intended for sale, property owners who are -not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building
permit, erroneously implying that the property. owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 9 53
(760) 777-70
FAX (760 7011
OWNER'S SIGNATURE/DATE
0- 0 �a "v`
PROPERTY ADDRESS
PERMIT NUMBER(s)
CITY OF LA QUINTA SUB -CONTRACTOR LIST
JOB ADDRESS 78 - go (26--L-LE (3z_b) PERMIT NUMBER OWNER M, N = BUILDERC� _
This form shall bg posted on the job with the Building Inspection Card at all time in a conspicuousIp_ace. 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.Comractw's License;
`.: Workers C ensation Insurance ...::..::
Cii i�usiness License
Company Name
Classification
A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Date(e.g.
Ixx/xx/xx)
[,Exp.
EARTHWORK IC -121
Ow �; i= �_
�
-
!r /b
- -r
r
° 3
CONCRETE (C-8)..
tZ
-
1390
2 a8 d 3
1=XG A4
/-
FRAMING (C751
STRUCT. STEEL (C-51)
MASONRY (C-291
PLUMBING (C-361
,
G` _
0
7 3� 03
S•�E, y �C-
637
oc�G-
O
'
LATH, PLASTER (C-35)
_
4i -L PT
DRYWALL (C-9)
HVAC, IC -20)
rz -
- C
,�
3a o3
S u�2C.T / Cao a7 L=- O r
a C03
ELECTRICAL (C-10)
-
_ G
-
// 30 0
-i
ROOFING (C-39)
_
/p 3I
S- oocr� I
L/-
-0J
SHEET METAL (C -43)
-
FLOORING IC-161
�^ 1 S
7 3/ 3
l�/tn ('
o �1
1 - i -y
------
GLAZING IC -171
OC*SS'
/ 3n
��- s
lv - 3 -03
b /
4, 17 0
INSU
. —
i 1
9 3
Tn �S
�wx J�r5rZZD0Z�
630 n3
io /
3L o
SEWAGE DISP: IC -421:0
(
—
---
_-
—
-
PAINTING (C -33),19C2
7 5
/1 9C2 O
=
CERAMIC TILE (C-64):
(�
; ,
, ,
- �T
CABINETS (C-6)
gpE�
3
a oa3
/- l -off
co o
-
FENCING (C-131-.Cj
_
/
pT-
LANDSCAPING (C'27)''',
POOL (C=531
b�
ioK
or-,
b 6C
02/06;2003 22:54 7603215701 JOHN HACKER PAGE 02
J O H N H A C K E R da A S S® C I A T E S
Y CON SU1,TIN G CIt'.IL rNG1 NeL^'RS a sL'RvL•'YI V(;
February 5, 2003
City of La Quinta
78495 Calle Tampico
La Quinta, Ca 92253
STN: Building & Safety Depaxonent
Re: Lot 7, Block 6 e Desert Club Tract No. 1
Addtess: 78-190 Calle Cadiz
Builder: Ail. Leonard Meter
Gentlemen,
Thi% letter shall serve as a certification Rtating rhat the grading of said lot has beers done in
accordance with the approved grading plan.
Our. office conducted as field inspection of this site and found that the pad c:evation %w
constructed to an elevation of 100.7 and the app"toved elevation for the pad was 100.8. This falls
witbin the tolerances for standard grading practice.
Sincerely,
b
n .H. Hacker IZ.C.E, 14614 A
Exp 3/31/05
J.HH/crap
Xc/file 021986 padcert.doc
6R4$) g FA;_M CANYON DRIVE • SIJ!'CT. 64 a C;,ThT;rRAL C:TTY, CA. 922.14
(74^) .124.1121(.
78-495 CALLE TAMPICO
LA QUINTA, CA 92253 BEG `01 L
1760) 777-7075
APPLICATION ' PUBLIC, FORKS
FLOOD PLAIN DEVELOPMENT PERMIT
BUILDING SITE LOCATION FLOOD ZONE "AO" - DEPTH 1 _
COMMUNITY- PANEL NUMBER
7(
of O G A I:% C_ s7 i 060709 0005 B
q X25-3 Map Revised: 8/19/1991
APPLICANT INFORMATION SECTION
APPLICANT NAME ILA jUl
APPLICANT / 7 —67:�q J:)�--,, t �✓� i
ADDRESS
(MAILING ADDRESS. NOT THE BUILDING SITE) l 'G LL -S c 9 ao- ( C
DAYTIME TELEPHONE NO. (� —
INSTRUCTIONS
1. A Flood Plain Development Permit is required by LCIMC Section 8.11.040(A). The Applicant should complete the
Applicant Information portion of this application and submit it to the Engineering Department along with the
required documentation noted hereon at the same time the Precise Grading Plan is submitted to the Building and
Safety Department for plan checking.
2. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuance
• Copy of the proposed Precise Grading Plan for review and approval containing all information required by
the checklist shown on the back of this application.
3. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval.
Note, this approval occurs after forms for the lowest habitable floor are set and before the Building & Safety
Department authorizes foundation construction.
• Submit a completed FEMA `Elevation Certificate" form to the Engineering Department.
• Submit 95% relative density soils compaction certification to the Engineering Department.
STEP 1 OF 2 APPROVAL STEP 2 OF 2 APPROVAL
The Precise Grading Pian submitted for this application has been All requirements have been satisfied. This Rood Plain
reviewed and found to contain all data required to satisfy the Development Permit is approved.
requirements of LO.MC 8.11 The proposed dwelling is eligible to
receive a building permit upon satisfying all other Building &
Safety Department requirements.
AUTHORIZED SIGNATURE DATE AUTHORM SIGNATURE DATE
La Quinta Engineering De ent La Quinta Engineering Depa t
FILE: Upon Step 2 approval, original goes in "Flood Plain Development Permit";qeA j9oeyj It
'� Please use this Plan Check Number (PCN)