9426 (AR)T 0 0
4ht 4 4 a"
Building
Address 49-505 COACRELLA DRIVE
Owner
.ED OtCONNOR
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address 49-505 COACHELLA DR.
City Zip Tel.
LA QUINTA,CA 92253 566-498b
Contractor
ERNEX Craig Conklin Co.
Address
City
P. D.
State Lic.
& Classif.
Arch., Engr.,
Designer
Address
z192260
B 316634
filly P(D
Lic. #
WALLING & MCCALLUM LTD.
Tel.
—190 CLUB DR. 360-0.250
City Zip State
INDIANifiWXLLS 92210 Lic. # '
LICENSED CONTRACTOR'&6ECLARATION
eby affirm
of Divisior
of Chapter 9 (commencing with Section
Code, and my license is in full force and
<_ - z ei-0
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, after, 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).
O 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
orimprovement 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.) -
❑ 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 fi%-A .1 v r.`,: ` ,�
l�Copy is filed with the city. ❑ 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 (5100) 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 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.
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 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-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 9426
ROOM
BUILDING: TYPE CONST. ADDITxQO,t C. GRP
A.P. Number LA QUINTA COUNTRY CLUB
Legal Description THE ?SLANDS LOT #1, TRACT 3485
Project Description ROOM ADDITION TO A EXISTING
SINGLE FAMILY RESIDENCE.
Sq. Ft. No.
Size 430 Stories
No. Dw.
Units
New ❑ Add GN Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$29,610.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
$184.93
Const.
284,50
Mech.
1 Z .3u --
lyElectrical
Electrical
3U . U.5
Plumbing
J S • UU
S.M.I.
L • 10
Grading
Driveway Enc.
Infrastructure
TOTAL 4: t) •
REMARKS
ntl5i R? Sia j r;AA f)A-!A-•9Z j t}
ZONE: BY: IV LfiJtf I IUI04L Y :r7J.V*
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
Validated by:
Validation:
71f-/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. S0. FT. ® $
?t ? UNITS
SLAB GRADE �/
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT. ®
FORMS
_
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CAR P. SO. Fr.
TEMP. POLE
WALL SO. FT. @
GROUT
DRINKING FOUNTAIN.
SO FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FRAMING & ? _(( to
WATER SOFTENER
VENT SYSTEM. FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE ' DRYER
REMARKS:
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,TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
-SQ. FT. RESID ® 11/4,c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE' ELECT. FEE
SMI FEE PLUMB. FEE '
STRUCTURE PLUMBING ELECTRICAL HEATINGS AIR COND. SOLAR
SETBACK
GROUND PLUMBINGsI�
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 APPJEOUIP.
REINF.. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
(n�cu. yd.
$ plus -X$-=$
LUMBER GR.
FINAL INSP. r 0
FRAMING & ? _(( to
FINAL INSP. O l'1 /
i
ROOFING/la f (�
>�
9`
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
G2. FIREWALLIV Lk/
RING Ly
MESH
INSULATION/SOUND (Z p
FINISH GRADING
FINAL INSPECTION 011`,•
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURE&INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 4/24/91 1 Type of Permit I La Quinta
No. 110561 Permit #
Owner Name Ed O'Connor Log #
No. 49505 street Coachella Drive
city La Quinta zip 92253
Study Area
APN # I Tract # 13485 Lot # L� Square Footage 1430
Type of Development Residential Addition No. of units
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:
Residential addition under 500 square feet
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 0.00 X ® or $ 0.00 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 Telephone
Name on the check
By Richard M. Beck
Director, Facilities Planning & Development
Fee collected /exempted by Shelley D. Bennett
Signature M Cho�,� fir
!ck tio,,nla
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 71