13580 (AR)0
T4iVl 96(m
444
P.O. BOX 1504 No. 13580
Building 78-105 CALLE ESTADO
Address 78-61.1 Sagebrush Ave. LA QUINTA, CALIFORNIA 92253
Owner Tony Zamarippa
BbILDING: TYPE CONST._OM GRP. -
A.P. Number- 17 012..
Legal Description D2501,: C-aAff
. t 2,
Project Description Addition
Mailing
Add ess
City
La Quinta, CA
zip
02253
I
Tel
-
Contractor
Apollos Construction
Address
P.O. Box 977
CLya Quinta, CA
I zip 92 253
Tel 772-4024
State Lic.
& Classif. 8 619680
City
Lic. # 2331
Sq.- Ft. 16
Size 13
No. No. Dw.
Stories Units
Arch., Engr.,
Designer Dreams Design Group
'
New 0 Add 0
Alter 0 Repair 0 Demolition 0
Address
4725 Sunnydunes Road
Tel.
778-1357
Permit not
to include block walls or
pool.
Cily-alm springs,
1 i'% ' 9 2 2 6 4
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under Provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
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 theapplicant to a civilpenalty of not more than five hundred dollars ($500).
0 1, 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 improve hs thereon and who does such work himself or through his own employees,
provided that suc 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.)
0 1, 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
Estimated Valuation
$82,070.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
209.82
Const.
563.00
Mech.
55.50
Electrical
97.08
Plumbing
76.50
S.M.I.
8.21
Grading
20.00
Driveway Enc.
. 00
Date -Owner
Infrastructure
.00
WORKERS' COMPENSATION DECLARATION
klehereby affirm that I have a certificate of consent to self -insure, or a certificate of
Wor r's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. ompa y
0 Copy is filed with the city. 0 Certified copy is hereby furnished.
TOTAL
1,280.11 11030.11
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATION INSURANCE
REMARKS
(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 thp 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 becom-
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
ZONE: — — — — — — �__BY:
Minimum Setback Distances:
Front Setback from Center Lin
Rear Setback from Rear Prop. Line
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.)
—Side
Side Street Setback from Center Line
Setback from Property Line
Lender's Nam
FINAL DATE
—INSPECTO n
.Lender's Address
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.
I cer tify 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.
Issued by:
Validated by:
Elate Permit
2 4 1994
Signature of applicant -Date-
Mailing Address
Validation:
N i3v
\1
City, State, ZI
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
2ND FL. SO. FT. (g)
POR. SQ. FT. @
GAR. SO. FT. @
CAR P. SQ. FT. @
WALL SO. Fr. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
9
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET2
COMPRESSOR HP
POLE, TEMIPERM
ILAVATOR
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
ISHOWER
BOILER B.T.U.
SO. FT. @ c
1BATH TUB
FINAL INSP.
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE [P !L. C K. F !EE
CONST. FEE ELECT.FEE
SMIFEE PLUMS. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING4—/—'-'df&d0
IV 974;
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER IIR I'liZ,
gq=e(4/
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
9
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL I Ul
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
Pre
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWA�o no—/
LATHING
MESH
INSULATIONISOUND9-;2—f
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
I
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE Indio, CA 92201,
,Document Cartn'ot Be'Duplicated 619 775-3500
Date 5/23/94 Type of Perrn.it.,Ffa Quinta
No. 112843 1'. Permit #1
Log
Owner Name* Tony Zamarippa
N o.. 78611 Street sagebrush.
.,.City L Quinta Zip 92253 Study Area
APN Tract #I Lot # Square Footage 11316
Type of Developffierit FR7esidential Addition, No. of units
Comments
At the present time, the Desert'Sands Unified School District does not collect fees on
garages /carp6rts, covered patios /walkways, residenitialadditions under 500 square feet/
It has been determined,
-detached accessory s ' tructures'or replacement mobilehomes.,
the above-7named. 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 X or $ 2,171.40 have been paid to D.S.U.S.D. for
the property listed aboveand that building permits -and/or Certificates of Occupancy f r
this square footage in this proposed project may fiow be -issued.
Fees Paid By Apollos Construction Telephone 77 2-4024
Name o n the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exi empted by Vickie J. Durrett'
Payment Received,
Signature a"ICL t Che6k No. 0002
Collector. "Attach a copy- of county or city plan check application form to district copy. for-,aft,waiveirsi.
,. t -N
Embossed,Original- Building Dept. /Applicant Copy - Applicant/Receipt 'Copy - Acccunting
Tit- of Ko Quinta
'-s— fe, 43 t!ei ton
This Certificate 'issued pursuant to the requirements of Section 306 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 78-611 Sagebrush Avenue
Use Classification Single Family Dwelling Mg. Permit No. 13.580
R3 VN SR
Group Type Construction Fire Zone Use.Zons
.Owner of Building Apollos Construction Address P.O. Box 977,
City —La Quinta, CA 92253 . y I onn J Q . Day
Date; -October 26, 1994-
ffici
Building 0 a, 'POST IN A CONSPICUOUS PLACC
i I H