06195 (SFD)S • ���
P.O. BOX 1504 N o . 06195
Building
Address 48-580 San gin" LA QUINTA, CALIFORNIA 92253
Marsha Bi.11a
Mailing
Address 79-362 M,111 war T'tt '
City Zip
Tel.
03-rimida Tatsr:as 92201
1
Contractor
i`�ras.r �1Rr+a 41 cis°.r
Address
City
Zip
Tela
State Lic.
City
& Classif.
Lic. #
Arch., Engr.,
Designer
Address
Tel.
City IZip I State I
Lic. #
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under Provisions of Chapter 9 (commencing with Section
7000)
effect. of Division 3 of the Business and Professions Code, and my license is in full force and
SIGNATURE DATE
OWNER -BUILDER DECLARATION
1 hereby affirin 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 perm3 to Me a signed statement that he is licensed pursuant to
the provisions of the Contractors 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 awl penally of not more than five 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 Contractors 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
of proving that he dad not build or knpmve for the purpose of sale.)
❑ 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 buBds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date 1 !Owner 41"'IV/
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
(Timis 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, 1 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: ff, 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 proviskms or Bras 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.)
Lenders Name
Lenders 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
ateMailing Address
City, State, Zip
WING: TYPE CONST. OCC: GRP.
P. Number 617-302-022
Legal Description
Project Description C41nn1;M Vsitmlty Rw1 ic]s�st
REMARKS t_
A90141.
.1 i"�t� Alf L� F"�4:t K It 1 [ 7t7 a T J r "•i'
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 $/15/39 Permit
Validated
Validation:
Sq. Ft.
Size 2310
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
$250.00
Plan Chk. Bal.
487.41
Const..
90y. -55
Mech.
bz.uu
Electrical
29. y
Plumbing
172.50
S.M.I.
12.32
Grading
20.0
Driveway Enc.
20.09
Infrastructure
TOTALlst
REMARKS t_
A90141.
.1 i"�t� Alf L� F"�4:t K It 1 [ 7t7 a T J r "•i'
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 $/15/39 Permit
Validated
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINGrFEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE 4/71:1
ROUGH PLUMB. L'
YARD SPKLR SYSTEM
2ND FL SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR, SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
DRAINAGE PIPING
CAR P. I SO. FT. ®
GAS (FINAL)
P. POLE
WALL SO. FT. ®
DRINKING FOUNTAIN
GROUT
WATER HEATER
URINAL
SO FT ®
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
CU. yd.
-Plus-X$-=$
FLOOR DRAIN
MECHANICAL FEES
FRAMING FINAL INSP. Vf
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL 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, 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.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ic
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
SETBACK
zz UND PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 4/71:1
ROUGH PLUMB. L'
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. �( Z�
GAS (ROUGH) `
LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
P. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
CU. yd.
-Plus-X$-=$
7
LUMBER GR. FINAL INSP. % /
FRAMING FINAL INSP. Vf
ROOFING
L/�
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING �W)V L®�3
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
cckirc MMAI
��- �
-/fit a fit/ Ig �%�'Ih �i�7i/QGf
9
REMARKS:
SIGNATURES11NITIALS
GARDEN WALL FINAL
y
Desert Sands Unified School District
��BB ��°°aa CER,T��++IFFIaaC��AppTII�Opp,,N OF PAYMENT
NOTICE: •T�I 7w+U OF k04 FEES tL.�ail
SF-- DUP KATE®,
TO: City of La Quinta DATE:
Department of Community Development
78-105 Calle-Estado
La Quinta, CA 92253
This is to ertify that
,developer of �..zp which is
located at within
this District; has paid school facility fees imposed pursuant to the
authority ge rate"y Gove nment Code Sect' 1Q130G n t e amount o�v �'
covering a total of �3/� square feet of.( ) residential or
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by.your jurisdiction.
for DESERT SANDS UNI ED. SC9ft DISTRICt
White Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
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49-7613 11wy 116, llulte I1-12
• 'Cu►►cliel In, CA • 92236
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ter reviewing your 1a110Sct�hl.1►cl 111a1►s, 1111 111011L nyterial lisJCdsuhstlLutliotls
violation of yuaralltine lows ticlvetning the Coachella Va.tley.
do occur E111d they d1E[er [run !►lant nsalerial listed, 11115 o[fice must he notified
ilnnedlately.
u Lor »vtectLly a11d !►Eeservtlly tl►e Coacliella Valley's pest-[
ree envlrolnlent•
'i'1lattk you E
ids ier
Ayrlls Ul[ce
cuLtutal Cam
1
ccg Indio and 111verside u[[ice
La Quinta Golf Estates
Community Association
P.O. Box 162
La Quinta, Ca 92253
619/564-2177
July 6, 1989
CITY OF LA QUINTA
Planning Department
P. 0. Box 1504
La Quinta CA 92253
RE: Architectural Committee Approval
New Construction - Lot #27
MRS. MARSHA BILLA
Gentlemen:
The Architectural Committee of La Quinta Golf Estates Community
Association has reviewed the plans submitted for above referenced
residence.
The Committee has approved these plans and Mrs. Billa has signed
the necessary Indemnity Agreement and has deposited with the
Association the required fees.
If you have any questions, please contact me.
Sincerely,
ROBERT C. MONROE
Architectural Committee
RCM/at
cc: Mrs. Marsha Billa
November 6, 1997
Mr. Henry Malm
44-489 Town Center Way
Palm Desert, Ca. 92260
Re: Septic Inspection at48=" 0 Sa -Drina'
Dear Mr. Malm:
This letter will verify our conversation on Wednesday, November 5, 1997, regarding your septic
system at 48-580 San Dimas.
As discussed,.the City of La Quinta Building and Safety Division performed an inspection of the
installation of a septic system at the above address on October 3, 1989. For dwellings utilizing a
private sewage disposal system the inspection simply verifies that the installation is per the design
of the Riverside County Health Department. It was also discussed that our records do not include
a copy of the Health Department's design of the septic system.
We would be pleased to provide you with any copies of the records we have for your home upon
request. Please feel free to call with any questions, you may have.
Sincerely,
Mark Harold
Building and Safety Manager /f�