003315 (AR)Building
Address
Mailing
Address
City
Contractor
4
P.O. BOX 1504
78-105 CALLE ESTADO
.20 'raan. Tiinote-o LA QUINTA, CALIFORNIA 92253
Zip ITel.
Address
41-580 Rancho Hanana Lane_-,
City Zip _• . Tela
State Lic. I City
& Classif:. Lic. #
A'�A?Q5
Arch:, Engr.,'
Designer
No. 003315
BUILDING: TYPE CONST. OCC: GRP.
A.P.• Number s tllu hta rT61f rAtA -on
Legal Description
Project Description 64 6ahmt ^ AAdltican
Sq. Ft. � No. No. Dw.
Size Stories Units
New ❑ Add ❑X Alter ❑: Repair ❑ .. Demolition ❑
Address Tel.
City Zip 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.. 1 -.
lr" ft 7
SIGNATURE - 'DATE _
OWNER -BUILDER DECLARATION Estimated Valuation
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 alter, Improve demolish or repair an structure prior to Its issuance also
- requires the applicant for Y
such permit to file a signed statement that he is.licensed pursuant to
PERMIT
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.
-Plan Chk.. Dep.
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
"himself
Plan. Chk. Bal..
COr1St.
Mech. .
builds or improves thereon and who does such work or through his own employees,
provided that such improvements are not Intended or offered for sale. If, however, the building
Electrical
Of improvement is sold within .one year or completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
Plumbing
❑ 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
S.M,I,
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.)
O I am exempt under Sec. B. 8 P.C. for this reason .
Grading
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
Thereby affirm that I have a certificate of consent to self-insure,:or'a cerlificate•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
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.) • - -
I certify that in the performance of the work for which this permit is issued; I shall not
employ any person in any manner so as to become subject to the Workers' Compensation'
Laws of California. `
" Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor *Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. - -
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.) '
Lender's Name
Lender's Address
This is building permit when properly filled out, signed'and validated, and is subject to*
expiration if work thereunder is suspended for 180 days.
I certify. that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives sof this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
,City, State, Zip
HARD COPY I
TOTAL
REMARKS
r - -
(1,0513 2, LO 604_ OSS --17-87-,
.Y V 1. Vi.a i i Y 1 L: 1f"Yg_ .i.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from.Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date P J171QnPermit
Validated by:
Validation:
AMOUNT
Qg
An
1A
IRS A
1>7
Pin
!$
A40
REMARKS
r - -
(1,0513 2, LO 604_ OSS --17-87-,
.Y V 1. Vi.a i i Y 1 L: 1f"Yg_ .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 P J171QnPermit
Validated by:
Validation:
111
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINI
IST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO, FT. ®
CARP. SQ. FT.
WALL SO. FT. ®
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
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
BOND BEAM
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSP.
ROOFING
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 A PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GRO D PLUMBIN 2
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 7
OUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS x/y
®,
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
01
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
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
r
J6 A-' 6 TtJh/S
DFINAL
l _
% g�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING00,
INSPECTION —V
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS,
GARDEN WALL FINAL
t
t
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
SCHOOL FACILITY FEES
TO: City of La Quinta 1
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253 NOTICE:
F '
DATE: �!1
THIS DOCUMENT CANNOT
BE DUPLICATED.
This iscertify that
developer of , which is
located at - , within
this District, has paid school facility fees imposed pu suant to the
authprity generat d y G vernm nt Code Sectio 0809=un__L)t of
$ ( bF
covering a total o sq re feet of residential or
( ) industrial/commercial development and that building.permits for
this footage in this development may now be issued by your jurisdiction.
f r DESERT SAN SU FIED SCHOOL DISTRICT
I57
White -Building Department • Yellow -Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
r '
La Quinta GolfEstates
CommunilyAtion
P.O. Box 162
La Quinta, Ca 92253
July 8, 1987
CITY OF LA QUINTA
Planning Department
P. 0. Box 1504
La Quinta Ca 92253
RE: Architectural Aroval
THAGARD.RESIDENCE
Gentlemen:
The Architectural Committee of La
ation has reviewed the plans submitttedtfora I oabovelf treferenced re
., y Associ-
The Committee has a referenced residence.
necessary Indemnityapproved these plans and the owner has signed the
the required fees.
Agreement and has deposited with the Association
If you have any questions, please contact me.
Sincerely,
ROBERT C. MONRO
E
Chairman
Architectural Committee
RCM/at
cc: Mr. and Mrs. William 0. Thagard
MILTON W. CHAMBERS AIA
Architect
P.O. Box 1183
RANCHO MIRAGE. CALIFORNIA 92270
(619) 324-8424.
2a
4 2o± 41
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i
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A C E _
-:L= 20 �.1 _ �g(�.t_.� o.�� X 20 X '2 = 1400nnAX' .
D15T2, I4C� - 3s0,
IT Pct �r Q. Ncw ��AL.
INSPGGT10
MILTON W. "HAMB1 RS, ARCH[TECi C. 3446
_._._..__.._.-.....781Zo_...SAN.TI_MaTGa.GLS.
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