00023320 (SFD)rrui.Nrv� nAmt 1�. r, mp
DEL A rt a
ADDRESS
781054 SAN TiMOTEG
CITY/COMMON ITV/STATEIZIP
���
LA QUINTA CA 9225 30000
JOB SITE ADDRESS/SPACE ,
78154 SAN TIMOTCil
CITY/COMMUNITY/STATE/ZIP `
1-A. QUIN`FA:=:.' CA 92 530000
BOK
PAG ,
PRC
C
TWN
$22,50
PING
SE
S
617
330
022
S
FEME i
$11166
qt)0
00
$61.10
TRACT LOT
k EE
$4.41
MODSB
FEE:
$4,00
000000 00
TOTAL
FEE
010
CA-
CKx
TRACT NAME ,
LA QUINTA ,GOLF 103
OWNER NAME (L,F,MI)
'1aELANEEY', JOSEPH
PHONE 0
CONTRACTOR -FIRM NAME
MARILYN L.Ct)INIC: -DLL.ANEY
LICNC.p
370052
ADDRESS
P:O. BOX 932
CITYICOM MUN ITY/STATE/ZIP
LA QUINTA CA '922530000
PHONE'
BLDG. PECT
FIN A ,G�
ARC/ENG FIRM NAME
LICNC q
ADDRESS
CITYICOMMUNITY/STATE/ZIP
r
PLAN #
PLANS EXAMINER -
APPROVE DATE
USE OF PERMIT
RENEWAL FOR DWLG & ATT GAR46E,
BL ZONFSB
00 R-1
SSB
f30a
SSB
000
RSB
000
OFC
Ilei
ZONE ORD #
FORM 284@08 (1181) INSPECTOR
LOT SZ
END
. SIDE
0000
APPL 0 2 N PSi)DATE
00023320�a Pls Eil10lf3�'
CONSTRUCTION FEE
40004
$143.00
PLt1MAINO FEE
$40.00
E LE:CTR I C:AL. FE: E
$39-76'
MECHANICAL FEE
$26-75
$1:3.00 .
APPLIANC,;t —mDryert01 iteher:Oa
FELE:
$3,00
SMI FEE
$3.50
$22,50
HEATH+,' .SYST'EK -1-100,001 BTU -03 100,001 or More PT11; 0
FE:i~i
$12.00 ,
C1�.4�tvl"1�t;Il:AL FEE COMPUTATIONS •,. PervilT Fee (if opplicaisle)
FEE:
$3.00
S0ruice_ Amps -It 400 Servnice -Avips 2 s 0 Service Amps -3t 0
FEME i
$11166
ADD'L FEET 4888 Sq., -Ft. .012 @ ,0.125 Per Std, i"'e,
F'EEi
$61.10
"'Be, ,
k EE
$4.41
' PLUMBINGP*EE C:U40A'i6 N, Permit Fee.(i.f applicable)
FEE:
$4,00
FIXTURES -Bar Sink: I Drinlcihq Fntnc. 0 FiriDrai.nt 0
TOTAL
FEE
$253.01
CA-
CKx
NC
I COU 4E B.I.
/ji �.
COUNTER L.U.T.
'
'w l% � ,-+-�.--.s-�-mac.-.►_.. -� _
I HOW
_ S T R U C: l` If Ft ,A L t 14LIXLDING P F. R M I T
JOTAL. PE:ktill' t:t3S.T 1S $253.01
1
CONSTRUCTION ESTIMATE (NOTE::: Nol to bo used as property- valuation)
Description FCC' Gvoup Type S9 Ft Rate Val.ua'rion
PRIMARYMISC M M 5001 $10,00 50010
Cort tru tlgn Fee based, on Total, Actual Valuation of $50010 is; $286.00
+MC'CHANIOAL FEE COMPUTATIONS * Permit Fee (if.applicable)
F"E:E i
$3.00 .
VENT-mF'anEi:02 E:v�ip Cooler 1 OO Hood t 03 Miss t oo
FE Et
$1:3.00 .
APPLIANC,;t —mDryert01 iteher:Oa
FELE:
$3,00
' C:OMPRESSCR---A0-3 WP:0.0 )3°'15:03 >15-3•0,t00 >30-°50:00 >50:00
FEE,.
$22,50
HEATH+,' .SYST'EK -1-100,001 BTU -03 100,001 or More PT11; 0
FE:i~i
$12.00 ,
C1�.4�tvl"1�t;Il:AL FEE COMPUTATIONS •,. PervilT Fee (if opplicaisle)
FEE:
$3.00
S0ruice_ Amps -It 400 Servnice -Avips 2 s 0 Service Amps -3t 0
FEME i
$11166
ADD'L FEET 4888 Sq., -Ft. .012 @ ,0.125 Per Std, i"'e,
F'EEi
$61.10
"'Be, ,
k EE
$4.41
' PLUMBINGP*EE C:U40A'i6 N, Permit Fee.(i.f applicable)
FEE:
$4,00
FIXTURES -Bar Sink: I Drinlcihq Fntnc. 0 FiriDrai.nt 0
Water Sofiner: 0 Washer (Auto/Dish): 2 Garbage Di.s;µ: 1
KifZhen Sinki 2 Laundr Trayt 1, Uranal.t 1 Wtr Closet:
Lavatory t 15 ;shower t Tub 1 ? Bidet i 1 Other i 0
FEE t
$115.5. a0
Private Sewage Ds.sposlal^ Alewt 1 Old t ti
FEEL
$10.50
: 0 of Water WeG'atersi 2 0 of Drbaiv%s on Hoofs p0
FFEi
$5,00
GAS -PIPING SYSTEM-- 1 to 5 Clutletsi0 6 or Move 'Outlets: 4)
FlEEt
$3.00
.1. Install4tion Of Water Pip i ng'. aildlo.r Wbter Treatment, Equ:i.p t l
FEE. t
$2.50
• SMI FES:
$3.50 .
FORM 284@08 (1181) INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
i
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
NON
ADDITIONAL INFORMATION
_
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade —a
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal —
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test _
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
'
P/ l '
t
o
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
.29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
• APPLICANT NAME (L, F, MI)
JOSEPH
ADDRESS '
/8154 ' SAN TxML TED
CITYICOMMUNITYISTATEIZI P
t:A, i">UINTA CA 922 30000
JOB SITE ADDRESS/SPACE
78 154 r r
CITYICOMMUNITYISTATEIZIP
,1a.A QU 14TA - : i; k 9223 36 0 0 0
'BOK
PAG-
PRC
C
- TWN
ANG
SE
S
61
133n
p22
O
conn
pp
TRACT LOT
000000 n022
MOD
016
SB
TRACT NAME
LA'QUINTA GULF 03
OWNERNAMEDELAN i ' JOSE1- H
PHONE .#
CONTRACTOR -FIRM NAME
MARILYN LEDINIC DELANEY37008
LICNC #
ADDRESS
pl, : 0. BOX 952
CITYICOMMIINITY/STATEIZIP
�:A QUINTA . CA 922530000
P�HONEE 0 . , / +y
914-564-4363
a 1'Y"'�.16^A +1�".^q 363
BLDG. INSPECTOR -
FINAL DATE
ARCIENG FIRM NAME ]LIC
. NC #
ADDRESS
CITYICOMMUNITYISTATEIZIP -
PLAN#
PLANS EXAMINER
APPROVE DATE '
USE OF PERMIT
TOTAL .
FEE
RENEWAL.,
FOR DWL.O & GATT GARAGE
BL
00
MON
RM 1
FSB
SSB
p00
SSB
0.00
RSB
n00
-
OFC .
TND
'
• ZONE ORD #
LOT SZ
END
SIDE
Un00
APPLIPRMT #PS
00023326
AppnT3/1
DATE A-0000 0 0 0 0
�1./E 4s
I
TOTAL .
FEE
CA
CK .
NC
COUNTER B.I.COUNTERCU.T.
i<k
r,
1 4000
APPLICATION FOR 'STRUCTURAL P E R Ml
1" ki I S I S A N .. A R P L 1 O A T. l O N O N L Y
s�
{
CORONET CO
DELIVERY 5C
DATE C
w 3!
�
O��U CTS, INC.
A_'�
Y1�1
; 92236 - Na 1.1.2
18 7,747
SOLD TO .ice{__^._�crcY �4, I�+ r rf� r r �.+ DATE
BILLING ADDRESS '
DELIVERY' TO ! d 7^� f "n" �f� �* [�
.
JOB N
FT. LEACH PIT @_ FT -
EA. LEACH PIN LID @ EA.
- EA /6'010 SEPTIC TANK @ i EA. =
EA. SEPTIC TANK @ EA. =
EA�24" MANHOLE CONES @ EA. _
EA. 30" MANHOLE CONES @ EA. _
FT. .MANHO) LE.SHAFT @ FT. _
2 . TONS` NXI r! -'GRAVEL @ TON
' @
❑ CASH SALE vLEAVEP.LANT=--6 TOTAL
❑ CHARGE'-' 'ARRIVE JOB + SALES -TAX
❑ C.O.D. 'FINISH UNLOAD
' RETURN
TOTAL TIME
X .85 0 ;
L DELIVERY `
TOTAL
RECEIVED BY, ► w..r `. + .. �. C.O.D.
TOTAL
Customer agrees to pay a late charge on.past due balance of 1+h% per month or the maximum
rate allowed in customer's State of residence, whichever is less; and further agrees to pay
reasonable attorney's fees and costs ifcollectionis required. }
NOTICE: Our drivers will make every effort to place material where customer designates.buf
company assumes no responsibility for damage inside of curb or property line. ! _
x. ;I am'regUeMing the driver to'go beyond the point desighated in above paragraph and l will'.;;
--assume full responsibility. - "=
• r �''r - Signature' `;
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33 Ventilation System
2
Ftgs & Frms
34 Plenums & Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel
36 Inlets & Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck
39 .Appl. Clearance
7
Framing
40 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L.
43 Final
10A
Fireplace T.O.
FIN
ADDITIONAL INFORMATION
f
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value.
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P)
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME