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11957 (BLCK)Building 50-800 Calle Paloma Address Owner Iia Quinta Fellowship Mailing Address P.O. BOX 676 City Zip Tel. La QuintaF Cly 92253 Contractor Jacks Clark Address P.O. Box 2371 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 cLa Quintan CA Zip 9,2253 Tel. 564--3531 State Lic. City & Classif. $ 506667 Lic. # Arch., Engr., Designer Charles Elias Address Tel. 38-825 Charlesworth 328-7271 City Zip State Cathedral Citi 92234 Lic. # 16839 LICENSED CONTRACTOR'S DECLARATION I herebyt affirm,that ham lictensedTndefpiovisionsro�Chapter 9 (commencing with Section 70 00) of Divisiori?3�ofdhe Business�ac lPrbf sSions Code, and my license is in full force and effect. t 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, alter, 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). ❑ 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 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 did not build or improve for the purpose of sale.) O 1, asowner 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 ❑ 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, alter 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 1 3, No. 11.957 BUILDING: TYPE CONST. V-14 OCC. GRP. Af3 A.P. Number 769-074-013 Legal Description Lot 56 Desert Club Unit 5 Project Description Church Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit sloes not include bloc: wall. Estimated Valuation $195.415.00 PERMIT AMOUNT Plan Chk. Dep. 258.00 Plan Chk. Bal. 542.08 Const. 975.50 Mech. 83.00 Electrical 203.85 Plumbing 91.50 .S.M.I. 19.60 Grading 20.00 Driveway Enc. --- Infrastructure see remarks 500.00 Arts 1n PUbl i -_ Places 238.54 _V:62 TOTAL - O 7 -1;5 4• u r REMARKS 2111 :c!>buruct ure cit. lculatea on building root print at *b , uuu . u0 per acre. 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 DAl Issued by:_ Validated t Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL. SO. FT. DUCTWORK ROCKSTORAGE FOUND. REINF. MOBILEHOME SVC. BAR SINK POR. SO. FT. ® REINF. STEEL GAS (FINAL) TEMP. POLE POWER OUTLET ROOF DRAINS GAR. SO. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRAINAGE PIPING CAR P. SO. FT. ® LUMBER GR. FINAL INSP. Z+�l WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN. URINAL SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GARDEN WALL FINAL 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 GROUND PLUMBING O UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWE K ROUGH WIRING DUCTWORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EOUIP. 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. Z+�l FRAMING 7-/2—)c/4D FINAL INSP. ROOFING / -�-g(�/ REMARKS: VENTILATION FIRE ZONE ROOFING. FIREPLACE SPARK ARRESTOR GAR. FIREWA L LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICt - 82-879 Highway 111 NOTICE: Indio, CA 92201 O py Document Cannot Be Duplicated (619) 347-8631 Date 5/10/93 1 Type of Permit La Quinta No. 112199 Permit # Owner Name La Quinta Fellowship Log No. 50800 Street Calle Paloma City La Quinta Zip 92253 Study Area 116 APN # 769-074-013 1 Tract # I Lot # 0 Square Footage 13553 Type of Development Commercial No. of units 1� Comments For Religious Purpose 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: Fac. Used Exclusively for Religious Purposes This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 0.00 x 3 553 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 n/a Telephone Name on the check By lames E. Lively Assistant Superintendent, Business Services Fee collected /exempted by 41YK'( Tfomi�Doebereiner Signature ,I n J(��(.J�Ju Check No. n/a 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 Developers Project Approvals Form Prior to the issuance of the Building_ Permit fo/14- JT rV/i167-4 FVO�ff�� the following Departmental clearances must be obtained. Please return completed form to the Building and Safety Department at your earliest convenience to expedite the permit process. Planning and Development Department Name/Title Dat Enr1ing partment Name/Titl Dat Building and Safety Department Name/Title Fire Department Date Date Vey Date Fitch Engineers Inc. May 10, 1994 City of La Quinta 78 495 Calle Tampico La Quinta, Ca. 92253 SUBJECT: 50 800 Calle Paloma, La Quinta, Ca. Gentlemen: I hereby certify this day that the finished floor elevation is set at 101.81. The approved plan established the finished floor at 101.80. .Respect WM. H. FITCH R.C.E. 12571 Q pFESS!0 �p,RVEy �• 44, , tcm Pao. 12571 -NGI�E�� OF CA1-��% CIVIL ENGINEERING — PLANNING — SURVEYING — DESIGN P.O. BOX 4551 PALM DESERT, CA 92261 (619) 345-7667 "C� pcpv:,-r Vvtt 607�-�s RIVERSIDE COUNTY urr DEPARTMENT IEN R . ,pw 1014 1110"w" 210 WEST $AN JACIN O AVENUE PLUUS, CALIPORNIA 03M (714) 637.3183 RAUTS OOVNTX FIRR CHIEF Tar P l.ammimg Department Surveyor's Office Suilding.end Safety v' The Riverside Cowmty Fire Department hereby release% the proJett lusted below) P� P i �- o o� Log Numberi . Ad d ress r w�rvawrw.w,rw ww r�r..,rr,rv�.r..w.rrllrw rwwwwww rwwwwwwwwwwrw N.�w l�wwww rrwr wrwwwMM4�w.11M CHECK ONE1 Final Recordatiam Further Development Meter Bet Only shell Final Tenant improvement Fined t Final for Occupancy wMw..wr.y.w�w�rwiwrMwMrww www�rww�«..�.r..�w�wwww ww wwr wwMwww Wwwwwww.www.wwwwn.,rrw CHECK ONEr Fees Petri It you should not hes4tate Staff. ccifile REL92,10/92 _ Fees Not Paid Fees Not Required have any questions regarding. thie matterp please do to contact the Fire Department Planning Section 0 RIV8RI 9 ornes 3760 111h w", itivew* G 92 14 1 (714)11$47719 fAX (114) W.17101 RAYMOND H. REGIS Chief Fire Department Planner by r / TIRZ PRBVBNTION DIVISION PIA"INGi SECTION �/ l0 CMOs 11173 0"wr► +m Cud OHm Woo A W* CA 91101 (611) 3114W I PAX (619) 7161013 c alwn00A?M*6400w