0102-117 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effe9t. /'" )
License # Lic. Class Exp. Date
i
G- Q D 1921.
Date ` Signature of Contractor r'r J
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section B&P.C. for this reason
Date Signature of Owner
F - `-`WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
( ) I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for' by Section 3700 of the Labor•Code, for the
performance of the work for which this permit is issued.
( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
STA.! E FIARD .04640 000110
(This section need not be completed if the permit valuation is for $100.00 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,sd6ject to the
workers' compensation laws of Califor ia, acfd agree that if 0hou"ld become
subject to the workers' compensation rov'4ions of Section 3700 of the Labor
Code, hall forth ith comply with t se ovisions. a' -
fid pp '
Date: � --A • lieant•--- �� ..,:.--�a--•-
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in°Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that ti e' above information is
correct. I agree to comply with all City, and State la ,.0s,rrelating to the building
construction, and hereby author! a re fesentative�df this City to enter upon
the above-mentioned property fo in I56ction purposes.
Signature (Owner/Agent) _ �'" ;1 r�` ,Dana"�
BUILDING PERMIT PERMIT#
DATE / / VALUATION LOT 0102-117 TRACT ,
JOB SITE •"" "
ADDRESS
APN
DE -3, ( b'AT*Q g1MVEr
770-XIO-M4
OWNER
CONTRACTOR / DESIGNER / EN (NEER I \
M &M.i+iti.��.'�.PRi►7U
D. W. J013N.MN CON-s'I'.P.TJ'G:) ou, 1WC. -
2121 TA:iQLTrZ CAN YON WAY 43
1 445 SiaR1t sE. WAY, MI°•'l InTii 200 \
{
PP.J.1 `. 814HX3
U 00 CA 42262
PAUNI 3:tjl�'MG-3 CA 92262
(160)416-1144 c"Bui 35231
USE OF PERMIT
StING12I'Att&'IrDIN M -1 -WO
t
SFt) PIER ft✓ l' AIXIZ S NOT I'kdCLUf.?E PC OIJSPA. OR APP ROACH DRIVEWAY.
20 .LF & oil 54 LF V s'3.rt5:RDIA? WAIA C4'1"iy STANDARD, C^OMPl.ir l+lOF
'WITH .ALL. i'`P.;I3'EIVA, At STATE LAVTS� INCIA)]D 'f�G THE C'? D.A.1ii3L?I O
CUSTOM C010YRLfCTION 4,100,00v
PORCE$ PA.'f140 844,00 SF
4A!' AQIVC..ARPORY (3F) 17.03,90
6 Fll. "gkTALl, xt's0.LZ0 Is1�
1,F3', INALL, ,OY6 'LF
•kIWA°3. ID COF11 or C0Kti11RVCrn0A
355,93330
3?14"_Q.MUVU Sii.3?ta UARRY
KAN CHECK FEE 301-000- 439-319 $.41231.W3
Mb;SRHANICAJ. VU .101-000421-000 $174.00
41<Zc" T11aiC,`,A,i., FER 101.000-420-004 $229,06
PLUM81140118M $253.00
STROAO MOTION ME - RUID 101-000.241.000 VX33
Slii.:k=aIES $2:1.00
i3NFLOPER IMPACT FEF 1,40.00
,€bVAHPO.k]:LIC'.91--ACJs,1-.REr IE701-000-255-000 $3;11. q
P1; z $1uin. st'r 41,000.00
C;O1NSTRUl"'I`IONfiCIE - 3 -OCK) $1,535.30
... I,.4�ty2 ct�iCi?�,iC
a . Pl�a'71:A11Col �C'�t I' 2?
�S, 'S4�.(!6
aS IDUE NOW
DEPS
t F�UVFNCE
RECEIPT
DATE J/+ 1
e (// d v
BY
DATE FINALEED
� ! UZ
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
I INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Forms & Footings • 0 �/_
Underground Ducts
Ducts
g- >� • O I 5 T
_nJ
Slab Grade g-O�
Return Air
Steel
Combustion Air
Roof Deck ��
Exhaust Fans
O.K, to Wrap _� _ —
Framing /s�y2�1 �� �a
Insulation ap •a?��
F.A.U.
Compressor
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath /
Drywall - Int. Lath
Final
��
Fina - �i�/<
l
BLOCKWALL APPROVALS
POOLS -SPAS
Steel
Set Backs �p _ /Q -o Z '
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
1
Heater Final
_
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection 8 - / O - O (�7
Encapsulation
Gas Piping
Gas Test L/ -, y . Q Z-�
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas) - l 7
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G. F.1.
Smoke Oetectors
Temp. Use of Power �(o OE7
Final
Utility Notice (Perm)
. U_Y_
CALIFORNIA
May 14, 2002
GO UVIS ENGINEERING
• C A L' I F O R N I A •
E-MAIL TO - SUPPORT@GOUVISGROUP.COM - SALES@GOUVISGROUP.COM
D.W. Johnston .Construction; Inc.
1445 N.`Sunrise Way,'S.uite 203
Palm Springs, CA 92262
Y
Attn: Curt Uckland
Re: M &M Enterprises
Follow-up to Walk-through Lot 60, 53000 Del Gato Drive, La Quinta
G.E.C. Job No. 2120.0
Dear Mr. Uckland:
We have observed the building in its framed condition prior to installation of drywall and
stucco. We have observed'the structural requirements that are visible and accessible
during construction at the time of f our site visit. (Exclusions are items_ such as: size of
footings, reinforced steel,in,the foundations, roof and top plate splice connections and
roofsheathing).
Gouvis.Engineering California believes ,that the as -built construction at the time of our
visit is in general conformance with our structural plans and relevant correspondence
issued by our office relating to, the above referenced dwelling with the exception of items
in the correction lots provided to the homeowner representative.
This report is understood to be an expression of professional opinion by this engineer,
hici '- r. best �- 1 a t 1 1: A L. 1. �r �� F
IS uaS.'d %.. iiiJ G �� 1 1.\3 vJ:Cug. , ilifOi:iiii.vii-aiid v. _;vfS. � �s such it . Hoists 0. a
report for structural elements (as outlined above) only and is neither a guarantee nor a
warranty, expressed or implied for other trades or requirements of subject .dwelling.
Respectfully S
ILI7
212oowt.doc
SJB;HV;ig
NG CALIFORi1T. FESS►® ) '
u N® C38276 m Harvie Vinoya
Exp. 3/31/05 Project Manager
��.
"..OF CAO AY 15 2002
GOUVIS ENGINEERING GROUP OF COMPANIES WITH OFFICES IN., WEB -SITE: - WWW. GOUVISGROUP. COM
4400 CAMPUSDRIvr, SunrA * NEWPORTBEAC'H, CALIFORNIA 92660 * (949) 752-1612 * FAX (949) 752-5321
2150 EAST TAHoui77 CANYON, SUITE 9 * PALM SPRINGS, CALIFORNIA 92262 * (760) 323-5090 * FAX (760) 325-2863
FIELD OFFICES * SAN DIEGO * PLEAMNTON * INTERNATIONAL OFFICE:' VIETNAM
r
•4n •
r • ;A� rBusiness
e
February 8, 2001
James Cioffi Architect
212.1 E. Tahquitz Canyon Way Ste 3
Palm Springs, CA 92262
Attn: Larry
Re: M & M Enterprises
f.
Dear Larry:
fl
In accordance with your request, please find attached specialty joist calculations for the
above referenced project. Based on the information provided, the product specified in the
attached calculations meets or exceeds code -accepted design values for the application,
span and loads listed. - —
It should be, noted that project construction documents were not reviewed .by -Trus Joist
(TJ) -Engineering and the application, span and loads listed ,ori the attached calculations
were provided by others. The Professional Engineer's seal on this letter solely indicates
that the allowable product values: shown -are in accordance'with'current TJ materials and
code,accepted design values.
Thank you for your interest in our products. Please contact us at (949) 616-1600 if we
may be of furtherr assistance.
Sincerely,
Tom Smith
Project Coordinator
Attachments: (2) Mizing Calculations (Type "A" & "Al")
Proj
ESS/0,��Z,'
W W1
No. 25261
Exp. 12-31--01
sjq
CIVIL
�OFCAU _ 5!0- u -
UF LA C)UINTA
tns C��e4�n`��'Pcl✓& SAFETY DEPT
ectEngineApp dOVED
FOR CONS TRUC TION
TATE 5-h5 0� BY
cfC,u 5S -T
Western Regio noI Office • 21041 Towne Centre Drive, Suite 200 • Foothill Ron ch, California 92610 • Phone 949.616.1600 • Fox 949.616.1616
hind 1. U.S.A.
r`2C-bci-0`F 06 iJ35P. Ti QSi`- jib s"" NiacK z' r-' w P c
•�wwo .� • Roof Joist Type A •
tJ-Sizing"' v555 SeriatNumoer 6(P32a ,+t;3 12.0"(end)ll9.0"(end) TJI®IL45P TAPERED JOISTdL'i 16.0" olc.
MASTsizN 51001 21=1 3:30:21 PM
Page 101 - Build Cade: 145
THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED
Top Chord Slope: .2551111
u•2,
.._... _ __. .__.....
..r27- 6" -----
Product Diagram Is Conceptual.
LOADS:
Analysis for Joist Member Supporting ROOF Application. Loads(psf): 20 Live at 125% duration; 20 Dead
SUPPORTS: INPUT . BEARING' • • REACTIONS(Ibs.)
WIDTH LENGTH LIVE/DEAD/TOT. PLY DEPTH DETAIL OTHER
1 ' 2x4 Plate 3.50" 3.5" 3671367 /733 1 12.0" Detail I TJ It Blocking Panel
2 2x4 Plate 3.50 3.5" 367 / 367 / 733 1 19.01' Detail 11 TJI® Blocking Panel
DESIGN CONTROLS:
MAXIMUM DESIGN CONTROL CONTROL'" LOCATION
Shear(lb) 722 718 1255 Passed(57%) Lt, end Span t under Roof loading
Reaction(lb) 722 722 1255 Passed(58%) Bearing 1 under Roof loading
Moment(ft4b) 4890 4829 .7373 Passed(65%) MID Span 1 under Roof loading
Live Defl.(in) 0.634 1.354 Passed(L/513) MID Span 1 under Roof loading
Total Defl,(in) 1.268 1.806 Passed(U256) MID Span 1 under Roof loading
Allowable moment was increased for repetitive member usage.
- Deflection Criteria: STANDARD(LL: U240, TL:U180).
Bracing(Lu): All corn pression'tdges:(top and; bottom) must be braced at 2' 11" o(d unless detailed otherwise..Proper attachment and
positioning of lateral bracing is required to achieve member stability.
ADDITIONAL NOTES:
- IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). Allowable product values shown are in
accordance with current TJ materials and code accepted design values. The specific product application, input design loads and
stated dimensions have been provided by others ( ), have not been checked for
conformance with the design drawings of the building, and have not been reviewed by TJ Engineering.
THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS.
- Allowable Stress Design methodology was used for Code NER analyzing the TJ Commercial product listed above
REVIEWED p REVISE AND RESUBMIT
❑ REJECTED (] FURNISH AS CORRECTED
Corrections. or comments , made on the shop drawings
during this re. !z :v do not re!io�c c-ntroctor from eom-
plionce 1v ti;--mirerients o; The drawings and
specii,_oricrrs• This cl .-.ck is cnl•;• for review of general
con`orc,�nrr, :t t' . - n concept of the project
and cI::.i - .., ;:!o.r.•otion given In
the cc',�—: t •,c.:•nr is responsible
for.: cc:,r,. r.: • into oli ;a,intities orrd
a1rmersiun , .m ,..c-::: s, > •.n? techniques
PROJECT INFORMATION OPERATOR INFORMATION: of r.Gmtrur ;,. •;:i;h :hot of all
M & M Enterprises Trus Joist other trcdr , _ I'is !.'-k in o safe and
Lima, Enrique satisic,-r '.'; .nr
27042 Towne Centre Drive, Suite 200 This "Pvl'!N' .+f ,s hos verified:
Foothill.Ranch, CA 91742 1. That rhe t .� i.,;,s (i.e, 2 -point bearing
949-616-1600 and :-fou consistent with the struc-
949-616-1616 tt:rol dusk, i
Copyright ® 2000 by Trus Joist, a Weyerhaeuser Business. TJSizinq— is a trademart of Trus Joist . 2. _hot desi +n •c , r i ore okay.
TJr®is a registered trademark of Trus Joist 3. i hot f : uSS;: ! r, r, :y ,ire as planned.
Note: All cc.• nections involving trusses and latero,
brocing of trusses ore considered designed by truq
manufacturer.
UVIS ENGINEER
Date .-d/.ty:.:d .... ay ---
FEB 06 2001'1?'.34 1 PAGE.03
re.-OEr-!T Q� Acis' Ni'a,=N`-i'21^i i' _ .ri;: _ _ t'.
• Roof Joist Type Al •
1i -Sizing- v555 Serial Number 6U9240003 12.0"(end)118.5"(end) TJI®/L45P TAPERED JOIST a@ 16.0" o/c
MASTs¢N S1001 216/01 3.31:40 PM
Page 1 of 1 Budd Code: 145
THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED
Top Chord Slope:.2511'2 Overall Dimension = 26'
... _.... ... .._._ ....._
�• ..I3;
Product Diagram is Conceptual.
LOADS:
Analysis for Joist Member Supporting ROOF Application. Loads(psf): 20 Live at 125% duration; 20 Dead
SUPPORTS: INPUT BEARING REACTIONS(lbs.)
WIDTH LENGTH 'LIVE/DEAD/TOT. PLY DEPTH DETAIL OTHER
i 2x4 Plate 3.50" 3.5" '16511611326 1 12.0" Detail 11 TJI® Blocking Panel
2 2x4 Plate 3.50" 3.5" 441 1 441 1 882 .1 N/A Detail 11 TJI® Blocking Panel
3 2x4 Plate 3.50" 3.5" 115 f 92 / 207 1 18.5" Detail 11 TJIQD Blocking. Panel
DESIGN CONTROLS:
MAXIMUM DESIGN CONTROL CONTROL LOCATION
Shear(lb) 479 446 1620 Passed(28%) Rt. end Span 1 under Roof loading
Reaction(lb) 882 882 2381 Passed(37%) Bearing 2 under Roof loading
Moment(ft-Ib) 1244 1244 7731 Passed(16%) Rt. end Span 1 under Roof loading
Live Defl.(in) 0.048 0.740 Passed(U999+) MID Span 1 under Roof ALTERNATE span loading
Total Defl.(in) 0.093 '0:986 Passed(L/999+j MID Span 1 under Roof ALTERNATE span loading
-,Allowable moment was increased for repetitive member usage.
-':Deflection Criteria: STANDARD(LL. U240,:.7CU180).
-Bracing(Lu): All compression _edges (top and bottom) must be braced at 5' 10" o/c unless detailed otherwise. Proper attachment and
positioning of lateral bracing is required to achieve member stability.
- The load conditions considered in this design include Alternate member loading.
ADDITIONAL NOTES:
IMPORTANT! The analysis, presented is output from software developed by Trus Joist (TJ). Allowable product values shown are in
accordance with current TJ materials and code accepted design values. The specific product application, input design loads and
stated, dimensions have been provided by others ( ), have not been checked for
conformance with the design drawings of the building, and have not been reviewed by TJ Engineering.
THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS
- Allowable Stress Design methodology was used for Code NER anayzing the TJ Commercial product listed above.
- Approximate methods of analysis have been'dsed to determine member shears, morne s and deflections for this tapered member.
VREVIEWED ❑ REVISE AND RESUBMIT
® REJECTED ❑ FURNISH AS CORRECTED
Corrections or comments made on the shop drawings
during this review do not relieve contractor from corn-
plionce . wiih requirements of the drawings and
specificerierrs. Tris check is only for review of general
PROJECT INFORMATION OPERATOR INFORMATION: can*orr-,an r ri. n cnncept of the project
and r. -r:; ! i e :nforrrrotion given In
M & M Enterprises Trus Joist the cc.r•:-•. ron':•jc:For is responsible
Lima, Enrique for: c.n:. ting u'i quantities and
27042 Towne Centre Drive, Suite 200 d!me^ ..m n :,n:. -s un.:! techniques
Foothill Ranch, CA 91742 of con:.rr•,:• !: wiih chat of all
949616-1600. other ;,_ i.is -.a k in a safe and
949-61671616 sotislo_tor,
re, it
CopyrightopCopyright®200D by Trus Joist, a VJeyerhaeuaer Business TJ-S¢ing^' is 2 trademark of Trus joist. This .gs has verified:
TJI® is a registered trademark of Trus Joist 1. That ti -if ions (i.e. 2 -point bearing
C %My Doeuments\2001 Calcs\M & M Enteronses A we and 3- " n.:. consistent with the strue-
tural Ov
2. That des:,:- i_:•^d are okoy.
3. That tn.a.,•_ ' _.s are as planned.
Note: All connections involving trusses and lateral
bracing of .trusses are considered designed by truss
' manufacture . ,
FEB 0G 2001 17 34 60U,�11�} ENGINEE
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
CERTIFICATE OF COMPLIANCE
Date 6/26/01
No. 22168 Jurisdiction
Owner NameM & M Enterprises
No, 53-000 Street Del Gato Drive
City La Quinta
Tract #
Lot #
APN # 770-330-024
La Quinta
Permit # 0102-117
Log #
Zip 92253 Study Area
Square Footage 4100
Type of Development Single Family Residence No. of Units 1
Comments
*Overpayment of $4.00 -received - donation per Kurt Ecklund.
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:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080 ,in the amount of
2.05 X 4,100 or $ 8,405.00 the property listed above and that•building
permits and/or Certificates of Occupancy for this square footage in this proposed project:may noVbe issued
Fees Paid By CC / Farmers & Merchants Bank - Kurt Ecklund 1'elephore
Name on the check `
By Dr. Doris Wilson
Superintendent
Fee collected /exem ted by Annette Barlow
Signature
lbv�
Payment Received $8,409.00
Check No. 101390
40TICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
lbove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
,ollect them on the District('s)(s') behalf, whichever is earlier.
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
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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp, Date
699640 is 12/31 /2(
Date Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) t, 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, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
() I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section'/3700 of the Labor Code, for the
performance of the work for which this permit is issued.
( ) I have and will maintain workers' compensatidn insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
STAT: FUND 046-00 000633?
(This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions.
Date: ADolicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on .his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent) Date_
1 4,
BUILDING PERMIT
DATE VALUATION LOT
OM2_117 TRACT Al -L -65 -
JOB SITE
APN '
ADDRESS
53-000 DEL OAI'O DR117E
1 770-330-024
OWNER
CONTRACTOR /DESIGNER / EN (NEER
M R M ENTER -PRISES
D. W. JO',-a1STON CONSTRUCTION, L C.
212.1 TA,r Q= CANYON NVAY #3
1445 0UNI ISE WAY ; 1=E. 203
PAL M SPRT1403 CA 92262
PALM SP;;_Na GS CA 92252
(760)416-1144 CBL# 5525
USE OF PERMIT
SINGLE F }:1yn-Y MWEL .L 140
! � n {� / ���
SF U rLR111T DOE S S'10( 114 n+LtfLL i -'L VL+JJC Va-n., Ar:�%VL1ni1 L!`1�9 L' WAV
LF C' ;z. 54 L, 5 .SARDFN 7: ALL • TY S .*4D .RD,OMIPL:ANCE
;7,F, TH ALL FEDERAL &""TATE.. LA,VS, 114CLUDINI O THE ENDAIiOERED
CIJS-!T1 C NSTR!ICTTC,�4 d ,. tOa,10 U
,
r0RC HIU ATI0 544.00 SF
OAP.-AC9VCARPORT (SF) 191695110
6 ''FT. AVA .t . 260.00 LF
5 FT. WALL 54,00 LF
ES'IEVIiTED C;OS:F OF COi SMZ-LTCTIO:'i
355,903,10
PERMIT FEE SLn',ARY
PLAN C;IEC:K FEE 101-000.439.318 s1,231'sig
MECHA14ICAL FEE 101 -000 -r4$1 -GIGO $124.00
ELECTRICAL FEE 101-000.420-000 :229,06
TIT T M B INTO FEE 101 t-000-41 n 000 m,51 C.0
?. -I i Y�TIO' : n nn ED - ry 0 �3
aTi�O.4.1 c�T •�: j E - R�aI 1 :�1 -MO-2-111 1=OV $34, 5
ORADINO FEE, 101 -000-423-01 0
DEVELOPER IMPACT REE $1,90 ,;10
APT 714 PUBLIC PLACES - RES:L 701-0,00-255-000 1370.79
FEE DEPOSET• 101 -000-439-318 -$1,000.00
COi4STRUCTION, FEE 101-000-115-000 $1,535.5
SUM -TOTAL f. -;0_W3 i_s�U(=1 C& AND PLAIT CHEEC K
$5,706.06
LESS PPE -PAID FEES
-$1,000.00
TOTAIL, PERTNUF FEES DTTF. 1'iCf`,i!
$4;706:06
G
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
Certificate of Occupancy
City of La Quinta
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 109 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: 53-000 DEL GATO DRIVE
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0102-117
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building
M & M ENTERPRISES Address: 2121 TAHQUITZ CANYON WAY
City: PALM SPRINGS, CA 92262
_-04„ By: KIRK KIRKLAND
Building Official
Date: DECEMBER 18, 2002
POST IN A CONSPICUOUS PLACE