12236 (SFD)Building
P.O. BOX 1504
49-165 Ave Hl Nido LA QUINTACCALIFORNIA 92253
No. 12235
Owner ,
Jim Amatai3
BUILDING: TYPE CONST. OCC. GRP.
Mailing
Address
631-341-005
A.P. Number
Legal Description
Contractor '.
den Stegl�iel" �
a
Project Description
�
Address
77745' Delaware- .
rltllm Deaaert,,. x
Z'P92260
Tel72-0046
State Lic.
City -.
S
& Classif. 9,589937
Lic. #-_._ 2119
Sq. Ft. No. "� No. Dw.
3185
Arch., Engr., t
Size Stories Units
i Designer Bill $agton
New ZI Add ❑ - Alter ❑ Repair ❑ Demolition ❑
Address_
Tel.g3--931.7 13_
Permit includes block garden wall. Pool
I� DE38eS�
Zip
State -
Permit to be obtained separately.
,.
i -
Lic. #
•
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
1000) of Division 3 of the Business and Professions Code, and my license is in full force and
`
effect.
\ SIGNATURE -. DATE
_ OWNER -BUILDER DECLARATION
-I
Estimated Valuation $256, 6�{�.fi
I hereby affirm that am.exempt from the Contractors 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, I prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
PERMIT AMOUNT
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. De 250.00
p
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
Plan Chk. BBI. 740.11
O I, as owner of the properly, 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
Const. 11 181.00
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,
/� �3
Mech. �ytr` e.5
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
Electrical 217.38
of proving that he did not build or improve for the purpose of sale.)
I, licensed to
Plumbing 240.00
O as owner of the property, am exclusively contracting with contractors 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
] 7ft
S.M.I..25. s 0
25.70
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) `•`-
Grading 20.00
O I am exempt under Seca B. to P.C. for this reason
e
Driveway Enc. .00
Date Owner _
Infrastructure 5,604-35,
Arcs in Public Places 391.70
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 N�y:�,,' Company
d.copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL 8,530.74 ...�''
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars (5100) valuation
or less.)
I certify that in the performance of thg 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
ZONE: BY:
subject to the workers' Compensation provisions of the Labor Code, you must forthwith,
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances:
Front Setback from Center Line
j
Rear Setback from Rear Prop. Line
coNsrRucrloN LENDING AGENCY
Side Street Setback from Center Line
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.)
Side Setback frorn>Property Line
Lender's Name
Lender's Address
FINAL DATE INSPECTOR
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.
Issued by: Date
P
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.
Validated by:
Signature of applicant Date
SEP 13 1993
Mailing Address
Validation:
City, State, Zip
a
By rt;
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES_
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
�/
ry
BONDING
Y
ARD SPKLR SYSTEM
2ND FL. SQ. FT. p
FORMS /�
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
TEMP. POLE a7_y3
GROUT
DRAINAGE PIPING
CARP. SQ. FT. ®
FINAL INSP.
WALL SQ. FT. ®
WATER SYSTEM
DRINKING FOUNTAIN
GRADING
cu. yd.
$ plus x$
=$
URINAL
SQ. FT. ®
FRAMING
FINAL INSP. .
ESTIMATED CONSTRUCTION VALUATION $
J REMARKS:
P{ 'e � v �%�
2
r
1. /r/ / -F/ -
-
WATER PIPING
NOTE: Not to be used as property tax valuation
FIRE ZONE ROOFING
FLOOR DRAIN
MECHANICAL FEES
GAR. FIREWALL —to 40
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
CERT. OCC.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
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
GROUND PLUMBING 9-66-2540
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
�/
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS /�
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE a7_y3
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.! -- f
FRAMING
FINAL INSP. .
ROOFING
J REMARKS:
P{ 'e � v �%�
2
r
1. /r/ / -F/ -
-
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL —to 40
LATHING
MESH(
INSULATIONISOUND /4—Z-7-93
FINISH GRADING
FINAL INSPECTION I
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 9/13/93 1 Type of Permit I La Quinta
No. 112423 1 Permit #
Owner Name Jim Armatas Log
No. 49165 Street Ave El Nido
city La Quinta Zip 92253 Study Area 118
APN # 631-341-005 Tract # I J Lot # 0 Square Footage 13185
Type of Development Single Family Residence No. of units 0
Comments
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 1.65 x 3185 or $ 5,255.25 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 Ken Stemmer Telephone
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Vickie J. Durrett r
Payment Received'
Signature90
Check,.- No.
u
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
September 8, 1993
1 3 OS 0 r i clt=t--*i r- F=r i sP P _ 0�
La Quinta Golf Mates
Community ASSOCWdOn
P.O. Box 162
La Quinra, Cu 92233
bi9/564-2177
Building and Permits
CITY OF LA QUINTA
Post Office Box 1504
La Quinta CA 92253
_ . ..-N...., ... ._ - _. .
RE: New Construction
Lot no. 122-
James
'2James Ar lfidtas
Gen L 1 Brien:
The Architectural Committee of La Quinta Golf Estates Community Association
has reviewed plans for new construction by Ken Stemmer and find the pians to
conform to all requires of the: Association CC6.Rs,
If you have any questions, please contact the office at 564-2,M.
Youl's Lruly,�
TUM KhNNLDY -
Chairman
Architectural Committee
EARTH SYSTEMS CONSULTANTS S.C.
BUENA ENGINEERS DIV.
79-8118 Country Club Drive
Bermuda Dunes, CA 92201 • (619) 345-1588
Client
Client
Client Phone
DATE
".-Lo
TEST LOCATION
(A-0
JOB NO.
PROJECT
q
N•do
LOCATION
CONTRACTOR
A'%., c-
MOISTURE
CONTENT
%
OWNER
WEATHER
d'/
TEMP. C at AM
0 at PM
PRESENT AT SITE
f
0 0
6 b
�•�
TEST
NUMBER
TEST LOCATION
(A-0
LOT
NO.
ELEVATION
FIELD TESTING
REFERENCE CURVE
MOISTURE
CONTENT
%
DRY
DENSITY
IbsJCu. It.
MAXIMUM
DRY
DENSITY
%
MAXIMUM
DRY
DENSITY
IbsJcu. ft.
OPTIMUM
MOISTURE
CONTENT
%
f
0 0
6 b
�•�
l01�0
REMARKS:— - — • --
6,<1
t
fir. I -c
ko@, o `
"
•
G
%G
CLIENT REPRESENTATIVE SIGNATURE
FIELD REPORT
NICIANS SIGNATURE 001004