0005-0040--) _--.
CITY OF LA QUINTA
PLAN CHECK CORRECTION LIST
Pekarek Crandell Inc.
31872 Camino Capistrano #100
San Juan Capistrano CA. 92675
PLAN CHECK NO.: 0005-004
August 4, 2000
APPROVAL
JOB ADDRESS: 78-940 Citrus ( Plan 1 Lot 2 ) OCCUPANCY: R -3/U-1
AREA-S.F.- : 3887/666 TYPE -OF -CONST.: V -N
The submitted plans and specifications have been reviewed by VANDORPE CHou ASSOCIATES. It is
our professional opinion that the plans are in substantial conformance with the building codes and
regulations adopted by the CITY OF LA QUINTA and the State of California Amendment.
APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING
APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND
ASSOCIATIONS.
Plans checked by:
VANDORPE CHOu ASSOCIATES.
295 N Rampart Street, Suite A_ _
Orange CA 92868
(714) 978-9780 VCA File No. LQ -11995
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BOX 1504 APPLICATION ONLY
Building Sj I �// / �' UINT CALLE TAMPIORNIA O
Address IIJJ / / �[_, LA QUINTA, CALIFORNIA 92253
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Mailing BUILDING: TYPE'C�OINST. OCC. GRP.
Address I)D ///AL7 �it%/j Ute' lr'✓� A.P. Number 12- " i0
Ci , " Zip OZ6r Tel. c� q
Xe 4, ,4d4� " / $ U T l.�/ ,T 2 8y legal Description Lor Z l� 2 4 V t
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Contractor Project Description
�A� O Inc 47-1_o . o�
Address
City Zip t Tel. 1
State Lic. City
& Classif. % O % y5 Lic. # Sq. Ft. No. No. Dw.
Arch., Engr. Size v Stories Units
Designer �iA� PZ/ �� �On de// +1 C New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
3I X 7.2 Cr,o m., f o
City lZip State
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V ►4 LICENSED CONTRACTOR'S DECLARATION ` = G L[-( Al S
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section �- G ,� t1)��
7000) of Divisiionn 3 of t1lt\ Busin.s and Pr fessions Code, and my license is in full forte and [ ,D
effect. tn'1 T,....�./`"t..%— 0�
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 any structure, prior to Its issuance also /`
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to PERMIT �� V j ^ 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 plan Chk. De
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a perm8 p ' /, / i
subjects the applicant to a civil penalty of not more than five hundred dollars (3500). --
1-J I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.
Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who (toes such work himself or through his own employees. Mech,
provided that such improvements are not intended or offered for sale. li, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden Electrical
of proving that he did not build or improve for the purpose of sale.)
1 1 I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
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 S.M.I.
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
Grading
I) I am exempt under Sec. B. & P.C. for this reason
, Driveway Enc.
Date Owner Yr Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of y
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
n Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE I�
(This section need not be completed if the permit is for one hundred dollars ($100) valuation It f.aY
or less.) u to
I certify that in the performance of thg workforwhich this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation �•q�a,
Laws of California. -r [ Y
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 Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION 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 from 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 Permit
I agree to comply with all city and county ordinances and slate laws relating to building
construction, and hereby authorize representatives •of this city to enter the above-
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
Notice:
Document Cannot Be Duplicated
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
Date 9/19/00
No. 20999 Jurisdiction
Owner NameCapital Pacific Homes, Inc.
APN # 772-101-002
La Quinta
Permit # 0005-004
No. 78-940 Street Citrus Log #
City La Quinta Zip 92253 Study Area
Tract # 24890-4 Lot # 2 Square Footage 1
Type of Development SFR Mitigation No. of Units 1
Comments
SFD is in the Citrus at 3887 sq. ft.
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:
Under Mitigation Agreement
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Mitigation Agreement in the amount of
628.00 X 1 or $ 628.00 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 CC / Wells Fargo & Co. / Mark Mullin Telephone '949-622-8400
Name on the check
,T
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Annette Barlow Payment Received $628.00
Check No. 0643003102
Signature (�
NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above 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
collect them on the Districtfs)(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