10265 (SFD)A
e
Building
Address 51Y-840 Juarez
Owner
Expectations Construction
Mailing
Address 54360 Martinez
City Zip Tel.
La Qu nta 92253 564-0793
Contractor
Same
Address.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
ty IZip I Tel.:
State Lic. City
& Classif. 613406 Lic. # 0105
Arch., Engr.,'
Designer
Address Tel.
City Zip State
Lic. #
_ LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. /L
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Co'ntractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
• permit to construct,, after, 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 'lo
-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
'dor 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 rive hundred dollars.($500). -
❑ 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, 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.) , a '
❑ I, as owner 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
No. 10265
11LDING: TYPE CONST. OCC: GRP.
P. Number 73-155-004
Description
t Description SED
Sq. Ft. 1557 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑. Repair ❑ -Demolition ❑
Pern4t does not include mock wall
or pool.
Estimated Valuation
95 -?619.50
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of r
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
0 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 parson in any manner so as to become subject to the Workers' Compensation
Laws of California
Date Owner
NOTICE TO APPLICANT., lf, after 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
1 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
PERMIT
AMOUNT P
Plan Chk. Dep.
250.00
Plan Chk. Bal.
278.88
Const. '
621.50 ,
Mech.
-
49.00
Electrical
128.50
Plumbing
160.50
S.M.I.
9.60 ,
Grading
20.00
I
Driveway Enc.
20.00
Infrastructure
20203.34
II
f
I'
55
4 '!ir i
yy
I tFlgfs § t1 X ?Sr! ;7 141
TOTAL
REMARKS
I
I
r
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 DATE INSPECTOR' "
Issued by: Date . Permit
Validated by:
Validati
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
• POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
7 f,,
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ANK ROUGH WIRING.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROCK STORAGE
LAUNDRY TRAY
AIR HANDLING UNIT CFM
GAS (ROUGH)
IKITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
WATER HEATER
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/. c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ic
HOUSE SEWER
GRADING
#--cu. yd.
$ plus x$
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 PLUM BINGl� 6 // UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 1
7 f,,
ROUG PLU B.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
O SEPTIC
ANK ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF. /
`
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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. / 3�
b/ Q
FRAMING
FINAL INSP.
ROOFING
VENTILATION r
!
J^
W
V
m
6
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 1L12WAI 4%16 7
MESH I
INSULATIONISOUND /
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
Document Cannot Be Duplicated (619) 347-8631
Date 11/4/91
No. 10962
Owner Name
Type of Permit
Expectations Construction
No. 51840 street Juarez
city La Quinta zip 92253
La Quinta
Permit # 110265
Log #
Study Area 113
APN # I I Tract # 1 Lot # Square Footage 11557
Type of Development Single Family Residence No. of units
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:
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 11.58 1 XF555-7-7 ors 2,460.06 have been paid to D.S.0 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 Jim Snellenberger
Telephone
Name on the check '
By James E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
Signature
Payment Received .
r No. 0355
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
.AS
r T
T?
7"
Payment Received .
r No. 0355
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
w q•Sa %�'� 3 f . � �r w�• w?` n :4 --,avrr..`isr-5•"�: s: r s:- :.A • �;'s�'c-'�� ; �r'.::=..••i Y:�:'t. - .r. • .,. nw^rix; :.-...,
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL: 34
Received From: 61! Date:
Address:
Account No. Tract
Service Address " - — G.A. Code
.t
Meter(s)
$ Gr U
YService(s) 3 0_ - -3 6 C 5"5 0. o v
❑ Backflow(s)
❑ House Lateral(s)
❑ DetectorCheck(s)
❑ Meter Surcharge
S anitation Capacity Charge �J 1
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account - Name
❑ Inspection Fee -Tract -
Fee -
❑ Plan Check Fees Water I Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer Deposit
❑ Other
TOTAL
♦/ , r1
CALVIN C. KAMINSKAS
Assistant Commissioner
(714) 275.3000
OFFICE OF
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291
DAN RILEY
Sealer, Weights & Measures
(714) 275-3030 .
DATE-qUg a (9 q J CASE Nle.
DEVELAPER'S NAME: �J M Snil3L'! •� �v�LS.,� G
ADDRESS:
TELEPHONE: ( )
Cof 9 �oc�e S� �uLao hof 7 0 3� Lo ZD �e�lc isz/ C'aJU)a ua
&4.3.2 qua4eZ cdfZY- a&k4l Mak4o co -f3 1MOal57 ear,-
&41g f3xerO / Mato 8'4', td -l( ppoi! .v y oua/ do
Dear Developer:
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions
do occur and they differ from plant material listed, this office must be notified
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agricultural Comnissio is Office
cc: Indio and Riverside
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012
'I.
ME
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of 'Ila Ouinta
W10inanti�ston
This Certificate issued pursuant to the requirements of Section 306 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 51-840 Juarez
Use Classification SFD Bldg. Permit No. 10265
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Expectations ConstructiOkdress
City By; Mark Harold
y 'h Dote: 12/31/91
Building Official 40,110-
POST IN A CONe?ICUOU! PLACE v -
J