12998 (RPL)P.O. BOX 1504
Building5�,,4 +1rt$ita?, 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
6ynor con De.VelopMent
Mailing
Address 94-940 RWy 112
City Zip ITel.
Indian Wells,ICA 92210 564-6929
Contractor
same
Address
ty IZip I Te I.
State Lic. 655280 City
& Classif. Lic. # 2419
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
j 7000) of Division 3 of the Business and Professions Code, and my license is in full force and
- effect. d (. )
�L_•tte�,. w.
_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).
O 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'improvemenl Is sold within one year of completion, the owner -builder will have the burden
of proving that lie did not build or improve for the purpose of sale.)
p 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
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 o. Company
Copy is filed with the city. O 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, 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
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
BUILDING: TYPE CONST
P. Number
Legal Description
Project Description Pool
No. 12998
OCC: GRP. -
ZONE:
BY:
Minimum Setback Distances:
Sq. Ft.
Size
No.53 t
Stories � Units'7`
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
F ,
Validated by:
Estimated Valuation
sat.500.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
70.20
Const.
108.00
Mech.
24, 00*..
Electrical .
45.00
Plumbing
27.00
S.M.I. -
; .90
Grading
Driveway Enc.
Infrastructure
1,
r
TOTAL
275.3 0
REMARKS
-
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:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FtES-
1ST FL. SQ. FT. ® $
UNITS
ROUGH PLUMB. BONDING
Y ; " w
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. SQ. FT. p
DUCT WORK
ROCK STORAGE
FOR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
CARP. SQ. FT.
FINAL INSP.
WALL SO. FT.
WATER SYSTEM
FINAL INSP.
FINAL INSP.
DRINKING FOUNTAIN,
SQ. FT. ®
LUMBER GR.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
�e C 13 0
�cJ dh tT� ( -i l
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
v
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DIS H)
APPLIANCE DRYER
FIREPLACE
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
CERT. OCC.
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 PLUMBIN' a UNDERGROUND ��j Q3
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) A LP METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP.
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
ROOFING
�e C 13 0
�cJ dh tT� ( -i l
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
January 28, 1994
MORTGAGE
Mr. Tom Hartung
City of La Quinta
P.O.Box 1504
La Quinta, CA 92253
Re : IL'of ;14'=Bl6-ck-1:78; '"5'3 -f5 -O, A`ven da- Juarez—'
Lot ,23_Blocker.2,7.64_54`800�_,kv_enida- Juarez
.
,Dear Tom:
La Quinta Mortgage and assignees hold a first trust deed . on the
subject properties. At this time we are not able to complete
construction of the houses as we do hold title.
We request that the maximum extension time be granted on the
building permits for the subject properties to give us the
opportunity to get possession of the properties.
Sincerely,
dwim Daughtry
ner/Broker
CITY OF LA QUINTA
i
JAN 31 1994
BUILDING AND SAFETY
78-150 CALLE `TAMPICO _ P.O. BOX 960 LA QUINTA, CA 92253 (619) 564.0516
11
4
78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
February 18, 1994
Jim Daughtry
LA QUINTA MORTGAGE
78-150 Calle Tampico
La Quinta, CA 92253
Dear Mr. Daughtry:
Please accept this. letter in response to your request to extend Building Permit No. _11867 at 54-
800 Avenida Juarez.
Section 303(d) of the Uniform Building Code allows the Building Official to extend a building
permit for a time not to exceed 180 day upon written request. No permit may be extended more
than once.
Your permit has been extended until July 13, 1994.
Please feel free to contact us any time we may be of assistance.
Sincerely,
BUILDING AND SAFETY DEPARTMENT
Tom Hartung
Director of Building and Safety -
kt
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253