Loading...
9512 (SFD)Twit 44a t�G+h`trGt/ P.O. BOX 1504 Building53-660 Navarro 7&105 CALLE ESTADO AddresLA QUINTA, CALIFORNIA 92253 Charjack, Inc. Mailing Address P. 0. Box 59 City Zip Tel. La Quinta 92253 564-'1486 Contractor Gene:ail Contract Migm :. P. U. Box 59 City Zip Tel.: La Quinta 92253 564-1485 State Lic. City & Classif. B 524325 Lic. # 1235 Arch., Engr., Designer Address Tel. CityI Zip I 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 OWNER -BUILDER DECLARATION 1 I hereby affirin that 1 am exempt froni'the=Contractor's License Law for the following reason: (Sec. 7031.5,Bustness 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 the provisions of the Contractor's License Law, Chapter 9 (commencing with Section ,7000) or 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 rive hundred dollars ($500). ❑ 1, 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.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec. 7044, Business and Professions Code: The Contractors 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 pursuantto the Contractor's License Law.) ❑ I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 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 No..," Company r' gyCopy is filed with the city. O Certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (This section need not be completed i1 the permit is for one hundred dollars (5100) 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: M, alter 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 1hereby 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. 1 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 No. 9512 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774-135--009 Legal Description Lot 16 bloc' 240 Project Description SPI) Sq. Ft. 1483 No. 1 No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Permit does not include block galls or pool Estimated Valuation x157 . 60 PERMIT AMOUNT Plan Chk. Dep. 2S0 •00 Plan Chk. Bal. 230.35 Const. 558.50 Mech. 42.50 Electrical 124.09 Plumbing 157.50 S.M.I. 5.74 Grading 20.00 Driveway Enc. 20.00 Infrastructure 1797.27 TOTAL 3205.95 1 2955.95 REMARKS05 q� �{14 tSri '..-t•tlk11 .t fv4 .rvi_ A r_r__rs✓.o ZONE: BY: Minimum Setback Distances: Front Setback iron Center Line Rear Setback frorr 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. SQ. FT. ® $ 2ND FL. SO. FT. ® POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SO. FT. ® WALL SQ. FT. ® SQ. 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 FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROUGH WIRING. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FOUND. REINF. / LAUNDRY TRAY AIR HANDLING UNIT CFM METER LOOP 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 SERVICE SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL WATER SYSTEM SQ.FT.GAR ® 3/ac HOUSE SEWER GRADING cu. yd. $ plus x$ _$ GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEESMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR' SETBACK 9� ND PLUMBING — UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE S 9r 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 APPJEQUIP. 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. / / FRAMING `6/lj� FINAL INSP. ROOFING � .-3 / � (' //! /O ✓� / REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING J�t)fVrA' a MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Building Address Owner Mailing Address P�0, a1w S� City Zip Contractor— Addess - &-,�, F% MMM State Lic •— & Classif. -� ,Arch., Engr., Designer ' Address P-1 P.O. BOX<1504 ( APPLICATION�ONLY 78-105 CALLE ESTADO (l J LA QUINTA, CALIFORNIA 92253 R BUILDING: TYPE CONST. =~ OCC..GRP. _ A.P. Number r9�sjw , Tel. `` . Legal Description 7: /G . >3i. k -2- V6 Project Description City____._- - Lic. # Sq. Ft. / No. No. Dw Size Jzj Stories - Units New ❑ Add O Alter ❑ Repair ❑ Tel. City Zip State i Lic. # " LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section effect of bnnsion 3 of the Business and Professions Code, and my license is in full force and. Demolition ❑- - t i �� •a. x 1 1 SIGNATURE - DATES _a._ — _ _ ..I _ , f�E_R•BUILDER DECLARATION• _ - .— • - I hereby affirm that I am exempt from the Contractor s`License-Law• for_the-following reason: (Sec. 7031.5,8nsiness and Professions Code: Any -city - or county which -requires a - EstimatedValuation ' _ __ . _ _ _ - _ 1 PERMIT-- - - -- -- AMOUNT pert to constrict, ager, improve ,•demorsh, or repair any structure, prior to its -issuance also. provisions o appficant mContractor'sctl�icenose�iawgChhappter....s (commencing�witrh Secronu 0o) of —Plan-Chk:•Dep. - - - - _-. .- p --- .L '- -- -• _ _ - Otvision 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 rive hundred dollars ($500). - ❑ 1, as owner of the property, or my employees with wages as their sole. compensation, will . d' the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and * Professions Code: The Contractors License Law does not apply to an owner of property who • bulk, or improves thereon and who does such work himself or through his own employees, ProvMed that such krpmvements are -not intended or offered -for sale: If, however, the building . or iriprovement is sold within one year of completion, the owner -builder wig have the burden • - • of proving that he did not build or improvefor the purpose of sale.) -_z:... _ Plan Chk. Bal. Const. Mech.- Electrical Plumbing - ❑ 1, 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 appy to an owner of property • who builds or improves thereon, 'and who iontracts�-foi ` S-. M.1. - "T' such projects wgh a contractor(s) licensed pursuant to the Contractor's License Law.)- ❑ 1 am exempt under Sec' R, & p.C. fol this reason - _- ---- —Gfadlpg _ Driveway Enc. ' ` �,• Date Owner - Infrastructure WORKERS' COMPENSATION DECLARATION - •I hereby affirn-that-1 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 No ' - Company ❑ Copy is filed with the city. - El Certified copy is hereby. furnished.--- • - - - - - - TOTAL. f REMARKS ` CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE - --- 6; : -- ,y n +- -_64 '(This`section need not be completed if the permit is for one"hundred dogais (S 100) 'valuation - or less.) - I certify that in the performance of thg work for which this permit is issued, I shall not employ anyperson in any manner so as to become subject to the' Workers' Compensation Laws of California V -Y- t V 5 b S L 1 V + i n (''CCM f TIITQI f 775 , 00 - - _ Date Owner M077CE TO APPLICANT: n, after ;making this • Certificate of Exemption you should become subject to the Workers' Conpen aban provisions of the Labor Code, you must forthwith comply with Such provslors Or this pemrit shag be deemedrevoked: - .. + ZONE: Set k-Di Minimum S. � g _ BY: - '^ - stances: , 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 T•work for which this permit is issued. (Sec. 3097, C40 Code.) .. - -. Side. Setback from Property Line . Lender's 'Name Lender's Address is a building permit when pioperly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR expiration if work thereunder is suspended for 180 days. certify that 1 have read this application and state that the above information is correct. rr 1 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. Issued by: Validated by: Date Permit, ` Signature of applicantDate Mailing Address— - Validation: City, State, . Zip BUILDING DIVISION CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SQ. FT. ® _$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRYTRAY AIR HANDLING UNIT CFM FIREPLACE KITCHEN 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. 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 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 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 APPJEQUIP. 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. FRAMING FINAL INSP. ROOFING 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 DESERT SANDS UNIFIED SCHOOL. DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 4/29/91 Type of Permit La Quinta No. 110565 Permit # Log # Owner Name General Contract Management No. 53660 street Avenida Navarro city La Quinta zip 92253 Study Area 111 APN # 774-135-009 Tract # I Lot # 16 Square Footage 11483 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: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.58 X 11.483 or$ 2,343.14 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 General Contract Management Name on the check By Richard M. Beck Telephone X64-1486 Director, Facilities Planning & Development 1{ Fee collected /exempted by Shelley D. Bennett ZI Payment Received y, gn ���. f Si store � Check ho 0:1 6887 N Collector: Attach a copy of county or city Plan check aPP Lcation form to districiri'coPYfor aill waieL e`r_..,s . Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting,, f Of R� CALVIN C. KAMINSKAS +s DAN RILEY o n Sealer. Weights & Measures Assistant Commissloner „ c (714) 275-3000 (714) 275.3030 OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WAL'LACE. Commissioner 83-612 Avenue,45 Suite 7 Indio, CA 92201 (619) 342-829I DATE / �Z� •CASE NO. DEVELOPER'S NAME: (;-e6Lc ADDRESS: -Po U S / r 9 Z z Ss TELEPHONE: 53 0 Dear Developers 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 mast be notified. immediately. Thank you for protecting and preserving the Coachella Valley's pest-free environment. Agricultural Cormtiss oner's Office cc: Indio and Riverside .4080 LEMON STREET, ROOM 19; RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012 'n .111. 0 Cott f 04 44 �1 7, t ��41-­ fe t t n, "This Certificate issued pursuant to the requiremIeptspfl,*Sq; the Uniform Building' Code ,�Y -certifying that at the time of issuance �p��.$�tryipture'.wasin!cotnplionce with the various ordinances of the City regulating buildingconstruction oiLis-p1l,, For,;,- the following: const q.q 53--�660 AVENIDA NAVARI�0-., BUILDING ADDRESS Use Classification SINGLE FAMILY DWELLING Bldg. Form It No. 9512 R3 VN- re Zone SINGLE RESIDE Group Type Construction F1 Use Zone Owner of Buildihd CHARJACK Address 53660'.AVENIDA NAVARRO LA� QUINTA, CA city . .... ....... . MARX HAROLD ay i - ­ ' Date; SEPTEMBER 9 1991 _ 774P Building Official 4.1Pr_ POST IN A CONtIPICUOU13 PLACE j !Si�­ 4 tie q 'n .111. 0 Cott f 04 44 �1 7, t ��41-­ fe t t n, "This Certificate issued pursuant to the requiremIeptspfl,*Sq; the Uniform Building' Code ,�Y -certifying that at the time of issuance �p��.$�tryipture'.wasin!cotnplionce with the various ordinances of the City regulating buildingconstruction oiLis-p1l,, For,;,- the following: const q.q 53--�660 AVENIDA NAVARI�0-., BUILDING ADDRESS Use Classification SINGLE FAMILY DWELLING Bldg. Form It No. 9512 R3 VN- re Zone SINGLE RESIDE Group Type Construction F1 Use Zone Owner of Buildihd CHARJACK Address 53660'.AVENIDA NAVARRO LA� QUINTA, CA city . .... ....... . MARX HAROLD ay i - ­ ' Date; SEPTEMBER 9 1991 _ 774P Building Official 4.1Pr_ POST IN A CONtIPICUOU13 PLACE j !Si�­