11710 (SFD).,r
P.O. BOX 1504 11710
Building 78-105 CALLE ESTADO
Address 53-640 Navarra LA QUINTA, CALIFORNIA 92253
Owner
Mailing
SMnerCon Development Corp. BUILDING: TYPE CONST. OCC: GRP:
,
Address 74-940 Hwy 113 A.P. Number
City Zip Tel.
Indian Wells,a 922.10 564-6929 Legal Description Lot 18, Block 241
Contractor Project Description SM
same
Address
City Zip Tel.:
State Lic. City
& Classif. Lic. # Sq. Ft. 1818 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New X Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
Pem. it does not include 'b' wall or.. ooc3.
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 Dlvision,3'of the Business and Professions Code, and my license is in full force and
effect. W). Ar .)
SIGNATURE f DATE
OWNER -BUILDER DECLARATION Estimated Valuation $107,147.00
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, after, Improve, demolish, or repair any structure, prior to Its Issuance also
the applicant for su" AMOUNT
requires ch permit to rue a signed statement that he Is licensed pursuant to PERMIT
the provisions o/ the Contractor's License Law, Chapter 9 (commencing with .Section 7000) o/
Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis 2 5 0 - 0 0
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.. a i%
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 309.53
do the work, and the structure Is not Intended or offered for sale. (Sec. 7044,• Buisness and 6 I Const. 667
C ^7
Professions Code: The Contractor's License Law does not apply to an owner of property who 6 50
builds or Improves thereon and who does such work himself or through his own employees, - Mech. 49 50
.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-bullder will have the burden Electrical -3 �j •cj
. of proving that he did not build or Improve for the purpose of sale.)
b"l, asowner of the property, am exclusively contracting with licensed contractors to -con. Plumbing 144 . 00
• 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. ' - 10. 50
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -
Grading, 20 00
. ❑ I am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date Owner Infrastructure 2,315.10
Arts in PUDI15 �1!5.00
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.)
PoCcy No. • 7 Company
O
Copy Is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL s : , b
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit Is for one hundred dollars ($100) valuationii(3r
or less.) 5. .;�t ,Ltf1R4,.0^-0}t-• R
t v a :y s: -1...c.-1...tir j [+
a 3+ •.. r+.r e a .. �,r: ,
I certify that in the performance of'thp work for which this permit is Issued, I shall not v
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
.. -
Date Owner
NOTICE TO APPLICANT: If, rafter making this Certificate or Ezeinptlon 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 fram Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line.
Ihereby affirm that there is a construction lending agency for the performance of the —ua
work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback fron 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 it 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 state 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
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SO. FT. ®
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT. ®
WALL SO. FT. ®
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
� Fv
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
DUCT WORK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REINF. STEEL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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.
SO. FT. ®c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
FIRE ZONE ROOFING
SQ.FT.GAR ® V4c
HOUSE SEWER
FIREPLACE
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 AV
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
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. j AIM
�v
FRAMING �,
FINAL INSP. J ! /
ROOFING L
_ ^ 1,010 6
�re 6
' r •u ads
��la al�a�a3�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING
IESH
INSULATIONISOUNDa 1h3
FINISH GRADING
FINAL INSPECTION 3a
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
• DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 11/6/93 1 Type of Permit I La Quinta
No. 111950 Permit #
Log
Owner Name Synercon Development ,
No. Street See Below
City zip Study Ara 110
APN # Tract #I Lot # 0 Square .Footage 13636
Type of Development' , Single Family Residence No. of units
Comments 53-640 Navarro and 54-840 Tuarez
1818 sq. ft. each - Study areas 111 and 110 rPGnPrtivPly
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 13,636 or $ 5,744.88 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.
oe
Fees Paid By L.Q. Mtt -. Corp. & Stuart W. Phelps Telephone ` 64-E929�. ' �'
Name bn the check -',i ?' -
By lames E. I.ivPlv�4 y
Assistant Superintendent, Business Services r� `r�r �, �•,,"
Fee collected /exempted by Marcia Ewart
Payment Received
Signature Check No. 2307 & 187
Collector: Attach a copy of county or city plan check application form to district copy far all waivers.
Embossed Original- Building Dept. %Applicant . Copy - Applicant/Receipt 1 Copy - Accounting
i
CALVIN C. KAMINSKAS DAN RILEY
Assistant. Commissioner o ° Sealer, Weights. & Measures
(714) 275-3000 (714) 275-3030
�q e
4f9 1e
OFFICE OF
AGRICULTURAL .COMMISSIONER
JAMES 0. WALLACE, Commissioner .
83-612 Avenue 45..Suite 7
Indio, CA 92201
(619) 342-8291
DATE' 2 3 _ CASE NO. P(i 2 %�' 9
Z
DEVELOPER'S NAME:
ADDRESS : (7
IvoI-t1A) is C° -
TELEPHONE:
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.
gric' tural Conhissioner's Office
cc: Indio and Riverside
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 —.FAX (714) 275-3012
Cr
.i:
rj
Pl�
; tit of
(Out
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 53-640 Navarro
Use Classification lion Single Family Dwelling Bldg. Permit No. 117,1110
Group R3 Type Construction VN Fire Zone Use Zone SR -
Owner of Building Synernnn -nPye1npmPnf Address 74940 T4wV 11 1
City Indian Wells, CA: BY: Lonnie Day
Date; Marr-h,2S., 199"1
Building, Official
POST IN A CONSPICUOUS PLAC9 _j