002202 (AR)4-
_ P.O. BOX 1504 N o . .
Building78s-4101 Calle r� LA QUIN
Address A, CALIFORNIA 92253
s ,Owner - , ,. .. . ........ .... .. ...
1,. wolf
Mailing
Address
City Zip Te
�„ 92 -10 -
Contractor
Address
_.City ......._. .•. ...:- ... Zip......... ... - Tel.'. _
La QWAta 3 ,
State Lic. - City
& Classif., 413636 Lic. #'n3,
Arch., Engr -
Designer
002202 . .
BUILDING: TYPE CONST. OCC: GRP..
A.P. Number , f% __ - �� b i
X
Legal Description`,'
Project Description
Sq, Ft. 400. Pa�T' .
Size ],$ids . Stories
New Add
No. Dw.
Units
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
Pemit fA aed kam ad&tAm aid 400 ft.
City
Zip
State
Lic: # -
gg
moi. m
r.
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. ; ✓�_
�r,'. ter.• .,i.r.+ r :�.:.a'� r',�'!::', r�t�'.i/ �/1. �/�:*.i,
�l
SIGNATURE'• - ~ DATE
..... _.
. ... ... _ ..
' • OWNER -BUILDER DECLARATION "
EStlmated ValUatjOn
^' I hereby affirm that I am exempt from the Contractor's License Law for the -following
rp qq1 R
ZH iFs '
reason: (Sec. 7031. S,Busfness and Professions Code: Any city or county, which requires a
r.q • permit to construct, alter, improve, demolish, or repair any structure, prior. to its issuance also . •
..
. G I%d • ..
-•
requires dhe'applicant forsuch permit to file a signed statement that- he is licensed pursuant to
i• PERMIT,
'• s AMOUNT
the provisions of the Contractor's License Law, Chapter 9 .(commencing with Section 7000) of
Division 3' of,(tie Business and Professions .Code, or: that. he is exempt therefrom; and'the basis
for the Any Section 7031.5 'any for
Plan.Chk. Dep._.
-
alleged exemption.. violation of by applicant a permit .
subjects the applicant to a civil penalty of not'more than five hundred dollars ($500).
Plan Chk. Bal.
75.82
O I, as owner of the property, or my employees with wages as their sole compensation, will
d6 the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Const. ' _
r
Professions Code: The Contractor's License Law does not apply . to an owner, of. property who
'
builds or improves thereon and who does such work himself or through his own employees,
'Mech.:'.
y
.' 16.00
provided that such improvements are, not intended or offered for sale. If,. however, the building
or improvement is sold -within one year of completion, the owner -builder will have the -burden :
'EI@CtrICBI-
y kr�
Asi7L•
of proving that he did not build or improve for the purpose of sale.) - . . . .. . , .
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
struct the project. (Sec. 7044, Business and Professions Coder The Contractor's License Law
• does not apply to an owner of property who builds or improves thereon, and.who contracts for
V^- S.M.I.
.
• • such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
-
•
0 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
' I'hereby affirm'that4 have a certificate of consent to self -insure,'. or a certificate of -
- -
Worker's Compensation Insurance, or a certified copy thereof. (Sec. .3800, Labor Code.).
-
-
Policy No. Company
❑ Copyis filed with the city. ; O Certified copy is.hereby furnished.
TOTALQ3.
CERTIFICATE OF EXEMPTION FROM -
REMARKS.
WORKERS' COMPENSATION. INSURANCE
(This section need not be completed if the permit is for'one hundred dollars ($ 100) valuation
-
. or less.) ... .. _ .. .,
certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any•mannerso 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 -
ZONE: ' '
BY: - -
' subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. -
Minimum Setback Distances:. ' -
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY.
'a
Side Street Setback from Center Line '
hereby affirm that there isconstruction 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 state laws relating to building
construction, and hereby authorize representatives :of -this city to'.enter the -above-.
- -• '
mentioned property for inspection purposes. 1 4
Validated b
Signature of applicant 4411 '7 %+' ' - r a 'f.`•+ •r�?- + Date r
Mailing Address -r - ti•' •" - - - -
Validation:
-
City, State, Zip
{ -
A'4 8.6'7
3 2 0.'- i f: 3,-;`3 4 Si-
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT. ®
POR. SQ. FT. p
GAR. SQ. FT. ®
CARP. SQ. 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
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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.
SO. FT. ® c
BATH TUB
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FRAMING
FINAL INSP.
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 APP./EQUIP.
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 Z l
1 u
FINISH GRADING
}
Z, WFINAL INSPECTION 6
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
f ,
March' 17; 1986 s
.City of La Quinta
+ P.O. B'ox-1504
x f- La , Quinta, CA 92253,,;" #
* Attn: Building Depart_ menta
'Re:a 78=101-Calle Norte -
4,
'."La Quinta, .CA +
Dear'Sir:
This -is to authorize you -to issue the building permit for the
remodeling to -be done at .the, above 'listed unit: It has . been
approved by the Duna La Quinta•Homeowner':s Association. `
Thank you for your ,help: _ ^ •: _
Sincerely,`
' Marcia Carle +
Customer Relations"
MC/lit
`�-. �. }{ ./ • , " r tom• • s. V
• I .. 1. a T' ' >. • -
f - _ ,•,,, � , . F _."'.° :Y !�s y z:s:�:"r..".�«'- ar �_ ::,�„) .w :.'�i�v � v': �''.'r > -3 2�*. �,x; t ; . ;,;,.ter,.. --..::"� . -
Customer Relations/ Service
LANDMARK LAND COMPANY, INC., P.O. Box 1000, La Quinta, California 92253 (619) 564-3338 / 345-5665
North Modesto Industrial Park
604 Glass Lane Modesto, CA 95356 '
(209)-578-4612
April- 7, 1986 .
I
. - rw a • • - -- ,f - ., -
-
I��� 16 1886
Buildingr InspectorCTY OF Q
r La Quinta Building Department .- _ '. -, COMMUNITY DEVELOPMENT DEPT
La Quinta, CA 92253
Dear -Inspector, -
As owner of 78-101 Calle Norte, I appreciate yourfollowingthrough to
find out what the footing sizes actually are: "I personally saw the footings
and saw•them measure out underneath the wail.that supports-the glulam beam
which was 213" X 2'3",.and-also the-outer footing-to the prescribed dimensions
of.the+plan.- I am.a developer' in. Modesto-, California and took it upon myself
- to-tell the.contractor to'go ahead and pour..the footings and the floor, being -
as-the permit was two weeks-off. I am well satisfied'and will accept the
responsibility of the structural effects of.this.glulam beam.
- - Very truly'yours,;-
- ; _-.Mervin, E. Wolf _
MW:rf _
CDTom' Kennedy - y
t
TRANSMITTAL Landmark land Company
of California Inc.
LETTER design , planning
p.o. box 1000
la quinta, ca
(619) 564-3044 92253
PROJECT: WQGF ,�,./���t/�C' wLML NO:
A211,W ` 44 4�4& tlr,4 DATE:
TO: GST!/, of G 4 qc✓%vT�9
WE TRANSMIT:
herewith
i per request
/( ) under separate
cover via
COPIES I DATE I REV. NO.
REMARKS:
COPIES TO:
FOR YOUR:
use
( ) record
( ) approval
( ) information
review & comment
( ) distribution to parties
c)
BY:
ATTN:
DESCRIPTION
THE FOLLOWING:
originals
blueprints
( ) change order
specifications
( ) shop drawings
L ) product literature
c)