10886 (SFD)Bu�
iiding 53-805 Cor -eZ
suncrol,-Irl Corpo
Mailing
Address Boy, 804
Cit y a uluinta zip 92253
Larry Donoho Construction
300 Sand Springs
'4 4 9
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 10686
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
f4-4977 Legal Description Lot 4 Block 196
Project Description SFD
Palm Sp 92262tquict�
22--3569
&Ciasslif. B 627265 # 2154
Arch., Engr.,
Designer
e.
Sq. Ft.
Size
No.
No. Dw.
Units
New ❑ Add p Alter ❑ Repair ❑ -Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under.pmvisions of Chapter 9 (commencing with Section
7001) o� Mision'3 of the,Business and Professions Code and myllcm= ism full force and
effect (I to t >�, : (`t( f
_
SIGNATURE r DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License taw for the following87,177.40
reason:. (Sec. 7031:5,Ruar oss and. Professioros Code: Any cAy or county whk h requires a
permit to construct alterinprove, darnavah, or repair any structure, prior to As bauance also
remdres the sp~ Ior such permit to Me a SOW statement Met he Is Acansed pursuant to _
the provisbm, of the Contractor's Lkense Law, Chapter. 9 (conmmencirq with Section 7000) of r
Yih felon 3 of the Bustrress and Prohtssions Code, or that. he is exempt therefrom, and Me bests '
for Ore aAaged examp0mm. Any violation of Section 7031.5 by 'any Wpiicarn for a permit
subjects Me appacard to a dvtf penally of not more than fl a hundred doffs ($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. 7014, &dsness and
Profeashorrs Code. The Contractor's LAmse Law does not apply to,.an owner of prop" who
bufft or hproves thereon and who dam such work himself or through his own employees.
provided that'.such fimprovementa.are not Intended or offered for sale. 11, however: the bmmtV
veent Is sod wl1Mar n one yeof completion, the owner-buult r wif how Me burden
w.bmpmnm
of proving Mat he did root build or Nmprove for Ore purpose of sale.)
❑ I, as ovrner of the p(operty, am exduslvely contracting with licensed contractors to con-,
aITUCt fire project (Sec. 70 4,-t30i>slrieea grid Profesabns Cade: The Contractor's Lkense Law
does mol apply to an owner oI property who builds or bwoves thereon, and who contracts for
such p/OjBCta:mmdth a conhaeta(s) licensed pursuant to the Contractor's l tcermse'Law:)
❑ 1 am exempt under Sec. R.3 P.C..for this reason
Estimated Valuation
'
,
PERMIT
AMOUNT
Plan Chk. Dep.,
Plan Chk. 681.
+� 1 ..J ,1 s 1
5.lri 1
Const...
$ 5.50
Mech.
f. rj 0
Electrical
120.66
Plumbing
154.50
S:M.I.
n t�
8.00
Grading
20.00
Driveway Enc.
20.00
Date Owner
Infrastructure .
1776.31
Precise 'Plan
25.00
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.copythereof: (Sec_ 3800, Labor. Code.)
Poli No Company
i
= — ' ' • k• `'_ m
+ " '
UlCopy is filed with the city. ❑ Certified copy Is hereby furnished.
TOTAL
V3269. 58
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Tho section need not be completed If the permit is for *ore hundred .doAars ($100) valuation
a lase.)
I certify that In the performance of tho work for which this permit is Issued, I shall not
Law of ( iferda. In any manner so as to become sub Iact to the Workers' Compensation
Date Owner
NOTICE TO APPLICANT: M, eller rruJ*V thin C ditate of Exemption you should become
suivact to fhb INbntera' Conmpenastion promlabria oI fire Labor Code, you must forthwith
comply with such provisions mx this permit alae De deenmed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction larding agency for the performance of the
work for which this permit Is issued. (Sec. 3097, CMT Code.)
Lender's Name
Larder's Address_
Thts.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 car tity that) 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
Melling Address
City, State, Zip
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 FEES "
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB. BONDING
2ND FL SO. FT.
STORAGE TANK.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC,
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT.
REINF. STEEL 7
DRAINAGE PIPING
WALL SO. FT:
DRINKING FOUNTAIN.
SO FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE:.Not to be used as property tax valuation
LUMBER GR.
FLOOR DRAIN
MECHANICAL FEES
K
h
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOHDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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. a c
BATH TUB
LATING
SO. FT: ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+A c
SEWAGE DISPOSAL
SO.FT.GAR ® 3Ac
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 I HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBIN p 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 APPJEOUIP.
REINF. STEEL 7
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING ?-7
K
h
FINAL INSP. O 7
ROOFING
/L'/� [�
( N ^
I/Ja/K�j`S
REMARKS
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SI A RESlINITIALS
GARDEN WALL FINAL
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
Received From% c,o r7 4 --nA,1 �' 4 C i �`t l� t�[ l: •.: t.
Of R 6 4
L l !�f Date 1
Address: :C1�+�. 6 r- ._='-
22 7,
w`
Account:NO. in Lot (6)
��L•1G I / Tract
7)_1
Service Address /t �� Z C'�' /� ? c
�— G.A..Code
❑ Meter(s)
$
❑ Service(s)
❑ Backflow(s)
❑ House Lateral(s)
❑ DetectorCheck(s)
❑ Meter Surcharge
q,Ssliitation Capacity Charge --
�� C'
r ✓
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Tum on Charge
❑ Uncollected Account - Name
❑ Inspection Fee - Tract -
Fee -
13 Plan Check Fees Water I Sewer -
Tract "-
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer. Deposit
❑.'Other
TOTAL
7,
Remarks: �'!d ` Tl "G v - Ct/�-1y
-12-11
!Jf
❑Copy to:
1
Cash
Water Service
�j pr
Check =i1 r�0 J��.; :..
Money
� r
Cashier '
Order
CVWD -,4SB(11189)
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date I M5/92 Type of Permit I La Quinta
No. 11525 Permit #
Log #
Owner Name Sun Crown Corporation
No. 53305 street Cortez
city La Quinta zip 92253 Study Area 111
APN # I I Tract # I Lot # Square Footage 11313
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 ffidlityfees imposed pursuant to.Government Code 53080
in the amount of 1.68 X 1313 ce $ 2,074.54 have been paid to D.&US D. for
the property listed above and &at building permits and/or Certificates of Occupancy for
this square. footage in this proposed project may now be issued.
Fees.Paid By Sun Crown Corp Telephone .
Name on the check
By James E. Lively
Assistant superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
Payment Received_
Signature Check No. 1128
Collector. Attach.a copy of county or city plan.check application form to district°.copy for all waivers.
Embossed Original- Building DeptJApplicant Copy - Applicant(Receipt Copy - Accounting, r
CALVIN C. KAMINSKAS
Assistant Commissioner
(714) 275-3000
OFFICE OF
AGRICULTURAL COMMISSIONER
JAMES Q WALLACE, Commissioner
_83-612 Avenue A5 Suite 7
Indio, CA 9220.1
(619) 342-8291
DAN RILEY
Sealer, Weights & Measures
(714) 2753030
DA_ R�gy cASE r�o.�PGSOS�g9
DEVELAPER'
ADDRESS: SZ— y%y 40IC614X -1,74�O
TELEPHONE: ( -
.S3— Ylo -!5,-
Dear
Dear Developer:
Af.ter.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 Canniss' ner's Office
cc: Indio and Riverside.
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA -92501 -'FAX (714) 275-3012
_tZ,,eAli f."
(�vs
rr rP', 77�,,r,In
of Orr"�
tcu
Tit�J of 14ga (Jou*nta
jluitbtni� tllib Aafet�1 33illistuln
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 53-805 AVEN.IDA CORTEZ
Use Classification SINGLE FAMILY DWELLING Bldg. Permit No. 10886
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building SUNCROWN CORPORATION 'Address P 0 ROX 80.4
I,
City LA Q.UINTA, CA 92253 LONNIE DAY
d Bye
Dom; OCT'OBE-R 7, 1992
Building Official
POST IM A oawsreuoue 'uce
:i07111CATION OF FIRE
CITY OF DATE
TYPE OF FIRE TIME
CAUSE 3- j8,o5
DOLLAR DAMAGE PROPERTY 4 IG 000 CONTENTS 12,. coo
TYPE OF OCCUPANCY
PHYSICAL DAMAGE
4al-Ill 4.G z VQ
PROPERTY OWNER Vct.4v`
TENANT
I
BUILDING INSPECTION NEEDED `LES
NOTIFICATION SENT TO L -Q ,:y
DATE O �0� TIME �- -2-
(7
7 t