12197 (AR)Building
Address 78-035 Coronados
Owner
Marlene Folquet
Address Same
City lZip ITel.
Contractor
T.A. Kennedy
Address
77350 Arroba
Zip
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Ld U_L11LC1l..H I 7LL7.3 I J04-400
State Lic. City
& Classif. 442118 Lic. # 469
Arch., Engr.,
Designer Laszlo Sandor
Address I 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
effect.
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, after, 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).
❑ 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 properly 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 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.)
O 1 am exempt under Sec. B. & P.C. for -his 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 No. Company
❑ Copy is filed with the city. ❑ 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.)
1 certify that in the performance of thg 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: It, 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. (Sqc. 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 sof 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
No.
OCC. GRP
12197
Legal Description
Project Description Addition of area to master
of existing
SFD
Sq. Ft.
Size 60
No. No. Dw.
Stories Units
New ❑ Add IX
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$100,000.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
490.93
Const.
643.00
Mech.
28.00
Electrical
33.70
Plumbing
63.00
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
10268.7-3
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:
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 8/20/93 1 Type of Permit I La Quinta
No. 112387 1 Permit #
Log
Owner Name Marlene Folquet
No. 78-035 Street Coronados
city La Quint Zip 92253 Study Area 122
APN # .1 Tract # I I Lot # 0 Square Footage 160
Type of Development Residential Addition I No. of units 1�
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:
Residential Addition 500 Sq Feet or Less
This certifies that school facility fees imposed pursuant to
in the amount of 0.00 x 60 or $ 0.00
Government Code 53080
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 n/a Telephone
Name on the check
By James E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie ' J. Durrett
Signature c.kC u apaAitlufit , y ✓�.
'~ Check •. No. n/a
V
Collector. Attach a copy of county or city plan check application form fo district:copy Mr all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt; ,Copt's Accounting-
y t.
a�
Building
Address 78-035 Coronados
Owner
Marlene Falquet
Mailing
Address Same
City Zip
La Quintsa, CA 92253
Ctoctor .
1nt,r. Kennedy
;i
L;IlyLa Quinta, CA Ic192253
State Lic. 442i�8
& Classif.
Arch., Engr'-
Designer Sandor
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
I.
554-4660
City
Lic. # 469
Tel.
City Zip State
F , Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm -that I am licensed under provisions of Chapte4 9 (commencing pith Section
000) of Division 3°of the Business.an'd Professions Code, a d my license is in full forcd and
effect. r
SIGNATURE -.1' i' / i" DATE
' OWN R -BUILDER DECLARATION r
I hereby affirm that I am exempt from the -Contractors License Law for the following
reason: (Sec. 7031.5,Business and Protes�sions Code: Any city or county which requires a
permit'to construct, alter,rimprove, demorls—h, 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) of
"Division 3 of the. Business and Professions Code, or thathe is exempt therefrom, and the basis
„for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
s �+t 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
-.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 sa,e.)'-
❑ 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 herebyof/irm'tl)at I have a certificate of consent to self -insure, or a certificate of
Worker's Comp nsation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Polic�,Jo'Y .Company
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i/ the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become sublect 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 o/ 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 w(Vk 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 bomply 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. 12197
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
/ Project Description Addition of area to master
math, new golf cant storage and reMode2
of exi.stinq SFD
Sq. Ft. 60 No. No. Dw.
Size Stories Units
New ❑ Add X Alter ❑ Repair ❑ Demolition ❑
stimated Valuation00��0 s ��
BY:
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
490.93
Const.
.643.€ 0
Mech.
28.00
Electrical
33.70
Plumbing
63.00
S.M.I.
10 s 10
Grading
Driveway Enc.
Infrastructure
Validated by:
�(n
TOTAL
1,268.73
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 frorn Property Line
FINAL DATE
INSPECTOR
Issued by:
Date
rmit
Validated by:
�(n
(
�Uj�i193:'
Validation:
,!'
N
I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
'
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT. ®
WALL SQ. FT.
TEMP. POLE
DRINKING FOUNTAIN
SQ. FT. ®
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
SERVICE
WATER PIPING
NOTE: Not to be used as property tax valuation
BOND BEAM
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING l� 1-09
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROOFING�r
LAUNDRYTRAY
AIR HANDLING UNIT CFM
REMARKS:
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. RESI D ® 1% 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 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 l� 1-09
FINAL INSO _
ROOFING�r
r� ,
L
�r
to
,/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL/f-16,.-.134,0
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
a
FIN INSPECTION .moiC�'f
' 6
FENCE FINAL
SIGNATURESIINITIALS
GARDEN WALL FINAL
4
P.O. BOX 1504 APPLICATION ONLY
Building ' 78 105 CALLE ESTADO
Address ! (� LA QUINTA, CALIFORNIA 92253
Owner to I [
Mailing
V
Address
City
Zip
Tel.
Contractor
_
Address
City
Zip
Tel _
-
_]I
State Lic.
City
& Classif.
Lic. #
Arch., Engr.,
`—
Designer's
-
Address
Tel.
City I Zip I State Lic.—
#
LICENSED CONTRACTOR'S DECLARATION
I hereby afrlrm that,( am licensed under. rovlsions of Chapter 9 (commencing with Section
7000) t.of Division 3 or the Business and Professions Code, and my license Is n fu force and
effec
SIGNATURE l _ _ _ - _ DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the fallowing
reason: (Sec. 7031.5,Business and Professions Code: Any city or bounty which requires a
permit to construct, alter, improve. demolish, or repair any structure, prior to its issuance also
requires the applicant for such aamV to file a sfgnad statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Alvrapon 3 of the BuSlfteSS and Professions Code, or [hat he is exempt !he(etrom, and the basis
for the alleged exempflon. Any viblaflarr of Section 7031.5 by any applicant for a permit
subjects the applicanf to'a CIvR penalty at not more then (lve hundred dnftars I3500).
17 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 nob -apply to an owner of property who
builds or improves !hereon 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 1 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.)
I l I 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 No. Company
E Copy is filed with the city. ❑ 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 thg 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 Ihls Cerfilk:afe of Exemption you should become
subject to the Workers' Compensation provisions at the Labor Code, you must forthwith
comply with such provisions or this permit shalt 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 slate that the above informatfan is correct.
I agree to comply with all city and counly ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enlei the above -
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number
Legal Description
Project Description_
S
Size Ft. O ` Stories
Units
New ❑ Add ❑ Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
o 0 0 CC)
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
,
Const.
[j
Mech.
t,►D
Electrical
3 7, 7r]
Plumbing
63. dy
S.M.I.
os is
Grading
Driveway Enc.
Infrastructure
1 -73
TOTAL
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:
BUILDING DIVISION
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO
PLUMBING FEES
1ST FL SO FT. at
2ND FL. SO. FT. ,gip
POR SQ, FT. (rig
GAR SQ. FT. it
SQ
CAR P. FTvF
WALL SO. FT. ,Z
SQ FT [r
ESTIMATED CONSTRUCTION VALUATION
$
UNITS
S
/
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
I
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
7
/�
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
Z
ABSORPTION SYSTEM B.T U
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
'L
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT @ c
BATH TUB
n
SQ. FT. CO c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID QO 1 V< c
ip
SEWAGE DISPOSAL
SQ.FT.GAR (,�, ?Ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
AM�EC�H.FE;EPLCI�,XZ
PERMIT FEE
PERMIT FEE
DBL TOTAL FEES MICRO FEE
CONST. FEE
ELEC .FEE
SMIFEE
PLUMB.FEE
I'
STRUCTURE PLUMBING ELECTRICAL HEATING R AIR COND SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGETANK
FORMS
_SEWER OR SEPTIC SANK
ROUGH. WIRING
DUCTWORK
ROCKSTORAGE
FOUND. REINF
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
A
jINSPECTOWS SIGNATUAMIHITtALS
GARDEN WALL FINAL