13069 (SFD)P.O. BOX 1504 N o .
Building78-105 CALLE ESTADO
Address 52-140 Velasco LA QUINTA,•CALIFORNIA 92253
Owner
La Quinta Cave Rome, ing.
Mailing
Address 310 Washington, Ste. P214
City Zip Tel.
Santa. Mordca, CA. 90293 101082-7-ol71
Contractor
Sate
Address
City Zip
State Lic. Cit
& Classif. ' Lic•#
Arch., Engr.; .
Designer Barry A. Berkus, AIA
AddressTel.
223. De.I,a Guerra
City .Zip State
Santa:'•Ibarbara CA 93181.
_ LICENSED CONTRACTOR'S DECLARATION
��• I herebyy affiim that I am licensed under provisions of Chapter 9 (commencingwith Section
•' 7000),dfDivision 3 -of the Business and Professions Code, and my license is in full force and
effAct. fir%•%
Lir OWNER -BUILDER DECLARATION
I hereby affirm that) 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, alter, 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 or 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 or completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose or sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
- • Strutt 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 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. O 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 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., If, 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. (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 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. OCC. GRP.
A.P. Number 773-225-007
Legal Description Lot 7 Block 74
Project Description S€ D
ZONE:
BY:
Minimum Setback
Sq. Ft. ��
Size
No. No. Dw.
Stories Units
New ❑'' Add ❑
Alter ❑ Repair El
Demolition ❑ �-
aerwit does
not include any
block -walls
or pool.
FINAL DATE
INSPECTOR
Issued by:
Date Permit
Validated by:
Validation:
Estimated Valuation
$99,559.00
PERMIT
AMOUNT, .
Plan Chk. Dep.
Plan Chk. Bal.
541.94
Const.
639.50
Mech.
62..00
Electrical
132.75
Plumbing
'144.00
.S.M.I.
'10.00.
Grading
20.00
Driveway Enc.
' 1 ! 1
'-0—
Infrastructure
,�' y_ 1 y �..,/,201.83
t.c i u Plan
TOTAL
REMARKS
t
ZONE:
BY:
Minimum Setback
Distances: i
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
SLAB GRADE 3
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SD. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SQ. FT. ®
GROUT
I
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM
URINAL
SQ. FT. ®
_$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP. Wil_
WATER PIPING
NOTE: Not to be used as property tax valuation
_ _
FLOOR DRAIN '
MECHANICAL FEES
REMARKS:
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SQ. FT. ® c
BATH TUB
MESH
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FINISH GRADING
SQ.FT.GAR ® 3/ac
1HOUSE 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 S-1
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 3
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. eV i
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. Wil_
FRAMING 0_y v/
!
FINAL INSP. /—t7-01 1 M Zt
ROOFING q 2 4.P/y/�
J
�}
T �/
1 �QIJ'G)►Q
-rOOTI{ 55 7-7-9/30
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALLIb—fy--.93(0
LATHING /�•`�V CJf%
MESH
INSULATION/SOUND o-7 —U 40
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATUIESIINITIALS
GARDEN WALL FINAL
BAKKyA.BEKKU S
A.LA.
August 16, 1993
Harlan Lee & Associates
310 Washington boulevard
Marina Del Rey, CA 90292
Attn: Randy
Dear Randy:
Per our phone conversation, I. would like to clarify the location. of the footing omission described in.
the letter from Carl Schneider oii August 12, 1993.
1. Due to the fact that the 3 -point bearing trusses have been redesigned as 27point
bearing . - trusses, the footing running the length of the. house dividing the
LIVING/DINING areas -
from the SLEEPING areas may be omitted. (not required)
If you have any further questions, please call.
Sincerely,
Barry A. Berkus, A.I.A.
Scott Branch
223 E. De La Guerra
Santa Barbara, CA 93101
805/963-8901
Fax: 805/966-6846.
o`ae4�yll.aa#a�e�Ao
o�0oy�5ED ARcy��°`�'
:0
ev'•• .
:BARRY A. BERKUS t; o
LIC. #fC7733
0 1 i
REN. I r�\T
O
t
AUG 16 '93 06:27 BUENA—BERMUDA DUNES
EARTH SYSTEMS CONSULTANTS S.C.
BUENA ENGINEERS DIV.
7"118 Country Club Drive
Bermuda Dunes, CA 92201 • (819) 345-1588
Client Name
Client Address_
Client Phone__.. '113' (nH _SS ) 40 '
P.1/1
DATE
5-cz
JOB 14
PROJECT
'LOCATION
CONTRACTOR
OWNER
WEATHER
TEMP.
0 a AM
0 at 'PM
PRESENT AT SITE
MAXIMUM,.
DRY
DENSITY
tbs./cu. ft.
OPTIMUM
MOISTURE
CONTENT
%
tS;,- ( goAv Ve.(&,Go
TEST
NUMBER
TEST LOCATION
p
LOT
NO,
ELEVATION
FIELD TESTING
REFERENCE CURVE
MOISTURE
CONTENT
%
DRY
DENSITY
tbsJCu. ft.
MAXIMUM
DRY
DENSITY
%
MAXIMUM,.
DRY
DENSITY
tbs./cu. ft.
OPTIMUM
MOISTURE
CONTENT
%
tS;,- ( goAv Ve.(&,Go
Q�
Ll
I�"
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REMARKS:
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FEEID REPORT
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;This `Certificote kissuedpursuant to Vthe requirements of Section'306 of, thea Uniform: Building!.
I
Code certifying that at the°time of issuance this structure was in compliance with the various:
'ordinances` of the City regulating : buildin`g- construction or'use:., For. =following
BUILDING ADDRESS 52' 140 A�enida,,Velasco� moi' �, �''�
!
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4'Sin le Family Dwellin ,, 1 'f. 1.3069"
Use Classificotion g g Bldg.. Permif No.
i
I!
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e
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Group Type Constructi6n . Fire Zoney - Use Zone Mme,
i,
La Quinta Cove'•Home•, -Inc,* 310. Washington; -Ste. P21'4
Owner of Building > -'Address
-
Santa Monica ,:CA 90,292
"
City • . Lonnie bay,,,,,,'I
�I
V19r94
Coote: January ,11.7,
aal ",'�'' �� � �`> N'4• -f - +~, '';
Building; Offi• ,• 4"
POST IN A CONSPICUOUS PLACE
T LE
EM
`J DESERT SANDS UNIFIED SCHOOL DISTRICT,
82=879 Highway 111
NOTICE: '. Indio, CA 92201
-Document Cannot Be Duplicated 619-775-3500
Date 6/23/93 1 Type of Permit. La Quinta
No. 12286 Permit #
Log
Owner Name La Quinta Cove Home, Inc. i
No. Street See Below,
city La Quinta Zip 92253 Study Area 113
APN # [- Tract #I I Lot #E:= Square Footage 115246
Type of Development Single Family Residence No. of units
Comments 53-683 Avenida Alvardo, 52-415 Avenida Mendoza, 52-140 Avenida Velasco
52-675 Avenida Ruhio,-52-375 Avenida Navarro, 52-780 Avenida C'arran�,a,
51A10 Villa, 57-17ci AvPnirla THarrnra,' �_I-27q Aupnirla MirfinP7.
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:
r
EXEMPTION NOT APPLICABLE
This certifies that school facilityfees imposed pursuant to Government Code 53080
in the amount of 1.65 x 15 246 or $ 25,155.90 have been paid .to D.S.U.S.D. for
the-property;listed above and that building permits and/or Certifieates-of=Occupancy fare
this square footage in this proposed project may now be issued.
Fees Paid By La Quinta Cove Home, Inc. Telephone 564-5540
Name on the check
By lamps R i.iv ly
Assistant Superintendent, Business Services
Fee collected /exempted by. Vickie J. Durrett
Payment Received
Signature A)wlatt
cnec`k "No.. 054138
Collector. Attach a copy of county or city plan check application form to district copyfor all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy - Accounting
1 5 3