13162 (RPL)T4hf 4 4 a"
Building .s+' F,"' �7P.1kR8Co
A AA r-
Moyer
Mailing
Address P.O. 13OX 246
'City Zip Tel.
P,a.ncho Hirage CA 912270
Contractor
McIntyre Pools
Address
P.O. Bole 1791
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
City`- Zip Tela
La menta, CA 92253 .342-3521
• ate Lic. City
&tCla sif. C53 614611 - Lic. #
Arch., Engr.,
'Designer
'Address. Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am li ensed under provisions of Chapter 9 (commencing with Section
7000) of Division. of thUsinessedtPfofess ons Code, and my license is in full force and
SIGNATURE DATE
• r! 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, 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 thathe 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).
O 1, 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 sale.)
❑ 1, as
m owner of the property, aexclusively 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 hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's��-Ompensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
`Policy 1V8. Company_
q,0opy is filed with the city' a Certified copy, is hireby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COM PENSATIO N INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.) r
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 it 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 .of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
UILDING: TYPE CONST
P. Number
No. 1316
OCC: GRP.-
No.
RP.
Legal Description
Project Description Pool
Setback adjustment 93-190, approved.
Sq. Ft.
Size
New ❑ Add ❑
No.
Stories
Alter ❑
Estimated Valuation $8,000.00
No. Dw.
Units
Repair ❑ Demolition ❑
PERMIT
"AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
�•
Const.
!0h •4)U
Mech.
B,% • uu
Electrical
t.451ou
Plumbing
' .Z 7 • U
S.M.I.
• it
Grading
Driveway Enc.
Infrastructure
Validation:
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SO. FT.
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER OR SEPTIC TANK
ROUGH WIRING
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
GAS (ROUGH)
METER LOOP
DRAINAGE PIPING
CAR P. SO. FT. ®
REINF. STEEL
WALL SO. FT. ®
DRINKING FOUNTAIN
URINAL
SO. FT. ®
WATER HEATER
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROOFING
LAUNDRYTRAY
AIR HANDLING UNIT CFM
712
//��j � �•
/!
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
SO. FT. ® c
WATER HEATER -
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
MIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE EPL.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 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. _ 3
FRAMING
FINAL INSP.
ROOFING
`
/ �`/ �`
7• ,y
712
//��j � �•
/!
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING r r
FINAL INSPECTION
(v J
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATL•RES/INITIALS
GARDEN WALL FINAL
L
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 8/7/92
No. 111626
Type of Permit I La Quinta
Permit #
Log #
Owner Name John P. Moyer
5Z-g4ZNo. 77488 street Ffnseimda ay -oda V.�2LGc..c-c
city La Quinta zip 92253 study Area 112
APN # Tract # Lot # E= Square Footage 11397
Type of Development I Single Family Residence No. of units 0
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 facility fees imposed pursuant to Government Code 53080
in the amount of 1.58 X 1397 or $ 2,20726 have been paid to D.S.0 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 Miriam Moyer or John P. Mover Telephone 3243652
Name on the check
By James E. Lively
Assistant Superintendent, Business Services
Fee collected /exem ted b " - N -' r r
p y Shelley D. Bennett ;Y= ;
Payment Receiaved��,, �, r
Signature
585` � L
3
Collector: Attach a copy of county or city plan check application form to district copyt£or all waives
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting',, '�j �fif'Z`"`l
78-105' CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
FAX (619) ' 564-5617
June 3, 1993
John Moyer
P.O. Box -763.
Palm Springs, CA 92262
Dear. Mr. Moyer:.
This letter serves as .notification that the address of your home
under construction at 77-700 Calle Ensenada, APN# 773-265-011, 'Lot
11, Block 85, has been changed to 52-490 Avenida Velasco.
We observed the garage door and the front entrance face Avenida
Velasco, and for that reason we will not issue an Ensenada address.
I am sorry for any.inconvenience this may cause you. If you have
any further questions; please feel free to contact me..
Sincerely,
BUILPING AND SAFETY DEPARTMENT
#ellly PPle
Counter Technician
MAILING ADDRESS P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL X41 1 n
.iecelved From: IV M I &
Address: ) ,. .�
Account No. Tract �,r f;/ j/ !jr C-
1LP
Service Address, '� % �•.h ((� 1,.�1t1� fG.A. Code
❑. Meter(s) $
❑ Service(s)
❑ Backflow(e) '
•❑ House Lateral(s)
❑ DetectorCheck(s)
❑ M!e!t!erAuFcharge '
14.6anitatlon Capacity Charge bl;�� w C� r ^� - • ;
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account = Name
❑ Inspection Fee - Tract -
Fee -
❑ Plan Check Fees Water / Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
Assmt-
❑ Customer Deposit
❑ Other
TOTAL $
Remarks:
❑Copy to:
Cash
Check Q -4J 1114
Money
Order "• '
}
Water Service
Cashier '-
CVW0-438 (11189)
JOHN H. HACKER & ASSOCIATES CLIENT '`� E¢ ,)g NO. f953.
CIVIL ENGINEERS
4501E. Sunny Dunes Road LEGAL L T �� �/ �✓ ✓��� CAr/F %D SHT. _�— OF
Sulte D ,�. 4 /70
Palm Springs, CA 92264 DATE
(619)327-4565 G. /2 �� $ iP(o S8F s�ii� CREW 4jaFlE-S
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79.9
nrp
Tit of. 14a (Quinta
�!� '► uta tn!� vttill 1 /!5 t Ja n
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.
J. ordinances of the City regulating building construction or use.' For the following.
BUILDING ADDRESS 52-490 Avenida V61BUILDING
Single Family Dwelling 13162 -
Use Classification S Bldg. Permit No.
SR
tion VN -Fire Zone Use
Group R3 Zone
Type Construction
Owner of Building Tc)hn P Mnytr -Address 0 ]3c)x 763
City Palm Springs, CA 92262- Lonnie -Day,
By:
IiI Date; July 21, 1993
-8wild' lhg- Official POST IN A CON81PI000U4 PLACE