9612 (SPIN)k P.O. BOX 1504
Buildjng_ • 7&105 CALLE ESTADO
AddrgsS! 78-650 CALLE TAMPMCO LA QUINTA, CALIFORNIA 92253
Owner
PHILLIP PLAN!
Mailing
Address SAME '%fP'. O. BOX 1401)
City Zip Tel.
LA QUINTA,C6 92253
Contractor
Address
City Zip Tel.:
State Lic. City
.1Classif. Lic. #
Tel.
City Zip State
Lic. #
f"• LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 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,Suslness'and Professions Code: Any city or county' which requires a
permit to construct, akar, 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 .j7000)...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 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. k, 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 Con actor's License Law
does not apply to an owner of property* who builds or improves thereon, anal who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. 8 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. . ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed If the permit is for one -hundred doEws (5100) vafuatkm
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: k, after making this Certificate of Exemption you should become
subject to' the Workers' Compensation provisions o1 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 .of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING: TYPE CONST,
No. 9612
OCC: GRP.
Number I
Legal Description
Project Description SPEIDIAL INSPECTION FEE
PLACEMENT OF RV 134' X 11.51)—see-attached
letter
and the roof added.
Sq. Ft. No. No. Dw. . .
Size Stories . Units
New ❑ Add ❑ Alter ❑
Estimated Valuation'
PERMIT
Plan Chk. Dep'.
Plan Chk. Bal.
Const.
Mecli. - .
Electrical
Repair ❑ Demolitiotri-ff
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
Special In4p.• .*100-
't .5
TOTAL $100
REMARKS ; , 1'i�'r'e�'.'kElf sie� .�? �tf) . ioh # 4
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
-Si de Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date - Permit
Validated by:
Validation:
I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL SO. FT.
ROUGH PLUMB.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
r BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. ®
DUCT WORK
DRAINAGE PIPING
WALL SO. FT.
GAS (ROUGH)
DRINKING FOUNTAIN.
SO FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
$ plus x$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FINAL INSP. d Q ��
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
SO. FT. ®c
I WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK D) ( 4
GROUND PLUMBING (Ow
UNDERGROUND
l (�
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
OUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF. 7 %o c, f L (9
L 1111 ll
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. d Q ��
FRAMING
FINAL INSP. 7
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION /Vq
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
e
78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
FAX (619) 564-5617
May 23, 1991
Mr. Phillip Plank
78-650'Calle Tampico
%il11 92253 2 n
La nta, CA ►1,���
SUBJECT: TEMPORARY GUEST HOUSE
Dear Mr. Plank:
The Planning Department has reviewed your proposal to locate a Chariot Eagle model
RV on..your property. The unit will be located approximately 35' feet from Calle
Quinto, 10 feet from the northern property line, 30 feet from the house, and 10 feet
from the eastern property line. The size of the unit is 34 by 11.5 feet.
Based upon your letter, this unit is `permitted for a period not to exceed eight
months subject to the following conditions:
1. The unit will be placed per the attached site plan. ..
2. A tile roof will be installed on the RV within 30 days of the unit installation.
3. , The stove will be removed' and stored for future use when it is relocated to
Arcadia, California.
4. The RV will be pit set. The entrance doors will,be at ground level.
•ldh x7 Safety Department
5. A building pei°iliii 'viii i;c LaCii�ii'ad fi'e.:i the Bu..,., -.g 8ru aI , r.
located next to the Firc StatiGn on 52nd,Avanue. Please take this letter with
you when you make application for the building permit.
6. This unit is classified as a guest, house and as such .is not permitted a
permanent kitchen facility.
The building permit will be conditioned to require that the unit will be removed
within eight months unless an extension is granted' by this Department for a
reasonable time.
It is our understanding that the unit will be used for your father, who is ambulatory
and able to care for himself but needs a place. to recover from a' recent stroke.
LTRJH.106
MAILING ADDRESS P.O. ' BOX 1504 - LA QUINTA, CALIFORNIA 92253
.1
V
May 23, 1991
L!c Y
a)
4 -
MAY S9Vt1
78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253. - (619) 564-2246
FAX (619) 564-5617
Mr. Phillip Plank
,78-650 Calle Tampico
1 -La Quinta, CA 9225-3
SUBJECT TEMPORARY -GUEST-HOUSE
Dear Mr:, Plank:
The Planning Department has reviewed your proposal to locate a Chariot Eagle model
RV on your property. The .unit will be located approximately 35 feet from Calle
Quinto, 10 feet from the northern property line, 30 feet from the house, and 10 feet
from the eastern property line. The size of the unit is 34 by 11.5 feet.
Based- upon your letter, this unit is permitted for a period not to exceed eight
months subject to the following conditions:
1.' The unit will, be placed per the attached site plan.
2. A tile roof willlbe installed on the RV within 30 days of the unit installation.
3. The stove will be removed and stored for future use when it is relocated to
Arcadia, California..'
4. The RV will be. pit set. The entrance doors will be at ground level.
5. A building permit will be required from the Building and Safety Department
located next to the Fire Station on 52nd Avenue. Please take this letter with
you when you make application for the building permit.
6. , This unit is classified as a .guest house .and `as such is not permitted a
permanent kitchen facility.
The building permit Twill be conditioned to require that the unit will be removed
within• eight months unless an extension is granted 'by this Department for a
reasonable time.
It is our understanding that the,unit will be used for your father who is ambulatory
and able to care for himself but needs a place to recover from a recent stroke.
LTRJH.106 `
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
4
. i .
MEMORANDUM
`y
or t
TO: Jerry Her {an
FROM:. Tom Harturig/0
DATE: February -3,,1992
SUBJECT: Permit #9612 at 78-650 Calle Tampico
I have attached a copy of the above permit along with a letter
dated May 23; 1991.from your Idepartment. Note the permit has
expired. Please advise as to what action you would -like to take.
TH/lc
G