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14241 (SFD)Building Address I T4.tvl 4 4Q946(rw 54-234 Shoal. Creek Mi Rusch P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 80095 Merion a CY,ity Zip Tel Quinta, CA 92253 771--0051 Contractor Rancho Capistrano Development Address P.O. Box 980 11 Quinta, CA Zip 92253 e.45-7755 State Lic. City & Classif. B 597975 Lic• # 1969 Arch., Engr.,BSG Architects Inc. Designer AddveNs.orpora7te Park T614) 261.--1795 clyrvine, CA Z'52714 u�t# C6885 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter ;(commencing with Section 7000) of Division 3 of the Business and Professions Cod6,and mylicense is in full force and effect. t SIGNATURE DATE OWN ER-BUILDER'DEC LARATION I hereby affirm that I am exempt from1he 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 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.) ❑ 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 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 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 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 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. 1 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 No. 14241 BUILDING: TYPE CONST. VN OCC. GRP._ A.P. Number 769-•780--003 Legal Description Lot 12 Tract 27762 Project Description $FD R3 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Side Street Setback fro- ter L' e Side Setback from P,rt� FINAL DATE Issued by: Validated by: Validation: Sq. Ft. 3548 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block walls or pool. Estimated Valuation $292,60$.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. $23.33 Const. 1,315.00 Mech. 130.00 Electrical 210.38 Plumbing 192.00 S.M.I. 29.26 Grading 20.00 Driveway Enc. .00 Infrastructure 6,000.00 Arts in Public Places 481.52 TOTAL 9,541.49 9120i—.4-9-/ REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Side Street Setback fro- ter L' e Side Setback from P,rt� FINAL DATE Issued by: Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ UNITS SLAB GRADE 1 r BONDING Y ARD SPKLR SYSTEM 2ND FL. SQ. 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 WATER HEATER WALL SQ. Ff. @ FINAL INSP. DRINKING FOUNTAIN. BOND BEAM WATER SYSTEM URINAL SQ FT @ LUMBER GR. 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 VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRY TRAY AIR HANDLING UNIT CFM FIREPLACE 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. SQ. FT. @ c BATH TUB SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL SO.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 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. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Buildin Address Owner ,�n r ,9 T, 4, A -5 P.O. BOX 1504 � / 7&105 CALLE ESTADO (_ l e rm n LA QUINTA, CALIFORNIA 92253 Mailing IFC0 95 Address Cityl k\ �U/w ZIc)0" Contractor CGS). �t )/AIA ZiP17a0�5 3 Tel I.3LI�— 3-7...7; State Lic.ep—/ / �<) L City & Classif. Lic. # Arch., Engr., Designer �J 3 6- A( C �) A// S Address/Tel . � �L City7^� v/�� v 1Z.t �� �� Lic.Stat# l) ice" _Y LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 { ommencing with Section 7000) of Division 3 of 'e Bus,gnests and Professions Code, and ,m tic/etise is in full force and effect. �. 2�/1 SIGNATURE .fv / // DATE It ( OWN ER-BUILDE�RrDECLARATION I hereby affirm that I am exempt from,,4�the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Profeskions 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-' 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. 11, 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 contractors) licensed pursuant to the Contractor's License Law.) 17 I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure, or a certLficate of Worker's Compen tion n`surance, or a certified copy t ereof. (Sec. 3800, Labor Codj) Policy No. c Company t7 Copy is filed with the city. ❑ Certified copy s 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 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 DIVISION APPLICATION. ONLY BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Project Description Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. /�/• Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS '_-)( 1994 lid ZONE: BY: • Bi Minimum Setback Distances: ._-v """ 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 ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. (a FORMS SEWER OR SEPTIC TANK POR. SO. FT. 0, MOBILEHOME SVC. BAR SINK GAR. SO. FT. @ POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APP.IEQUIP. DRAINAGE PIPING CAR P. SO. FT. FL TEMP. POLE WALL SO. FT, rT, GROUT DRINKING FOUNTAIN SQ. FT. FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation =$ FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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 GAR. FIREWALL SO. FT..Q c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1Y. c SEWAGE DISPOSAL MESH SQ.FT.GAR @ 3/ec HOUSE SEWER INSULATION/SOUND GAS PIPING PERMIT FEE FINISH GRADING 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.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 INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL �I A DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 11/10/94 No. 113178 Owner Name Type of Permit MT Rusch No. 54-234 Street Shoal Creek City La Quinta Zip 92253 La Quinta Permit # Log Study Area 106 APN # I Tract # I J Lot # 0 Square Footage 13548 Type of Development I Single Family Residence INo. 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 1.72 x 3 548 or $ 6,102.56 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 Kenneth & Sharon Rusch Name on the check By Dolores A. Ballesteros Superintendent Telephone 771-0051 Fee collected /exempted by Mary Lou Lopez Payment Received _ Signature J "Check No. 13602 Collector: Attach a co of county or city plan check ication form to district copy'for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting JAMES O. WALLACE Avicultvral Commissioner Director of Welghls & Measures OFFICE OF THE AGRICULTURAL COMMISSIONER P.O. BOX 1009 RIVERSIDE CA 92502-1089 PHONE (900) 275.3000 FAX (909) 275.3012 rs 83-612 Avenue X1.5 ' Su.i. to 7 Indio, CA 92201 (619)863-8291 CA NO. �- — DEVELOPER'S NAME: CALVIN C. KAMINSKAS Assislant commissioner DAN RILEY Sealer, Welghls & Measures (909) 275.3030 FAX(909)276-4720 DATE L 14 _L �/� -- 'ITLEPHONE : `r �-3Z,�_• C_•-kQ„�; J�.�.•=z 3' l ��-,\oma\ . - 'i - Dear Developer: After reviewing your landscaping plans, all.) plant material listed As not in violation of quarantine laws goveriling the- Coachella Valley. If substitutions do occur and t1ley differ from plarit material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agricultural Commissioner's Offic cc: Indio and Riverside 1 r,� WY r ARCHITECTURAL/LANDSCAPE VARIANCE APPLICATION ' PGA WEST RESIDENTIAL ASSOCIATION, INC Please complete- and include this request form; along with four (4 sets of your proposed home improvement plans to: PGA WEST RESIDENTIAL ASSOCIATIONi INC: P.O. Box 1060 La oUinta, CA 92253 or; 55=940 PGA Boulevard La Quinta; CA 92253 Attn. Property Manager NAME: E.L� _ USL� I-�, PATE,. �O ' g .:: ADD R SS: _ UNIT? PROPOSED STARTING DATE!. AMP ION DATE:. Homeowner's Signature The following appropriate information should accompany your, completed application: 1.. Four (4) sets of complete plans to include:. a. Improvements and/demolitions b. Plot plan c: All dimensions proposed d: Relationship to neighboring units e Material and color scheme f. Planned modificatio-hs of all external systems (landscape; sprinklers; gas limes; electrical; etc,) , 2. Agreement and Covenant Running With. the Land. completed and notarized: Two (2) original, 3. Conditions of Approval and Disclaimer form (signed) 4: Facing and Adjacent Neighbor -form (if a_pplieable) 5. Construction Regulations form (signed) ELECTRICAL[ j Approved [ j Disapproved Signature Date:.:. LANDSCAPE [ j Approved [ j Disapproved. Signature Date. ARCHITECTURAL CO ITTEE ,j Approved. [ j Disapproved. Signature Date ARCH/Rev 6/94 1 CITY OF LA OUINTA fvo, ~21. DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 24-HOUR NOTICEFORINSPECTIONS 777-7153 .t J Owner MC Rusch Contractor Rancho Capistrano Development Permit Number 14 2 41 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 54-234 Shoal Creek SFD Permit does not include.block walls or pool. TYPE OF INSPECTION DATE . INSP. FOUNDATION & SETBACK I —'_-C��,_C? MAIN GROUND SYSTEM _ GROUND PLUMBING _ ��.! �✓`./ PRE-GUNITE. DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST HEATING & VENT- A/C FIREPLACE ROOF BOND BEAM O.K. TO WRAP GROUT ❑ 4' ❑ 8' FRAMING INSULATION - 0 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK 1. FINA ELECTRICAL' aal& PLUMBING FINAL GAS TEST HEATING - A/C E74 HOUSE NUMBERS JOB COMPLETED TEMP POWER _7 7 k, ; ABOVE APPROVALS`5O NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING v88 I&AW 4b (�Zvt of Tt of Ka (ontnta uta to stn n 10 03 Pei t 0 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 ordinances. of the City regulating building construction or use. For the following: BUILDING ADDRESS 54-234 SHOAL CREEK. Use Classification SFD Bldg. permit No. 14241 R-3 N R-1 Group Type Construction Fire Zone Use Zone Owner of Building MR RUSCH Address 80-095 MERION LA QUINTA 'CA City LA QUINTA-CA 92253 By; RICHARD L KIRKLAND Dots: 5=15-95 UIIdingOfficio( POST IN A CONSPICUOUS PLACE f