14242 (SFD)Building 54-245 Shoal Creek
Address
Owner Mi Ranch
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address 80095 14erion
City Quinta, CA Zip 92253 JTe'7 11-005
1
Contractor -
'A",o CapLatreno Developwnt
Address .
P.O. Befit 980
Cjya Quinta, CA Zip 92253 TeI34.5--7755
State Lic. City
& Classif. B 597975 Lic. # 1959
Arch., Engr.;BBG- ArChitects Inc.
Designer
Ad1d5es�i:t7r� poste Park' T 1734) 2Si-1795
clVivine CA Z'P:2714 State C
� Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am'I'icensed under provisions of Chapter 9 (comm racing'with Section
70 0')
of Division 3 of the Business ansdf Professsions Code, -and my lic&n a is in full force and
effect.
SIGNATURE Ar'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, alter, improve, demolish, 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) or
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 or 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 of sale.)
❑ 1, 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 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.
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
N o . 14242
9
BUILDING: TYPE CONST. VINOCC. GRP. - J
759-780- 002
A.P. Number
Lot 11 `bract 27752
Legal Description
SFD
Project Description
ZONE: BY: �~
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from RearProp�. Line
Side Street Setback fro ent r Line
Side Setback front/4 rty Line!
FINAL DATE �IXISPF.�QR�
Issued by: Date GJPermit
Validated by:
Validation:
Sq. Ft. 3548
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Permit Mmes
not include block
walls or
pool.
Estimated Valuation
PERMIT
AMOUNT
i.
Plan Chk. Dep.
5 i
.'`
Plan Chk. Bal.
+dZis J�
Const.
1#315.00
Mech.
13U .0U,
Electrical
410.3
Plumbing
1!0 •
S.M.I.
L! • Z40
Grading
dD • U
Driveway Enc.
• VU
Infrastructure
�__ •_ _
71. Ti ll Y t3
Y Li: S, d t;:'�
•i t.7 i . d
TOTAL
r�5i1.+lJ
J1,6V.116 IDI
REMARKS,.
ZONE: BY: �~
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from RearProp�. Line
Side Street Setback fro ent r Line
Side Setback front/4 rty Line!
FINAL DATE �IXISPF.�QR�
Issued by: Date GJPermit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING_FEES
A.C. UNIT
COLL. AREA
f
1ST FL. SQ. FT. ® $
UNITS
HEATING (ROUGH)
r' 1'
FORMS
YARD SPKLR SYSTEM
2ND FL. SO. FT.
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SQ, FT. ®
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
GROUT
WATER HEATER
SERVICE
FINAL INSP.
DRAINAGE PIPING
CARP. SQ. FT. ®
WATER SYSTEM
WALL SD. FT.
=$
DRINKING FOUNTAIN.
FINAL INSP.
URINAL
SQ. FT. ®
ROOFING
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIREPLACE
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
HOUSE SEWER
CERT. OCC.
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 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.
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
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 111/10/941 Type of Permit I La Quinta
No. 113177 Permit #
Owner Name Mf Rdsch Log
No. 54-246 street Shoal Creek
City La Quinta Zip 92253 Study Area 106
APN # I Tract # I I 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 Telephone 771-0051
Name on the check
By
Dolores A. Ballesteros-
Superintendent
Fee collected /exempted by Mary Lou Lopez
Payment. Received
Signature _ Check No. 13602
Collector: Attac a c of county or city plan ch application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy Accounting
JAMES O. WALLACE
Aprtcuthxal Commbsioner
Director of Welphls & Measures
OFFICE OF THE
AGRICULTURAL COMMISSIONER
P.O. Box 1080
RIVERSIDE CA 92502-1089
PHONE (909) 2753000
FAX (909) 2153012
�6.
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619)863-8291
�% CASs NO.
DATE �/L/�� — .
DEVELOPER,',9 NAME: Z,�. `}, n C,.S�
ADDRESS: 1 c)
CALVIN C. KAMINSKAS
Asslslant Commlsslonef
DAN RILEY
sealer, Welghls & Measures
(909) 275-3030
FAX (909) 276-4720
TELEPHONE: (o`
.—'�UC) C.`�' SLl
Deur Developer:
After reviewing your landscaping plans, all plant material listed .is. not in
violation ol' quarantine laws governing, the Coachella Valley. If substitutions
do occur aiid they differ from plant material listed, this office must be
notified immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free
environment.
=N , � \)�—Y....y, W �`��'�•--mac
Agricultural Commissioner's Ulfic
cc: Indio and Riverside
I
n"
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 ASSOCIATION;
P.O. Box 1060
La Quinta, CA 92253
or, 55-940 PGA Boulevard
La Quinta, CA 92253
Attn: Property Manager
NAME:
ADDRE
PHONE: (o (
PROPOSED START
Homeowner's Signature
INC.
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 modifications of all external systems (landscape,
sprinklers, gas lines; 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 applicable)
5. Construction -Regulations form (signed)
ELECTRICAL [ ] Approved [ ] Disapproved
Signature Date
LANDSCAPE ( ].Approved [ ] Disapproved
Signature
Date
ARCHITECTURAL COMWTTEE 114 Approved [.] Disapproved
Signature Date
ARCH/Rev 6/94' 1
k
STRUCTURAL AND CIVIL ENGINEERING
DENISE R. POELTLER, INC.
79-301 Country Club Drive • Suite 202 • Bermuda Dunes, California 92201
27 September 1994
Mr. Mark Harold
CITY OF LA QUINTA
78495 Calle Tampico
La Quinta, CA 92253
RE: KNOX-RIBAS
54-387 Shoal Creek, PGA West
Dear Mr. Harold:
I have reviewed the dead and live loads used for the design
of the pre -manufactured flat and fink roof trusses provided
by A. C. HOUSTON, and found them in substantial conformance
with my original design loads.
Respectfully submitted,
Denise R. Poeltler
R.C.E. 33446
DRP/lm
W.O. #94-106
CC: PAR DEVELOPMENT
74170 Highway 111, Suite 3
Palm Desert, CA 92260
QAOFESSIpN��
F`01
No. 33446 9
kExp. 6-30-98
�CIV 0- P?
OF 0-
TEL. (619) 772-3966 • FAX (619) 772-3986
CITY OF LA OUINTA
°r OF _4 tPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
x'. -24-HOUR NOTICE INSPECTIONS
777-7153
Owner Mi Rusch
Contractor Rancho Capistrano Development
Permit Number 14242,
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 54-246 Shoal Creek
SFD Permit does not include block
wall or pool.
TYPE OF INSPECTION DATE . INSP.
FOUNDATION 8 SETBACK L
.FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS SEEN SIGNED
CONCRETE SLAB
JOISTS 8 GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS 8 GAS TEST
HEATING & VENT - A/C
FIREPLACE
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SI
r
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
ELECTRICAL - v__
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED Z2 z5q
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILIT! ES OZ',OCCUPY BUILDING
4!88
rj
I�itltn anSP tttun
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
I rdinances of the. City regulating building construction or use. For the following:
BUILDING ADDRESS r,4-946 SHOAT. CRF.F.K
Use Classification qFn Bldg. Permit No. 1 49 4 9
Group R-3 Type Construction N Fre Zone Use Zone R1
Owner of Building MR RUSCH Address 80-095 MERTON
City LA QU.INTA CA .92253
By; RICHARD L KIRKLAND
1 Date: 5-15 95
wilding Official
POST IN A CONSPICUOU! PLACt