10410 (SFD)4
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 78-340 Singing Palas Dr • LA QUINTA, CALIFORNIA 92253
Owner
i)ouglas V. & Elizabeth A. Rall
Mailing
Address 53--255 Ave. Carraaza
City Zip Tel.
La Quinta 92253 342-2287
Contractor
Ehi►neri Builder
State Lic.I City
& Classif. Lic. #
Arch., Engr.,
Designer Jim Avenell
Address Tel.
52275 Vallejo 564--2805
City Zip State
'Ara:' Quinta 1 92253 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I 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,Business and Professions Code: Any city or county which requires a
permit to construct, after, 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) 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 penafty 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
oJ,Ypaoving that he did not build or improve for the purpose of sale.)
O 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 forty
such projects with a contractors) licensed pursuant to the Contractor's Licerlrse Law.)
❑ 1 am exempt under Sec. �� B. & P.C,dorethisf eason `
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
0 Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE R y
(This section need not be completed:,if the permit is,191( n�hundred dollars r$100) valuation
or less.) _ \ - ` y
I certify that in the performance oflthg work for which thiNpermit is. issued, I shall not
employ any person in any manner^so as to,be ov y\bjrect to theWo is�Vmpensation
Laws of California. y m e,�
Date Owner''`
NOTICE TO APPLICANT. 11, alter 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
No.04110 __;�f
- ti* u
BUILDING: TYPE CONST.
A.P. Number
Legal Description Lot 23,
Project Description SFD
OCC: GRP.
'bract 2043
PERMIT
AMOUNT
Sq. Ft.2495 No.
Size Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑
Repair ❑ Demolition ❑
stimated Valuation
153,128.80
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
445.19
Const.
828.50
Mech.
83.00
Electrical
164-73
Plumbing
1£3.50
S.M.I.
15.40
Grading
20.00
Driveway Enc.
20.00
Infrastructure .
3117.88
z#. to in Piibl.i n.
132.82
�•�a4rit lr, , i'�t , 71:1:; �76>'f
�- � ii-17�� � .i1.=
TOTAL
5241.02
4991. UZ
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
SLAB GRADE
2ND FL SO. FT.
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN,
SO FT ®
GAS (FINAL) TEMP. POL 7 ,
�v
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
VENTILATION
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/. c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
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
GROUND PLUMBING NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
Ln SEWER OR SF -TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POL 7 ,
�v
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP. 4 (� 1� 0
FINAL INSP. i( �j`�
GRADING
cu. yd.
$Plus x5
=S
LUMBER GR.
FRAMING ` z�
ROOFING
`,
'1 �
O�
d �B `
`O b ( a
j�-410�,✓1A
�/
f!A " l � �kIc-P
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
mow J O 1[-
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) 347-8631
Date 7/28/92 Type of Permit La Uinta
No. 111598 Permit #
Owner Name Douglas Rall Log #
No. 78340 street 'Singing Palms Drive
city La Quinta zip 92253 stuay Area 201
APN # Tract # Lot # Square Footage 12496
Type of Development Single Family Residence No. of units
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 ai 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 11.58 1 X 496 or $ 3,943.68 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 . Douglas Rall
Name on the check '
]By James E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
Signature �C_; .q'_/�(QJz, U:tL
Teleph, ..i , 'P'342 -M7
Payment Rec" ivedl`?
Check No. 52989
Collector. Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
Payment Rec" ivedl`?
Check No. 52989
Collector. Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
CALVIN C. KAMINSKAS + DAN
' 'r� e - Sealer, WelghIS ls &RIL& Meosures
Asslslonl Commissioner
° 7 '�
(714) 275-3030'.
(714) 275.3000
,
OFFICE OF
'• =
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Conmissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291
ASE No. �G� /L%2 3 l C-
DATE 2-/3��/
DEVELOPER'S NAME.
ADDRESS: �� O �%C7 �� �( '`CA--t
r
'IELEPIIONC-
70'-340
Dear Developer:
After reviewing your landscaping plans, all .dant material listed is not in
the Coachella Valley. If substitutions
violation of quarantine laws governing
do occur and 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..
Agricultural Co11 issioner's Office
cc.: Indio and Riverside
•
g.^
y
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012
' Cs
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_ .. �A.t - � +.: '• ..fir- , '!,� .'� f 7�i-��J�y4t•-�l'•N P� '1j. .. .. � ... -
'.p
tj Copy to:
' a Water Service
4 C
Money (S % r;, r Cashler
Order :�; )
Al
CV -438 ('1/89
COACHELLA VALLEY WATER DISTRICT
A
CASH RECEIPT DETAIL
-i67
Received From: ✓
�.�/�/�^ V ',
�� Z
2-
Date: 7 2942-
SJ�n �%r��
2�+
Address:
Address:
/� / �%� - J /ri �U����%�
i
4 4 Q*rcv
P.O. Box 15W
16105 CALLE ESTADO-
LA OUINTA• CALIFORNIA 9225
Contractor Owner
.Address Job Address5�
, �Q
La'Quinta City License.No:: 'Expires: Bldg. Permit No.:
This form shall.be posted on the job with the Building Inspection Card and. it
shall be the duty of the General Contractor'or if Owner -Builder Permit, the owner
to see that all sub -contractors sign this card, giving his City of -La Quints
Business License .Number, Contractors License Number and a current certificate
of Workman's Compensation Insurance Certificate when he starts the fob.. Failure
to comply may cause Building Inspectors to stop work, or complaints to be filed
against such contrictors•or owners.
' CITY • CONT.
SUB -CONTRACTORS NAME LIC. NO:, EXPIRES LIC. NO., EXPIRE:
Grade rr Excavate)
'2• Pipelines
63) Cement -Foundations
4• Cement walks i Drives
S- Asphalt Paving
" Framing s r
Steel Structural
S. Masonry -
9• Plumbing
L0.1_ Lathing
Ll. Drywall -
-L2. Plastering
(3 HVAC
« Electrical
•
Roof in
9
l6. Sheet Metal
17. Floors-;-All-Types
18. Glass - Glazing -
19. Insulation/weatherstrip
20• Sewage Disposal
21. Painting/Decorating
22. Tile
23. Cabinets -Installations
24. , Ornamental Metal -
25. Fences/Blockwalls
26. Landscaping
27..- Others
28.
DO NOT REMOVE THIS CARD ;
Before Final Building Inspection Will Be Made