9910-045 (2)1.7
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P.O. BOX 1504
j + 78-495 CALLE TAMPICO
Address _ / V 37/ / fiY,t��" LE\ _(!k NJA�CALIFORNIA 92253
Owner / fl, Te.4 w. Zz&e� , . e�.,4,14— I
Address V r`
City Zip
Contractor��€��
State Lic. I City
& Classif. Lic. #
Arch., Engr.,
Designer ;uo_-g� '" Agvxj L
Address2 , I Tel.
Cityi� i Zlp 2- V Lic.S�at Ot&
/",i 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 1 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 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).
12 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'1 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.)
1'7 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
f7 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 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: U, 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.
1 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
APPLICATION ONLY
11LDING: TYPE'CONST. -OCC. GRP.
P. Number 1110; 3bo -
Description
L_cr-� -M Acr 28 41 - 2
Sq. Ft. 6 �3 2"o -NO. No. Dw.
_Size Stories Units
New ❑ JW Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep. ��,y ✓•
Plan Chk. Bal. �-
Const.
—
Mech.
Electrical
Plumbing
S.M.I.
Grading (- ; r -F OR 'ICICA
Driveway Enc. v
Infrastructure
i
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:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
may+ 14A.
is
arF>
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
Date 12/7/99
No. 19713
CERTIFICATE OF COMPLIANCE
APN # 770-300-042
Jurisdiction La Ouinta'
Owner NameMr. Tony Biggins Permit #
No. 78-371 Street Talking Rock Turn Log #
City La.Quinta Zip 92253 Study Area
Tract # 9910-045 Lot # Square Footage 6432
Type of Development Single Family Residence No. of Units 1
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 mobilehonies. 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
1.93 X 6,432 or $ 12,413.76 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 CC/ 1 st Bank - Ana Maestas , Telephone: 773;3390
} Name on the check I
By. Dr. Doris Wilson x ;'
4 -
Superintendent
Fee collected /exempted by Lucy Renteria Payment Received $12,413.76' `
n Check No. 53286
NOTICE:Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above will begin to nun from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
collect them on the District('s)(s') behalf, whichever is earlier. .
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
f�
f -
Tradition-11,0
ARCHITECTURAL DESIGN REVIEW
Ike I* "N4q
December 7, 1999
Via First Class Mail
and Facsimile
Mr. Greg Butler
CITY OF LA QUINTA
78-495 Calle Tampico
La Quinta. CA -92253
Re: Biggins Residence
. Lot 59, Tract 28470-2, 78-371 Talking Rock Turn
Dear Greg,.
Please accept.this letter as approval for the above referenced residence to obtain a building
permit. Conditions that apply to this submittal will be forwarded directly to the architect,
Mr. Michael Kiner.
If you have any questions or need additional information, 'please do not hesitate to call.
Sincerely,
Christina J. Dores
Architectural Review Coordinator
cjd
pc: Michael Kiner
Tony Biggins
C.VAy D--t,1ADRC10igS1-005.-pd
78505 OLD AvENuE 52 — LAQuiNrA — CA 92253-1120 -- PHONE 760/564-3355 -- FAx 760/564-2356
PUBLIC WORKS CLEARANCE LETTER
FOR
" CUSTOM HOME LOTS
Dear Builder:
Prior to issuance of a building permit, you will be required to obtain clearance from the
Public Works Department for one, or more, ohhe following:
1. Verification that rough grading is complete, and the pad elevation certifications'
prepared by a licensed surveyor, or engineer, are on file in the Public Works
Department.
2: Verification that infrastructure improvements and other required tract -improvements,
are complete, or sufficiently advanced to warrant building permit issuance = -, x
-3. Prepare an engineered grading plan that provides for on -lot storm water retention,
and have it checked and approved by the Public Works Department ' °K
.. - 4--.. y✓Y x' Sys l}:
• Tract 26524 (Estancias)
• Tract 26769 (Mountain View Estates)
4. Prepare an engineered grading plan that provides for building *pad grading.n
accordance with the existing soils report and tract grading. plan. and. have if;
checked and approved by the Public Works Department. T:
• Tract 28034 (South Valley Estates)
371 rAL1Ll►3� �� 4 . J R-� . ,,.,`'$ � ;�
FOR INTERNAL USE BY PUBLIC WORKS DEPARTMENT »
COMME S:
S`:
F:\WVD8MDOCMFORMSIPW CLEARANCE L.ETTERAS
U I Y Ur' LA UUIIV I H
JOB ADDRESS f�' 37'/.7A1X/�G-.,�o PERMIT NUMBER 6� -0�{ OWNER S T BUILDER
This f911M shall be costed on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. -Failure to comply will result in a stoppage of work. and/or the vo e
of building permit. For each applicable trade, all information requested below must be completed by applicant. ►zf
scant. "On Fite" is hot an acceptable response
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(Form Number
at Varies)
Exp. Date
(xx/xx/xx!
License Number
ense Num
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Exp. Date
(xxlxxlxx)
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C ertificate of
Occu an a
City of La QuinM
_
OWN Building. and. Safety .Department
This'. Certificate issued pursuant to the. requirements of -Section -;10.9 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with. the various .ordinances
ofthe City regulating building construction or use., For the following-,
BUILDING ADDRESS: .78-371 TALKING ROCK TURN.
Use Classification: SFD Bldg'. Permit No.: 9910=045
Occupancy Group: R 3 Type of Construction: 'VN Land Use Zone: RL
Owner of .Building: ANTHONY BIGGINS Address: 55-49.9.OAK HILL
City: LA QUINTA, -CA 92253
By: STEVE TRAXEL
Date:. 12-11-00..