05803 (SFD)Building
Address 51-650 .VALLEJO
Owner
Address 52—$23 $VEHIM BERMAS
• i ,
J
P.O. BOX 1504 N o , 058 -
7&105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
City Zip Tel.
LA QU A X2253 564-447d
Contractor
cal�vZi.�
Address
City
State Lic. City
& Classif. ,� Lic. #
Arch.,-Engr.,
Designer
Address I Tel.
City ZipState
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
OWNEWBUILDER 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
subgects the applicant to a civil penally of not more than rive 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 snproves 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 builder 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 1 have a certificate of consent to self -insure, or a certificate of
l . Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
0. 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 pemut is for one hundred dollars ($100) valuation
or less.)
1 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--L-Owner
aliforniaDate Owner
NOTICE TO APPLICANT: d, 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
Lenders 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 certity that 1 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. .00C: GRP.
A.P. Number 773-1321 ii07
Legal Description LOT 18
Project Description :. t` .D YRt
Sq. Ft. No. No. Dw.
Size 1380 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation .
PERMIT
y
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
210.E
Const.
531 .51D
Mech.
60.00
Electrical
105.40
Plumbing _
154.50
S.M.I.
11.25
Grading
20.00
Driveway Enc.
20,.00
Infrastructure
a77structure
1#666.50
T So TUN
-
TT
TOTAL
_ rZ
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 SM/89 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. SQ. FT. ®
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT.
REINF. STEEL
GAS (FINAL) TEMP. POLE
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
FINAL INSP.
I
BOND BEAM
WATER SYSTEM
DRAINAGE PIPING
CARP. SQ. FT. ®
LUMBER GR.
FINAL INSP 01cu.
r
G FRAMING-lY
lll(�////
FINAL INSP./;/�
DRINKING FOUNTAIN.
WALL SQ. FT.
REMARKS:
URINAL
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
FIREPLACE
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.UflMECH.FEE
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HPPOLE,
TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITYAMPERES
SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
GARDEN WALL FINAL
SQ.FT.GAR ® Vic
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEPLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK 00UND
PLUMBIN6� G UNDERGROUND
A.C. UNIT
COLL AREA
GRADJJJ
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
RMS
ER OR SEPTI —3i 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
yd.
—plus—x$—=$
LUMBER GR.
FINAL INSP 01cu.
r
G FRAMING-lY
lll(�////
FINAL INSP./;/�
G( ROOFING _�_
ff//��
o d 1 w f/J%/ // ,
QJ
G
/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING V
MESH
S
NSULATION/SOUND2�
I
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
1
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
SCHOOL FACILITY FEES
40k,
ON
TO: City of La Quinta DATE: -%%U
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253 NOTICE: THIS DOCUMENT CANNOT
BE ®UPLICATE®t
This is to certify that ( 6M5;b-00'40)-)
developer of P, which is
located at within
this District, has paid schodl facility fees imposed pursuant to the
authority generated by Government Code Sectioii 53080 in the amount 'qf
$ ? 6 ( Gv S D d gflvo) .
covering a total of /3 n square feet f (A) residential or
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
o u
JAW 46C &)6d
for DESERT SANDS UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting 0 Gold - Developer
(10)-37
, p 1 R /�•
LEOI
6 ' •� 'y - ; - - 1)1(lt.E Uf '� .' ' ' . � ; `# Co••►.n;:W�.ln . • . ';
�t�a►rar N.
r
nt;lll(:UL I.UI AL t U�l(�11551UPILII' ,n.IEs v v:Mn(;F
��SiS►��r r.•tr.r.n55nrtn
1�ND LEEMEVI (1f,`VENISIE
WASU ILS sc�un
/19-G13 'llay flulte 11—I2 , .4
.. ,,.. •l:vncl e . r JA
.e��.�1S1�ei'� 61Y-3hZ-OZ91 '
AIS P p � 6 q ,: � ". �. _ . " k •.
- t;nSC I Il) • -�
�: �n�c� i'V�, �� Imo`+' i .. .. • . ; ; � .. - ,
usvr vrnt'
Lam,,
Dear heveluperl ,
r.lalldsce►1i�i:I►c� Irlan to t
fill Ir1f-1-,Il
IIt liyter,lal 1lsted u�s1titutivirs
Ager zevie-, your
1- r
violation u[ .yu railtSltp lf)'u►lailtellilll feliq ll l 1 saUllseo[[lce must be Ifotil iec�
T30 occur a�ii� they dl[[er [ I
a ,
1, ally ►�esetvll►y IIIe:.wacllellf� Valley's. t--ILee elfvi)cvlrlrelit•
'thank you tor 1)cvtectL, y !
q t
ngr ltutal Caiiitt svllerls Vl[�ce y; r r s L
ldeUC[i' ..
ccs 1�Idlo'fand Itivecsce ;,