08404 (RPL)Building,
Address
Owner
Mailing
Address
^
City
LA Qfim
Contractor
Address
I]i _ I Tel.:
State Lic. City
& Classif. Lic. #
Arch:,' Engr.,
Designer
Address Tel.
P.O. BOX 1504 114U. LOCI .
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253 .
BUILDING:t.TY.PE CONST..- OCC..GRP.
A.P. Number
Legal Description
Project Description c"ilr+,~ i>t�:� flmit
rz a s e
City,, Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions.of Chapter 9 (commencing with Section
7000) of Division 3.0f -the Business and Professions Code, and my license is in full force and
effect.. ✓� `
SIGNATURE .✓!� - "r - "o 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 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).
O 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.)
O 1 am exempt under Sec. B. & P.C. for this reason
Date w 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
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed if the permit is for .one hundred dollars (S100) valuation
of 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: 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.
Icertify that I have read this application and state that the above information is correct.
I agree to comply with all city
and county Ord inances and state laws relating to .building
con struction, and hereby authorize. re presentatives -of this city to enter the -above-.
mentioned property for inspection purposes.
I� SignattTre of applicant Date
Mailing Address
City, State, Zip
r
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
`Plan Chk. Bal
Const.
Mech..
Electrical
Plumbing271
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
is A'Ali.$ AA_1A•-_"..
#.;FISH. I aVINL I _'07� f -J
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-DATEINSPEECTTOR
Issued by: DateMAIM _Permit
Validated by:
Validation:_
:q".�r, ti,..F... �,. an•.� •'i °.4 c- ti
'A+i 'T. ..ti . ' Y: • f: '.i -s: ' �. ^l i,� � ' � :.° xy i-z'+:.,'s `,r.S'i r . i` . ti':. - ..r a R -�-s' .-� '+- ti
' H�,
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
POR. SQ. F7. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. Ff.
HEATING (FINAL)
DRINKING FOUNTAIN.
SQ FT ®
GAS (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER HEATER
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GRADING
CU. yd.
—Plus—x$—=$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GAR. FIREWALL
GAS PIPING
PERMIT FEE
-[—
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
7
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 APPJEOU1P.
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;
v r.
/ZOO
`/ L
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATU aES/INITIALS
GARDEN WALL FINAL
S-
78-105 CALLE ESTADO — LA QUINTA, - CALIFORNIA 92253 - (619) 564-2246.
OF
Ttt� FAX (619)x" 564-5617
Y
July '3 199.1,
Bob Melkesian
51-905 Avenida Vallejo,
La Quinta, CA 92253
Dear Mr. Melkesian:
It has come to the attention.of ,the City of La Quinta Department
of Building and Safety` that your ,.building permit #08404 for a,
sw,imming:pool located at 51-905 Avenida Vallejo has expired.'
According to the Uniform• Building Code, '.Section 3.03 (d) , :no , further
work shall be performed on the above.permitted,job-site until a
new',permit, has been -issued or an extension granted.`:: -
Should you wish an extension of.this permit you must request, in
writing, for an extension within, > 14 days of the date of this
letter.
- Once a permit has'expired a new permit must be `obtained prior to
any, further work -or inspections to take place. The, fees -for a new
permit would be,as'listed in Section 303(4).
We'appreciate ypur immediate.attention -to this matter.
Sincerely,. -r
BUILDI AND SAFETY DEPARTMENT
Tom -Hartung
Director of`Building andSafety
TH/lc - -•
MAILING 'ADDRESS P.O. BOX 1504`- LA QUINTA, CALIFORNIA 92253
• Desert Sands Unified School, District
CERTIFICATION OF PAYMENT
OF
SCHOOL FACILITY FEES
TO: City of La Quinta DATE: O
Department of Community Development
78-105'.Calle EstadoUMENT CANNOT
La Quinta, CA 92253 NOTICE:- THIS DOC
BE DUP CATE®, '
This is to certify that VI/dJ/ .
developer of which is
located at , within
this District, has paid school f cility fees imposed pursuant to the
authority generated by overnment Code Section 53080_'n the amount of
$ JV) A -W ,n,2 '4 Ze ;-.e A li n /A f �4 X C6
covering a total of square feet of ( ) re idential or
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
for DESERT SANDS•UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
OFFICE OF f
`. •
A
•
0 `• AGRICULTURAL COMMISSIONER '
V
`
_
) ANDIt
a WEIGHTS & MEASURES CALVIN C. KAMINSKAS
>>;
JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Assistant Commissioner .' .
AgricultUral Commissioner RIVERSIDE. CALIFORNIA 92501 CLEMENT BENVENISTE
Director of Weights A MeasuresSealer
(714) 787-2561
49613 Highway 86.,' Suite B12'
Coachella, C - 92236
(619) 342-8291
DATE CASE N0.
;
DEVELOPER' S' NAME: 6:l e%k-e
ADDRESS: C7:) �� 2
C) C -d�= y
TELEPHONE: 47 7. 7(t)
G G-v 3L.r� Lk Pt
Dear Developer:.
After reviewing your laridscaping,plans, all plant material listed is not in
violation of, qLk rantine- laws 'governing the Coachella Valley.. If substitutions
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.
iet
V ♦ .
,. Agricultural 'Cai nission r's,,Office
..
r
cc: .Indio and. Riverside Office t
•
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