10023 (SFD)9/17/31
AddrressBuilding 53�-SIS Vallejo
Owner
Pat Martin
Mailing
Address
City lZip
T4hf -4
P.O. BOX 1504 N o . 10023
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 774-162.028
Contractor
Tim Faracy
Address
81824 Trader P1 IC1
City Zip Tel.:
TT'tt'#irs 1 90201 775-1985
State Lic. Cit�y�
& Classif. $ ,5{2505 Lipy'#
Arch., Engr.,
Designer
Address Tel.
City Zip, . ' State
Lic. #
t r
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. 7031.5,8usiness 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) 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 rive 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. roving that he did not build or improve for the purpose of sale.)
ll, 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 am exempt under Sec. B. & P.C. for this reason
► .- y; p / ,
Date Owner 'r•�•°f eek' ! 3 �zrY't�
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
.y i gft L. r I uafxYx
% 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, 1 shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of
California-
Date-Owner
aliforniaDateOwner
NOTICE TO APPLICANT: It, 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
Description
Project Description SFB
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:
Sq. Ft.2300
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit does
not include
block walls or
pool
Estimated Valuation
128.332.00
PERMIT
AMOUNT
Plan Chk. Dep.
1 250.00
Plan Chk. Bal.
352.05
Const.
741.00
Mech.
55.50
Electrical
139.50
Plumbing
133.54
S.M.I.
12.90
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2887.47
Arts in Pujblid
70.V3
TOTAL
4692.75
4442.75
REMARKS
Fn l'1.5)? :9 ?i
i!.',dtlt?,t)�S~`'i>•i, ,r to
—..
4 i,r Ir t,.A k
V %Y I ir, K -I
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. SQ. FT. ® $
UNITS
SLAB GRADE l %/�Z_
2ND FL SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SO. FT. ®
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SQ FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
/
FINAL INSP. Y ,2, LV
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
L0
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
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.
SQ. FT. RESID ® 1Vi c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR ® 3/ic
HOUSE SEWER
TEZ
HING 3
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 y
GROUND PLUMBING//V
NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE l %/�Z_
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
LfflSEWER
OUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL / y
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
$ plus x$
_ $
LUMBER GR.
/
FINAL INSP. Y ,2, LV
FRAMING �Z
l
FINAL INSP.
ROOFING
/
L0
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
TEZ
HING 3
MESH
INSULATION/SOUND'
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 9/18/91 1 Type of Permit I La Quinta
i
No. 110868 Permit #
Owner Name Pat Martin Log #
No. 53-815 Street Vallejo
city La Quinta zip 92253 Study Area 110
APN # Tract # J Lot # Square Footage 2300
Type of Development 16ingle 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 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 11.58 1 X ® or $ 3,634.00 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 Patricia J. Martin
Telephone,,.�5564;J' Y
Name on the check
By James E. Lively
Assistant Superintendent, Business Services
Fee collected/egem ted by Diana M. Allard
Payment Receive" V`,?
Signature %.
Check No. 4778
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
01
CALVIN C. KAMINSKAS �:, DAN RILEY'.
f Assistant Commissfoner'. a ` Seater, Weights & Measures
(714) 275.3000 (714) 275.3030
OFFICE OF l
.AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
( 619) ` 342=8291. �•
DATE CASE N0.
DEVELOPER'S NAME- Q�w Q 2n Gt,�
ADDRESS:
TELEPHONE : (6 / 9) 5 f% y - / 7/ V '
5 (3 k�ek a u N�l2Z
Dear Developer:
After reviewing your landscaping plans,,all.plant material listed -is not in
violation of quarantine laws governing the Coadtiella 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,'. .•.
Agr' ltural-Cominissioner s Office
cc: Indio and Riverside '
r -
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 = FAX (714) 275-3012
0
•�I
W
4 2(4P
78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 9.2253 - (619) 564-2246
FAX (619) 564-5617
April 24, 1992
Mr. Tim Faracy
Faracy Construction
81-824 Trades Place
Indio, CA 92201.
Dear Mr. Faracy:
Subject:
Setback Adjustment: 92-107
Location: Cove
APN: 774-162-028
Legal: Lot 5 Unit 22
This letter 'is to report approval of your recent application for a
setback adjustment, pursuant to Chapter 9.188 of the City of La
Quinta Planning & Zoning Regulations. The following setback
adjustment has been approved subject to conditions and in accordance
with attached Exhibits A & B.
SETBACK ADJUSTMENT:
r--Nr—Conditioning—condensers_in_5-_foot side--yard`area.
FOR: Single.Family Home (SR Zoning area)
CONDITIONS:.
1. The SR Zoning* Code Standards shall be met with the exception
of the above cited modification.
After review it was determined that:
1. This adjustment is consistent with the intent and purpose of
the zoning ordinance.
2. There are special circumstances applicable to the property,
including such factors as size, shape, topography, location or
surroundings that justify approval of the adjustment. These
special circumstances are: a) the existing setback
requirements impose undue standards on the development of the
lot, if imposed; b) public utility companies will not be
affected by the request, and c) the Fire Department was not
opposed to the units being in the side yard because they will
not affect life/safety provisions (see attached Fire
Department approval).
�9�
MAILING ADDRESS P.O. BOX 1504 - LA QUINTA, CALIFORN ACITY
®92� P
LTRGT.102/CS -1-
CITV
3. This adjustment will not be detrimental to the health, safety,
and general welfare of the community or be detrimental to
property in the 'vicinity of the parcel for which the
adjustment is requested.
If you have any questions, please contact the undersigned.
Very truly yours,
JERRY H RMAN
PL NIN &/'DEVELOPMENT DIRECTOR
v
e usdell
Ass ciate Planner
GT:ccs
Attachment: Exhibit A & B
cc:- Building_ &_ Safety_Department=
LTRGT.102/CS
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