05837 (SFD)4AV/ 4 4 a"
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 54--575 VALLEJO LA QUINTA, CALIFORNIA 92253
Owner
Mailing
Address 54-845 0BRWIM
City Zip Tel
LA QUNTA 92253,_ 564-3424
Contractor
Zip Tela
State Lic.I City
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
City I Zip I State. I
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 Contractors 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 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
Orvision 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).
❑ 1, 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. It, however, the building
or improvement is sold within one year of completion, the owner -budder will have the burden
of provbmg 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 bmMs or imoroves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. & P.C. for this reason
n
Date L/r l/I' downer ("'"..- i 't.3.r v
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Workers Compengation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) ,
Policy No Company
❑ Copy is.filed with the city. ❑ Certified copy is hereby fumished.
I
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.)
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 subjwect 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.)
Lenders 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 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. 05537
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 774-21RI-016-017
Legal Description MTS 4 & S 3_�C K WS
Project Description SINGLE FAMILY WAMLING
LOT . MnGER h FEE
Sq. Ft. 1S2G
Size
No. No. Dw.
Stories Units
New L Add ❑
Alter ❑ Repair O
Demolition ❑
Estimated Valuation
$1€34*044.00
PERMIT
AMOUNT
Plan Chk. Dep..�.t3
Plan Chk. Bal.
Const. PENCE
25.00
Mech.
Electrical
Plumbing
S.M.I. Ma
.fl7
Grading
Driveway Enc.
Infrastructure
1,
14 1.UU
SE
C3
DE OSIT
Z55#. ili
TOTAL
115.00
90'.4
REMARKS �.
ZONE: BY:1Gt:�l� � cilk f121.2 T' 1116 122-1*#.A -P, 7I.t►
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 -
5/3/1439
N PECTOR
5/3/lv9
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SE
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CARP. SO. FT. ®
FINAL INSP.
WALL SO. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ plus
URINAL
SO. FT.
FINAL INSP. /
r
FRAMIN V '!
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
�7 ��`l
FLOOR DRAIN
MECHANICAL FEES
IWATERSOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOXDiSH)
APPLIANCE DRYER
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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 ® 1+/. c
SEWAGE DISPOSAL
SO.FT.GAR ® VAc
HOUSE SEWER
FINAL INSPECTION
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
GROUND PLUM BIN Q
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SE
ROUGH WIRING
DUCT WORK
ROCK STORAGE
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
cu. yd.
$ plus
LUMBER GR.
FINAL INSP. /
r
FRAMIN V '!
FINAL INSP.
ROOFINqPf �d
//Y
�7 ��`l
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
Kfr-rATHING S��!
MESH
INSULATIONISOUND D
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
'
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
KJ
SCHOOL FACILITY FEES
INNOTICE. TMIS
TO: CityBW DaUP-QUOATEj�t � 1d1VO DATE:
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253 r"
This is to certify that v Q (,(/ /
developer of which is
located at , within
this District, has paid school f ility fees imposed' -pursuant to the
$ hority g ne a d by G vernment �o a ec .iolt 308 n the amount 9f
uoum/w;;
cov ring a total of uare''Y'`4,et of ( ) r sidential o 7
( ) industrial/commercial development and thaL.,buildinIg permits for
this footage in this development may now be issued by your jurisdiction.
for DESERT SK4fiS UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting 0 Gold - Developer
(10)-37
Date: COACHELLA VALLEY WATER DIS I RICT N2 .26011
CASH RECEIPT DETAIL {
Received From: L T �I L �^U 8.
Date:
Address: Z' Z m << ! r\ X171 f�_3 Y._ t0 J. /-�V. 0—^ 0A 1 U
r Account No.( Z D (_V) 3 I �� S j t) • J Lot(s) S Tract S $ j
G.A. Code
❑ Meter(s) i
❑ Service(s)
O Backflow(s)
' ❑ House Laterals)
O DetectorCheck(s)
0' Meter Surcharge _
L�Sanitatlon Capacity Charge `
15'I5
p
❑ W.S.B.F.C. ..
O Temporary Construction Meter
O Tum on Charge
O Uncollected Account - Name
O Inspection Fee - Tract -
Fee -'
❑ Plan Check Fees Water I Sewer -
Tract -
9,, Bond Payment - A.D. - Bond I
:,- Assmt.
O ' Customer Deposit
❑' Other
rTOTAL $ 1 V
Remarks: �iY . S
.. �a G.1 u ► � 1 F•� .L�
❑ Copy to:
Cash
Money
Service
Check
Money , '•' " ;'.i. Cashier
Order -; �'= I
',''`, �ti . CvwD-438 (6/88
�[ Buena Engineers', Inca
79-811 Country Club Drive, Suite 4
Bermuda Dunes, CA 92201. • (619) 345-1588 / 328-9131
Client Nam
Client
t
Client Phone -•- f
DATE
31000_ ,-2 (g1gq
JOB NO.
67- VS -C(7- - Pt
PROJECT
LOCATION
b!A 0-v t ti-rA
FIELD TESTING
CONTRACTOR
k.' 1 (_ M C-- (Z
OWNER
/10 /_
WEATHER
� A—RL,
TEMP.
o at AM
° at PM
PRESENT AT SITE
TEST
, TEST LOCATION
LOT,
MOISTURE
0 CLIENT REPRESENTATIVE SIGNATURE
618
FIELD REPORT
TECHNICIANS SIGNATURE
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_
FIELD TESTING
REFERENCE CURVE
TEST
, TEST LOCATION
LOT,
MOISTURE
DRY
MAXIMUM
MAXIMUM
OPTIMUM
NUMBER
NO. :
ELEVATION
CONTENT
DENSITY
DRY
DRY
MOISTURE
i
%
lbs./Cu. ft.
DENSITY
DENSITY
CONTENT
j(jtJ
%
IbsJcu. ft.
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REMARKS. TSS —(-s Q
t
C :1 ASS V.v1 t 6J(-- A a M P1 C rJ 0 A -L_ C- 't"C S I S
tN iz t- 'f -'T' CJK2- p O o (,.l) (I O f S
Sd t � .S A-tO (-ars E �-TA �J F70NR It S-rn AJ
x r
4
0 CLIENT REPRESENTATIVE SIGNATURE
618
FIELD REPORT
TECHNICIANS SIGNATURE
>;," .
DATE:
APPLICANT/
OWNER:
PROJECT:
LOCATION:
GENERAL PLAN
LAND' USE :
EXISTING
ZONING:
ENVIRONMENTAL
EVALUATIONS:
PH -2
STAFF REPORT
SEPTEMBER 26, 1989
LOTT L. & MARY LEE KILMER
SPECIAL RESIDENTIAL STANDARD ADJUSTMENT NO.
89-003, REPLACE STUCCO SIDING WITH MASONITE
LAP SIDING
54-575 VALLEJO
MEDIUM DENSITY RESIDENTIAL -(4-8 DU/AC)
SPECIAL RESIDENTIAL (SR)
THE APPLICANT'S REQUESTED ADJUSTMENT IS
EXEMPT FROM THE CALIFORNIA ENVIRONMENTAL
QUALITY ACT OF 1970 (CEQA).
PROJECT DESCRIPTION:
The Applicant 'is seeking an adjustment to the exterior
materials requirement 'contained in the Architectural Standards
Manual for the SR Zone. The Applicant proposes to install -a
gray masonite lap siding.
MIA /4Tl1_1D^T7ATTI .
The Manual states:
"Siding shall be stucco., plaster, masonry, or a similar
.material.Wood, or materials of a similar appearance,
may be used as trim and design accents for 'up to a
maximum of 20 percent of the surface wall area on any one
side of 'the.house, unless an adjustment has been approved
by the Planning Commission."
The Applicant submitted house plans identifying a combination
of stucco along the lower one-half of the exterior walls and
masonite siding,on the remainder. A correction note was. made
on the plans `identifying that the percentages exceeded the
minimum, and that it was to.be changed.
The Applicant said that the note was not picked up and
proceeded to install masonite on the exterior walls. The
inspectors put a stop work on the project until resolved.
BJ/STAFFRPT.013 - 1 -
;
The Applicant now is now seeking an adjustment to permit the
installation of masonite siding on the exterior walls.
ANALYSIS•
1. The surrounding homes have stucco siding. The homes
under construction to the south will have stucco walls.
2. The SR Zoning Standards permit the granting of an
adjustment by the Planning Commission, provided the
following findings are made:
A. The proposed use and design 'conform to all
applicable requirements of the City. General Plan
and any other applicable specific plan adopted by
the City and in effect at the date of approval.
B. The proposed development complies with the
requirements of the zone in which it is located.
C. The architectural aspects bf.. the development will
be compatible with, and not detrimental to,; the
present and future logical development of the
surrounding property. These aspects shall include
but not be limited to the structure's size, shape,
width, bulk, height, materials and architectural
style.
D. Approval of, the development shall not be a
detriment to the public's health, safety and
welfare.
E. The design takes into account the existing physical
characteristics of the site, including topography,
drainage, and trees.
F. Approval of this development does not exceed the
maximum limit' of five unsold houses under
construction by a single applicant at any one time,
unless an adjustment raising this limit has been
approved.
3. The home complies with all standards of the SR Zone,
Architectural Manual and Landscape Manual with the
exception of the exterior wall material.
4. This is the first adjustment request to -deviate from the
required exterior material since the Ordinance was
adopted in 1986.
5. Allowing this adjustment might stimulate other similar
requests.
6. There exists older homes in- the SR Zone that have
masonite.siding.
BJ/STAFFRPT.013 - 2 -
a
7. The intent of -the stucco walls/tile roofs was to upgrade
the area designated Special Residential.
8. The proposed exterior colors will be'gray.siding, white
trim,, dark,gray roof.
9. The action;of the Planning Commission is £incl unless
appealed to the City Council.
it
SUMMARY: ,
The Planning Commission can:
1. Permit the,'adjustment.
2. Modify the request such as requesting a stucco, masonite
combination.
3. Deny the request and require stucco walls.
FINDINGS:
s
1. The adjustment request is exempt from CEQA.
2. The proposed adjustment request is not copatible with, the
surrounding homes..
3. The request if granted. will establish a precedent
permitting'other buildings to make the same request.
RECOMMENDATION:
By minute.motion,,deny the request and require the. Applicant to
stucco the exterior walls.
However should 'the Commission chose to approve the Applicant's
request, the following findings should be made.
L�TLTTIT \T/'.N .
y
The adjustment request is exempt -from CEQA.
2. The proposed use and design conforms to all applicable
requirements of the City General Plan
3: The proposed development as conditioned complies"with the
requirements of the SR'•Zone with the exception of the
requested adjustment.
4. The architectural aspects of the development K" is
compatible with, and not detrimental;to, the present and,
future logical development of the surrounding property.:'
5. Approval of the development is not detrimental to,the
public health, safety, and welfare.
BJ/STAFFRPT.013 - 3
A
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