Loading...
11277 (SFD)r- • P.O. BOX 1504 No. 11277 Building7 ^'7�5Irwin �1rCly 78-105 CALLE ESTADO AddressLA QUINTA, CALIFORNIA 92253 Owner Joie Carper Mailing Address P. ®, Box977 City Zip Tel. a Quinta 92253 Contractor z Blaine R. Grimes _ �t��� k S �41 "k Electrical Address + ' P. ®. Box 977 City Zip Tel.: 7�aOuinta 92253 State Lic. City & Classif. 619680 Lic. # Arch.,ergr' Apollos Construction Desig Addys a as above ITel. City lZipState I Lic. # LICENSED CONTRACT6R'S DECLARATION 1 hereby affirmjthat I,am licensed under.provisions of Chapter 9 (commencing with Section 7000) of Division 3'of;the Business and`P„rofessions Code, and my license is in full force and effect. till/ J , ,Li ..*max+-.� .t R_.,,._ .s"7 M•..e I .�P_ ! .�v,_ SIGNATURE- •r - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a permit to construct, atter, 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 therefnxn, 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 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, &assess 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 wig 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 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. .O 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 (E100) valuation or less.) - I 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 Owner NOTICE TO APPLICANT: If, alter 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 ' 1hereby 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 BUILDING: TYPE CONST. l4 OCC: GRP. A.P. Number Legal Description fPi P rra nP1 qn l rPrp,..i- Project Description $FD Sq. Ft. No. No. Dw. Size 1.808 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include black walls or pool Estimated Valuation 109,921.40 PERMIT AMOUNT ZONE: BY: Plan Chk. Dep. 250.00 Plan Chk. Bal. 318.60 Const. 674.50 Mech. 55.50 Electrical 139.82 Plumbing 150.00 S.M.I. 11.00 Grading 20.0-00 Driveway Enc. 00 Infrastructure _ 2396.03 'arts in Publid 25.00 TOTAL 40100. 45 4b REMARKS r _ _. _ .., ki,. _.$;R,_ , _ A , 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. PLUMBIWG FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CARP. SO. FT. WALL SO. FT. ® SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK I ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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 FINAL INSP. / SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK OUND PLUMBING&/f% UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE d'/ 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 APPJEOUIP. REINF. STEEL FIPIAZAAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. / FRAMING 0 4, FINAL INSP. ROOFIN to ' / 44 REMARKS: VENTILATION + FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING4V/ N �� ��' MESH INSULATION/SOUND V FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INfT1ALS GARDEN WALL FINAL P.O. Box 15oa. APPLICATION ONLY Building 78-105 CALLE ESTADO Address '75--761f �i>Z W/N CIRC-46LAQUINTA, CALIFORNIA 92253 Owner `4&Htil CA)ZAE/Z Mailing P.O• Q ►J®x 9 77 Address City ZipTel. I -A (Vot kI -A 97- Legal Description t t M–R941-t SEL SO4— Project Description D ,; /��� City # Licto lv/�%lv�SD ,9 (commencing with Section my license is in full force�aJ�d 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 Pr9fessions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repairany structure, prior to its issuance also requires the applicant for such perml4to 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). 21 I,as owner of the property, or my employees with wages as their sole compensation, will do the work, andr 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 or 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 I 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.) 0 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 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 17 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.) 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 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 it 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 sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING DIVISION Sq. Ft. 1805 No. Size Stories New ❑ Add ❑ Alter ❑ -PE Q" tfi NUT No. Dw. Units Repair ❑ Demolition ❑ 11J G f,r4� � C Poo t_ IEstimated Valuation 0" /O 9. Q..21Yo PERMIT AMOUNT Plan Chk. Dep. Distances: Plan Chk. Bal. e-60 Const. 7 1 Mech. Side Street Setback from Center Line Electrical Side Setback from Property Line Plumbing fV S.M.I. / / , 40ro Grading Driveway Enc. --- Infrastructure Validation: 0 • v TOTAL � REMARKS ►���xs�r�t�u �'�fi T X� f' `��n nn 1 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 GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ S 2ND FL. C SO. FT. @ � POR. - J SO. FT. @ GAR. S0. FT. @ CAR P. S0. FT. @ WALL SO. FT. SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ SLAB GRADE UNITS 0 MOBILEHOME SVC. POWER OUTLET BONDING YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING STORAGE TANK NOTE: Not to be used as property tax valuation SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK FLOOR DRAIN FOUND. REINF. MECHANICAL FEES METER LOOP HEATING (FINAL) OTHER APPJEOUIP. WATER SOFTENER GAS (FINAL) VENT SYSTEM AN EVAP.000L HOOD SIGN GROUT WASHER(AUTO)(DISH) SERVICE APPLIANCE DRYER BOND BEAM WATER SYSTEM GARBAGE DISPOSAL GRADING cu. yd. $ plus x$ FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR. FINAL INSP. LAUNDRYTRAY FINAL INSP. AIR HANDLING UNIT CFM ROOFING ' KITCHEN SINK REMARKS: ABSORPTION SYSTEM. B.T.U. VENTILATION TEMP USE PERMIT SVC WATER CLOSET _ COMPRESSOR HP POLE, TEM/PERM — LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER GAR. FIREWALL BOILER B.T.U. SO. FT. @ c BATH TUB MESH SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. FINISH GRADING SO. FT. RESID @ I IA c SEWAGE DISPOSAL SO.FT.GAR @ 3/c CERT. OCC. HOUSE SEWER FENCE FINAL GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEEJt DBL TOTAL FEES MICRO FEE jrMtZH.FEE PL CIF.; F� CONST. FEE 6 ELECT. FEE SMI FEE PLUMB. FEE 01D STRUCTURE PLUMBING ELECTRICAL HEATING R 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 APPJEOUIP. 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 REMARKS: VENTILATION _ FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL IN51FLU I UN"5 WUNA 1 UMNIN1I IAL5 GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 8/11/92 Type of Permit La Quinta No. 11640 Permit # Log # Owner Name John Carper. No. 78-765 Street Irwin Circle city La Quinta zip 92253 Study Area 0 APN # I Tract # I Lot # Square Footage 1808 Type of Development Single 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 1.58 _ X 11.808 or $ 2,856.64 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 John L. Carper Name on the check By James E. Lively Assistant Superintendent, Business Services Telephone Fee collected /exempted by Vickie J. Durrett Payment Received Signature - �OUAA Check No. 1 14 Collector: Attach a copy of county or city plan check application form to district copy for all wailers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting 0 1 Orr T-r's-61 TiN IIf\ ka (ouinta �uildin� end s�'Sr�iet� �tbi�si�n This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 78-765 IRWIN CIRCLE Use Classification SINGLE FAMILY DWELLING Bldg. Permit No. 11277 Group R3 Type ,Construction VN Fire Zone Use Zone SR Owner of Building JOHN CARPER Address •P. 0': BOX 977. City LA QUINTA, CA 92253 By, MARK HAROLD Dote: DECEMBER 4, 1992 Building Official POST IN A' CON9PIC000! PLACE