11542 (SFD)P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 1;J _Qpr, a„rm n4211 LA QUINTA, CALIFORNIA 92253
Maiting .
Address
City lZip ITel.
Contractor
;•.&-n_dP 7_ tires , Ivan _
Address .. :. .
P.O. Box 450
City
Zip
Tel.:
:,i ()a i n r
Permit dots
16 19 1564-1
State Lic.
City
& Classif. R 638535
Lic. # 859
Arch., Engr.,
Designer
17-t17-rhi r1a X AfiCZnv!J A & _q
Address
Tel.
6370 Anvil Lake Ave.
f 6 91 46 -
City
Zip
State
;An. T)r. ad- CAI
92FI19
L'o' # C --13m3
LICEJiED CONTRACTOR'S DECLARATION {
I hereby
affirm that 1 am lic0sed underrp[ovisions of Chapter 9 (commencing with E
7000) of Division%3 of the Budiness anb,Professions Code.1and mwhcense is in full for
U ' OWNER- BUILDEWDECLARATION
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 (8500).
D 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.)
D 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.)
D 1 am exempt under Sec. B: & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
Ihereby 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.)
t. Policy No. Company
O�C2EY is filed with the city. D 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 (8100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
i 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.
I car tify 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. 11542
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 773-155-020
Legal Description Lot 8 Block 32
Project Description CVn
ZONE:
BY:
Minimum Setback Distances:
Sq. Ft.
Size • 116536
No. No. Dw. _
Stories 1 Units 1
New Cj� Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit dots
not include black walls or
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date Permit
Validated by:
Estimated Valuation
S 0,923.60
PERMIT
AMOUNT
Plan Chk. Dep:
250.00
Plan Chk. Bal.
2-58.25
Const.
5 g g, a 0
Mech.
49.00
Electrical
176 _ R7
Plumbing
144 . QO
S.M.l.
I
Grading
12 00
Driveway Enc.
Infrastructure
2.007.53
.j
<4
TOTAL
3»fgy�r.r�iQ'M1 r3:214.:i�{Jw.^
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 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
$
UNITS
SLAB GRADE
IST FL. SO. FT. ®
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
YARD SPKLR SYSTEM
2ND FL. SO. FT.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
e.
MOBILEHOME SVC.
BAR SINK
POR. SD. FT. ®
OTHER APPJEOUIP.
REINF. STEEL
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GROUT
DRAINAGE PIPING
CAR P. SO. FT.
FINAL INSP.
WALL SO. FT. ®
WATER SYSTEM
FINAL INSP.vze3W
DRINKING FOUNTAIN. °
SO FT ®
_$
URINAL
ESTIMATED CONSTRUCTION VALUATION $
ROOFING �
�
WATER PIPING
NOTE: Not to be used as property tax valuation'
FLOOR DRAIN
MECHANICAL FEES
VENTILATION
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: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+/a c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION- `l G1 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
oor GROUND PLUMBING W
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
S SEPTIC TANK
0U WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
e.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE ~
FINAL INSP.
I BOND BEAM
WATER SYSTEM
FINAL INSP.vze3W
FINAL INSP.
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FRAMING CO
Lll
ROOFING �
�
� H
!O�
0
�uy
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING q3
MESH
INSULATION/SOUND a% ! 3tp
FINISH GRADING
FINAL INSPECTION- `l G1 3
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
P
Building S J Q Id V
Address V
Owner
AIQQ
Mailing
Address P.. BUX 4
City Zip
44 QviNT4 I 4ZZ�
Contractor
l..I=-N D & L
Address
Ao . Sox 45c
City
- TA -4
P.O. BOX 1504 APPLICATION ONLY
78-105 CALLE ESTADO
LA OUINTA, CALIFORNIA 92253
BUILDING: TYPE CONS OCC. GRP.
A.P. Number '7 -7 2, /'S 15 ' :-�Z0
Legal Description L.)
Project Description
rol
T
Zip Tel.
4-J -2 < :X W9) 5b4 -
State Lic. '
& Classif.� D ✓��
Arch., Engr., n
Designer v P.B t N A
S
Lic. # es 4> Sq. Ft. No.
Sze /53(. Storil
Zip (State
G -% r. . G Lic. #
rl LICENSED CONTRACTOR'SIDECLARATION
I hereby a jfirm'that I am licensed u er pro'vision of Chapter 9 (commencing with Section
7000) of Diw7sioh ofy thQQ @yu,,�iqess a r stn ode, a�nQg my license is in full fort nd
effect. 11 I tW AiF�L- �� , //•lG 0_^ , 12 .��
If OWNER•BUILDE ECLARATION
I,figreby affirm that I am exempt from a Contractor's License Law for the following
reason7f (Sec. 7031.5, Business and Proles �ns Code: Any city or county which requires a
pergl to construct, alter, improve, demolis or repair any structure, prior to its issuance also
regwres the applicant for such permit to li a signed statement that he is licensed pursuant to
the provisions of the Contractor's Licens Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Profession_ 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 live hundred dollars (5500).
t7 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 1 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.)
f7 I 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 ge("tificate of
Work is compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Company
opy s 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 (S 100) valuation
or 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 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
ateMailing Address
City, State, Zip
BUILDING DIVISION
No. Dw.
New Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
AMOUNT
FVj
nn A nn -c n -tnx A 4 ^-.4 0_07 i (�
V?� .. tAN i' TILT L �27„170�
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
Issued by:—
Validated by:
Validation:
INSPECTOR
Permit
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 SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. C
GAS (ROUGH)
METER LOOP
GAR. SO. FT. @
I IPOWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. 0
GROUT
WATER HEATER
WALL SO. FT. @
FINAL INSP.
DRINKING FOUNTAIN
SO. FT. 0
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
_$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
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
FIRE ZONE ROOFING
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
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ®1 t c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/<c
HOUSE SEWER
FINISH GRADING
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 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 APP./EQUIP.
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC,
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL
tu
vqt r
of
Orr -r*
I` 14
(Y of Ka .- (Oft, inta-
. �utl�Yn �tn� �'��P� �t�t�tun
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 51-895 AVENIDA DIAZ
Use Classification SINGLE FAMILY DWELLING Bldg. PerrKit No. 1154;
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building STERLING HOMES Address P 0 BOX 450
Cit v _L&UINTA, CA 9,225LONNIE DAY
By,
Date. APRIL 14, 1993
Building Official POST IN A CON871CUOUS PLACE
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 111/18/921 Type of PermitLa Quinta
No. 111845 Permit #
Log
Owner Name Sterling Homes
No. Street See Below
city La Quinta Z I p 92253 Study Area
APN # F Tract #I Lot # 0 Square Footage 14608
Type of Development Single Family Residence No. of units 0
Comments
J- 227o
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 14,608 or $ 7,280.64 have been paid to D.S.U.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 Sterling Homes Telephone
Name on the check
By James E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
f Payment Received.
Signature (_/SL._/`1I LZ2� Char_k wn_ 1162
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
Received Fro
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
Date: Q
Address:
0:5
Account No. '�
Lots)
dr ss 616
16..2—
Q.Z$
$G Q Q. 0 o
❑ Backflow(s)
❑ House Lateral(s)
❑ DetectorCheck(s)
❑ Meter Surcharge
�i Sanitation Capacity Charge
i�n
� HSQ� 0 d
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account - Name
IJ Inspection Fee - Tract -
Fee -
❑ Plan Check Fees Water / Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer Deposit
❑ Other
EARTH SYSTEMS CONSULTANTS S.C.
BUENA ENGINEERS DIV.
79-811 B Country Club Drive
Bermuda Dunes, CA 92201 • (619) 345-1588
Client Name
t
Client Address
Client Phone
DATE
JOB NO.
PROJECT
ELEVATION
LOCATION
FIELD TESTING
CONTRACTOR
OWNER
WEATHER
!d 4Q 1
TEMP.
C at AM
° at PM
PRESENT AT SITE
�v
OPTIMUM
MOISTURE
CONTENT
%
TEST
NUMBER
TEST LOCATION
F `
U1u u
LOT
NO..
ELEVATION
FIELD TESTING
REFERENCE CURVE
MOISTURE
CONTENT
�o
DRY
DENSITY
IbsJCu. It
MAXIMUM
DRY
DENSITY
%
MAXIMUM
DRY
DENSITY
IbsJcu.,tL
OPTIMUM
MOISTURE
CONTENT
%
2
'IV
. Z
.Y
6S a,
11.1
Ilu.y
�/
�O
t,,. Ll
3
. cru
I�
N �
REMARKS:
,� 1 G �IG
i L, \k t,..r'1 i l�� ✓i iii P .\Lf
U
O
CLIENT REPRESENTATIVE SIGNATURE
i.
Y,
FIELD REPORT
/tJ
ii
,. TECHNICIANS SIGNATURE