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06731 (SFD)_J Building 54--700 gig Address Owner Mailing Address P. 0. Bax 804 City Zip 2.a Quinea 192253 Contractor Owner/Builder Address State Lic. & Classif. ='Arch., Engr., Designer Address 4 4aab& P.O. BOX 1504 N o . 06 731 78-105 CALLE ESTADO LA QUINTA,,CALIFORNIA 92253 BUILDING:- TYPE CONST. OCC: GRP. A.P. Number 774.273--014 !64-49771 Legal Description Project Description $FD Lic. # Sq. Ft.. No. No. Dw. Size . Stories Units Tel. City IZip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7(10(1) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ,(,tit* �✓' .ra C (t`� E'w 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,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 Me a signed statement that he is licensed pursuant to the provisions of the Contractor's License taw, 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). ❑ 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 end 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 or safe.) ❑ 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 or property who bulfds or Improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 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. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff the permit is for one hundred dollars ($100) 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: ff, atter making this Cer ffcrcate 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 abuilding permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days: 1 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 New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ IEstimated Valuation $85,963 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. �. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL //yyam� AMOUNT . W $ 274.73 575.50 209.89 359.50 156.00 5.02 20.00 20.00 3.852.05 REMARKS '6-, 034 P T-ir.?fr 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 12/8/89 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES UNDERGROUND A.C. UNIT 1ST FL. SQ. FT. ® $ UNITS ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SQ. FT. @ FORMS SEW R � MOSILEHOME SVC. BAR SINK POR. $Q, FT. ® ROCK STORAGE FOUND. REINF, GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. SQ. FT. GAS (FINAL) WALL SQ. FT. DRINKING FOUNTAIN. GROUT URINAL SQ FT. ® SERVICE ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SO.FT.GAR ® 3Ac HOUSE SEWER LATHING 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 I � � � /%// , - Vs GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE !` ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEW R � ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF, GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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. A �a Xv, N FRAMING 0 ® /1 FINAL INSP. ROOFING J REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND U FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF LA SCHOOL FACILITY FEES � ` �' n �Rp e113 U- TO: City o f Lia �aS®�� DATE: J Department of ommu�y�Dev l �rt�e�ntp� 78-105 Calle Estado )V® P La Quinta, CA 92253 I This is to c rt' f hat LJvvr I ULVL tq LJ— developer J—developer of which is located at /L*, I within this Distric , has paid school acility fees imposed pursuant to the au o f ge a at by G v rnment Cod S ctio 53080 in t e a o nt of $(n ���o �tU ��� covering a total of square feet of ( ) res'd nti 1 or ( ) industrial/commercial development and that buil ing permits for 6 this footage in this development may now be issued by your jurisdiction. �Ic - 5'7 for DESERT SAND -UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 Ul1't'C L L./ y, q 01 I p.E or E. LEW SPAUGY AGRICUL I MAL COMMISSIONER co'-wminvAn !AMS v WAUACE AN 0 As5151ANr r••� a •msn��t.n WING) I IS b. 1ACASU11L•S CLUNIE:11 aFwEnISIE SOM 49-613 Itwy 116, Ilulte 11-12 'Cunelrelln, CA 92236 619-742-029! CASC 11). 1-6,7— / S ZiA 7 - UEVELIOPE•'R's tIN1Er ,S'�/it/G°/1�9w�J Wit' ave ADDHES5 i 3e X ' ACY Z,4,�2Ji 41T%7 'i-ril • l M. C t (6 l Q) - 4:5-; z/- '/ 9 7 7 Dear Developed AEter reviewltlg your latidsctgrhig Illans, till Itlttnt mlerlal listed is trot In vloltatiull of quarantltte M-45 qov' et.nlny lite Coachella Valley. If substltutlotis do occur told they diller [tun Irlattt iinLerital listed, this office must be notified itm�dlately . . '1hmik you for protecting and Itt.eserviny the Coachella Valley's lest*-[ree envirom ent. nyticrota L Cau�Ltss atier s Ut t is cc, Indio and Riverside U[Ilce Buena Encineers. Inc.- 70-6118 nc. 70-6118 Country Club Drive, Bermuda Dunes, CA 92201 (619) 345-1588 Invoice _ Involce Nt,Rrber: 893209 Sun Crown Corporation File Number: B7 -1846-P1 Bill Shields Invoice Date: 11113189 P.O. Box 804 La Quina, CA 92253 _ Please return payment to: 1731A Water Street Yentura, CA 93003 For professional services rendered on La Cuinta Properties"ober through 11101 Date 92go&n Classfication 01111 Max Denis Curve (A) 10125 Zoned-Milea� 10127 Densly Teme t Zone d - Mileage 11101 Denstr TeMest Max Dens Curve (A) Zone A - Mileage Units ate C" 1.00 110.00 $110.00 1.00 40.00 40.00 1.00 7.00 7.00 2.00 40.00 80.00 1.00 7.00 7.00 2.00 40.00 80.00 1.00 110.00 110.00 1.00 7.00 7.00 Total Current Charges 1 $441.00 This b113 due upon presentation.. Buena Enaineers. Inc. I 7. 811 B Country Club Drive, Bermuda Dunes, CA 92201 (619) 345-1588 lmoke Invoice Nurnber: 893186 Sun Crown Corporation File Number: 87-1879-P1 Bill Shields Invoice Date: 11113189 PA. Box 804 Please return payment to: La Quint&, CA 92253 1731A 11a14er Street Yentura, CA 93003 0 For professional services rendered on 54700 Avenida Diaz through 11103 CMassiticatlon Sjp� �„t �j 11101 Ste Recon Supervising Tech 2.00 65.00 $130.00 Zone A - Mileage 1.00 7.00 7.00 11103 Dons Testba 4.00 40.00 160.00 Zone d - Mileage 1.00 7.00 7.00. Total Current Charges 1$304.070 This bM is due upon pmentekion. %�- - .^.�. L i`.•��. ..--�" �.� §�"�^ yi"Y14 `�1r"i'"-1. - w�; yrjrfi..'miry.(�'1k��,��'�""'7i',+"7.V�:i��..t�..'4:^ �N"+..:.-!'r .. .,'='. -. -.• , _ ... . -' _ " - 'y lq. s + i Buena Engineers, Inc. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 Client Client Add Client Phone DATEJOB 1-I- NO. -l�/ SP1 D��G, PROJE T 0 OC TION CONT CTO WNER WEA HER TEMP. ° at ° at AM PM PRESENT AT SITE — — L — — — — — — — — — -- '� � — IIT THE FOLLOWING WAS NOTED:. SP1 D��G, 0 •r �1vpGSC� �GUG.LG tu/:GL — — L — — — — — — — — — -- '� � — IIT I � r - J � r CLIENT REPRESENTATIVE SIGNATURE FIELD REPORT 2) . TECHNICIANS SIGNATURE Buena Engineers, Inc. ~� 79-811 Country Club Drive, Suite 4 Bermuda Dunes, CA 92201 • (619) 345-1588 / 328-9131 Client Client Addres Client Phone DATE ow. 3 (ct JOB NO. t87q - P PROJECT Ste-{ .• 7CG kie4J ( tom A Q:�) L PtZ 'LOCAATION l N ao CONTRACTOROWNER FL utJC?<5-j tJ WEATHERTEMP, MAXIMUM DRY DENSITY % o at AM ° at PM PRESENT AT SITE X"SP 7. S TEST NUMBER TEST LOCATION HODS E PA C�) LOT NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT DRY DENSITY IbslCu. ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY lbs✓cu. ft. OPTIMUM MOISTURE CONTENT X"SP 7. S 9Z 01'f -7. 4. q 3 8.4 104.4 �- I -76 -7.3 ccs. 2 q9 l ' 14 � (.cam- o -►-1S •' Acv '7L -2- REMARKS: REMARKS: - •p LL , cv l0 G- 6jG-L Cl'P (tD Ac(_ E F — S LT -L-1 c _ tvt TS - SC -31(_ SArML C . e�ZCLIENT REPREdNTATIVE SIGNATURE FIELD REPORT TECHNICIANS SIGNATURE • 091 18