13711 (SFD)Building
'Of 4 ail
P.O. BOX 1504
77-135 Calle Durango 78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
ciwner Double D Construction
Mailing 51_960 Ave. Herrera
Address
City Zip Tel.
La Quints, 32253 1 7711561
City
state LIG. 8 681012� W-aty 323
& Classif.
Designer
Address
Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of .Chapter 9 (commencing with Section
eOODj of Division 3 of the Business and Professions Code, and my license is in full force an.
ffect. ? s:,j
.$ NATURE 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 Codei Any city or county which requires a
permit to construct, after, 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 thathe 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).
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 proving that he did not bulld 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 bulkis 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
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 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, I shall not
employ any person in any manner so as,to become -subject to the Workers' C , pensation
Laws of.California t; I •r+,.
Dani i ,Owner 'i . i..` - ';JV
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
ubfact to the Workers' Compensation provisions of the tabor 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
6J
No. 13711
BUILDING: TYPE CONST. Vn OCC. GRP. R3
A.P. Number 773-201-062
Legal Description Lot 2 Block 39
Project Description SFD
Sq. Ft. 1606 No. No. Dw.
Size Stories Units
New ❑ Add ❑ .Alter ❑ Repair ❑ Demolition ❑
Perviit includes screen wall for propane
tank. Additional block Q.aalls and pool
permit to be obtained separately.
Estimated Valuation $96,951.00
PERMIT
n
AMOUNT
Plan Chk. Dep.
9.70
Plan Chk. Bal.
231.17
Const.
626. 0 U
Mech.
2. UT
Electrical
128.31
Plumbing
144.00
S.M.I.
9.70
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,151.76
Precise .Lan
25.00
TOTAL
3r. tj TF.-R.—
•R.REMARKS
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'Prop tarter y Line
r 1
FINAL DATE INSPECT
Issued by;
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO, PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
-
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS ,GJ
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE 7 -8 5
DRAINAGE PIPING
CAR P. I SO. FT. ®
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM
FINAL INSP.
URINAL
FT ®
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
ROOFING aZ--?5/
WATER PIPING
NOTE: Not to be used as property tax valuation
REMARKS:
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
SPARK ARRESTOR
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 Vi c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ic
HOUSE SEWER
CERT. OCC.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE :!�B.FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING -7-7-J9
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS ,GJ
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. _
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE 7 -8 5
Q
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP. ,
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FRAMING $-Z' -- -'j ?f
ROOFING aZ--?5/
11Vtl�4
`/
1'Y
en.,
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWAI
LATHING
MESH
INSULATIONISOUND
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, -619-775-3500
Date 7/7/94 Type of Permit I La Quinta
N:o. 12933 Permit - 4L
Log
Owner Name Double D Construction
No. 77135 Street Calle Durango
City La Quinta Zip 92253 Study Area 115
APN # ,773-201-002 Tract # I Lot # 0 Square Footage 11606
Type of Development Single Family Residence I 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 mobil'ehomes. 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 1.65 x 1606 or $ 2,649.90 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 Double "D" Construction Telephone 771-1561
Name on the check
By Dolores A. Ballesteros.
Superintendent
Fee collected /exempted"by Vickie J. Durrett
Payment Received
Signature Check No. 1101
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
CALVIN G KAMINSKAS i �''� �*�, DAN RILEY'
Assislonf Commissioner 2 ! Sealer; Wetphls & Movsurc
'(714) 275.3000 I 1 - '
(114) 215�3030
orrlCE OF
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue 4:5 Suite 7
Indio, CA 9220.1
( 619) 342-8291
wATE t `� -7 cmr, m. P c. if w 5 a i f 91
DEVELOPER'S NAME
AMDRUSSt .S. l "led
'I'ELrnioNEs.. (6f ) %/—
Dear Developer:
After reviewing your land'scapif•rg plans, all. ,plant material listed is not in
violation of quarantine laws governing the Coaclriella ValleY. If subs_ -ti,tUtions
do occur and they differ fran plant material listed, Hais office must be notified
immediately.
'Thank you for protecting and preserving:'t(ae Coachella Valley's pest -free environmen
W
Agr cultural Canniss or r s Office
cc: Indio and Riverside
4080 LEMON SIREET, ROOM 19, 121VERSIDE, CALIFORNIA 92501 — FAX (714) 275.3012
z -Ad It"W" q&Akz
of
(�i#fir of �tt �$uin#tt
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 77-135 Calle Durango
Use Classification Single Family Dwelling Bldg. Permit No. 13711
VN
Group R3 Type Construction Fire Zone Use Zone SR
Orner•of Building Double D Construction Address 51-960 Herrera - L.Q. Ca.
La int Bye Lonnie Day
7;�,o
Dote: 9-13-94
Building Official
. POST IN A0011191PICYOYS PLAC[.