15147 (SFD)Building
Address . 47•-795 Via Nice
Owner
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Mailing `
Address 1535 South aD Street
City Zip Tel. y, '
• San Bernadino 92408 909--3.8i-6007
Contractor
same as above
Address
i IZip .
State Lic. City
& Classif.. B."31 Lic. # 2124
Arch.; Engr.,
Designer. Frank Gonzales and Associates
Address Tel.
336. East. Chapman Ave. 714'532--6876
City�_ Zip State
Grange1--_ 926.66 Lic: #
f CENSED CONTRACTOR'S DECLARATION
I hereby affirm that.PamLIlicensed under Provisions -of Chapter 9 (commencing.with'Section.
7000) of. Division•3 of the Business and:Pirofessions Code"aand my license is in' full force and
�-�,'^.'/• r'
SIGNATURE— l..+_ _. j � A DATE
/OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,8usiness 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 rile .a signed statement that he is licensed pursuant to
the provisions of the Contractor's License law, Chapter,9 (commencing with Sec
Oivlslon 3 of the Business and Professions Code, or that. he is exempt therefro ,and the basis
-. for_ the alleged -exemption: Any violation of Section 703 1. 5 by 'any applic nt for a permit
subjects the applicant to a civil pe y of not more than rive hundred dollars ($500)
❑ I, as owner of the property, y employees with wages as their sole cc pensation, •will •
do the work, and the structure not intended or offered for sale. (Sec. 70 , Buisness and
Professions Code: 'The Contracto 's License Law does not appty t owner property who
builds or Improves thereon and does such work himself or ah ugh his o employees,
provided that such improvements re not Intended or offered for sale. If, however, he building
or improvement is sold within on year of completion, the owner-bu0 r will have a bund
of proving that he dkl not bu11d or ove for the purpose of sale.)
O I. as owner of the property, a exclusively contra with licens contract to con-
struct the project. (Sec- 7044, sines and .Profs e: The Co ractor's License Law
does not apply to an owner of pro Ry who builds r improves ereon, who contracts for
'such projects with a contractor(s) (ice ed pursuant to t Contractor' cense w.)
❑ 1 am exempt under Sec. B. 8 P.C. f r this reason
- Date
' WORKERS' CO PENSATION DECOMUCff10N
I hereby firm that I have a certi tate of consent to self -insure, or a certificate of
Worker's Comps cation Insurance, or a c rtified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed h the city. ❑ Certs ed copy is hereby. furnished. ,
No. 15.47•
BUILDING: TYPE CONST. V -PN OCC: GRP. L3
A.P &'Number 617-7907031
Legal Description t 31 Tinct .26-1452 Phase
Project Description -*SP.D Plan. 4GL
Spinnaker Coo- & €zt Lake La Qujiuta
Sq- Ft- 3036 No. No. Dw.
Size Stories Units
Newt❑ Add ❑ Alter. ❑ Repair ❑
Demolition ❑
CERTIFICATE OF EMPTION FROM
REMARKS
Estimated Valuation $ 112 * 969 . o o
KERS' COMPE ATION INSURANCE
PERMIT
AMOUNT
Plan Chk."Dep.
Ian Chk. Bal.
748.82 .
onst. "
995.00
Mech.
89-50
Electrical
179.04 -
9.04 -
Plumbing
Plumbing
16€3.00
S.M.L .
17.30
Grading
20-00
Driveway Enc.
0
Infrastructure
3891.81
Arts in PubliacAs
182 42
Front Setback from Center Line -
Rear Setback•from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
TOTAL
"
CERTIFICATE OF EMPTION FROM
REMARKS
KERS' COMPE ATION INSURANCE
(This section need not be c /eted d the pe tt is for one hundred dollars ($100) valuation
—.9less.)
1 certify that in the performs a of thg wo for which this permit is issued, I shall not
1�
employ any'person in any manner as to bec a subject to the Workers' Compensation
Laws of California
'
Date Owner
NOTICE TO APPLICANT:•g, after making is Ce /state of Exemption you should become
ZONE:
- BY:
subject to the Workers' Compensation pro ions t the Labor Code, you must, forthwith
comply with such provisions or this permit shall be am revoked. -
Minimum Setback Distances:
Front Setback from Center Line -
Rear Setback•from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
Side Street Setback from Center Line
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES' UP TO ONE
-
•
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
Side Setback from Property' Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
5
FINAL DATE
INSPECTOR
This Is a buildin g 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.thls application and state -that the above information 1s correct.
Issued by:
Date Permit
I agree to comply with, -all city and county, ordinances and_stateAaws relating to building•
construction, and hereby authorize,.representatives^.of7„thiis�`city to, enter t e above.
mentioned property for iinnsypect�wni-p`u[poses� �. ^ y . /r 4.
Validated by:
Signature of appl�Date'
Mailing Address z�•. ' `
Validation:
City, State;"Zi.
CONSTRUCTION ESTIMATE
NO. I ELECTRICAL !-EES
STRUCTURE
PLUMBING ELECTRICAL
HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBI NDERGROUND
A.C. UNIT
1ST FL. SO. FT. ® $
UNITS
Y 'y
ROUGH PLUMB. j 17 BONDING
HEATING (ROUGH)
YAMO SF'KLR ST51M t '
2ND FL. SO. FT. ®
FORMS
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SD. FT.
OTHER APPJEOUIP.
DRAINAGE PIPING
WALL SO. FT.
DRINKING FOUNTAIN
SO. FT. ®
GROUT
URINAL 1
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
'
FLOOR DRAIN
MECHANICAL FEES
LUMBER GR.
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, TEM/PERM
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 ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
is
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 PLUMBI NDERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE
ROUGH PLUMB. j 17 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$-=$
I
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
�'v �} 0
,• V /
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS -UNIFIED ' SCHOOL DISTRICT
82-879 Highway 111
NOTICE:. Indio, to 92201
Document Cannot Be Duplicated, 619-775-3500 "
Date 7/14/95 Type of Permit La-Quinta
No. 13557 Permit #
• . '�.. ;' Log -
Owner Name Century Homes `
N'o. 47790 Street Via Nice
City La Quinta Zip 92,253'' Study Area 123
APN # I Tract # Lot # 0 Square Footage 1235
Type of Development I Residential Addition- No. of units 0
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:
Add. of Sq. Ft. to New Construction
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.72 X 235 or $ 404.20 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 __Dennis Cunningham Telephone k 360-5194
Name on the check ,
By Dolores A. Ballesteros
z r^
Superintendent
,f
Fee collected /exempted by Pauline Pearson
4
"Lm_,L4
r� Payment , Received tl r�`' r -f Signature � � ,� � � � �/`. i 1457
< ,Check No. .
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
k ,.
x