001964 (SFD)P.O. BOX 1504 NO. 001964
Building78-105 CALLE ESTADO
Address 52—,;-506 Amada iTi�' LA QUINTA, CALIFORNIA 92253
Owner
Mailing
Address 82-836 Dwis, Dilve..
City 7-92201
p Tel.
113fto -347-7377
Contractor
Address
''City.. .. 'Zip .. Tel.' .
MINUO 9 Z 399-5,528
State Lic. City
& Classif. R 212280 Lic. #
'A h
BUILDING: TYPE CONST. 'OCC: GRP. R 3
A.P. Number 774"334--013
Legal Description rift 14
Project Description I.Simle I ftdiv dveiii=
1334.
Sq. Ft. No. No. Dw.
Size 4.4 Stories i. • Units 11
rc Designer gr�j Xt G. .' M
New JM Add ❑ Alter ❑ .... Repair ❑
Demolition ❑
m Address
sam
Tel.
CityZip
Sam 1-
State
Lic. #
_ LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section .
7000) of Division 3,of the Business and Pro essions Code, and my license is in full force and .
effect
'
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, 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 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 acivil penalty of not more than five hundred dollars ($500).
0 I, as owner of the property, or my employees with wages as their sole compensation, will _-
do tfie 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.)
O 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 I am exempt under Sec: B. 8 P.P.C.-for this reason
Estimated VdlUatlOn �s r
N �Qt�}'
PERMIT' -
'
AMOUNT '• '
- - -
Plan Chk. Dep. '. ..
Plan Chk. Bal.
53.25
Const.
+ 00
M@Ch.'�,�
00
Electrical
-.s
Plumbing
81.00
S.W.
' 5.22 '
Grading
Driveway Enc.
20.00
Dale Owner
Infrastructure
1,062.83
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
Xcopy is filed wilh.lhe city. p 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' Compensation
Laws of California.
TOTAL 1,.938»40
1.6188.$0
REMARKS
'
-
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 7' d I
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. ., +tel i frr$3 -
Signature of applicant— JIJr: 4' '>�r 1;�1^�i� �i /�>.1 pate
Mailing Address n
City, State, Zip /' . E r1
HARD COPY
ZONE: BY:
Minimum Setback bistances:
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 1• 3 "� rmit "
Validated by:
Validation:
A 3 6 6 6 12 30 168840 5',
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
n
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
( R//OUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL.
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (ROUGH)
o6f Z44
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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.
SQ. FT. ®c
BATH TUB
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 VA c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
/{FRAMING 2
FINAL INSP. G
O
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
�t //SLAB GRADE Z Z)
( R//OUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
7Z
�/ (SEWER OR SEPT ^ dUGH
WIRING y
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
o6f Z44
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
00NAL INSP. i, /
b
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
GFINAL INSP. �
/{FRAMING 2
FINAL INSP. G
O
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
'l
(/ LATHING
r �4 INSULATION/SOUND % v
FINISH GRADING
C,K FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS.
GARDEN WALL FINAL
�WED `•
�-0
Desert Sands ' Uni�-ed School District
H BERMUDA DUNES r
RANCHO MIRAGE
82.879 HIGHWAY 111.,0 INDIO, CALIFORNIA 92201.5678 0'(61.9) 347-8631
y.- INDIAN WELLS H
- vPALM DESERT a
S LA QUINTA .
December 30, ,1985 E
,p INDIO
City of La Qui;nta
Department of' Community
Development
78-105 Calle Estado
La Qui'nta, CA 92253
Re: 52-24& Avenida Villa; La Quinta
Gentlemen:
The developer of'the
above referenced , 'lot -
has mi ti ga-ted i:ts impacts
on our 'overcrowded schools by -payment
of the amount of. $628
per unit to: be applied to the- cost of
district educational
facilities made necessary by such new
development.
_
Sincerely, .
John D. Brooks
Assistant Superintendent
--Business Services _
JDB/crm
BUENA ENGI-NEERS. INC.
,1731--A `JValiw 'Street
VENTURA. CALIFORNIA 93003
(805) 642-6727 -
TO
(. q ..
THE FOLLOWING WAS 'NOTED:.
DATE' //
J08 NO. -
PROJECT
vl..?,A
LOCATION
COXACTOR' - `
OWNER
WEATHER' _
.TEMP. oat AM
0 at PM
PRESENT AT SITE
o a d5- *#,j ter otw- lw, � r'vl, o�f1 �'(�vrt cAry exe "-
y _ s
COPIES TO D R&IM�OO �IT
' SIGNED '