12785 (SFD)f
T4hf 4 4 Q"
P.O. BOX 1504
Building 77-201 Calla Flora 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Carolyn Kinner
Mailin
Address 13240 Chalon Rd.
City Zip Tel.
Los Angeles, 4A 90049
' Contractor - ; , • .
Nomad Construction
Address3470 Ave. .Madero
CityLL Quinta, CA zlp 922"x3 TeS64-�i602
State Lic. B 6205301 City 3074
& Classif.Lic. #
Arch., Engr., TerryRoach
Designer
Address 9 Sawgiass Circle Te360 -1114
City JZip State
Palm Desert, ffA 92260 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing•with.Section
7000)rof Division 3 of thesBdsiness and Professions Code, and my license is in full force and
fect?
X ,4 ems- � �•r
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 rile 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 or not more than five hundred dollars ($50.0).
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
orimprovement 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.)
❑ 1, 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 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
❑r • opy 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 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.
Dale 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 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
No.
BUILDING: TYPE CONST. OCC. GRP,,
A.P. Number 631`772-006
12785
Legal Description Loi * 34 Tract 211.20
Project Description
Sq. Ft,. 3272 ''.r ; No. •f-�.�. �'1* r No. Dw.
Size `.Stories `� A Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit includes 6' garden wall, pool
permit to be obtained separately.
Estimated Valuation $271,705.00
PERMIT
AMOUNT
Plan Chk. Dep.
2550.00
Plan Chk. Bal.
769.39
Const.
1,241.50
Mech.
96.00
Electrical
201.32
Plumbing
229.50
.S.M.I.
27.17
Grading
20.00
Driveway Enc.
.00
Infrastructure
5,747.11
Arts in
PUb iC Places
429.26
TOTAL
9,011.25
8,761.25
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center
RearlSetba,\ om Re Prc
—Side tre SeZk fra C,
°SideSetback from Property
FEB 1 0 1gG4
FINAL DATE INSPECTOR -/l
f
Issued by: t a '`i� Per it r
Validated by:
Validation:
1
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING3��
s..
E�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT. 0
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. p
ROCK STORAGE
FOUND. REINF. �Q/�
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. p
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
DRAINAGE PIPING . • r- ;'
CAR P. SO. FT.
WALL SO. FT.
DRINKING FOUNTAIN Y•�
WATER HEATER
SERVICE
URINAL
SO. FT. ®
_
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
cu. yd.
—Plus—x$—=$
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
Q
/ ^ / �
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'y
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REMARKS:
LAUNDRY TRAY
AIR HANDLING UNIT CFM
SooTlh � T •.. 1 1
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 Va c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
MESH
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 PLUMBING3��
40 UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE A
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. �Q/�
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE D
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
—Plus—x$—=$
LUMBER GR.
FINAL INSP.
FRAMING'? e,3;--q1eFINAL
((�
INSP.
[C
ROOFING
Q
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q
j ✓1G(.yNC��_
6
REMARKS:
SooTlh � T •.. 1 1
VENTILATION
D
FIRE ZONE ROOFING
Ok
d F
FIREPLACE
r
4 , —imr-er'.Qf 40
SPARK ARRESTOR
GAR. FIREWALL
LATHING -2Q -qC Cp
MESH
INSULATIONISOUND'2— j y.LZ
NAL INSPECTION r1117
CERT. OCC.
l-2—�'Y Ls,
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 2/10/94 Type of Permit La Quinta
No. 112652 Permit #
Log
Owner Name Ms. Carolyn Kinner
No. 77201 Street Calle Flora
City La Quinta Zip 92253 Study Area 109
APN # Tract # 121120 Lot # 19 Square Footage 1
Type of Development I Single Family Residence 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:
Under Mitigation Agreement
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to . Mitigation Agreement.
in the amount of 628.00 x 0 or $ 628.00 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 Carolynn Kinner Telephone
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Vickie J. Durrett `
Payment Received
Signature Check No. 1647
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
i
OF
t
of
W�.
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:
J]I
BUILDING ADDRESS 77-201 Calle Flora
Use Classification Single Family Dwelling ing Bldg. Permit No. 1 2785
I
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I Group R3 Type Construction VN Fre Zone Use Zone SR
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Owner of Building Carolyn Kinner Address 13240 Chalon Rd.
Ih
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I Los Angeles, CA 90049
City
j !
is
II i
By; Mark Harold
!
Dote; November 16, 1994
Building Official
POST IN A CONSPICUOUS PLACE
—
1CSt;1`f
February 8, 1994
Ms Carolynn Kinner
13240 Chalon Road
Los Angeles, CA- 90049
RE: Architectural Application
77 201 Calle Flora
La Quinta, CA
Dear Ms Kinner,
The Architectural Review Committee of the Santa Rosa Cove Estates
reviewed the revised plans submitted yesterday. The committee has
approved your plans as submitted showing:
Landscaping drawing providing a privacy wall on the back wall
behind the spa.
Providing a 20 set back from the street.
Should you wish to make any alterations to your plans during
construction it will be necessary for you to submit plans for the
revisions.
Sincerely,
Elaine Lloyd, Property Manager
Santa Rosa Cove Estates - The Enclave
cc: David Walls
City of La Quinta
Post Office Box 4772 . Palm Desert, CA 92261-4772
73-550 Alessandro, Suite 5 • Palm Desert, California • (619) 346-1161 . FAX (619) 346-9918