9808-073 (SFD)F:fr
.C14- W
O =3 M
C)
' W `–
~o Z
(0
HCD
J
W W rl-
Z
M
Ln
N
ON
U_ °)
13- Z
Lo FZCr
0
LL
0 J J
C0 Q<
O
MH
tr Z
Ob Q
Q
J
0 —
_f_+--r–
LICENSED CONTRACTOR DECLARATION
hereby affirm under penalty of perjury thattl am licensed under provisions of
Chapter 9 (commencing with Section 7000)'of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
Date Qb7Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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, Business & Professionals Code).
( ) I, as owner of the property,, am exclusively contracting with licensed
contractors to construct the project (Sec. 704.4, Business & Professionals—
Code).
( ) I am exempt under Section ' ' B&P.C. for this reason Cid
Date Signature of Owner
..
WORKER'S COMPENSATION DECLARATION
L.
I hereby affirm under penalty of perjury one of the following declarations:
() I have and will maintain,a,certificate of consent to self -insure for workers'
compensation, as provided' for by. Section 3700 6f'the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required,by
S c on 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier0rw;rc Policy No.
(This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
ode, I shall forthwith co ply with those provision .
Date: pplicant
il re
v—•
Warnin ato secure Work6F9 Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on 6isi
application.4
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant:to
any permit issued as a result of this applicaton agrees to, & shall, indemnify,
& hold harmless the City of La Quinta, its officers, agents and employees.'
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes. a
Signature (Owner/Agent) Date
BUILDINGPERMIT PERMITyCONTROL#
DATE VALUATION S.34.a"'t) 80 LOT 17 TRACT,
8246 �i {�///���
y��f
9.
JOB SITE
ADDRESS 78-301DE.f CON DRIVE WCST
APN
.OWNER
CONTRACTOR DESIGNER /ENGINEER
NAR. llitVT%$$rAhhH
'
cjPIMIGN LYNK
eA1,M. MiSHICr CA "1'a2f>rJ
(760)%8-6070 Cribtt
USE OF PERMIT
,&NO X, FAMILY DWELLING
SFD -,NG MOCK WALLS OR TCAX. COINIRUANC.17, WITH AJ L -t� r.DERI-kil �c
STAl.' LAW,i, !NC"L(Ij)1NG '1 HI.; ..ENL)AN(3is"RL'U 51!rCFEia Ar,'T C�tr €973 (16
ILS.C.� iS31,'.ET SEQ.) IF APP11CAPA ., ISkF,QUO(W.
iit7RCl'ili�tl.T O 1,05().00 l3.F
C)ARAc,F cAZiPowr 840.00 8F
sI.'� MATED CeXS1 r O5y CONL ISTRUC:".� Ilii
3,i.'5,3119.a0
PERMIT FE4,110SUMMARV
C0'NS't`i UC -110 N F EF 101-00041.8-000
PLAN 01ECK FTil-,,
FEL t �.:€'`ONI
1tfffiL] IAN tCAI, FEN 1 C 1-Wi-42.1-000 5 130. 50
t.1AX,"I'RIC A1, FFE 101-f)cit)`420-t)Uf) 52.'0.27
Vll',J�yyL)• IN F97 it/)f-(�?{00-4j9-(/ltif) E2iys.'S
i F p
111, 1�.�dl�G N101 04N f��Y.'�.-R2311) 101.W0 l4l'l� S. 4,53
0it.elCi NCA1 FE ? 101.-OGO-473-000 $20.00
9NFRtV1t'Rt7t;'i'URE Fkjv 225-000,•443-:34' $1AK1,00
ART R41,1031AC RI,AC.'E+ - tr. t12 S
DwAL
r_'0.N9C'1i',UC`n0N AMID SLAIN CHECK
LESS PREPAID FEES
-„�1,wo 00
SEP 2,� i998 -
'CO'CALPERMIX FE DU KNOW
%*JITY OF LA QUN
}r
EIPT
DATE
�aY
DATE FINALED
INSPECTOR
sir,
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
01Underground
Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
- -
F.A.U.
Framing
.2—( - Q -
Compressor
Insulation
y
vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
—
Drywall - Int. Lath
6 8
Final
S
Final
POOLS - SPAS
BLOCKWALL
AP ROVALS
steel
Set Backs -
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
'
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
S'
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final _ Utility Notice (Gas)awELECTRICAL APROVALS/
Temp. Power Pole
Underground Conduit
Rough Wiring
Low voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors
Temp. Use of Power
,Or
Final - g
Utility Notice (Perm) Q
-
�W�
Path�
L
Gallery
r_ _._--1
® jl Ij
it li
Wardrobe
II
li
1 IVB! I I�
90.00'
' 05' 51" W.
0
t. v.
+36' HIGH ®
POT SHELF
with PLASTER
FINISH Ba,2 RAISED LEDGE
Bedroom No.2 + at +24'
It _
Laundry I
o I!
I!
I�
Office
000
%Z
Lot 16
VACANT LOT
No Current Lot Owner
Approved Pad Height = 50.00'
AP
loo
G o
I
5' HIGH
GARDEN WALL
A/C I CONDENSER LOCATION
over CONC. PAD - VERIFY
with MECH. CONTR.
4'— 6"
41'— 2"
-�02y1yvw D
01 IS
LIE WALL
B DING SETBAC
�4�
Cs' PL
Y �--'
36' SO. x' 6' HIGH
MASONRY COL. to
MATCH WALL
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
Date 9/22/98
No. ' 17783
Owner NameMr. William Tasche
No. 78-301
City La Quinta
Tract #
CERTIFICATE OF COMPLIANCE
APN #
Jurisdiction La Quinta
Street Deacon Drive West
zip 92253
Lot #
Type of Development Single Family Residence
Comments
Permit #
Log #
Study Area
Square Footage 4042
No. of Units
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:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of
1.93 X 4,042 or $ 7,801.06 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 Cashier's Check/Brian Ludington
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Ellen Patino Payment Received
Check No.
r
Signature
Telephone.
;v
$7,80'It06
1610060395,- '
NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
collect them on the District('s)(s') behalf, whichever is earlier.
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
U
411
--0
- 2X12 BLOCKING W (3) 16d
- 16d AT 4' O.G.
MIN. 6' HEEL AT
2x6 BLOCKING TRUSS
WITH A33 AT
24" O.G.
SHEATHING
6x8 RAFTER
e TAIL, SEE
ARO HITF 1URAL
e
B.N
e
IV E.N.
��11'-2 1/2'
E.N. I0s-4•
(3) I bd INTO TRUSS CHORDT 2A
101 11
AT 25
DBL. PLATE
2x6 STUDS
• C�WHERE OCCURS — / AT 16" O.G.
SEE RAMING PLAN
- —SHEAR WAIL
A PER PLAN
I NG DETAIL
,Ca.c,�.,dw CZ � P-- 3S ��,•�,�c., Gac, ��� 5
ro
}; McFADDEN
a r c h -1 t e c t $
McINTOSH
7 3 9 2 9 L a r r e a S u i t e 1 A
P a I m D e s e r t. C A 9 2 2 6 0
7 6 0 3 4 6- 8 0 1 4
A Qotom Rrldenw For.
16L it (Bi) Taeehe
Sao, Deacon o.we %%A Date: �
fife riomuan Comby Cub
tasclie Latt a' * Trract N�2 I l I
i J� [/� [����\ QJ [�r.��� \�p�� Change No.
G7 V a l V L7 C.7 o `/
a r c h i t e c t s
a�
a INTI OSH
February 9, 1999
CITY OF LA QUINTA
Building Department
La Quinta, California 92253.1120
Re: Tasche Residence
74.485 Deacon Dr. West 14-30/
The Traditions Country Club, La Quinta
Job No: 9804.00
To Whom It May Concern:
On this date I personally inspected the framing of the Tasche Residence. To the best of my knowledge,
the work completed is in conformance with the approval construction documents and all subsequent
changes.
7,2-2, 2-1-3 Lrrrea, 12iiiie i A, PF,Irn ijeneri, GFIifornir !Ij2260 i eferhrne:(760) '(6-2, G i 4 Frx:(760) 562, -02,f