9808-214 (SFD)lam_
N Cn
LLJ
O d IM
' W
C Z
O�
CC) 0,
(D
LLJLU 11-a
U)
z
0
_LO
X
m
O
,a:
M
Il')
N
p N
U rn.
Z
HCc0
J J
Q U.
UQ
ui �-
z_
ao
C) .�ry
61
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I. 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 fJ j/'r� `Signature of Contractor r
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. 7044, Business & Professionals
Code).
() I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
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 of the Labor Code, for the
performance of the work for which this permit is issued.
( ) have and will maintain workerscompensation insurance, as required by
Sediion 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:.
Carrier Policy No. n ry
ni'1XI t;`IJIYI_• t�ll}^ $ tJrl�t j^fr`ali 93
(This section need not be, completed if the permit valuation is for $100.00 or less).
O I certify that in the performance of the work+for which this permit. is issued,
I shall not employ any pbrson 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
Code; I shIklFforthwith comply with thoseprovisi
Date:, ' ,Applicant �--r
r
Warning: Failure to secure Workers' 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 rand Safety
for a: permit subject to the conditions and restrictions set forth on his
application.'
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 al 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.
Signature (Owner/Agent) 1 �" Date
j! �.• r i
BUILDING PERMIT PERMIT#
ytilli Z
DATE VALUATION LOT TRACT
��12,'��t5..gi1 1" Lnti�rt
1 . '.��' �f_ -
Job SITE -.. i
APN
ADDRESS :_i!-LFi;? 84ILA1 0.dt�flt tr1�GllV
JtL`D- 1:91P-11.0. 9
OWNER
CONTRACTOR / DESIGNER / ENGINEER
1..rL(,y)�i�.I'r1.C)ItC',I'rv�uQh,ia..F:t+.a7
S'11.1 A IRIK 01 . .._).'.
K) I30:.' 1716
79-29.5 [ttlNCTIO LA. QI[JIMEN 131..
k -A c ruLNTA. CA 92253
L.r1.1;rUIN1-A. CA .,'41253
i 7nf),771-f!�=i l 0131.# 1:1996
USE OF PERMIT
tij!"�I,il.,l liAlijt�`i 1.)LV.f3i L11Vt:i
i'� -T) _.PURM.lr P11CLUD S 456 L.F., f,' CARlia[:I',i G)RCO 3 i ST@%i-
F100L BY SEPAtUVi'H 1'ERivIll'.
"si<i,i'. i v, +87,00 ;sl"
P •�.5RICt-Vr, Li Itea 1, 06.00 :fit.,
(JA ks/+, kk.t''< H St.
6 Vf% WA1.1 4301 >(1 JA
(10, r,A11Xtjt:"r!(JNfh IUt-t3(.K7 11K-(Ii)t) l,•t.tt.9f1
P1 ,;t4 I.—Pl. IIII-11M9•d K'?-'tEl� kt ttR54
1 � � lcl•.• i +j(� 4 til ,��
I' I'•,fs i.t1'.t .f ,tii� l / fl1 E/lrl� �i.la'? I .l • d1 l�i.it�
ntk �; ir�fvlt: ,1C, FEE 101 _00-112 I.170ti b 11. Oil
F `I u. `rice Al. l—fig 10 I -000-420-(!1711 X2'7 T.:3y
pl, 1 ren_;]N(; t.FT� I(ti..tlfa(j.:1tu_lul(j 4;;af;:i 1i
, 7 NICI `Ii N FEE • i"'f1fl.% IOt-000-211-000
<;ki�E4W.31FEE I0j.-00-1121-000 yiit.11lj
lNt I4_A:"!'fit.)E"tSJWJ:; f Ht: 225-000-443-:.42. 9i,wy7. ;4
f 1 >f. �,.i2.I'tiib,,-.11I-Ilf1f)-:55-�N1!I �•#S4.t7
rF qct, �
si j l�-'17 Y!' f� l , l'("�;t� t [� i l(":"I"l () h! . c1 N I�) 1�f , A 1st f'' 1•(f�(�1�
4j'•�,tSftK f ltl
II'OTAI.. I!DERMA'1' FEES DUE 1`r0W
$9,438,09
RECEIPT
0,
DATE
By�4' (J
I 'r
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE 7
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings —
Ducts
Slab Grade Z—Z .9
Retum.Air
Steel
Combustion Air
Roof Deck — K
Exhaust Fans
OX to Wrap -/Z —
F.A.U.
Framing
Compressor
Insulation - /
Vents
Fireplace P.L.
Grills
Fireplace T.O:
Fans S Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath 2 'oe-
Final
Final 'tee
BLOCKWALL APPROVALS
POOLS - SPAS
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
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 0W
Appliances
Final'
Final
Utility Notice (Gas) r
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final 13--377-0-5
UtilityNotice (Perm)
COMMENTS:
.a.
P.O. Ce
BOX 1504 APPLICATION ONLY
Building 0-2
y/ 414 78-495 CALLE TAMPICO
Address ��ae�.'1,/ OUINTA, CALIFORNIA 92253
Mailing
Address
v
CityZ�j t z 17 /?c,�f
S favS-rk,(Jr-rf 0e,, r --� C_
..7f-10 ?10ke, (-W (",
V,")of?/.�
7�/0
P%lull cnyr.,�/ ll
Designer G(�i C r vCr t Wit% (CC/�'�' /
Ad ressTel.
4/c/9'D l�tv� t.� "1lr_ d ozc'o
I. herebyy, affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of NWefon;3 of the'Business'and Professions Code; and my license lean fulllforce and
elfecI.
SIGNATURE BATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am,exempt from the Contractors' License Law for the following
reason (sec. 703.1.5i9um"s and Professions Code: Any CRY- or'counly whkih requires, a
permit to. construct, after. Improve, demolish, or repair any structure; prior to -ft Issuance also
requires the-.applioan for such„permit to Me'a signed statement Yhat`.he is licensed pursuant to
the prov/sioila of the Contractor's license .Law, Chapter 9- (commencing with Section 7000) of
Dfviskln X3,61 the:Bushiess and Professions Code. or first. he is exempt lherefrom,,•and, the baste
for the alleged' ,e ,700n. Any, violation of Section 7031.5 by Any applicant for a permit
sub)ects the appacanLto a, &W penalty ofnotyporeMan livehundred' dollars.(t500).
❑,I; as owner of the•property; or my with wages as -their sole compensation, -will
do'the�work,'arid the structure Is:`not intended or offered`forsale.-(Sec; 7044, SoIsness and
Professions Code: The, Confractcr:s License Law does .not apply to en oiyner of.property who
tiuhrle or improves thereon and who does such work himself or through his own empidyees;
provided that such Improvements are not Intended or`offered for°safe. 'B; however, the building
or Improvementis sold within' one year of completion, the oWner'buitder will have the .burden
of proving thathe did not build or improve;for'thepurpose ofsale.)
I`l !,,as ownerof the property, am exclusively contracting wf101Icensed contractors to con•
=strliot' the project: (Sec 7044, Business and Professions Code: The Contrectora License Law
not apply, to an owner of,propeity who bulbs or lmproves.thereon and -who contracts'lor
such:prOacta with a'contractor(s) licenaed.p&suentYo the Contractor's License, Lew.)
iT I 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'lrjsuranoe, of a,certified,copy thereof: (Sec. 3800; Labor Code.)
Policy No. Company
❑ Copy is filed.with'the city. ❑ Certified copy is hereby, furnished.
CERTIFICATE OF IXEMPTION FROM
WORKERS"COMPENSATION INSURANCE
(This section need not be completed f : the -permit Is for one hundred dollars ($100) valuation
or less.)
1 certify, that", in the performance.o0h work -for which this .permit Is; Issued, I shall not
employ any person In:any manner. so as, to become subject to the Workers' Comperieation
Laws of Call ornia.
Date Owner
NOTICE TO .APPLICANT h, after, making this Certdioate of Exemption, you should 'become
sublact to the Workers' Compenset/on provisions of the Labor Code; you must forthwith
comply with such.provfslons or IAla permi shaltbe deemedxevoked:
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a: construction lending agency, for the, performance of the
work;forwhich this permit is issued. (Sec. 3087. Civil'.Cods.) 9e,
Lender's Name _
Le_nder's Address
This Is•a building permit when, property filled out; signed and validated, and Is subject -to
ezpiratloi. If work thereunderis;suspended for 130 days.
I certify that.I have,fead this applicetIon and, state. that the above information is correct.
I agree .to comply with alt city and county ordinances tend state laws relating to building
construction, and hereby authorize representatives ref: this city to enter the above•
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Addre
City, State, Zip
BUILDING: TY.PE'CONST: OCC.GRP.
A:XP. Number % 74,o!
of S
Legal Description � Zl!:�& 7k/
Project Description �F
5^ V Cc of <-0 o f 14-,ec
7rq - 760 -
Sq. Ft:
Size (6 7
No.
Stories
No. Dw.
Units
Nev [ Add ❑
Alter ❑
Repair ❑ Demolition ,O
—1440t IJI
Ayb'/aFc v, •
Estimated Valuation
5/<6 7, -,PERMIT` 5�`
AMOUNT
Plan Chk. Dep:
S(J, (Jl�
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing.
S.M.I.
Grading
Driveway;Enc:
Infrastructure
TOTAL
1 2S 7v , 00
REMARKS
ZONE: BY:
Minimum_ Setback Distances:
Front, Setback from Center Line
Rear Setback from Rear Prop. Line
Side StreetiSettlack from Center Line
Jq
e Setback fr6rkProperty Line
FINAL DA E' INSPECTOR
Issued by
Date Permit
Validated by:
UINTAINTA
s 4
WHITE ,= FINANCE YELLOW a APPLICANT PINK= BUILDING DIVI9jON
Desert Sands Unified School District
47=950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
CERTIFICATE OF COMPLIANCE
Date 12/29/98 APN # 769-760-013
No: 18184. Jurisdiction La Quinta
Owner NameLa Quinta Orchard Partners permit #
No. 50-285 street Heather Glen Log,#.
City La Quinta zip 92253 Study Area
Tract ## 25674 Lot # 12 Square Footage 4,587
Type of Development Single Family Residence No. of Units 1
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:
EXEMPTION NOT APPLICABLE
This certifies that:school _facility fees imposed pursuantto. Government Code 53080 in.the'amountof
1:93 X' 4,587 or $ 8,852.91 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 CC/Eldorado ,Bank/Sparks Cons. - Judy;Telephone -
Name on the check-
By
heckBy Dr. Doris Wilson
Superintendent
Fee collected /exempted by Juanita Green
Signature
Payment Received
Check No.
$8,852.91
851318596
NOTICE: Pursuant ohAssobly 8i113081 (CHAR 549, STATS.,1996)'this will serve to notify you that to 9D -day approval period in which.you may:protsst 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 assued or on which they are paid to the District(s) or to another public entity suthorized to
collect them on the.Distri(*'s)(s')'behiiff 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/lteceipt Copy - Accounting
T-v4t 4 4 Q�"
PUBLIC WORKS CLEARANCE LETTER
FOR
CUSTOM. HOME LOTS
Dear Builder:
Prior to issuance of -a building permit, you will be required to obtain clearance from the
Public Works Department for one, or more, of the following:
Verification that rough grading is complete, and the pad elevation certifications
prepared by a Licensed surveyor, or engineer, are on file in the Public Works
Department.
2. Verification that infrastructure improvements and other required tract improvements
are complete, or sufficiently advanced to warrant building permit issuance.
3. Prepare an engineered ,grading plan that provides for on -lot storm water retention;
.and have it checked and approved by the Public Works, Department .
• Tract 26524 (Estancias)
• Tract 26769 (Mountain View Estates)
4. Prepare an engineered grading plan that provides for building pad grading in
accordance with the existing soils report and tract grading plan, and have it
checked and approved' by the Public Works Department.
• Tract 28034 (:South Valley Estates)
FOR INTER14AL USE BY PUBLIC WORKS DEPARTMENT
m
TRACT;
LOT: l
-1-124
PLJBC1Q WORKS AUTH ArZATION A
FVWDEPTOOCSTORMSM CLEARANCE LETTER,9S
4
TRI-STATE LAW SURVEYORS A CIVIL ENGINEERS
78.120 CARE EsTAdo, SuhE 102, LA OUINTA, CAINORNIA 92253
(760) 864,0271 ' (600) 363:6306 FAX (760) 564.0.279
December 10, 1998
Mr. Marcus Fuller
CITY OF LA QUINTA
78495 Calle Tampico
La Quinta, California 92260
RE: Pad Certification
The Estancias
Tract 26524, Lot 12.
Dear Mr. Fuller:
This letter is to certify that a field survey was made of the existing pad in the City of La Quinta.
Lot 12 of Tract 26524 was found. to be in conformance with the approved Grading Plan.
The following are the results of our survey:
LOT # PLAN GRADE.
12 46.00
If you have any questions, please do not hesitate to call.
Sincerely,
fi�)l
Peter G. 'Ringeis
RCE 13'515
MEAN ELEVATION
46.06
S
__�qlF Of CA��F%T►;►tip
SINGLE FAMILY DWE�G LOAD CALCUJ ATION FOR:
SPARKS CONSTRUCTION
ESTANCIAS PLAN 3700 - 12
4587 SQ. FEET AT 3 VOLT - AMPERES
Two 20 - AMPERE APPLLAINCE OUTLET CIRCUTI'S
AT 1500 VOLT - AMPERES EACH
LAUNDRY CIRCUIT
DRYER CIRCUIT
RANGE
COOK TOP
DISHWASBER
DISPOSAL
MICROWAVE
WATER HEA'T'ER (GAS)
FURNACE UNIT #1
FURNACE UNIT #2
FURNACE UNIT#3
POOL EQUIPMENT .
FIRST 10 KVA OF OTHER LOAD AT 100%
REMAINDER OF OTHER LOAD AT 40%
FUTL.YRE LOAD DEMAN_D, AT 1005c
AIR CONDITION'ER # 1
AIR C.ONDTTIONER # 2
AIR CONDITIONER #3
TOTAL LOAD 65,792 VOLT AMPERES
65,792 VA -240 VOLTS = -74 AMPS
13,761 VOLT - AMPERES
3,000
VOLT - AMPERES
1,500
VOLT- AMPERES
5,000
'VOLT - AMPERES
8,600
VOLT - AMPERES
84600
VOLT - AIMPERES
1.,200
VOLT - AMPERES
700
VOLT - AN PERES
1;500
VOLT - AMPERES
1,500 VOLT - AMPERES
1,500 VOLT - AMPERES
1,500 VOLT - .AMPERES
9.120 VOLT - AMPERES
57,:81 VOLT -AMPERES
10.000 VOLT - AMPERES
18,902 VOLT - AMPERES
28,992 VOLT -AMPERES
8.000 MOLT AERES
9.600 VOLT - AMPERES
9,000 VOLT - AMPERES
9,600 VOLT - AMPERES
THEREFORE THIS DWELLING SHALL BE FERINUTTED TO BE SERVED BY A 400
AMPERE SERVICE.
SINGLE LINE DIAGRAM
400 AMP MAIN S€RACE
129/24OW 19,3w ---
CONDUIT TO TPm*NSFDRMER
AS PER I.J.D. REQUIREKNTS
#Z COPPER 6ROUND TO
C:'OU GAS AND UFFM
0,
n
11M CONDUIT -
3 #4THHN COPPER
143 THHN GND
100AFF 2P KB
200 AMP ZP CB
TO PNL'A'
ZOO AMP 2P' CB
TO PNL'B'
70 AMP ZP'CB
TO PNL'C'
z• CONDUIT
3 #310 THHN COPPER
1 #6 THHN GND
PNL'A'
PAL'S`
2" CONDUIT PNL'C'
3 #3I0 liIHN COPPER
1 ? ,6'THMN GND