9807-172 (SFD)H
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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 70 00) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Ex Date
vDate cZ Signature of Contractor 1 -'
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).
( ) 1, 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:
O `f 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.
(,,) I have and will maintain workers' compensation insurance, as required :by
Section 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:
Can* Policy No.
;aI':;;'3, ('`11 :i ii:,'S'Ii
(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 Califo a, and agree that if I should become
subject tothe workers'.compensation provision of Section'3700.of the Labor
Code, I shall forthwith comply with thosg provisio S:
,Date: 7 %� i'� Applicant � t`
Warning: Failure to secure Workers' Compensati n coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety.
for -a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify ;
&. hold harmless the City of La Quinta, its officers; agents and employees.
2. Any permit issued as a result of this application becomes null and void if f
work is not commenced within 180 days from date of issuance of such,/ r
permiti or cessation of work for 180 days will subject permit to cancellation.,-'
I certify that I have read this application and state that the above informatid its
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby. authorise- presentatives of this City to enter upon
the;a_bove-mentioned property,.foitiinspection put oses.
inature (Owner/Agent) 1! Date
4
CONTROLM
BUILDING PERMIT PERMIT807
02
DATE VALUATIONS291,164.a0 LOT i TRACT a�,
JOB SITE
ADDRESS 50-3.ii HF,6; �t lt$�.I;.� LFN
APN 7&V-770-60;
OWNER
CONTRACTOR/DESIGNER/ENGINEER
I:A1 !T1NTA 0R.{;t-AR1) VAf.'!'9ER
S,!:1A KS C:0N%S'I'1t0UTf0N
110 BOX I716
79V5 kJ01C HO LA, QLl1.r TA .DR,
1..A t7t.tINTA CA 9'l:',53
LA t.!UIIv'1'A CA 02753
(70)'%1I.1941 CItf_.t!7,,o,;,
USE OF PERMIT
itltii.il.,l f'/N_,V IN 0
Pl) - izEWMi C:+{ � :5 'i��:;�'1' .i[di %.lsir BLCK K WALLS OR
"i'K.r,�:."1' � ��iv � i i�.li':'i'ii;+iti •i;`?s6.()U ."•.i�
+3f1lZ�yt)ls[;,�liii'Ckt'6' Hurl-Olb tiF'
�. iNS'IRAY'VION 1+11,' t1t! {,11111-,:1iP{-!H7i1 fi1,.}tt. )
j't�•'!'!*;, {147f' i () { _fl(>!i-: j
•1C"!
}y
I', LtE b )SI I01.-00V•439•_lt8 � i1
A41-'(34rlNt+.:111.. l }3Li i01-W()-a;:l-0116 S1tii).iN�
a_`f.FA;' I'fi_Ii; Al 1 Etw [01.4110-4120-f9,H) 5s31" 9)
0; 11x9!'4 W1 "{{. IM -000-41!9A , I (I p,:1 4„
MOTION 1,11 tfij. ••(1l)[Z1.14 N, (1, a29 t'T
o1,til),l!NCJ
1Nt'ttrL+"tttl}� I'l!1tt; Fti{=. 't inti=( 1!?- l�i.i-:+lY NA 10
!W pIlsll w S-,! a.: ,�. ft ?�fiY" 01-t3ftf!.•'�5-;tfifa
STI R '1`C1'1'.n l c',r)hl S i"R 1Jt "f'i0n1 A N I) PI , A Nl Cl
.
r- LIES,11 + R.ti-I A1D IIEES
11250,00
TICO'CAL i'F',RNif4"9-!+'EV's fA.1 E, N�0%'
1t'i.=�:s,.4.ia
RECE� iy '`IL
DATE
BY
DATE FINALED
INSPECTOR
J
ItJSF''ECTIOO N RECOO �D
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs A
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U. —
Framing
Compressor
Insulation ., a
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath (� -
Drywall - Int. Lath -.
Final -
Final — —
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 I I
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
Appliances
Final
Final
Utility Notice (Gas) --/ —
ELECTRICAL APPROVALS
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
r
r
Final
Utility Notice (Perm) ��-�
COMMENTS:
�OU r' 2 —2
4P.O.4
°BOX 1504 APPLICATIONONLY
3uiidih t 78-495 CALLE TAMPICO
kddress �'�' 3 s � FA Ttf� Gt'---d LA QUINTA, CALIFORNIA,92253
Mailing
Address% -1 *0 4,kY i A g % 7/
pity a tel.
Address
Lic.
Isif. (o 7 i
7 — I -q/
lit:', # 2- 916
huuraso, 101.
Y5'/,70 e v e, AA 144- 3 60-0 7'!Z O
GityZi State
/it, -arc7, �L .`_ "2 /tom Lic.,#f
UCENSED CONTRACTOR'S'DECLARATION
I :affi that tarrl Ill; un rovlalons of Chapterw(coinmencing wltt0ection
0 1 ,3 of the a snd' feaalone Code, -and my license is i fully' Rand
fact.
0
Bob -V DA
OWNEWBUILDER DECLARATION
I her affirm Mat ham exempt from ,the:ContrectoPa,License Law for,the,dollowing
reason: (Sec. 7031.5:Business and Professions Code: Any city or county which regWree a
permit ,to, construct; abler, Improve; demo . or. repair any structure, prior to •Its Issuance also
rihwir"ille. applicant for suet -perm-- to.ftN a apned statement Chet) is callow''pursuant to
the prcvp)ona of• the Contractor's, License Lew, Chapter 8 (commeriahg with Sector, 7000) of
Dvis/on 9 or the Business. and Professions Code, Or ihat;he A exempt Nerefrom, -and tit bsels
for ;fit alleged don. Any .vstfetlrin of Section 703, by 'any 'apPJicant. for a permit
aubjeiYs tAe appitcantfo a`clNl penaity, of mit more than the huntlred ddlars.(iSO:
-7 1, ss,owner of the property,,ormy employees'with wages as_thelr sole compensation, will
do the work, and the structure Is not Intended or offered for•eaie: (Sec. 7046, Bulsness and
Pro/eaa)ons Code: The Contractor's License Caw does not apply' to an ownsi"of, property .who
Dui1Qa or, lmpio'ves -thereon and ivho does such woik66nsdf or throughhis own emgMyees,
provided that such •imorovemenfs. tie not 6rtendetl or offered !Nor: saiez t However, the 6ulldlny
or lmproveMent is sold within one year of completion, the owner-blimer 'wit have the bonder,
of. prodng that he did not. DuM or srmprove for thepurpose of:safe:)
111, as owner of the,property,,am exclusively contracting with licensed contractors to con:
struct the 'project., (Sec: 7014, Business and Prolessions'Code: The Contractor's Ueaise Law
does not apply' to' an owner of property who builds or improves rlreieon . and who contracts, far
suchpro)ects wlth p,comfrsctor(s) licensed pufauantto the Contractor's Ucemse Law:)
1-1 1 am:exempt under' $ec. 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 Insuranpe, or a certlfled,copy:theraof..(Sec: 3800:,LaborCode.)
Poli No. Company
' Copy lefiled with the.city, ❑"Certified copy Whereby furnished:
CERTIFICATE OF EXEMPTION FROM
WORKERS"COMPENSATION' INSURANCE
(This section need not be .completed p tho permit Is for one hundred collars ($100) vasratlon
or less.)
I certify that in the performance .of,thp workfor which this permit is Issued,'I shall not
sin s Y any pparson in;any, manner so,as to become�subjectito the Workers' Compensation
laws'0 CAUfornla.
Date 'Owner
NOTICE TO APPLICANT: Il, after making this Certificate of Exemption you should become
it4ect to the Nbrkers', Compensation provisions of the Labor Code; you must •forthwith
comply: with such ,provisions;or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there Is a construction tending agency for the performance of the
work for which this'pennit is issued.:(Sec. 9097, CiviPCode!)
Lender's Name
Lender's Address
This is a building permit.when properly filled out, signed and validated, and IsLaubject to
expirstioreif;work thereunder•isauspended for 180 days.
I certify that I have readahis application and state that the,above fnformationRs correct:
I agree; to comply with all city. and county ordinances and,state laws relating to building
consruction, and hereby authorize. representatives tof this city to enter the above•
menttoned'property for mnspectionpurposes.
Signature of applicant Date
Mailing Address
City, State, 'Zip
.DING- TYPE"CONST. OCC. GRP.
Number, ?&1? / �1 7 d o!�:>o ll
J Description —rrA C—T 2-4.57-/ zo ' .-.3
fct Description>�
Ftgft? NO. No. Dw.
`77 Stories Units
Add. O • Alter -O Repair ❑ Demolition 0.
PERMIT
AMOUNT
Plan Chk. Dep.
fw
.Plan Chk. Bal.
Const.
Mach.
Electrical
Plumbing
.S.M.1.
Grading
Driveway Enc.
Infrastructure
TOTAL
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
RearrSetback from Rear Prop. Line
Side Street Setback from Center Line
'Side Setback from Property Line.
FINAL DATE INSPECTOR
Issued by: Date Itz f
Validated by
Validation: rr r , IWO
1..
WHITE =FINANCE YELLOW -,APPLICANT PINKc; BUILDING DIVI ' ` "
Notice:
Document Cannot Be Duplicated
Date 9/4/98
,No. 17646
Desert Sands Unified School District
47-950 Dune Palms Road
La. Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
APN # 769-770-001
Jurisdiction La Quinta
Owner NameLa Quinta Orchard Partners
No. 50-355 street Heather Glen
City La Quinta - zip 92253
Tract #
Type of Development
Comments
Lot #
Permit #
Log #
Study Area
Square Footage 4,996
Single Family Residence No. of Unite 1
At the present time, the Desert Sands Unified School District does not collect fees on ,garages/carports, covered
patiostwalirways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes.
It has been determined the' above-named owner is exemptfrom paying school fees at this time due,to the following reason:
EXEMP'T'ION NOT APPLICABLE
This certifies that school facility°fees imposed,pursuant to Government Code 53090 in the amount of
1.93, X 4,996 or S 9,642:28 the property listed above and ;thot building
permits and/or Certificates of Occupancyfor this square footage -in this proposed project may now 'be;issued _
Fees Paid By CC/El Dorado Bank/Sparks Construction -Judy Telephone 7.71-1941
Name on the, check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Juanita Green
Signature
Payment Received $9,642.28
Check No. 851318227
mgncE; Pursuerd at � Bill 9091 (OW 549, STATS. 1996) Ada win eanA to naft you tri the1� appy period in wtddr you may p the teas or osier asrmerd idennned
above vM begin to run the dries on whish the bufldirg ar inslallatlon partnM for tlde pro)ect is tissued o► an which they are paid to the Dhddd(s) or to anolhei pubik entlty audwrized to
coned dors on"DMrkg 'sxa� behaM, whichever ie eadkr..
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
J1
Lo -r -.4 i3
MAIN PANE -
WITH *FS LOCATID
AT AOR AOQA
T
�' O
POWER CONPAW
UGKMV TO
CW. GAS APO 20' IME
%CCA7MM
140A2PCB PAW- A
TO PAM. A i OO A
70 A 2 C8
TO PANEL A
ton A V Cb t• 70 g
TO PwEA- ! POOL -
r
Z, C 3• .. C
1iw RN'0 t * 8 EINiP
2.° G 3 # z COPPER
SINGLE LINE DIAGRAM -ViWANo .14% 6040
Y44 C 30 4 COPM
TM ANP 10, $ HrJD
PM46L C.
100 N14P
JUL-01-98 WED 0648 PM COCKRELL ELECTRIC FAX N0, 7608646235
SINGLE FANHLY DWELLING LOAD CALCULATION FOR:
LA QUINTA OROIARD PARTNERS
ESTANCIAS LOT 13
4,996 SQ. FEET AT 3 VOLT - AMPERES
TWO 20 - AMPERE APPLIANCE OUTLET CIRCUITS
AT 1500 VOLT - AMPERES EACH
LAUNDRY CIRCUIT
DRYER CIRCUIT (GAS)
RANGE
COOK TOP (GAS)
DISHWASHER.
DISPOSAL
NUCROWAVE
WATER HEATER (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%
FUTURE LOAD DEMAND, AT 100%
AIR CONDITIONER # 1
AIR CONDITIONER # 2
AIR CONDITIONER #'3
TOTAL LOAD 58,987 VOLT AMPERES
58,987 VA _ 240 VOLTS = 246 AMPS
P. 04
14;988 VOLT - AMPERES
3,000 VOLT - AMPERES
1,500 VOLT - AMPERES
9,600 VOLT - AMPERES
1,200 VOLT - AMPERES
700 VOLT - AMPERES
1,500 VOLT - AMPERES
1,500 VOLT'- AMPERES
1,500 VOLT'- AMPERES
1,500 VOLT - AMPERES
12,480 VOLT - AMPERES
49,4618 VOLT -AMPERES
10,000 VOLT - AMPERES
15,787 VOLT - AMPERES
25,787 VOLT -AMPERES
8,000 VOLT - AMPERES
8,400 VOLT AMPERES
8,400 VOLT - AMPERES
8,400 VOLT - AMPERES
THEREFORE THIS DWELIJNG SHALL BE PERMITTED TO BE SERVED BY A 400
AMPERE SERVICE.
I�
Certificateo'f Occupancy
City of La. Quinta
Building. -and Safety Department
This Certificate issued pursuant to the requirements of Section 109 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.-
BUILDING
ollowing:
BUILDING ADDRESS: 50-355 HEATHERGLEN
Use. Classification: SFD Bldg. ;Permit No.; 98.07-172
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: LA. QUNTA ORCHARD, PARTNERS
Building Official
Address:
PO'BOX 1716
City:
LA QUINTA CA 92253
By:
KIRK KIRKLAND
Date: 7-1-99
POST IN -A CONSPICUOUS PLACE