001643 (SPIN)Building
Address
Owner
Mailing
Address
City
T4ht 4�Qw
P.O. BOX 1504
53-095 Ate. Harrem LA QUINTA, CALIFORNIA 92253
BM. and A
Zip
to -kJ arm as I I
Contractor
.Address
'City izip
State Lic.
j & Classif.
Arch.,'Engr.,
Designer
No. 001643
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Tel.
564-5087 Legal Description
Project Description
Tel.'
Lia #
Sq. Ft. No. No. Dw.
Size Stories Units -
New ❑ Add ❑ Alter ❑ Repair ❑ • Demolition ❑
Address
or. e a
Tel.
CohSt.
0=iianm a
City
Zip
State
Lic. #
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.)
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 Professions Code, and my license is in full force and
effect.
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
-struet 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
.SIGNATURE DATE
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
. ❑ I am exempt under Sec.. B. 8 P.C. for this reason
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.file a signed statement that he is licensed pursuant•to
j - 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
Ile
t lh 11 d t' A I f t S tl 7031 5 b I r t f 't
Estimated Valuation
'
-
PERMIT
Plan Chk Dep
CVlTa7
axe mp ion. ny wo a ion o ec on y any app an or a perms
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). . .-
O 1, as -owner of the property, or my employees with wages as their sole compensation, will
'do
Plan Chk. Bal.
CohSt.
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
-Mach.
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
Electrical '
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.)
Plumbing
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
-struet 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
S.M.I.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
. ❑ I am exempt under Sec.. B. 8 P.C. for this reason
Grading
Driveway Enc.
Date'Owner y�' !/t < r % i` int `.
Infrastructure
OMMIlame y
WORKERS' COMPENSATION DECLARATION
' Ihereby 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.)
ZONE:
Policy No. Company
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
O Copy is. filed with.the city. .O Certified copy is hereby furnished.
TOTAL
Front Setback from Center Line
'AMOUNT
CERTIFICATE OF EXEMPTION FROM
REMARKS
- 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
ZONE:
BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
'Minimum Setback Distances: -
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
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.)
Side Setback from Property Line
Lender's Name
Lender's Address
FINAL DATE
INSPECTOR
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 this
- 7 25-415Permit
read application and state that the above information is correct..
Issued by:
Date
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.
Validated by:
Signature of applicant 41 _ ! ' . .' 1 r . + ti Date %— -, ,' 'k)
Mailing Address
Validation:
City, State, Zip
A2070
7 25 10a00.
HARD COPY
Cil
Y
_
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. p $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WATER HEATER
WALL SO. FT. ®
FINAL INSP.
DRINKING FOUNTAIN
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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.
SO. FT. ® c
BATH TUB
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
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
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
��,7FINAL INSPECTION u'
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS.
GARDEN WALL FINAL
a
\14 ATE R
ESTABLISHED IN 1918 AS A PUBLIC AGENCY
'ISTRIG�
COACHELLA VALLEY WATER
DISTRICT
POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711
DIRECTORS:
OFFICERS:
JOHN W. McFADDEN, PRESIDENT
STEVEN B. ROBBINS,
PETER NELSON, VICE PRESIDENT
GENERAL MANAGER -CHIEF ENGINEER
TELLIS CODEKAS
JULIA FERNANDEZ, SECRETARY
RUSSELL KITAHARA
DAN PARKS, ASST. TO GENERAL MANAGER
PATRICIA A. LARSON
REDWINE AND SHERRILL, ATTORNEYS
September 30, 2003
File: 1112.
La Quinta Palms Realty
51-001 Eisenhower Drive
La Quinta, California 92253
Gentlemen:
Subject: 53-095 Avenida Herrera
Account No.
In researching our records, we found that the above -referenced property has
not met the sewer requirements of the district.
The district has no record of receiving a signed petition for annexation or
the payment of sewer fees, which would authorize connection to the sewer
system.
If you have any questions please contact Rosie Anacleto, Customer Service
Representative, extension 2420.
Yours very truly,
fir Steve Robbins
General Manager -Chief Engineer
RIA:ra
bc: City of La Quinta
Post Office Box 1504
La Quinta, California 92253
TRUE CONSERVATION
USE WATER WISELY