10166 (SFD)Building.
Address 54"-250 Herrera
Owner
Joe W. SteFtiE er
Mailing
Address 52425 Herrera
City Zip
La Quinta 92253
Contractor
Owner/Builder
Address
City Zip
4 4v
P.O. BOX 1504 N 0 .
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
State Lic. uty
& Classif. I Lic. #
Arch., Engr., I
Designer
Address FTel.
City ( Zip( State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 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.
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, after, 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
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 penally of not more than five hundred dollars.($500).
❑ 1, 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 budding
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.) . .
❑ I, 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 contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. t B. & P.C. for this reason
Date owner
ri
WORKERS' COMPENSATION DECLARATION'
I hereby affirm that Nave 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
O Copy 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 . .
1 certify that in the performance of thV 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
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 Jor 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 -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
10166
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description
SFD
Sq. Ft. 1372
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Permit does
not include
black wall
or pool
.fs
Estimated Valuation
so -,501.50 0c50z.50
.PERMIT
AMOUNT
PIari'Chk, Dep.
250.00
Plan Chk. Bal.
225.34
Const. • --
_
554.00
Mech.
55.50
ElectricalL20.42
Plumbing
141.00
S.M.I.
8.10
Grading
20.00
Driveway Enc.
20.00
Infrastructure .
1773.03
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from, Property Line
FINAL DATE INSPECTOR
Issued by: Date Perm
Validated by:
Validation:
X54,17
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEEF)
1ST FL. 50. FT. @ $
UNITS
SLAB GRADE Z
ROUGH P UMB.
BONDING
YARD SPKLR SYSTEM S
2ND FL. 50. FT. @
FORMS
S E
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. @
GAS (ROUGH)
METER LOOP
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE ///�J/(q!
DRAINAGE PIPING
CARP. 50. FT. @
GROUT
WATER HEATER
WALL 5O. FT. @
FINAL INSP.
DRINKING FOUNTAIN
SO FT @
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
FRAMING l �/3, L�
FLOOR DRAIN
MECHANICAL FEES
INSPECTOR'S SIGNATURESIINITIALS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIREPLACE
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% c
SEWAGE DISPOSAL
SO.FT.GAR @ Vic
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK / Z/Z 9/
GROUND PLUMBING �� )jis
RGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE Z
ROUGH P UMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
S E
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. 2 Z
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE ///�J/(q!
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING l �/3, L�
FINAL INSP.
ROOFING �} /
INSPECTOR'S SIGNATURESIINITIALS
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING NO&Z6
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL 3' T
GARDEN WALL FINAL
..4 4 QuW0
P.O. sox INJI
76105 CALLE ESTADO
LA OUINTA. CALIFORNIA 92M
Contractor OWNER Owner Joe W. Stemmer
Address 7-,&- _ oe, La QuintaJob Address
La Quinta City License No.: Expires: Bldg. Permit No.:
This form shall be posted on the job with the Building Inspection Card and it
shall be the duty of the General Contractor or if Owner -Builder Permit, the owner
to see that all sub -contractors sign this card, giving his City of La Quinta
Business License Number, Contractors License Number and a current certificate
Of Workman's Compensation Insurance Certificate when he starts the job. Failure
to comply may cause Building Inspectors to stop work, or complaints to be filed
against such contractors or owners.
CITY CONT. d
SUB -CONTRACTORS. NAME LIC. NO. EXPIRES LIC. NO. EXPIRES
1.
2.
3.
4.
S.
6.
7.
S.
9.
L0.•
L1.
12.
L3.
L4.
L5.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
Grade i Excavate Date Land 031 3.1 Q1
Pipelines none
Cement -Foundations Desert Cities
Cement Walks i Drives same as #3
Asphalt Paving
same as #3.
Framing
Ron Ruff 582
Steel Structural
none
Masonry
none
Plumbing
Edwards 2210
Lathing
Paul White 248
Drywall
Mark Auriette 1290
Plastering
same as 10
HVAC
Artic Air 930
Electrical
Raceway Elec. 6220
Roofing
Rubin Vasquez 1157
Sheet Metal
same as 13
Floors -All Types
owner
Glass - Glazing
owner
Insulation/weatherstrip Schmitt 3062
Sewage. Disposal
same as #1
Painting/Decorating
Owner
Tile
Owner
Cabinets -Installations
Dian Cabinets 739
Ornamental. Metal
none
Fences/Blockwalls
owner
Landscaping
_owner_
Others
12/31/91
DO NOT REMOVE THIS CARD
Before Final Building Inspection Will Be Made
This Form Must Be Completed and Filed With Title 24 Calcs and Plans
CALVIN C. KAMINSKAS
Assistant Commissioner
(714) 275-3000
� O
DAN RILEY
Sealer, Weights & Measures
(714) 275-3030 .
4V9, is
OFFICE OF -
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291
DATE CASE NO. Cl2 10
DEVELOPER'S NAME:
ADDRESS:
,
TELEPHONE:
Dear Developer:
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions
do occur and they differ from plant material listed, this office must be notified
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agricult Commissioner's Office
cc: Indio and Riverside.
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012
M505011la-&
I M
MrrI
OWNER -BUILDER VERIFICATION
Attention Property Owner:
it
An owner -builder permit has been applied for in your name and
bearing your signature.
Please complete and return this information at your earliest
opportunity to avoid unnecessary delay in processing and issuing
your building permit. No building permit will be issued until -
this verification is received.
1. I personally plan to provide the major labor and materials for
construction of the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a
building permit for the proposed work.
3. I.have contracted with the following person (firm) to provide
the.proposed construction:
Name _
Address
'Phone
City
Contractors License No.
4. I. plan to provide portions of the work, but I have hired the
following person to coordinate, supervise and provide the major
work:
Name _
Address
Phone
City
Contractors License No.
5.'• I will provide some of the work but I have contracted (hired)
the following persons"to provide the work indicated: (see attached)
W
OWNER -BUILDER SIGNATURE
RPT1