05537 (SFD)J
Building
Address
Owner
Paul Mons
Mailing
Address P..0. Box 4694
. IT4 4u
P.O. BOX 1504
78-105 CALLE ESTADO
LA.QUINTA, CALIFORNIA 92253
City Zip Tel.
Palm 0eaert 92251
Contractor
0�me>r/Builder -
City lZip
State Lic. I City
& Classif. Lic. #
Arch., Engr.,
Designer'
Address' Tel.
City(Zip I
State
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 affirin that 1 am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,8uskiess and Professions Code: Any city or county which requires a
permit to construct, after, erprove, demofsh, or repair any structure, prior to its issuance also
requires the applicant for such pemdt to Me a signed statement that he is licensed pursuant to
the provisions of the Compactor'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 civilpenally of nol 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 inprovements are not intended or offered for sale. If, however, the building
orimprovement is sok/ withinone year of completion, the owner -builder will have the burden
of proving that he did not brad or ii prove 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 contractWs) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec_ R. & P.C. for this reason
Date. f/, r.j Owner t^" 1 ` - t w,
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that 1 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.)
Policy No Company
❑ Copy is filed with the city. 0 Certified copy is hereby fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not Do conpfeted i1 the permit is for one hundred dollars ($100) valuation
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
Date owner
NOTICE TO APPLICANT: ft, after making this Certificate of Exemption you should become
subject to the workers' Compensation provisiorns 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 for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.). -
Lenders Name
Lenders 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 certity 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 Addrnac
City, State, Zip
��
No.
BUILDING: TYPE CONST. OCC: GRP,
A.P. Number 774-253-,,037
Legal Description Lot 17
Project Description SFD
05537
Sq. Ft. 1360 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
Estimated Valuation $77,548.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
211.80
Const.
531.50
Mech.
60.00
Electrical
106.74
Plumbing
10U.J0
S.M.I.
1.4''
Grading
zueuv
Driveway Enc.
20.Uu
Infrastructure
�•
Validation:
TOTAL
r7• "i (5 s
REMARKSt
t.1 s n�<. _«-7,�tr-r.h ;A +._. -._rn
`Q'34 ti' #_--..l 3 r 7'tt.'
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
3/17/89
Issued by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
GRADE / '
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR SO F7 ®
DUCTWORK
ROCKSTORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. I SO. FT. ®
GAS (FINAL)
WALL SO. FT.
DRINKING FOUNTAIN.
GROUT
WATER HEATER
URINAL
FT ®
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
cu. yd.
$ —Plus—X$—=$
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
/�
L -r v, "`1 tC
a
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REMARKS
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
IWATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
MESH
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 ,
�[/LAB
ROUND PLUMBI G- �
UNDERGROUND
A.C. UNIT
COLL. AREA
GRADE / '
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
CEEWER OR SE T�dff
ROUGH WIRING
DUCTWORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
/
OND BEAMC O-
17
WATER SYSTEM
GRADING
cu. yd.
$ —Plus—X$—=$
LUMBER GR.
FINAL INSP.
ebeFRAMING 6
U-
FINAL INSP.
e(kROOFING /�J
. �v I
/�
L -r v, "`1 tC
a
f��!CIT/h G� ° L
✓/
REMARKS
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
WINSULATION/SOUND —Ili/ -
/ o
FINISH GRADING
1 I AL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
1
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OFSCHOOL FACILITY
W
4NOTICE: THIS DOCUMENT CANNOT
FEES 41h -
w
BE DUPLICATED,
TO: City of La Quinta DATE: —/ �r� (SAN
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
This is to certify that_ G)V O-0 l /Q'-J-d-wyV Qlh-1, J - J
developer of JQ,(- J 'G/ ✓ ,O n which is
located at :4i - q_ 4 VZO Q -Pim 16_ /16�1 within
this District, has paid school facility fees imposed pursuant to the
aut.horit ge erat�d by overnment Co e ec iolt 53080 'n the amount of
'� )"
covering a total of squa e f et of-( ) residential or
( ) industrial/commercial development and that buil ing permits for
this footage in this development may now be issued by your jurisdiction.
.
AD d4d-& 0 - N414A Pft
for DESERT SAN S UNIF D SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
Ul I RA of
AGI(ICUL I URAL CU+MMISSIONLt(
AND
tVIJGI 1 US & hIl ASUB S
49-617 Ilwy t16, 11111te 11-12
A;uacltellrt, LA 92236
619-342-0291
E. LEON SI'AUGY
CO'•1�n�?u: t�
)h.%IES U v:ALOCE
ASSIStAM 1: 4MIISSIuNiR
CLEMEvt tfE`VENISIE
SLAM
pJ1TE Kh P, cJI, A , cq:�?. CASE 10. Q—%t L2t o? /q A
DEVEWIT-11's IWMI A6&
ADDRESS�
'rcLu toldc
11
S4 -42.o ciger4 -4owEk-
Dear pevelopert
After reviewing your lantlscollbig plans, till plant nyterlal .Listed is trot 3.11
violation of quarantine lows tjovetidtiq the Coachella Valley. if substitutions
do occur and they differ [tun plant n►-aterial listed, this office must be notified
itnitediately. .
That►k you for prvtectitty attd pieservitty the Coachella Valley's lest -free envitvtllllent.
-JA -
Agr ultural CUmittssioiteris Mice
cct 111dio and Riverside O [ice
-k 1
Buena Engineers, Inc. i
79-811 Country Club Drive, Suite 4
Bermuda Dunes, CA 92201 • (619) 345-1588 / 328-9131
Client
Client
Client
DATE
AP(*2 i t a --? ,
JOB NO.
13L 17 -
P 1
PROJECT
FIELD TESTING
LOCATION
L L\ Q—u i f-3TA
MOISTURE
CONTENT
%
DRY
DENSITY
IbsJCu. ft.
CONTRACTOR
-TA" C p
OWNER
OPTIMUM
MOISTURE
CONTENT
WEATHER
CG A2
TEMP.
U at
°at
AM
PM
PRESENT AT SITE
103.2
G 1
('1q .0
`-'
TEST
NUMBER
TEST LOCATION
c ^
LOT
NO.
ELEVATION
FIELD TESTING
REFERENCE CURVE
MOISTURE
CONTENT
%
DRY
DENSITY
IbsJCu. ft.
MAXIMUM
DRY
DENSITY
%
MAXIMUM
DRY
DENSITY
IbsJcu. ft.
OPTIMUM
MOISTURE
CONTENT
I0GsL
8,p
103.2
G 1
('1q .0
`-'
9
,.ar•
S
REMARKS: F' E 1`^ F C�2 N� l- 1� _ f S px,) I -4w Sl� I(D•
t CLIENT REPRESENTATIVE SIGNATURE
543
FIELD REPORT
TECHNICIANS SIGNATURE