06312 (SFD)T-iht 4 4Q"
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 48-247 Mlle Floristas LA QUINTA, CALIFORNIA 92253 _
Abe r'S$t Thelma Crost3mm
Mailing
Address
W10 Corbin Ave.,
S-3
City
Zip
Tel.
Northridge
91324
No.
Stories
818-345- IiS94
Contractor
Alter ❑ Repair ❑ Demolition ❑
• 3-C..-.�OY$3�l •
ice. rr. •,... ,, .
Address
;f 6
City P•�ii3ii - S@tt
ZIpg2 6i1 C,
Te13445-5430.
State Lic.
E'r ,,�,
7Lic.
Estimated Valuation
City !"
& Classif.
155333 b'
# �•2�j�.'
Arch., Engr.,
Designer
X22.54
Address
626.00
Tel.
City (Zip (State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
N 7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect
�• SIGNATURE DATE
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractors License Law for the following
-� reason: (Sec. 7031.5,Buseness 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 fde a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
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 penalty of not more than Five hundred dollars ($500).
❑ 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner or property who
(wilds 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
or improvement is sold within one year or completion, the owner -builder will have the burden
or 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 B. & P.C. for this reason
Date ' r Owner
WORKERS' COMPENSATION DECLARATION
I hereby 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.)
Policy No company
O Copy is filed with the city. ❑ Certified copy is hereby fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be Completed il 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. N, 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 for the performance of the
work for which this permit i5 issued. (Sec. 3097, Civil Code.)
Lenders 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
No. 46312
BUILDING:' TYPE CONST. OCC: GRP.
A:P. Number - ... 617 -652--424'
Legal Description
Project Description
Tract 20 052-2,
i ltm IRS Lit $4
Sq. Ft. 1852
Size "'
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$96,142
PERMIT
AMOUNT
Plan Chk: Dep.
Plan Chk. Bal.
X22.54
Const.
626.00
Mech.
63.00
Electrical
167•.28
Plumbing
1.32.50
S.M.I.
6.73
Grading
Driveway Enc.
Infrastructure
2,163.19
TOTAL
$3,618.30
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�INNSPP CT�OR
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE ` �
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL SQ. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT, ®
DUCTWORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT.
&GAS (FINAL)
TEMP. POLE
WALL SQ. Ff.
DRINKING FOUNTAIN.
GROUT
WATER HEATER
URINAL
SQ 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
FINAL INSP. ' — .Gil
VV
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
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.
SQ. FT. ®c
BATH TUB
GAR. FIREWALL
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4C
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE ' L.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK .�
GROUND PLUMBI
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE ` �
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OF Rgjj 9N"
ROUGH WIRING.
DUCTWORK
ROCK STORAGE
FOUND. REINF.
fl/GAS (ROUGH) &0METER
Il�wv
LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
&GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GSR.
FINAL INSP. ' — .Gil
VV
&RAMING 1 L�
r
FINAL INSP.
'
� � av(
;@/--ROOFING (1p,
' C I I CI
� 0
�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
/�
//����—p
W kATHING (� ^ U
MESH
LINSULATION/SOUND /—I L. Oto
FINISH GRADING
_ I
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
MAY — 5-9,2 FR I 10 1.5 MAROY I S MANAiGEMENT P 03
b
APR t r 1992
LAGUNA
' ne i.n rnz
ARCHITECTURAL VARIANOE REQUEST
unit !� Date
Street Address 1/012dje/len2s/111 Ls
_l..2a�)
Local Prone pl� �S�a�— other Phone -2) k)
To the ArChiteatural Committee:
we, the undersigned owners, request your approval of the
modifiCattons proposed on the reverse side of this form.
Atta;hed ere drawings of the work to be done; types of
material to be used are indicated on the drawings. We
understand tnat building permits for home improvements are
required by theCity of La Quinta and that the cost of the
permits and responslbili:y of ObtdiniRg permits and
subsequent inspections giil be borne by 'us.
We ackowledge that all approved changes in the original
.! design will be at our expense; that any damage to Or
=alocatlon of existing sprinkler systess, underground
utilities, building structure and exterior landscaping or
.• _ otter damage resulting froze construction of these permitted
Improvements drill be at our expense; and that malntenanCV of
• _-the permitted tmprovements will be st our aYpense: _
,MAY— $-92 FRI 10:14 MARQUIS MANAGEMENT P.02
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�/s
maEwr.I V aROv9p
• ' ` I 39"�RMSG� � 00#e6s� 2W
ca CRY cafte" t 9=4
46191 324.x=. • FAX $19) =4.19M
LAGUNA DE LA PAZ
ARC)EEITECTORAL VARIANCE AUTHORIZATION
NAME Darrell Clark Ortiz
ADDRESS 48-24'7 Calle Floristas
Your request for Architectural Variance has been approved
by the Architectural Committee. Any changes requiring a ,
building permit must be obtained through the City and must
pass any City inspection. All changes must comply with
City And County Codes..
SPECIAL NOTES Please submit a new drawing and copies of
Building Permit and Final Inspection Report
Thank ou,
Nancy Duan
Account Executive .
REGIONAL OF'F1CIM
VWA* + PAROO Cueaenor9 2 0 &n CIOMOM • ULM BW • COACht" W4Y 6 S&A Dego
A
MAY— 0-92 FRI 10:15 MARQUIS MANAGEMENT
P _ 0 4
Please pravide as much detail as possible .so that t ' he
committee may const.dar approval without delay[ -
dox—
the above proposal hue been reviewed by the Architectural
Committee and `+aa been:
APPROVED RE,.�CT=� PENDING FURTHER ( �
0 INFORMATION . "„//
Comments$
OATE$
Committee Comm[,%tee Committee
member MemOer Member
S
PCS .