11502 (SFD)Cl/
LdP.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 47-445 Via Coddova LA QUINTA, CALIFORNIA 92253
Owner Baden -Julian
Mailing
Address 154 East Desert Falls Drive
City Zip Tel.
FaLm Dessert 92260 340-3522
Contractor
Manne_g Construction
Address .
154 Eatt Desert Falls Drive
City lZip I Tel::
State Lic. I City
& Classif. B 180530 Lic. #
Arch:, Engr.,. � olm Wallin
Designer g
Address 45-190 Club Drive Tel. 360-0250
CityZip State
Indian Well
11 s Lic. # 67424
/ LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that aam licensed uXdegprovisions of Chapter 9 (commencing with Section
70 00) of Division 3 of the Buslnessdanq�Professions Code, and my license Is in full Z, and
effect. /__�_r .. // 1 //t i/� .!A /t/...�
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 rile 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 penalty of not more than rive hundred dollars ($500).
O 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 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 building
orimprovement 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. 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 I? Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy o. Company
opy 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 (8100) 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. It, 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.'
i
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.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it 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. 11502
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description Lot 207 Le -eke La Ouinta
Project Description Flan 1
Sq. Ft. 47:Z No. No. Dw.
Size ff Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $213,555.00
PERMIT
AMOUNT
Plan Chk. Dep:
• fv'
Plan Chk. Bal.
Const.
1 , g •�
Mech.
1132 _ 5A
Electrical
?nA _ 49
Plumbing
199.50-
99..50S.M.I.
S.M.I.
R
Grading
Driveway Enc.
Infrastructure
4.804.-99
r
Y �' . �J I
TOTAL250.00
L�' •) sir
REMARKS
7, .> (07.:'r O
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 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEM ,
IST FL. SO. FT. ® $
2ND FL. SQ. FT. ®
FOR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SD. FT.
WALL SQ. FT. ®
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR S '
SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
SEWER ROUGH WIRING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
HEATING (FINAL)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (FINAL) TEMP. POLE
LAUNDRYTRAY
AIR HANDLING UNIT CFM
GROUT
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ic
HOUSE SEWER
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 ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) p METER LOOP
1
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
$ plus x$
_$
LUMBER GR.
FINAL INSP. 64Y-13
FRAMINGD 3 C
FINAL INSP. „(S q.3(j
ROOFING l/L C ! ?, L
^� /� n >
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LPHI G
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION.
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
` P.O. BOX 1504 APPLICATION ONLY
Building/ i 7&105 CALLE ESTADO Ct � Address "� 16— )f ADO V0. LAQUINTA, CALIFORNIA 92253
Owner AA
9�&re� BUILDING: TYPE CONST. OCC. GRP.
Mailing,__-
. ,
C
Contractor ,nT t
Zip
Stateire, ®
& Classif.
Arch., Eng
Designer L(�
UV U__)�
City
Lic. #
Cityr Zip State-►� ?
Lic. # 6 'f'.L.J�
NI—i LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I an/llicensed under �glisions of Chapter 9 (commencing with Section
7000) of Division 3^pf the Busine sand Pr, f€ssions Code, and my license is in full force and
effect. , L� A lig i/ /5�ef we/J s
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
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 penalty of not more than five hundred dollars ($500)
FJI 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 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 building
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. 1 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.)
CJ I am exempt under Sec. 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 Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ 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 certify that in the performance of thg work for which this permit is issued, 1 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 for 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 it 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 sof this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant —Date—
Mailing
ateMailing Address
City, State, Zip
BUILDING DIVISION
A.P. Number
Legal.Description 7 -2cf
Project Description P4 -r-
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
Ri i1? '10 ?J4? 09-4 A-9? AA
0 LASH 1 I U I AL 1 2:)Q. VV
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Sett•ack from Center Line
Side Setback from Property Line -1
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
a
CONSTRUCTION ESTIMATE
NO, ELECTRICAL FEES
NO. PLUMBING FEES.
1ST FL. SO. FT. ® $
2ND FL. SO. FT. Q
POR. SO. FT. @
GAR. SQ, FT,
CAR P. SO. FT.
WALL SO. FT.
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL,
WATER PIPING
NOTE: Not to be used as property tax valuation
��
FLOOR DRAIN
MECHANICAL FEES
FORMS -
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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
SO. FT. p c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/. c
SEWAGE DISPOSAL
SO.FT.GAR @Q/ac
HOUSE SEWER '
REMARKS:
VENTILATION y
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 APP./EOUIP.
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 y
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
`DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA, 92201 ;+
Document Cannot Be Duplicated (619) 3477-8631 -
Date 11/16/92 ; Type of Permit La Quints ;
No. 111841 1 "Permit #
~ Log,
owner Name Baden -Julian
No. ' 47445 ' Street Via Cordova '
-La uinta "
,City �Q _ ' � _ -Zip .-92253 Study Area.
APN #,I Tract # ' j Lot # 0 Square Footage 12935
Type of Development Single Family, Residence No: of,units
4
Comments - r
At the present time, the Desert Sands Unified School District does not collect fees on ,
garages/ carports, covered patios/ walkways, residential additions under 500`square feet,
detached accessory structures or replacement mobilehomes. , It has been determined =
the above-named owner is exempt from paying school fees afthis time due to the
following reason:,
EXEMPTIONNOT APPLICABLE i
j'
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1:58 X 2,935 7, or $ 4,637.30 have been paid to D.S.U.'&D. for
the property listed above and that building; permits and/or Certificates odOccupancy for
-this square footage in this proposed project may now be issued.
ry Fees Paid By Julian F.- Baden r 310=204-3194 '
Telephone '
Name on -the check
'By' James F1 i.idely
i'
Assistant: Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett • •
Payment Received ,
• Signature C ieCk �No. 762'r
r 'r
Collector: `Attach a copy of.county or cityplancheck application form to district copy foi'all-waiver`s.: !.
` Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy - Accounting