11641 (SFD)9&tyx
P.O. BOX 1504 No. 11641
Building 78-105 CALLE ESTADO
Address 77-420 Vista Rosa LA QUINTA, CALIFORNIA 92253
Owner
Terry Moores BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address A.P. Number 631-820-022
CityZip Tel.
( Legal Description s 45 Tract c 25237
Contractor Project Description Single Family Dwelling
JDS Construction Inc. Jim Strallct3
Address
73-42 Irontree
City Zip Tel.:
Palet DeSe t; CIN 92260 568--4989
State Lic. City
& Classif. Lic. # 529231 Sq. Ft. No. No. Dw.
Arch., Engr.,
Size- 5000 Stories I Units 1.
Designer Andrzei. Weber New)[] Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel. Permit ' does :not include block walls or
80-720 Jasmine Lane 342--9096
City Zip State
lndioi CA 92201 Lic. #
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.
_SIGNATURE DATE
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following p 3
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a Y s
134. 00
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 PERMIT AMOUNT
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 Plan Chk.-Dep. 275.00
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 Plan Chk. Bal. 1-049.815
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and COr1St. ' !A diZ
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, Mech. 164-0(1
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 Electrical 296. 3(11'
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- Plumbing ?��
.truct 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. '19. 3n
.such projects with a contractor(s) licensed pursuant tot e`contractor's License Law.)2.
Of am exempt under Sec. B>'& P.C. for this reason Grading 20. 0 0
Driveway Enc.
Date Owner '--- �� Infrastructure 61000. 00
"Arts in Publi u Places 730.34
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.
TOTAL 10,459.9W 10>1f4.9
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one hundred dollars ($100) valuation • ti p. ; ,..., .,U i ti ,7...t 1 - ,+
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: 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 Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
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 read this application and state that the above information is correct. Issued by: Date Permit
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 Date -
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES L
1ST FL. SO. FT. ® $
2ND FL. SO. FT. ®
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SQ. 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS LpurC! �11���15
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
U�
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRYTRAY
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
FRAMING '-Zg—ci 3
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
Q. FT. RESID ® 11/4 c'
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
HOUSE SEWER
EPL.CK.FEE
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.F
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR'
SETBACKW eV Oc7�YV
w
GROUND PLUMBING 3 / l3
UNDERGROUND
A.C. UNIT
AREA
/COLL.
SLAB GRADE ��f` �3 10
ROUGH PLUMB.
BONDING
HEATING (ROUGH) ( if
STORAGE TANK
FORMS LpurC! �11���15
SEWED
UGH WIRING.
DUCTWORK
WROCKSTORAGE.
FOUND. REINF. (%/ L�
GAS (ROUGH)
U�
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
0.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP. Z Zl -4�
FINAL INSP.
—1 —�t 3 c�
GRADING
CU. yd.
$ -Plus-X$-=$
LUMBER GR.
FRAMING '-Zg—ci 3
ROOFING�LAL
VENTILATION
��
REMARKS:
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL—?,3-C 34b,
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION -b-Z( -q3LO
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) 347-8631
Date 12/28/92 Type of Permit La Quinta
No. 111917 1 Permit #
r Log
Owner Name Terry Moores
No. 77420 Street Vista Rosa
City La Quinta Zip 92253 Study Area 116
APN-# 631-820-022 Tract # 125237 Lot # 46 Square Footage 15000
Type of Development ISingle Family Residence No. of units.
Comments
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 at this time due to the
+ following reason:
EXEMPTION NOT APPLICABLE
This certifies that*school facility fees imposed pursuant to Government Code 53080
in the amount of 1.58 x F5,650 or $ ,7,900.00 have been paid to D.S.U.S.D. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By Terry Moores. ,Telephone
Name on the check
By James E. Lively ,
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J, Durrett
Payment Received
Signature Check 60
o. 5608'
Collector: Attach a copy`of countyor city plan check application form to district copy fuFall waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy - Accountiing ., �.
CALVIN C. KAMINSKASi� s
DAN RILEY
Assistant Commissioner 0
a > ° Sealer,
Weights & Measures
(714) 275-3000
(714) 275.3030
i
OFFICE OF
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83=612 Avenue 45 Suite 7
Indio, CA.. 92201° _..
(619). 342-82,91
DATE CASE NO
DEVELOPER'S NAME: .'I
ADDRESS : �y — �C� �4 vi.-., n1 c �� ,✓i
eTA
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
imilediately:
Thank you for protecting and preserving the `Coachella Valley's pest -free
environment.
Agric6LturaJ, Commission _r s Office
cc: Indio and Riverside
4080. LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA_92504 = FAX (714) 275-3012
C�
REGISTEREDINSPECTOR'S WEEKLY REPORT
MICHAEL AVERS30,10 mmam.
.
a P.O. Box 572
Thousand Palms, Ca"92276.OS72
(619) vmasgw
363-6160
PE OF 0 REINFORCING STEEL A STRUCT. STEEL ASSEMBLY [3 OTHER
SPECTION Sl�O 13 SHEET STEEL E WELDING
RFORMED O FIRE PROOFING HIGH-STRENGTH BOLTING
' 1l7Q 1 nP`AT s
77—Y,20V • �C �^
C/ 7 r7
rvl 1 ACV U t N c.; t= NO.`
TYPE OF ST__WCTUR
E oo i. ,u
PERMIT O./Y�/
'DATE
3' 13
DAY OF WEEK
450A
MAT RIAL DESCRIPTION
A-3 (P D
ARCHIT�CT -
4 s mss%
INSPECTOR,
ASSISTANTS
HRS. HARGED
HRS. CHARGED.
,ENGINE pp
INSPECTION GENERAL SUB - '�
DATE CONTRACTOR CONTRACTOR L'0;
3
F 5x5 11x
r
x
WELDER:
L (SqRt twt_.,
• COPY SENT TO CLIENT
CONTINUED ON NEXT PAGE ®
PAGE OF I ,
CERTIFICATION OF COMPLIANCE r
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE,BEST OF MY
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED ' SIGNITURE OF REGISTERED INSPECTOR
PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS. �� - �� A % /�- 17 -L �.��•
DATE OF REPORT REGISTER NUMBER
the flying buttress 3 SHEET
BY .�C�P..._.:. DATE 5; _L W.O. NO.... "�_-.._L� 3 f
72-757 Fred Waring Drive; 1l5 r ooQEs '� 8
Palm Desert, CA 92266 CKD' _-_-DATE JOB `1
(619) 346-5445
PREPARED FOR:.,
t
2-2Xw'5 .4-xCo
O lz x Ga. I ,G. Pte, D .4p- 1372
J I r1 Pso N 3/ ti 0
ITT I�j SELF-.(�RII.I.IrJI�NGNv
8 Ieo
. s
- (�T
/ �hJZ
� j •"fGl jig'.
P=P ft
lit
ri, ,, a ii' }'C '•a�, - .� 'tr �. 04 j -rCQ� 0 T4s.. ''i Win;.
.'� i' tri � � ! `� G t•�+.,�•+�' "'` u.t� � •� �' ! � � - � woe � .a 2 tiA / � 4J °� 'x , 1
� A j , i � �i ��; � ��• � � r� _ rv. � � 1 � MOF ��� �. � � � � � � � ,� �� � �.
a
y '�' , � ;'I YN �-,�� ``"r'' '/ - � � r' •,rte. � r .� ,' t 1i 7. � �m.``
tut- a. i_Fy• �, r✓� F'J I ��ti, - d\
01 t !ea 0 nv
, U�" ailb.
Thws Cerh icote, issued ursuant�to the
� S
quirement� of'Section 306 of ^the Uniform Building
re
• • "�: � , I � I I i � ": � •! 1 ,, `. w t p � ' ,r
tj ,.,Code, certifying that of the time,of-issuance thisatructure was cornplivnce-'wi h,the�`various
:a !ordinancess`of .the City regulafiing building consfiruction`or user For : the following .
�' •r , I; ;I I r j � � , <� mss_ .-� - :j 't ... �; rl.�° f �� �y'�t !• �J• `a•' ~l �• �tAr i .. :,_fin � t,'.�LF; '\ L s... Ai
BUILDFNG,`ADDRESS77="420 Vista Rosa`
b _
I Use Classification r � _Pn f Idg Nr N i v `
" s y. 3. u.J 2 1 r e 0
C.*
I
Group f ,» �' _-' TYPe`KConetructlonR iT�t'' Fire Zone ,Use Zone
Jerry,,Moores t.�,77.-420...Vista_Rosa
I I Owner of Building r �:. .Address ° r '
i �'� I I I i I ; I i "� 'f' „',• y"� � �'. +, e •� r •'�1 `R � �M �"V 3.. �'.,I' � .
I� .I o l .t} I•tC'•�-* Q JCS _. �;�s+�••-'� y - r .�.: �5� s;`e•3 �� .;".• ,t r. ,1' t
By'; LONNIE DAY'
„12 7'21=93 X
r s c r • - �' ; '�.y r bate • , ±` 4 �'� f r` .•= yr
:Building. Official ,.,
i
•POST IN A'CONSPICUOUePLACE•