Loading...
14663 (AR)Building Address Owner It a . BOX 1504 78-495 0CALLLE TAMPICO 80-960. Vista Bonita ;?'rail LA QUINTA, CALIFORNIA 92253 Address. .game CityZip Tel.. .L& .Qu inta .- 9.2253 1 Contractor 14elco .Cons.tructio_n Add ass _ 3 _ 00 U — --Vlore... No. 14663 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description t Project Description ' Liv, 11ig' ' •'ROOM., Bedroorii r and Stain WaY Addition _ .. 1000 Pad" 1'92276 343-0096 State Lica & Classif.. 683274 City ,..� Lic. # ✓ ' AMOUNT Plan Chk. Dep. ' Arch., Engr., Designer .r Address Tel. City Zip State Electrical 38 _ 5 Lica# LICE NSED.CONTRACTOR'S DECLARATION 1 hereby affirm thaVt!am licensed under provisions of Chapter (commencing with Section ' 7000) of Division 3:1f "the BusiKessya d Professions Code, and my license is in full force and +,-effect. rf ' �j SIGNATU.E - 4: DATE 'OWNER -BUILDER DECLARATION E I hereby affirm that I am exempt from the Contractors License Law for the following - reason: (Sec. ,703.1.5,Buciness and Professions, Code: Any city or county which requires a permit to construct, after, pmprove, demolish, or repair any structure, pdor.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'sLlcense Law, Chapter 9 (commencing with Section 7000),of Division 3 of the Business and Professions Code, or that fie lsexempt 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.civff 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. 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.) O I, as owner of the property, e p party, amexclusively 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) (Icensed pursuant to the Contractor's License Law.) - ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 heieligiraffirm,that Ihave a certificate of consent to self -insure, or a certificate of Wo orkePsN66mpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy�No. Company �® Copy is filed with the city, 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 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: 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS.UNLAWFUL, AND SHALI: SUBJECT AN EMPLOYER .TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE - ,. HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,. DAMAGES AS PROVIDED FOR IN SECTION'3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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. incorrect. 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 Sq. Ft. 674 No. No. Dw. Size Stories Units New ❑ .Add p. ' Alter ❑ Repair ❑ Demolition- ❑. REMARKS ZONE: BY: Minimum Setback Distances Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Si/de Setback from PropertYeVI e� FINAL DATE � ✓`( INSPE . OR � Issued by: Date ��� Pei .Validated by: �\ l stimated Valuation 2 � i 4' '00 .y PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 176.48 ,Const. 271.50 . Mech. 15 . 0 to Electrical 38 _ 5 Plumbing. S.M.I. 2-76 Grading 2111 0 Driveway Enc. Infrastructure TOTAL `a 2 � " "3 REMARKS ZONE: BY: Minimum Setback Distances Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Si/de Setback from PropertYeVI e� FINAL DATE � ✓`( INSPE . OR � Issued by: Date ��� Pei .Validated by: �\ l CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING➢ FEES 1ST FL. SO. FT. @ $ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SO. FT. @ :CAR P. SO. FT. @ WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET x. YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED (ROUGH) LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/4 C SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR @ 3/4c HOUSE SEWER FRAM INGL I -/.ROOFING FINAL INSP. 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 APPJEQUIP. 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. . FRAM INGL I -/.ROOFING FINAL INSP. �/ /// 4 [� (" 2-T ! �/ / Wl /^ / d/(J� ve REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL c LATHING MESH NSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT ' 82-879 Highway 111 NOTI t: Indio, CA 92201 ' Document Cannot ,Be Duplicated 619-775-3500 Date, 2/1/95 Type of Permit La Qu_nta No, 13284 Permit ' # Log Owner Name Mr. & Mrs. Von Ruden No: 80980 Street .Vista Bonita Trail city La Quinta Zip 92253 Study Area APN.# , Tract # Lot # 0 Square Footage 1674 Type, of Development Residential Addition No. of imits 1� Comments s At the present time, the Desert Sands Unified School District does not collEct fees on garages/carports, covered patios/walkways, residential additions under 50C 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 1:72 x 674 or $ 1,159.28 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. = e Fees Paid By Melco Construction Telephone 34--0096 Name, on the check By Dolores A. Ballesteros C, Superintendent�� Fee collected /exempted by Pauline Pearson �'�• �� t' a Payment ReceiveclN, Signature �('�.c c �p.0 P Ill A A Aly"- - ' Gh'�c6c''^!o 141 , 5. Collector: Attach a copy of county or city plan check application form to. district copy for a:11,*Mvers. Embossed Original. Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting LA QUINTA POLO ESTATES ASSOCIATION t c/o FORTUNE WEST MANAGEMENT ` G. E. WIEDLE COMPANY 73-900 EI Paseo, Suite 3 (Rear) Palm Desert, California 92260 (619) 346-8052 FAX (619) 779=1370 ARCHITECTURAL APPLICATION UNIT ADDRESS: �Jy U i id &--) ► 1 I —,X DATE: MAILING ADDRESS: 1 66 6-1 WY i 0 PHONE: MODIFICATION REQUESTED: L- / U i I.i C. aOtit,� ,a C LVS ( P r� ►�$�y ?� . �Nctosjx, c-Atj so Ps An I (moi ?z%R aU 2(.L - Architectural (. -Architectural Review Committee: You are hereby advised that the following work is proposed and approval is requested. Attached are the drawings of the work to be done and the types of materials to be used are indicated on the drawings. We understand that building'permits for home improvements may be require d.by the City of La Quints and that the cost of the permits and the responsibility of obtaining permits and subsequent inspections Will be borne by the applicant. We acknowledge that all approved changes in the original design will be at our expense; that any damage to or relocation of i existing sprinkler systems, underground utilities, building structure and exterior landscaping or other damage resulting from the construction of these permitted improvements shall be our expense; and, the maintenance of the permitted improvements shall be at our expense. We also acknowledge that the construction of the requested and approved modifications must begin within thirty (30) days of our receipt of written approval and that said approved modifications must be completed within sixty (60) days of the receipt of written approval. Failure to.comply with these or any of the above specifications, or specifications outlined within the Association's governing documents will result in the nullification of this document and subsequent approval thereof. OWNER: SIGNATURE: ' � iJ Av t J t,��►S lease print) r****s*sass**srrrr*****rsr**r*rs**sr*ssssasssis**ssssssssssss*s*rssrrsrssrssrsss♦sssssssss***rss*****rrr**r�rs*s**s**sss The above requested modification has been reviewed by the Architectural Review Committee and has been: x APPROVED REJECTED HELD PENDING INVESTIG' ATION ti COMMENTS:. ` fl Date Reviewed APPROVED or REIECTED: Must hove two (2) signatures: TO THE APPLICANT: Mail this Application to: LA QUINTA POLO ESTATES ASSOCIATION c/o Fortune West Management 73-900 EI Paseo, Suite 3 (Rear) Palm Desert, CA 92260 V.