003610 (SFD)I
1
P.O. BOX 1504 Wo. 003610
Building 78-105 CALLE ESTADO
Address 555-635 Pebble 'beach LA QUINTA, CALIFORNIA 92253
Owner
Mailing Robett 2.4
J. Aevers a Jr. BUILDING: TYPE CONST. OCC: GRP.
Address 2915 Red Hit]. Avenue, F-107 A.P. Number Zest 18 of 'Tract 20717-2
City Zip Tel.
Carta Mesa 92626 714-540--5127 Legal Description
Contractor Project Description Simle 'Family. Dweilincr
Address. ...
City Zip Tela
State Lic. City
& Classif... Lic. # Sq. Ft. No. No. Dw.
Arch., Engr., -
Size .5142 . Stories Units - • -
Designer New ❑ Add ❑ Alter ❑ Repair ElDemolition ❑
Address
Tel.
BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
.. _
Pool A Ana
not included in thiE ner.< t
City
Zip
State
CONSTRUCTION LENDING AGENCY - •
Side Street Setback from.Center Line
Ihereby affirm that there is a construction lending agency for the performance of the
Lic. #
work for which this permit is issued. (Sec. 3097, Civil Code.)
LICENSED CONTRACTOR'S DECLARATION
Side Setback from Property Line
Lender's Name
• I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000,0 Division 3 of the Business andjProfessions Code, and my license is in full force and
Lender's Address
effect
INSPECTOR
This is -a building permit when properly filled out, signed and validated, and is subject to
SIGNATURE -„ DATE
expiration if work thereunder is suspended for 180 days.
OWNER -BUILDER DECLARATION
Estimated Valuation
I certify that I have read this application and state that the above information is correct.
I hereby affirm that I am exempt from the Contractor's License Law for the following
zi Permit
Date /
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reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a •
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permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
mentioned property for inspection purposes.
requires the applicant for such permit to file a signed statement thatheis licensed pursuant to
• PERMIT -
AMOUNT
the provisions of the Contractor's License Law, Chapter 9 •(commencing with Section 7000) of
MailingAddress
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.
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subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ I, the
Plan Chk. Bal.
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A
643.98
as owner of property, or my employees with wages as their sole compensation, will
do the work, and the structure isnot intended or offered for sale. (Sec. 7044, Buisness and
Const.
W w
1.085.50
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,
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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
-
Electrical'
•
35
184.35
1 8 4
of proving that he did not build or, improve for the purpose of sale.) _
e
O I, as owner of the property, am exclusively contracting with licensed contractors to con- .
Plumbing
2'� •
struct the project. (Sec. 7044, Business' and Professions -Code: The Contractor's License Law
..
does not apply to an owner or property who builds or improves thereon, and who contracts for
S•,M,I,. - '
- 2£5.24
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
011
O I am exempt under Sec. B. & P.C. for this reason
`
Driveway Enc.
Date Owner
Infrastructure
91000.00
WORKERS' COMPENSATION DECLARATION.
' (•hereby affirm that I have a certificate of consent to self -insure, oraecertificate of
Worker's Compensation Insurance, or a certified copy1hereof. (Sec43800,.Labor Code.)
Policy No. Company
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
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, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Dt
NtMAHK5
a e 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
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY - •
Side Street Setback from.Center Line
Ihereby 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.
+;l Q $
2/4788
4
I certify that I have read this application and state that the above information is correct.
Issued by:
zi Permit
Date /
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—
ateMailing
MailingAddress
Validation:_
City, State, Zip
HARD COPY(
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. @ $
2ND FL. SQ. FT. ®'
POR. SO. FT, @
GAR. SQ. FT. @
CARP. SQ. FT.
WALL SO. FT. @
SQ, 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
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP POLE
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 @ 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/4c
HOUSE SEWER
REMARKS:
VENTILATION
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./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP POLE
GROUT
WATER HEATER
ICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINIA GRADING
"SPECTION
CERT. OCC.
FENCE FINAL
INSrtt.VR'J JIu NAIuKrbn Nl 1 IALb.
GARDEN WALL FINAL
12/30/86
COACHELLA VALLEY UNIFIED. SCHOOL DISTRICT
CERTIFICATE OF COMPLIANCE
(Government Code §53080)
Project Name: PGA SINGLE FAMILY. RESIDENCE
Project. Address: 55635 Pebble Rearh la 0uinta CA'
Project Owners Name: Rnhert J'. Al:tpvprc, jr, Phone No.:
Project Description: sing e famil�:rPgidPnrP
Building Type (circle one) Residential (Include No:.Dwelling Units)
Commercial IndusalaI
Tract No. Lot No.
(If Tract attach Schedule "A" of all lots by tract, square footage for
each lot and total.)
Assessor's Parcel No'.
(If Schedule "A" is used show Assessor's Parcel No. for each lot if one
exists or Assessor's Parcel No. for parcels before sub -divided.)
Total square feet of Building Area:
Certification of Applicant/Owner. The. person signing certifies that
the above information is correct and makes this statement under penalty
of perjury and further represents that he/she is authorized to sign,on
behalf of the owner/developer.
Dated: Signature:
City/County Certification:
(signature}- OPTION L
(title)
(to be completed by school district)
School district requirements for the above project have been or will be
satisfied in accordance with one of the following (circle one):
Gov. Code Gov. Code Agreement existing Not subject to
53080 65970 prior to 1/1/87 fee requirements
(AB 2926) (SB 201)
Total number of sq.. ft.
Amount per sq. ft. $
Amount collected -0 628.00
$
`� Assistant Superintendent
School District Official Title Busi'ness.Services
Phone No.619 = 3 5 37 Gate July 18, 1988
Note: AB 2926 -and SB 201 fees are capped at $1.50 per square foot for
residential construction. AB 2926 -is capped at $0.25 per square
foot for commercial and industrial projects.
DATE 'I - 1 D - $ 3'
OF f If E OF
AGRICULI URAL CUNIMISSIONER
AND
WEIGHTS £. MEASURES
49-613 Ilwy 86, Suite B-12
Coaclielln, CA 92236
619-342-8291
E. LEON SPAUGY
CO%I%IIS.Iw ER
JAMES O Z' LACE
ASS:S;A%t r.0>ttuSSIU%EP
CLEMENT BENVENISTE
SL{LER
CASE NO. .R 851250 2 10A
DEVELOPER'S NAME-
ADDRESS: �. 9 / S �.t f /o i
TELEPmNE: (71V) 5 Yd- -117
• - PG A w/8
PAD y93.10_
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 fran plant material listed, this office must be notified
imnediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
i �w� r/ EMIL LLT
Agricultural Carmis ner's Office
cc: Indio and Riverside Office