10326 (SFD)P.O. BOX 1504
Building 78-105 54-100 Montezuma LA QUINTAC
Address CALIFORNIA 92253
Dodco Construction
Mailing
Address P. 0. Box 1012
City Zip Tel.
La Quinta 92253 554--6478
Contractor
Dodco Construction
Address
Same
Zip I Tel.:
State Lic. City
& Classif. 397830 B Lic. # 1375
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
�. LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of'Chipter 9 (commencing with Section
7000) of Division 3 of.the Business and Professions Code, and m license is in full force and
effect. " r -
��SIGNATURE'f' �' DATE
^ �"' OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031-5,8usness and Professions Code: Any city or county which requires a
permit to construct, alter, irpmve, 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 rhe Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemptiom. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the appicard to a cavi penalty of not more than five hundred dollars ($500):
❑ I, as owner of the properly, 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,
provkfed ti13f such improvements are not intended or offered for sale. !f, however, the building
or improvement is sold w&dn we year of completion, the owner -builder will have the burden
of proving that he did not buil of improve for the purpose of sale.)
❑ 1, 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 nth a cantrachWs) 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 1 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
XI 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 the work for which this permit is issued, I shall not
employ any ifamia person in any manner so as to become subject to the Workers' Compensation
Laws of cal
Date Owner
NOTICE TO APPLJCANT: d, after making this Certificate or Exemption you should become
subject to rhe Mbrkers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or tins 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 abuilding 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. 9.0326
11LDING: TYPE CONST. OCC. GRP.
P. Number 774-191-004
Legal Description Lot 4 Block 259
Project Description cFf)
Sq. Ft. 1854 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit includes block wall= pool to
be pulled under separate permit
Estimated Valuation 111, 498.36
PERMIT
Plan Chk. Dep. 250.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
AMOUNT
S.M.I. �11.20
Grading 20.00
Driveway Enc. 20.00
Infrastructure 2329.90
krts in Publif. 28.75
TOTAL 4014.52 3764.52
REMARKS
x: h I A t '� Iti "ti.. [\ 4 .44
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 FEES .
1ST FL. SQ. FT. ® $
2ND FL SQ. FT.
POR. SQ. FT. ®
GAR. SO, FT. ®
CAR P. SD. FT.
WALL SQ. 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
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
GAS (ROUGH)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POI E,
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ic
HOUSE SEWER
FINAL INSP.
/
ROOFING -I c►
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING /a 9�
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE Py
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.IV
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE/
/Q /Aw
'""`"7777 r (
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
Z1 01
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING 8
1
FINAL INSP.
/
ROOFING -I c►
O J/]. (�� Le
([ /�C
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING 7 (�
MESH
INSULATION/SOUND �t/3 t' /A (�
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 12/2/91
No. 111023
Owner Name
Type of Permit
DoDco Construction
No. 54100 street Avenue Montezuma
city La Quinta zip 92253
La Quinta
Permit #
Log #
Study Area 110
APN li I Tract # I Lot # Square Footage 11854
Type of Development Single 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:
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.58 X 1854 lor$2,929.32 have been paid to D.S.0 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 DoDco Construction Telephone 5644478-
Name
64 478 -Name on the check
By James E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
� Payment ReceivedT^)
Signature C,/ c,CJ _ /G"L'1Uz t J ;
Check' � No': 1`191
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
-.-�- MIR 15 RECD
REGISTERED INSPECTOR'S WEEKLY REPORT
A JON TANDY
37630 Medjool Ave.
Palm Desert, CA 92211
Office (760) 772-7192
Fax (760) 772-7193
Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
❑ REINFORCED CONCRETE
O POST TENSIONED CONCRETE
)(REINFORCED MASONRY
❑ STRUCT. STEEL ASSEMBLY
O ASPHALT
❑ FIRE PROOFING
O
O OTHER
JOB LOCATION �^, -,.�_
REPORT SEQUENCE N0.
TYPE OF STRUCTURE
WAA1 So •-e�e
PERMIT N0.
DAT
DAY OF WEEK
MATERIAL DESCRIPT104
ARCHITECT
INS ECTOR
P- .'D,
MRS. CHARGED
ENGINEER
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE
GENERAL
CONTRACTOR Y � oNS� �
SUB \ (
CONTRACTOR ArttplC
3 d
//��
t/0 P j' l E-EA-4eJ QP�-
pIArJ
1✓.V : 1ww \ f CW�+�S
e
e �o e � v Ne s1 �
LJ�I �`
►i
COPY SENT TO CLIENT ❑
CONTINUED ON NEXT PAGE ❑
PAGE
f OF /
CERTIFICATION OF COMPLIANCE
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
PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS.
p .
SIGNATURE OF REGISTERE SPECTOR
3 00 scw
DATE OF REPORT REGISTER NUMBER
i
For The Finest in ,escrow Service
IELECOPIER No. (619) 341-8296 44.900 SAN PABLO AVENUE
PALM DESERT, CA 92260.3537
(619) S68-3627
Dan Featheringill
Cheri Lynn Featheringill
P-0. Box 1934
Palm Desert, CA 92261
PROPERTY: Vacant Land P.PN 774-191-004, Riverside County, CA
CASING STATa l\rr
CONSIDERATION
Total Consideration
DEPOSIT
Initial -Deposit
Deposit
PRORATION
Taxes Q 20.03/6 mos.
Fran 01/01/89 To 02/14/89 "
`!TYLE CHARGES
Record Grant Deed
ESCRaq FEE
Escray Fee
CiI✓CK H FZjIffi
Closing date:
February 14, 1989
Escrow No. 10-7766
DEBITS CREDITS
$ 11,000.00
Total
S
SAVE FOR IIICOII TAX jl\IFORASF,TIn_tJ
5.00
170.00
194.79
11,369.79 $
50C.00
10,865'.00
4.79
11,369.79