002207 (SFD)44
P.O. BOX 1504 No. 002207
Building79-840 Hoe LA QUINOC
Address �j
TACALIFORNIA 92253
Owner I
P. J. amistructim r
Mailing
Address P.0. Pox 2"A
City Zip Tel.
�dio ' 92202 .564--2228
Contractor
Address . .. ..
State Lic.
& Classif. 397169
Arch:, Engr., -
Designer
Zip Tel. .
I Lic. # 20.2
BUILDING: TYPE CONST. OCC: GRP.'-•
A.P. Number
Legal Description Lot 17
Project Description MrMle`.�:l,V MOM=
M 1850
Sq. Ft. No.
Size Stories
New QJE Add ❑ Alter ❑
I
No. Dw.
Units
Repair ❑ Demolition ❑
Address
Tel.
TP4Pi nr T-4-
110.67
�• City
Zip
State
Lic. #
'
TOTAL
LICENSED CONTRACTOR'S DECLARATION
hereby affirm that I am licensed under provisions4of,Chapter9 (commencing with Section'
7000) of Division 3 off the Business andProfession'sCode, and my license is in full I rce'and�
...effect.. X✓i3` %,li�'��•./"/-1P`y�rt `,.,.. i' {7•
REMARKS
SIGNATURE - �' DATE
' 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 ofnot 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. (Secr•7044, eufsness 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
gh 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, 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.) - -
❑ I am exempt under.Sec. B. & P.C.-for this reason
Estimated Valuation
99>r�r
PERMIT
�o
AMOUNT
Plan Chk: Dep.
-
Plan Chk. Bal.
362.64
CpnSt.
yy�. An
43340
Mech. '
-
34.06
Electrical
i 3 w 13
Plumbingw�
S.M.I. •'
+�y�
.97
97
Grading
2t
Driveway Enc.
20.00
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 tha 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.
Infrastructure
i01i94.3Z)
TP4Pi nr T-4-
110.67
TOTAL
f ��s� • Jl;i
REMARKS
ZONE: BY:
Minimum Setback Distances:
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.ar*y
I certify that I have read this application and state that the above information is correct. Issued by: Date 2 / 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 i}nspection purposes.�,r / Validated by:
Signature of applicant %`�!f}-;/ '^-1':-rl2�L. Date
Mailing Address t Validation:
City, State, Zip -
A4952 3 27 266396 Ck
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL SQ. FT.
POR. SO. FT. ®
GAR. SQ, FT, ®
CAR. P. I SQ. 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
r ROUGH PLUMB. 6", �p
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)
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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.
SO. FT. ® c
BATH TUB
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® V4c
HOUSE SEWER
FRAMING /�/
f
(_/FINAL INSP.
-rte
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
r ROUGH PLUMB. 6", �p
BONDING
HEATING (ROUGH)
STORAGE TANK
iFORMS L
C
mA SEWER OR SEt A
lrjtj ROUGH WIRING
/'
l
Y
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
}TEMP. POLE Li
11
GROUT
WATER HEATER
SERVICE
t dFINAL INSP.
Y�
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING /�/
f
(_/FINAL INSP.
-rte
ROOFING
REMARKS:
-
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING f Xt.
MESH
INSULATIONISOUND
FINISH GRADING
KLJ FINAL INSPECTION
CERT. OCC.
FENCE FINAL
IINSPECTOR'S SIGNATURESIINITIALS,
GARDEN WALL FINAL
04C Dgy wAcL q-L-4fk
- - Of *449WIV
P.O: BOX 1504 APPLICATION ONLY
Building ,e7 �Q�I 78-105 CALLE ESTADO
Address / U �� LA QUINTA, CALIFORNIA 92253
Owner '
BUILDING: TYPE CONST. OCC. GRP.
Mailing
Address
A.P. Number
City Zip Tel.
Legal Description
Contractor Project Description iJ
A00 ress
City
Zip
Tel..
State Lic.
&Classif.
City
Lic. #
Sq. Ft. g 5 O
Size co&t
No. No. Dw.
Stories Units
Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
lot of Division 3 of the Business and Professions Code, and my license is in full force and
effec'
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,auslness and Professions Code: Any city or county which requires a
permit to construct, atter, 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).
❑ 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 knproves thereon and who does such work himself or through his own employees,
provided that such Improvements are not intended or offered for sale. 11, 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.)
Estimated Valuation
�p
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal. , -
0 4 3 (I 'L , LI4
Const.
N a 3
Mech.
Electrical
Plumbing
S
❑ 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 with a contractors) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. B. & P.C. for this reason
S.M•I,
,- 5
Grading
Driveway Enc.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
I V-Y\'e Toe
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
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(This section need not be completed if the permit Is for one hundred dollars ($100) valuation
or less.)
1 certify that in the performance of thV work for which this permit is issued, 1 shall not
employ any
Californiaperson in any manner so as to become subject to the Workers' Compensation
Laws of .
Date Owner
NOTICE TO APPLICANT.- fi, 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.
ZONE: BY:
Minimum Setback Distances: -
Front Setback from Center Line
Rear Setback from Rear Prop. Line
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.)
Side Street Setback from Center Line
Side Setback from Property Line
Lender's Name
FINAL DATE
Issued by:
Validated by:
INSPECTOR
Date Permit
Lender's Address
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.
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
Validation:
City, State, Zip
- FINANCE
CONSTRUCTION ESTIMATE
GROUND PLUMBING
UNDERGROUND
NO. ELECTRICAL FEES
COLL. AREA
NO. PLUMBING FEES t
IT SS
6 'tO
7
$ l t %
Q
UNITS
(,.a
ROUGH WIRING
DUCT WORK
3
IST FL. SO. FT. ®tel
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
2ND FL. SO. FT.
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
YARD SPKLR SYSTEM
POR.SO. FT. ®
_$
H 3
MOBILEHOME SVC.
FRAMING
FINAL INSP.
BAR SINK
ROOFING
GAR. SO. FT. ®
x
/
vriA
TG
POWER OUTLET
VENTILATION
ROOF DRAINS
CARP. SO. FT.
FIRE ZONE ROOFING
FIREPLACE.
DRAINAGE PIPING
WALL SO. FT.
GAR. FIREWALL
LATHING v}
DRINKING FOUNTAIN
/"�
1- , SO. FT. ®
�U�Gi
INSULATION/SOUND
URINAL
FINISH GRADING
ESTIMATED`CONSTRUCTION VALUATION
$ �j C, �j03
LG
WATER PIPING
a
NOTE: Not to be used as property tax valuation
FENCE FINAL
INSPECTOR'S SIGNATURESHNITIALS
FLOOR DRAIN
_ • MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL
HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE
DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR
SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT
CFM
KITCHEN SINK
ABSORPTION SYSTEM
B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
v
POLE, TEM/PERM
�tJ
"�
LAVATORY
HEATING SYSTEM FORCED GRAVITY
`z,
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ec
HOUSE SEWER
v V
GAS PIPING
PERMIT FEE
LQ
�-
PERMIT FEE
PERMIT FEE
( Q ..�-
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 APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
_c . yd.
$ Plus z$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE.
SPARK ARRESTOR
GAR. FIREWALL
LATHING v}
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESHNITIALS
GARDEN WALL FINAL
��f1Ep
o
r
-0
H BERMUDA DUNES r
RANCHO MIRAGE
INDIAN WELLS to
PALM DESERT a
,P LA OUINTA
0 INDIO
Desert Sands Unified Scliool District
82-879 HIGHWAY I 1 1 0 INDIO. CALIFORNIA 92201-5678 • (619) 347-8631
City of La Quinta
Department of Community Development
78-105 Calle Estado
La Qui'nta, CA 92253
Re: 79-840 Horseshoe Road.
Gentlemen:
March 27, 1986
The developer of the above referenced lot
has mitigated its impacts on our overcrowded schools by payment
of the amount of $628 per unit to be applied to the cost of
district educational facilities made necessary by such new
development.
Sincerely,
John D. Brooks
Assistant Superi-ntendent
Business Services
JDB/crm