003052 (SFD)03015-8
IE J
Building
dd elss „,54-820 Avenida Alvarado
4 4 atha
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Owner
Norman Straffin
Mailing
Address p. 0. Box 457
City
Idyllwi•ld,
Zip
92349 .
Tel.
.(
Contractor
• Chaparrel Contractors; Inc.
.Address
P. 0. Bax 223
BUILDING: TYPE CONST.
A.P. Number
Legal Description
Project Description Si.r1 1.o Farm 7•v , Dwi ir+a'
D g 1417 Sq. Ft.,
No.
003052
OCC: GRP.• •
774-293-Q04
• City
Idvllvild
Zip
92369
Tel
714-659-2743
GA8. 427 Sq. Ft.
Porch 198 8q.
ft.
State Lic.
& Classif.
323287
City
Lic. # ,.f7 k
Arch., Engr.;
Designer
Sq. Ft. 1417
Size
No.
Stories
No. Dw.
Units
New t Add 0
Alter 0 ' Repair 0
Demolition 0
Address
Tel.
City
Zi
p
State
Lic. # •
LICENSED CONTRACTOR'S DECLARATION
I herebyaffirm that 1 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. . +.. ...,r..
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 Ucense 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 (5500). •
0,1, 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 Ucense 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.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the
on•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 -
Date Owner
WORKERS' COMPENSATION DECLARATION ' ! , y' f 1' 7
I hereby affirm that I have a certificate of consent to self -insure, ora certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company. _ ' ? - --•. 4— *
❑ Copy is filed `With the city%+• O Certified copy -LS -hereby. furrii'she8.=^^'
r w.
CERTIFICATE OF EXEMPTION FROM
. WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars (5100) 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.
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.
. 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 a building permit when properly tilled out, signed and validated, and is' subject to
expiration if work thereunder is suspended for 180 days.
1 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
HARD COPY
Estimated Valuation
$77x417.50
PERMIT
AMOUNT
Plan Chk. Dep.
$250.00 -
Plan Chk. Bal.
S 58.44
Const.
361.00
Mech. .
36.00
Electrical
74.32,
Plumbing
103.00
S.M.I.
S,29
Grading
20..00
Driveway Enc.
20.00
Infrastructure
1135.40
TOTAL
$2064:,45
$1814.45
REMARKS
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 4/t19 1' 7Permit
Validated by:
Validation:
A 7 7 5 3 4 15 .i9i4,45 it
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FSS
1ST FL.
SO. FT.
SO. FT.
SO FT
SO. FT.
SO. FT.
SQ. FT.
SO. FT.
VALUATION
@
$
STORAGE TANK
FORMS S /117 DV
UNITS
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. ShbeX1
4
'
2ND FL.
®
REINF. STEEL
GAS (FINAL)
// A /
'7
`(/`TEMP y/2 /".
/
GROUT
WATER HEATER
YARD SPKLR SYSTEM
/f( EINAL INSPL/Q ....2,2_BOND
POR
@
GRADING
cu yd
LUMBER GR.
MOBILEHOME SVC.
``
FINAL INSP y)12 -F
QQ$ROOFING
/J
FRAMING -
/g7j,pINAL
BAR SINK
..
GAR.
@
REMARKS:
0 X/ w✓k t L
s
POWER OUTLET
FIRE ZONE ROOFING
ROOF DRAINS
a
FIREPLACE
CARP.
®
SPARK ARRESTOR
GAR. FIREWALL
DRAINAGE PIPING
WALL
/,/,J
(//
MESH
DRINKING FOUNTAIN
tlt
®
A
_
Q
(.
URINAL
ESTIMATED CONSTRUCTION
Ur
$
CERT. OCC.
FENCE FINAL
WATER PIPING
GARDEN WALL FINAL
NOTE: Not to be used as property tax valuation
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
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3c
HOUSE SEWER
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
6(.1 YQUND PLUMBING51/V7
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 5 Iy491 4,,
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS S /117 DV
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. ShbeX1
'
7 GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
// A /
'7
`(/`TEMP y/2 /".
/
GROUT
WATER HEATER
SERVICE
j
/f( EINAL INSPL/Q ....2,2_BOND
BEAM
WATER SYSTEM
GRADING
cu yd
LUMBER GR.
``
FINAL INSP y)12 -F
QQ$ROOFING
/J
FRAMING -
/g7j,pINAL
INSP.
CC— A-va ' —/v,
REMARKS:
0 X/ w✓k t L
s
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING it -7/07 c/
/,/,J
(//
MESH
tlt
INSULATION/SOUND 7/437
A
_
Q
(.
FINISH GRADING
FINAL INSPECTIO
r/d 'l
Ur
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
1111 IIIII III 11111 111159
IE
Desert Sands Unified School District
.CERTIFICATION OF PAYMENT
OF
SCHOOL FACILITY FEES
TO: City of La Quinta
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
DATE:
•
This is to certify that --Fr# f ■ - VI 5e5 ,
developer of 59$ OA f. aivara'h L.. cd, , which is
located at i 1 (3jlJQ , within
this District, has paid school facility fees imposed pursuant to the
authority generated by Government Code Section 53080 i the amount of
$ a laslD (-Two`1Tho(unvtt nyko, h,uhdy awren re 501 my---)
covering.a total of 1L17 square feet of ( ) residential or
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
j,-4±-1Ss0
for DESERT SAND UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
.• 1
DAILY REPORT 4.
GRADING CONTROL
L and TESTING
ENGINEERS INC.
JOB LOCATION `
y�•ltiV .i- ut,.\' l,ci t,
CLIENT OR OWNER r
S-�t c• l ., h -1`
REPORT SEQUENCE 1.1k,-
K / I L
GENERAL LOCATION OF FILL
I) i` C, k•-1 \- P 4 .
PURPOSE OF FILL OR NATURE OF STRUCTURE TO BE SUPPORTED
1-i l lti• *I 1' l tip
DATE
sr- t -17
DAY OF WEEK
‘/V- U
GENERAL CONTRACTOR.... \ a
S -t. 1' r...+c�: , 1- 1 \'t e `I ' t
GRADING OR EARTHWORK CONTRACTOR
---
JOB ENGINEER
�? c' (l
HRS.,RSCHARGED
I • 0
CONTRACTOR'S SHIFT
4.
CONTRACTOR'S SUPT. OR FORMAN
ASSISTANTS
HRS. CHARGED
SOURCE & DESCRIPTION OF FILL MATERIAL & MAXIMUM DENSITY & M/C ''
WEATHER - t
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4r�1.�kW` �l l�U !JYL +V I(C..., V ii
T.
.
••
•-•
APPROXIMATE
PLACED THIS SHIFT
YARDAGE
TOTAL TO -DATE
-TEST
NO. r
TEST LOCATION
ELEVATION
IN
FEET
COMP.
CURVE
NO.
TEST
MOISTURE
%
TEST
DRY
DENSITY
LBS./CU. FT.
RELATIVE
COMP.
%
RETEST
NO.
NOTES
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SUPPLEMENTARY REPORT (DESCRIBE EQUIPMENT USED FOR HAULING, SPREADING, WATERING CONDITIONING & COMPACTING; ALSO REPORT -THICKNESS OF LIFTS, AND
AND NUMBER OF ROLLER TRIPS.) - i •% '-..r.. •'- ••!1
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{IIIIIIIIIIIIIIII11111I11160 {
iIE
JOB NO.
COPY SENT TO CLIENT 0
CONTINUED ON NEXT PAGE 0
PAGE OF
105 - 5/88
DAILY REPOR•OF
GRADING CONTROL
•>
�r
r..',ft", • .t ••,: 5..a
SOIL and TESTING
ENGINEERS INC.
JOB LOCATION,�//
(i �iJ ,fl`(/l�rw(l<J
CLIENT OR OWNE�RJ
7 1rGJ ,r
REPORT SEQUENCE NO.
L, 73/c)&
GENERAL LOCATION OF FILL
')✓, -- 'C.'
PURPOSE OF FILL OR NATURE OF STRUCTURE TO BE SUPPORTED
>✓f'i - u!le
DATE
�7
DAY OF WEEK
/2,((
GENERAL CONTRACTOR
le / Pr 1f
GRADING OR EARTHWORK CONTRACTOR
JOB ENGINEER
>!T
HRS. CHARGED
.r`f
CONTRACTOR'S SHIFT r
• r
CONTRACTOR'S SUPT. OR FORMAN
Vvir-s-^
11/(}
ASSISTANTS
HRS. CHARGED
SOURCE & DESCRIPTION OF FILL MATERIAL & MAXIMUM DENSITY & M/C
WEATHER
/
C2`1- C / '7., /
55—.;i ,.
/
APPROXIMATE
PLACED THIS SHIFT
YARDAGE
TOTAL TO -DATE
I
TEST
NO.
TEST LOCATION
ELEVATION
IN
FEET
COMP.
CURVE
NO.
TEST
MOISTURE
%
TEST
DRY
DENSITY
LBS./CU. FT.
RELATIVE
COMP.
%
RETEST
NO.
NOTES
LOT
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47 ea
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3
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SUPPLEMENTARY REPORT (DESCRIBE EQUIPMENT USED FOR HAULING, SPREADING, WATERING CONDITIONING & COMPACTING; ALSO REPORT THICKNESS OF LIFTS, AND
AND NUMBER OF ROLLER TRIPS.)
.� ,dr. r,., s er , , •-,Y . /09 A' L... e71, ..,. • . / .,.4 4.. k,
•
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til,
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JOB NO.
COPY SENT TO CLIENT 0
CONTINUED ON NEXT PAGE O
PAGE OF
105 - 5/88
DAILY REPOROOF'
GRADING CONTROL
,.,,,_..-r".i�v-�Lr'+'rvr.*pi. ii�r��...+i'^K�a...,.,;,c�.r'h..:+•�rr-rx ix -s...
SOIL and TESTING
ENGINEERS INC.
JOB LOCATION
/ryi0
CLIENT OR OWNER '"
t
REPORT SEQUENCE NO.
'
GENERAL LOCATION OF FILL
PURPOSE OF FILL OR NATURE OF STRUCTURE TO BE SUPPORTED
• ' f Ie'''-
DATE
'
DAY OF WEEK
GENERAL CONTRACTOR
•
GRADING OR EARTHWORK;CONTRACTOR
f
JOB ENGINEER
7
HRS. CHARGED
].7
CONTRACTOR'S SHIFT
CONTRACTOR'S SUPT. ORIFORMAN
ASSISTANTS
HRS. CHARGED
SOURCE & DESCRIPTION OF FILL MATERIAL & MAXIMUM DENSITY & M/C �
WEATHER
/ / /n %/d, / G•* c /3, /
i„,,. /
•
APPROXIMATE
PLACED THIS SHIFT
YARDAGE
TOTAL TO -DATE
TEST
NO.
TEST LOCATION
ELEVATION
IN
FEET
COMP.
CURVE
NO.
TEST
MOISTURE
%
TEST
DRY
DENSITY
LBS./CU. FT.
RELATIVE
COMP.
%
RETEST
NO.
NOTES
LOTi
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•
SUPPLEMENTARY REPORT (DESCRIBE EQUIPMENT USED FOR HAULING, SPREADING, WATERING CONDITIONING & COMPACTING; ALSO REPORT THICKNESS OF LIFTS. AND
AND NUMBER OF ROLLER TRIPS.) .
j / ' / 1, ,-1 4 / -/
,
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•
1. i. ... .,�
JOB NO.
COPY SENT TO CLIENT 0
CONTINUED ON NEXT PAGE O
PAGE OF
105 - 5/86