11832 (SFD)Building
Address 51-920 Carranza
Owner
Bradon W. Croff
Mailing
.::.I Address 78—
City
La Ouinta.
Contractor
Bradon W. C
Address
Same
City
State Lic. I City
& Classif. B Lic. N
Arch., Engr.,
Designer Greg Butler
Address Tel.
Zip
ff
Zip I Tel.
P.O. BOX 1504 •
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
City Zip State
Lic. q
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of f)ivision 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
1 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, after, 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 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.)
0 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.)
O 1 am exempt under Sec. B. & P.C. for this reason'
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. O 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 anyperson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date owner
NOTICE TO APPLICANT: ff, 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
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.)
Lender's Name
Lender's Address
This is a building permit when property 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
City, State, Zip
No.
11LDING: TYPE CONST. OCC. GRP.
P. Number 773-11AR-009
Igal Description Lot 16 Block 58
oject Description SFD
11832
ZONE:
BY:
Minimum Setback Distances:
Sq. Ft. 1512 No.
Size Stories
No. Dw.
Units
New N Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not include
any block
walls or pool.
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date Permit
Validated by:
Estimated Valuation
$89,148.00
PERMIT
AMOUNT
Plan Chk. Dep. 250.00
Pian Chk. Bal.
257.93
Const.
594.50
Mech.
62.00
Electrical
125.49
Plumbing
144.00
S.M.I.
9.00
Grading
20-00
Driveway Enc.
Infrastructure
10967.57
TOTAL 3,430.42
3,180-42
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 Permit
Validated by:
Validation:
I t
FINANCE.
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 6/7/93 1 Type of Permit I La Quinta
No. 112255 Permit .#
Log
Owner Name Bradon W. Croff
No. 51920 Street Avenida Carranza
City La Quinta Z I p 92253 Study Area 113
APN # 773-165-009 Tract # I = Lot # 16 Square Footage 11512
Type of Development I Single Family Residence I 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:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.65 x 1512 or $ 2,494.80 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.
Fees Paid By, Bradon W. Croff Telephone
Name on the check
By James E. Lively
Assistant Superintendent, Business Services },
Fee collected /exempted by Vickie J. Durrett
Payment Received
Signature196
Check No
Collector. Attach a copy of county or city plan check application form to district copy for ill waivers.
Embossed Original- Building Dept./ Applicant Copy - Applicant/ Receipt Copy - Accounting . r `
d
CITY OF LA OUINTA
o, DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2146
24-HOUR NOTICE FOR INSPECTIONS
Owner Bradon Croff
Contractor S ame
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 51-920 Carranza
Wall varies from 8" to 2' 10"
210' of wall 50' back 85' n.side, 75'
. TYPE OF INSPECTION I DATE I INSP.
FOUNDATION & SETBACK <2 Y, n ,_-A d
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT - A/C
FIREPLACE
ROOF
BOND BEAM Q
-513 oA19-
O.K. TO WRAP
GROUT O 4' 0 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
MMM A/A1 1 1LMnl^M
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
FINAL GAS TEST
HOUSE NUMBERS
FINALS
JVO wmrl-C1 C.v I f 1 —1 C_-7. 3 1 /,✓/
4!88
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
e'
Installation Certificate: Residential
CF -6R
Use of this form to satisfy the requirements of the Administrative Code Is optional, but the Information must be provided and posted.
51-920 Carranza 11832
Site Address Permit Number
An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form
may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that
the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of
Compliance (CF -1R). This certificate (or its equivalent) shall be prepared and signed by the persons) assuming overall
responsibility for the appliance installation.
I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and
that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that
the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to
demonstrate compliance with the Energy Efficiency Standards for residential buildings.
HVAC SYSTEMS
Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under
Water Heating Systems.
Heating Equip.
Type -(furnace,
heat pump, etc.)
CEC Certlfied
Manuf. Make &
Model Number
Actual Distribution
Efflclency Type and
(AFUE, etc.) Location
Duct or Heating Load Heating
Piping Before Over- Equipment
R -Value Sizing (Btuh) Capacity (Btuh)
u ..irwr
External
14� At«�
CEC Certifled
Rated'
Tank
Factor or
Tank
System Type
CEC Certif led
Input (kW
Capacity
Cooling Equip.
Compressor Unit
Actual . Distribution
Duct or
Type (air cond.,
Manuf. Make &
Efflclency Type. and
Piping
heat pump, etc.)
Model Number
(SEER) Location
R -Value
i��rr✓Y)
_1 A -4e lira
/"D , r
476,e 4n -,Q �_5
The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of
the Energ Efficiency
Standard 4 and are two of the criteria used for equipment sizing and selection.
Signature
Date HVAC Subontractor (Co. Name) or General Contractor or Owner
WATER HEATING SYSTEMS
..
Energy'
External
Water Heating
CEC Certifled
Rated'
Tank
Factor or
Tank
System Type
Manuf. Make &
Input (kW
Capacity
Recovery
Standby' Insulation
s, etc.)
(storage g^am
Model Number
or Stuh/)�
(gallons)
Efflclency
Loss (%) R, --Value
�j
476,e 4n -,Q �_5
1. For small gas storage (rated inputs 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor.
For large gas storage water heaters (rated input >75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
For Instantaneous electric water heaters, list Rated Input.
FAUCETS & SHOWER HEADS
All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads,
pursuant t Title 24, Part 6, Subchapter 2, Section 111.
Signature Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner
Revised January 1992
CALVIN C. KAMINSKAS
Assistant Commissioner
(714) 275.3000
OFFICE OF
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE. Commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291
DAN RILEY
Sealer. Welghls & Measures
(114) 275.3030
DATE t ;io CASE NO. C G
DEVELOPER'S NAME: �>��z� Iry ��✓
ADDRESS: 31 S /n (
TELEPHONE:'
Cana �2� k 10C -k S l,. A �� ,�4 A
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 from plant material listed, this office must be notified
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agri 1 al Commissioner's Office
cc: Indio and Riverside
4080 LEMON SWEET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275.3012
G