9670 (SFD)s
aubt riary
P.O. BOX 1504 (� N o .
Building
s 78-105 CALLE
Address 59220 Obregon LA QUINTA, CALIFORNIAORNIA 92253 111/
William R. Riley
Mailing
Address P. 0. Box 2121
City Zip Tel.
Palm Desert 92261 1 3459077
Contractor
owner/Builder
Address
State Lic. I City
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) tkof Divisi�e Business and Professions Code, and my license is in full force and
i
SIGNATURE t DATE
C
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, 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 or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 or 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.)
❑ 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. ❑ 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 (8100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, 1 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: ff, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions or 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 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
LDING: TYPE CONST. OCC: GRP.
P. Number
9670
Description Trot 11 Block, 252
t Description SFD
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:
Sq. Ft. 12401777
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit does
not include
block wally
and future
pool
Estimated Valuation
102,219.10
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
314.14
Const.
650.00
Mech.
49.00
Electrical
135.54
Plumbing
1.41.00
S.M.I.
10.40
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2261.68
Arts in Publ..,c
25.00
TOTAL
3876.76
3626. i 6
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FiaS
1ST FL SO. FT. ® $
r
2ND FL SO. FT.
POR. SO. FT. ®
GAR. SO, FT, ®
CAR P. I SO. FT.
WALL SO. FT. ®
SO 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
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
44
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
SEWE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
DUCT WORK
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID a 1 Vi c
SEWAGE DISPOSAL
BOND BEAM
SO.FT.GAR ® 3/ic
HOUSE SEWER
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
G
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB
44
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWE
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
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING ]
FINAL INSP.
ROOFING
2/I (/
VV
,
���
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND y 9/
FINISH GRADING
FINAL INSPECTION Ql
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 7/10/91 Type of Permit I La Uinta
No. 10718 Permit #
Owner Name William R. Riley Log #
No. 54220 street Obregon
City La Quinta Zip 92253 Study Area 111
APN # 1. Tract # Lot # Square Footage 11777
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 500square 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 1.58 X 1777 or $ 2,807.66 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 William/Sandra Riley Telephone 345.9077
Name on the check
By James E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Shelley D. Bennett
Payment. "R6ceivq.4
Signature Checks 4o.c 16
Collector: Attach a copy of county or city plan check application form to district c0; 7y for i waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
RECORDING REQUESTED BY
7 '
).NP. WHE RN ECORDEO MAIL THIS DEED AND. UNLESS OTHER-
WISE SHOWN BELOW. MAIL TAX STATEMENTS TO:
GRANT DEED
The undersigned declares that the documentary transfer tax is 8 ...... 22...OQ................................................................ and is
jK computed on the full value of the interest or property conveyed, or is
❑ computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land,
tenements or realty is located in
❑ unincorporated area )0 city of ............. La ... 4kurlta................... .............................................. and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
DUNCAN BLYTH,IAN BLYTH AND DONNA WILLIAMS-CRANE, who qcquired title as DONNA BLYTH
WILLIAMS, each as to an undivided 1/3 interest by Final Distribution, Los Angeles
Superior Court, Order and Decree No. 82, a Certified copy which was recorded April 8,
1986 as Instrument No. 8021.1
hereby GRANT(S) to
WILLIAM R. RILEY, an unmarried man
to
the following described real property in the City of. La Quinta
county of Riverside , state of California:
Lot 11, Block 252 of Santa Carmelita at Vale La Quinta Unit
24, as per map recorded in Book 19, Page 44 of Maps, in the
office of the county recorder of'saiu county.
_ Dated - November ,_16., . 1.490--_
/�//11�tflV D/L 117/
DONNA WILL
STATE OF 9MP45MAX WASHINGTON
COUNTY OF _SS...
On this the �L day of f,\ y Vk ry-,
Notary Public in and for said County and State, personally appeared
personally known
to me or proved to me on the basis of satisfactory evidence to be the
person whose name subscribed to the within instrument
and acknowledged that 7=r-- executed the same.
-: , ! As S Q
Signature of Notary�—
'LCL
CRANE
iWfore me the undersigned, a
�'Qr 'N074Yt,L OR STAMP
CO., v NOTAryy 'F� L'e,
owe
P.
• e
Assessor's Parcel No .............................................
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
Name
CAL-1/CT (Rev 2-88)
Street Address
City 8 State
1
NAME
cc O
U
MR. WILLIAM R. RILEY
ADDRESS
W
�$j13
42=582 Virginia
il;
pyC5 fe
Palm Desert, CA 92260
4 N
CITY a
so
STATE
QQ�
LU
iL1 66
ZIP
L
Title Order No.
Escrow No.
GRANT DEED
The undersigned declares that the documentary transfer tax is 8 ...... 22...OQ................................................................ and is
jK computed on the full value of the interest or property conveyed, or is
❑ computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land,
tenements or realty is located in
❑ unincorporated area )0 city of ............. La ... 4kurlta................... .............................................. and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
DUNCAN BLYTH,IAN BLYTH AND DONNA WILLIAMS-CRANE, who qcquired title as DONNA BLYTH
WILLIAMS, each as to an undivided 1/3 interest by Final Distribution, Los Angeles
Superior Court, Order and Decree No. 82, a Certified copy which was recorded April 8,
1986 as Instrument No. 8021.1
hereby GRANT(S) to
WILLIAM R. RILEY, an unmarried man
to
the following described real property in the City of. La Quinta
county of Riverside , state of California:
Lot 11, Block 252 of Santa Carmelita at Vale La Quinta Unit
24, as per map recorded in Book 19, Page 44 of Maps, in the
office of the county recorder of'saiu county.
_ Dated - November ,_16., . 1.490--_
/�//11�tflV D/L 117/
DONNA WILL
STATE OF 9MP45MAX WASHINGTON
COUNTY OF _SS...
On this the �L day of f,\ y Vk ry-,
Notary Public in and for said County and State, personally appeared
personally known
to me or proved to me on the basis of satisfactory evidence to be the
person whose name subscribed to the within instrument
and acknowledged that 7=r-- executed the same.
-: , ! As S Q
Signature of Notary�—
'LCL
CRANE
iWfore me the undersigned, a
�'Qr 'N074Yt,L OR STAMP
CO., v NOTAryy 'F� L'e,
owe
P.
• e
Assessor's Parcel No .............................................
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
Name
CAL-1/CT (Rev 2-88)
Street Address
City 8 State
cc O
U
UA
o o
W
�$j13
a)8
il;
pyC5 fe
4 N
so
U
CL a
Li
QQ�
LU
iL1 66
'6
SPACE ABOVE
'TNS LINE FOR RECORD 'S USE +—
GRANT DEED
The undersigned declares that the documentary transfer tax is 8 ...... 22...OQ................................................................ and is
jK computed on the full value of the interest or property conveyed, or is
❑ computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land,
tenements or realty is located in
❑ unincorporated area )0 city of ............. La ... 4kurlta................... .............................................. and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
DUNCAN BLYTH,IAN BLYTH AND DONNA WILLIAMS-CRANE, who qcquired title as DONNA BLYTH
WILLIAMS, each as to an undivided 1/3 interest by Final Distribution, Los Angeles
Superior Court, Order and Decree No. 82, a Certified copy which was recorded April 8,
1986 as Instrument No. 8021.1
hereby GRANT(S) to
WILLIAM R. RILEY, an unmarried man
to
the following described real property in the City of. La Quinta
county of Riverside , state of California:
Lot 11, Block 252 of Santa Carmelita at Vale La Quinta Unit
24, as per map recorded in Book 19, Page 44 of Maps, in the
office of the county recorder of'saiu county.
_ Dated - November ,_16., . 1.490--_
/�//11�tflV D/L 117/
DONNA WILL
STATE OF 9MP45MAX WASHINGTON
COUNTY OF _SS...
On this the �L day of f,\ y Vk ry-,
Notary Public in and for said County and State, personally appeared
personally known
to me or proved to me on the basis of satisfactory evidence to be the
person whose name subscribed to the within instrument
and acknowledged that 7=r-- executed the same.
-: , ! As S Q
Signature of Notary�—
'LCL
CRANE
iWfore me the undersigned, a
�'Qr 'N074Yt,L OR STAMP
CO., v NOTAryy 'F� L'e,
owe
P.
• e
Assessor's Parcel No .............................................
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
Name
CAL-1/CT (Rev 2-88)
Street Address
City 8 State
Received
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
Ao/
0 COPY to:
C',
Address:
Check
Account No
Lot(s)
Tract*,—
Service Address,�t �2
G.A. Code
Meter(s)
Service(s)
• Backflow(s)
• House Lateral(s)
• Detector Check(s)
• Meter Surcharge
Ksanitation Capacity Charge
• W.S.B.F.C.
• Temporary Construction Meter
• Turn on Charge
• Uncollected Account" Name
• Inspection Fee - Tract -
Fee -
0 Plan Check Fees Water / Sewer -
Tract -
• Bond Payment - A.D. --Bond
Assmt.
• Customer Deposit
• Other
Remarks:
0 COPY to:
Cash
Check
Money
Order
Water Service
a•Fs, L (L
Cashier
CVWD-438 (11189)
CALVIN C. KAMINSKAS
Assistant Commissioner
(714) 275.3000
a O 4,Y
DAN RILEY
o ' i Sealer, Weights & Measures
V .(714) 275-3030
►e 1�o�
(bly J J4L-ZSL71 -
DATE M _2 0 l9 % CASE No. Y✓1 PC.05-2001.1
DEVELOPER'S NAME:
ADDRESS: C1. .Z
TELEPHONE: (C t `I) '311'7. - o -7 5
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:
Agricult''Co fission is Office
c ndio and Riverside
4080 LEMON STREET, ROOM 19,- RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012
S"//a� a YV2-er'v
ED DIAZ
A.I.A. Assoc. Member
82-891 Via Palermo
Indio, Ca. 92201
To:
La Quinta, city of
Building and .Safety Dept.
Re:
Proposed Residence for Mr. 9 Mrs.
Bill Riley, Foundation Plan Detail
To Whom It May Concern:
Would You Please Omit #4 Re -bar Cont. If Footing Det.
Sorry For The Inconvenience.This Oversight May Have Caused
SincVr
,
ED DIA