14850 (SFD)Building
Address 51-800 Ave.. Montezuma
Owner DoDco- Construction
Address F.O. $4» 1012
City Zip
La Qutinta, CA.192253
Contractor
Address
R
City
State Lic. p 3979
& Classif.
Arch., Engr.,.
Designer same
Address
City
T
Zip -1 Tel.:
-
44
P.O. BOX 1504 No. 14850
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST: VNI OCC: GRP. R3
A.P. Number 773--151-001
360--779 2 Legal Description Lot I Block 28
Project Description SFD•
A
• r
City i75
Lic. # Sq. Ft.
Size . 3485
New ❑ Add.❑
Tel.
Zip State
Lic. #
CONTRACTOR'S DECLARATION
under provisions of Chapter 9 (co
and Professions Code, and my'lic
- �. r1I>... �, r CA
bui
icing.with Section
is,,in full force and
j
1 01.9'.-1-,, t,6x
No.
Stories
Alter ❑
it includes 5'
se obtain pool
dines walk: 'above
SIGNATURE . J t. ; - 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 requites -a,
Estimated Valuation,
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
-
PERMIT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section7000) 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
Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than rive 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
Code: The Contractor's License Law does not apply to an owner of property who
Plan Chk. Bal.
Const.
Mech.
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
Electrical
or improvement is sold within one year of completion, the owner -builder will have the burden
of. proving that he did not build or anprove.for the purpose of sale.)
Plumbing . .
O 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
S. M. 1. .
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)' -
❑ 1 am exempt under Sec B. & P.C. for this reason
Grading
Driveway Enc.
Date Owner
Infrastructure
Precise Plan
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker s Co1npensation Insurance, or a certified copy thereof. (Sec. 3800, Labor. Code.)
Policy N Company
py is filed with the city. ❑' Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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 th? 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:. 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.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES -UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
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
No. Dw. ,
Units
Repair ❑ Demolition ❑
erime.ter wall'.
armit prior to
$93,547.00
2.50.00
AMOUNT
49.00
124.36
3:38.00
9.35
20.00
.00
6,010.S4
25.0
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line_
Side Street Setback from Center Line
Property Line_
FINA TE INSPECTOR
IssueD Permit_
LA A . 1- - -
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes. V8
Signature of applicant Date'
Mailing Address Va
City, State, Zip
n
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBI
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE 3 ys—
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM y
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
ROCKSTORAGE
DRAINAGE PIPING
WALL SO. FT.
METER LOOP
DRINKING FOUNTAIN
SO. FT. ®
OTHER APPJEQUIP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
TEMP. POLE
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
SERVICE
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
FINAL INSP. A 3 9�cu.
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
FIRE ZONE ROOFING
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SPARK ARRESTOR
SO.FT.GAR ® 3/ec
HOUSE SEWER
GAR. FIREWALL
LATHING
GAS PIPING
PERMIT FEE
MIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE FPL.CKFEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK 3
GROUND PLY9/ 5—A
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 3 ys—
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS S
SEWE RROUGH
WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL y� gr,
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM /G
WATER SYSTEM
GRADING.
yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. A 3 9�cu.
FRAMING
FINAL INSP.
�� S
ROOFINGS:.
��� .�� �
REMARKKS
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND sy ySZ
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 619-775-3500
Date 3/16/95 I Type of Permit La Quinta
No. 113363 Permit #
Log
Owner Name DoDco Constuction
No. 51800 Street Avenida Montezuma
City La Quinta Zip 92253 Study Area 113
APN # Tract # Lot # 0 Square Footage 11485
Type of Development I Single Family Residence No. of units 0
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 1.72 X 1485 or $ 2,554.20 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 DoDco Construction Service Telephone '564-6478
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Pauline Pearson �f
Payment Received t
Signature - 'fit%' Check No.61083.
Collector: Attach a copy of county or city plan check application form to district copyafgrrall waivers.
Embossed Original -,Building Dept./Applicant - Copy - Applicant/Receipt Copy = Accounting
,Z y
83 C . �. `•
0.
r 1,, WHEN R O DED MAIL TO:
Dan Featheringill
I� x,
-P.O. Box ,1012�•.•' .
Ile La' Quinta,-,CA 92253
11;
4.11WY o�:o9 N
CQ
4 .. g x
cc
O r.
. same as 'above DOCUMENTARY TRANSFER TAX $ 22.0(1.
......................... •
x.Comp'uted on'the consideration or value of property conveyed; OR �]
:....Computed on the Consideration or value less liens or 1 y
encumbrances remaining at time of sale- !�
Signature of Declarant or Agent determining tax -Firm Name
773-151-001-% '-
TRA: w 'GRANT DEED.'
FOR A VALUABLE CONSIDERATION. lreceipt of which'is hereby acknowledged,. Q
MAMIE M.'MILLER an unmarried woman°
here b GRANTS to ' ' �'' � A A o
.. r � r
r DAN FEATHERINGILL, . a married man, -as his .soler and separate-propertyPiz
,.the real property in the Cityof La� Quinta:, f '
County of'. Riverside 5 �" °State of California -described -as, .
•�,, Lot ;1 in Block 28``of 'SANTA CARMELI•TA' AT VALE ,L9 QUINTA, UNIT. 0 as' per map recorded
'in� ook 18, pages 55 and•56 of Maps,•Records of Riverside County,,California. '"'
4.
by t
Dated November 10.- 1994' , •� ? •
} .. mie M. Miller
STAOF CALIFORNIA ss '
COUN OF .. Orarigr? } t
On ' ' NO ber 14, 1994 before me;
An_
- r ge Braner —
Y personally appeared Bruce Linda1St"'`"'r'"ti''""Y"'° , — ---- -- Y -
��::�:�:�CS'CS':�::CS'C)CS'CSCi:i:', Y'; 4:4C4:' ::s,:,'• iC•,'c•.'i::'.'C�'C�'i4C�':�C.::•iC4C::k t,� ,. ' -
personally known•to me (or pr ed me on the basis of satisfac
evidence) to be the person(s) w s name(s) is/are subscribe t the
within instrument and acknowl dged to me at he/she/the a to v 0 Angela-Braner • _ -
same in his/her/their auth 'zed ca acit les d that is/h h r SUR Comm. 111024038
P y( )• � UI NOTARY PUBLIC. CALIFORNIAN
ORANGE COUNTY-, '
signature(s) on the ins merit the persons) or the lily po a If of Comm Expires April 21 1998
which th perso ed, executed the instniment.." r+ }
+ WITNESS d o i I ea
Signature (This area for official notarial seal) r
`� MAILSTATEMENTS AS DIRECTED ABOVE ,.',• 1002(1/94)
/wJ, . � •
78-495 CALLE .TAMPICO - LA QUINTA, .CALIFORNIA 92253 - (619) .777-7000
>, 1995 , .
FAX (619) . 777-7101.
Mr. Dan Featheringill -
DoDco Construction Services '
P.O. Box 1012
La _Quinta, CA 92253
SETBACK ADJUSTMENT: 95-294
LOCATION: iF51'800'-AVENIDA7MONTEZUMA ' ?
Dear Mr. Featheringill:
This letter is to report approval of your recent application for a setback .adjustment,
pursuant to Chapter 9.188 of the City of La Quinta- Planning & Zoning Regulations. The
following'setback adjustment has been approved-subject to conditions and in accordance
with attached Exhibit A..
SETBACK AD.IUST TENT:
Reduction of 20-feet to 16-feet for a portion of the front .setback and reduction of 10-feet
to minimum 8-feet 1-inch.for rear setback.
FOR: Construction of new single family residence
CONDITIONS:
1. Obtain a building permit from the Building Department. '
2. All other SR Zoning Code standards shall be met.
After review it was determined that: .
1. This adjustment.is consistent with the intent'and purpose of the Zoning Ordinance.
2. There. are special circumstances applicable to the property, including such factors as '
size, shape,- topography, location or surroundings that justify approval of the
adjustment. These special circumstances are: small size and irregular shape of lot.
{ CITY OF I_A 6I.IINI '
LTRGT.380
LIAR, 16- REC.'D
BUILDING AND SHO=EW
MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA, CALIFORNIA 92253 (�
LLMARfl 3..1995
ITY OF LA QUINTA
ANNING DFPARTfANT .
RNISIVIS F:'
APPROVED BY PIANNING''t DEVELOPMENT DEPARTMENT
\` BY DATE
EXHIBIT
'•��\ F>, �� ro:.en�`�"cno+`�wlia.,nwm wao a>w un. ��
:c nc��.l�•n w+oec+.+u rcn m.,,.ne. a a
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' \ \\ i tiu.lm wusaa; u.an.,we.ewmvrn�a
� ❑ \•\\ `\ \\\ +ra oa.s w+cvlmssle vem.e.onan. �p
F09P—"'-
'! O `
e ��\ �,rom' �� - a MSW nray.4p.,Rsvlc. nFL ew.Cencla \'
Gig IS \\
38 F. re n.na�.J a ri.�•,w
cl
Q_�
®p GI® W
/ J , a maxa..ronc. nu.. JQ
EV,- J ` � j ` / n rm eawea•I +cc.:nl J
onwl.; on�v � Il.l _t
dVENIpL .'k R'I °S ~ v ~ Ill LL
L•7EY.GFt9 "=K"� NfYEF� J W
ro.•. urw +YS"N
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
. Received From: Z _
Address:
`�_. �,✓
Account Nol - ,• r!�
Lots
Service Address _ —
a_
Water Service
�Meter(s) / - �� A, X/
Money
Servlce(s)
❑ Backflow(s)
❑ House Laferal(s)
❑ DetectorCheck(s)
❑ Meter Surcharge
Sanitation Capacity Charge .a �—
X
❑ W.S.B.F.C.'
%Temporary Construction Meter
//❑��
Turn on Charge
❑ Uncollected Account - Name
❑ Inspection Fee - Tract -
Fee -
❑ Plan Check Fees Water / Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
Assmt
❑ Customer Deposit
❑ Other
Remarks:
G.A. Code
$ l•�o
SU-od
' J
TOTAL $ 22
❑Copy to:
Cash
Check
a_
Water Service
Money
Cashier
Order
;'`
CVWD-438 (11 /89)
NOTE:
With proper validation
this form constitutes an
encroachment permit CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: 3-15-95
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV f
LOCATION OF CONSTRUCTION 51-800 Avenida Xortesuma
(Street address or Description of Location)
PURPOSE OF'CONSTRUCTION provide Temp. Power Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Install Temp. power pole
in R/W Permittee shall install
reflective devices on or around
DIMENSION OF INSTALLATION OR REMOVAL diameter pe a the temp pole for visibility
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 3-15-95,
APPROXIMATE TIME OF COMPLETION 9-15-95
ESTIMATED CONSTRUCTION COST $ 100.80
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the'City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
Dan Fefltheringil'
Signature of Applicant or Agent
DoDco Construction Services P.O. Box 1012 I.a Quinta, CA 92253 360-7792
Name of Applicant (please print) Business Address Telephone No. -
Dan Fie :theringill
Name of Contractor and Job Foreman Business Address Telephone No.
397830 1375
Contr)ctor's License No. City Business License No...`,
Reico insurance *BL 420426
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
-- -`Private impr6vements:"3% of estimated construction costs i
Minor Improvement Permit — Class IV: See attached schedule
20
Inspection Fee $
10
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
30
Date
2321
PERMIT VALIDATION
PERMIT NO. x'327
•
DATE APPROVED 3-1b-95
9-30-95
EXPIRATION DATE
;3-16-95
DATE ISSUED
Byi
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
r ------------------------
NOTE:
With proper validation
this form constitutes an
encroachment permit CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: 3-15-95
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV f
LOCATION OF CONSTRUCTION 51-800 Avenida Xortesuma
(Street address or Description of Location)
PURPOSE OF'CONSTRUCTION provide Temp. Power Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Install Temp. power pole
in R/W Permittee shall install
reflective devices on or around
DIMENSION OF INSTALLATION OR REMOVAL diameter pe a the temp pole for visibility
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 3-15-95,
APPROXIMATE TIME OF COMPLETION 9-15-95
ESTIMATED CONSTRUCTION COST $ 100.80
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the'City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
Dan Fefltheringil'
Signature of Applicant or Agent
DoDco Construction Services P.O. Box 1012 I.a Quinta, CA 92253 360-7792
Name of Applicant (please print) Business Address Telephone No. -
Dan Fie :theringill
Name of Contractor and Job Foreman Business Address Telephone No.
397830 1375
Contr)ctor's License No. City Business License No...`,
Reico insurance *BL 420426
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
-- -`Private impr6vements:"3% of estimated construction costs i
Minor Improvement Permit — Class IV: See attached schedule
20
Inspection Fee $
10
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
30
Date
2321
PERMIT VALIDATION
PERMIT NO. x'327
•
DATE APPROVED 3-1b-95
9-30-95
EXPIRATION DATE
;3-16-95
DATE ISSUED
Byi
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
er
TTITNWIW
o a �
�i ',
i I Ttt 'of En (PUtllfa I Li j
'M tveit t ► i'
I This- Certificate issued pursuant to the requirements of Section 306 of the Uniform Bullding� , ,I
-Code certifying that at the time of issuance this structure was in compliance . with the various
ordinances of the City regulating building construction or use. For the following: i
BUILDING ADDRESS -51-800 Ave. Montezuma
II use Classification ' Single Family Dwelling `, Bldg. Permit No. 14850 IW
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of
I I Building DoDco Construction Address P.O. Box 1012 I
i ': i'• i t
La •Qui:nta, CA. , 92253
u i City Daniel P. Crawford-Jr.
Date: October-11, 1995
Building Official _ —
• POST IN A CONOUs /LACI