13348 (SFD)Building
Address 53-500
Owner
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address 73-373 COMMY CLUB DR.
CityZip Tel.
PALM DESERT 92250 1 773-0967
Contractor
ress
City
State Lic. I City
& Classif. Lic. #
Arch., Engr.,
Designer SME AS ABOVE
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
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,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
sUD' cts the applicant to a civil penalty of not more than five hundred dollars ($500).
JAI, as owner of the property, or my employees with wages as their sole compensation, will
do he 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.)
O 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 contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date `1�ihl Z e5w'ner ! .C..2i _ A,111 t .
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 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, alter 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 permiIW hen properly filled out, signed and validated, and is subject to
expiration if work thereunder isuspended for 180 days.
I certify that 1 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.
yl Signature of applicant— Date
Mailing Address
City, State, Zip
No.
BUILDING: TYPE CONST. OCC. GRP.:
A.P. Number 774-101-005
Legal Description Lot 5 Block 195
Project Description SPD
13348
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear.Prop. Line
Side Street Set -6 ck from Ceriter Line
Side Setback frc, m Proper tyvine
FINAL DATE �� lA*PDF,i,
Issued by: 10-
y`\
Validated by:
Validation:
Sq. Ft. 2090
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit does
not include
block walls
Or pool.
Estimated Valuation
$120,224.00
,
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
348.89
Const.
713.00
Mech.
62.00
Electrical
150.30
Plumbing
1.44.00
S.M.I.
12.02
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,705.04
Arts in Publ,LC
Places
5 75 6
'recise Plan
25.00
TOTAL
4,481U.—Ul
4,230.161
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear.Prop. Line
Side Street Set -6 ck from Ceriter Line
Side Setback frc, m Proper tyvine
FINAL DATE �� lA*PDF,i,
Issued by: 10-
y`\
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING F%eS
IST FL. SQ. FT. p $
UNITS
SLAB GRADE
2ND FL. SQ. FT. p
YARD SPKLR SYSTEM
POR. SQ. FT. p
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. p
POWER OUTLET
ROOF DRAINS
DUCT WORK
ROCK STORAGE
DRAINAGE PIPING
CAR P. S0. FT. p
METER LOOP
WALL SO. FT. p
OTHER APPJEQUIP.
DRINKING FOUNTAIN
SQ. FT. p
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
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
FRAMING 7v2a .,A/
LL 0
LAUNDRYTRAY
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.
SQ. FT. p c
BATH TUB
SO. FT. p c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID p 11/a c
SEWAGE DISPOSAL
SQ.FT.GAR p 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
MESH
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 S�r-qjdq
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) A, ez;_
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
A
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP. 10-12-C79re
GRADING
oncu. yd.
$ plus x$
_$
LUMBER GR.
FRAMING 7v2a .,A/
LL 0
%/
FINAL INSP. —/0--1 [ O
la [
ROOFING /
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWAL
LATHING
MESH
INSULATION/SOUND l-7
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL :d
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 5/5/94 1 Type of Permit I La Quinta
No. 112810 Permit #
Owner Name John M. Ivancich Log
No. 53600 Street Avenida Montezuma
city La Quinta Zip 92253 Study Area 111
APN # --, Tract # Lot # 0 Square Footage 12000
Type of Development 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 1.65 X 2 000 or $ 3,300.00 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 -John M. Ivancich Telephone 773-0967
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Vickie J. Durrett ,
Payment Received, 17,
Signature Z Y185
Check ��lo.
Collector: Attach a copy of county or city plan check application form to district copy f -r all,waiver_s..
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Acc6unting�
No COR Fff"
AND Tawa7e arooMusa MAs< T1810 OWD AND. uwt-asa OTMd Not
avna a••oww aaaaw. IMM. TAR OTAT220130" TO,
Ivancich `q .••r
Mr. 3 Mrs. y
N
7453 Lost Canyon Circle
Salt Lake City, UT 84121 t—
�
Bide Order No. 543036 E/rrow No. 13279
SPACS ANOVE THIS u roR IttOOno[R•s�
GRANT DEED j
20.90 and is
1 The undeTaigned dedun that the documentary transfer tai is
i ❑ computed on the fall value of the interest or property eoeveTed, or is
13 computed on the full value less the value of liens ur encumbrances remaining thereon at the time of sale The land.
tenements or really is located in Le Qulnta
' ❑ tmincorporated area 13 city of ..._.._.._. and
Yui; .. vALUABLE CONSIDERATION, receipt of which isherebT acknowledged.
T. William R. Riley, an unmarried men
V
hereby GRANT(S) to
John M. Ivancich and Nel 0. Ivancich, husband end vife as joint tenants
► the following described real property in the city of La Quince
county of Riverside . state of C�lifornis-
Lot 5. Block 1y5. of Santa Careelita at Vale La Quinta, Unit /19 as per mp
recorded in Book 19 Pages 33 and 34, records in the office of the County Recorder
of said County
Dswd MaY 8. 1992
t
el �6e_ -
William R. Riley
. STATE OF CAURNINIA SS.
" ODMry Of Riverside -- on tlas M 18th ft'of —ma7. 19 9L 1Mtoa ma to vdwsi4ra. a
Notary Pok 1n and for said Oma" and Stab. PwsrwaT OFp•w•a —.
William R. Rile? FOR NOTARY SEAL OR STAMP
�H.N••NN••HHHH•11•IIa1Ns -
orvn+r GMCiAL SCAB
to m1a or Vsvd to o an Ow basis of aaastaraar avtesee b d b 01101 SItLUA
isaresnOsAbMwla+ams�nrnr A •O WTANT mut
person he IIDTAar saw Futo IN
OKI _wraaasONsaan+a. Net*=Comm
ay t]oddsa Esti• APER 22.1994
•H••..••.• ..............
. V
Assessors Pared No..____-_._.._.._.._.._.._.._..
MAIL TAX SfATEVF.!fT3 Tel PAM 91M" O!t FOU Wt- U!tt:: IF .t0 PAK" �O SHOWN. MAIL ASMRLCZ4]1AS0\'F.
Nr - - --• ' -' 9Hwr� A/k�. pr/ ♦1 Sire
G1.LCT As• am
T4hf 4 �wQ�rw
78-495 CALLE TAMPICO — LA. QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
February 2, 1994
Mr. John M. Ivancich
73-373 Country Club Drive
Palm Desert, CA 92260
Dear Mr. Ivancich :
SETBACK ADJUSTMENT: 94-228
LOCATION: 53-600 AVENIDA MONTEZUMA
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 ADJUSTMENT:
Reduction of side yard setback from 5 -feet to 32 -feet.
FOR: Mechanical room for single family residence.
CONDITIONS:
1. Obtain a building permit from the Building Department.
2. The requirements of the S -R Zone shall be met.
3. Mechanical door shall be painted to match adjacent exterior wall color.
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: narrow lot
width.
3. This adjustment will not be detrimental to the health, safety, and general
welfare of the community or be detrimental to property in the vicinity of the
parcel for which the adjustment is requested.
MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA, CALIFORNIA 92253 ♦,
LTRGT.183��
If you should have any questions, please contact the undersigned.
Very truly yours,
JERRY HOMAN
DEVELOPMENT DIRECTOR
IT:
OUSDELL
rate Planner
of
Attachment: Exhibit A
cc: Building & Safety Department
61
LTROT.183
0
Cl)
V)
CD
00
C = TY O F LA QU I NTA
Cont
racto ►�/
Ovine
Address
Job Address 152 401610u. m p7rZ V �/�JA
This form shall be posted on the job with the Building Inspection Card at all times in a
conspicuous place. It is the responsibility of the General Contractor or the Owner/Builder
to monitor the sub -contractors that are on this list are the same persons performing the
work. Any changes of this list must be approved by the City of La Quinta Department of
Building and Safety prior to work being performed by a changed sub -contractor. Failure to
comply will result in a stoppage of work and/or the voidance of building permit.
TRADE
SUB -CONTRACTOR NAME
CONTRACTOR'S
LICENSE NO.
WORKMAN COMP.
NO. ON FILE
CITY BUSINESS
LICENSE NO.
EXCAVATE
r, NeVJi35VF(seTz
\m'
PIPELINES
CEMENT/
FOUNDATIONS
�C�%j�
CEMENT/WALKS
& DRIVES
ASPHALT
FRAMING
w '4"� '(�
/ �j
77 7
STEEL/
STRUCTURAL
MASONRY
FT� /V �
//LL ff�/�
4 44 11A
C7
PLUMBING
=.� V
O �rG"'1
LATHING
DRYWALL
AA
PLASTERING
�,��{ 4.�W (5
/
�' �/ 4-G
HVAC
A/C
ELECTRICAL
.
ROOFING
DU F C.
SHEET METAL
,
FLOORS
GLASS/
GLAZING
V��� W OG►� .
INSULATION
y�
Sc rye(
V,
SEWAGE DISP
PAINTING/
DECORATING
V/i /1 1 ► }O.I
/Q
/_ i� 2 r/,�j�j
TILE
INSTALLATION
ORNAMENTAL
METAL
FENCES/
BLOCK WALLS
LANDSCAPING
t�__
OTHERS