SFD (14364)53280 Avenida Madero
14364
Oil'
fir , P.O. BOX 1504 . r N o . • 3 6.
Building 78 495 CALLE TAMPICO
.'Address LA CQUINTA; CALIFQRNIA'92253. -
a ,Hank* CzaranskiR
Mailing; BUILDING: TYPE CONST•' OCC: GRP
Address '67^ 2e I3 t Oe i4 1 X34 ;00+
A.P. Number
City Zip T I
, CA 9.223.4 :Y9p 32 8085
i.
Legal Description-
Cractor
ontlgn Project Description
ame
Address
City Zip Tel
: .• - 3 .. .. - F • . .
State Lic_ '. '.. " •'_City
&.Classif.-. _
'502905",L`ia # ' .$ Sq. Ft 1! i No No. Dw
Arch:-,Engrj.
Size Stones- -F .:• Units
Designer ; New ❑ ". Add Eli Alter ❑ "Repair ❑ •Demohtlon p
Address , :. .Tel., Pe, A doeS rl,®t Incl de rt block BJF ,
. r: _ •i;
•.City , Zip State r '_Poo q` ;`• r i
Lic. #
LICENSED CONTRACTOR:S'DECLARATION x F
I hereby affirm that I am licensed under provisions of Chapter 9 (commgncing with Section T '
7lXK)) of Division 3 of the'Business and Professions Code, and my license ,s in full f ice;and : • ` , r J '
..
effect ice' 3 t. 1 :« I+ .jd! y
SIGNATURE .. !1"_ v p, -•..a_ > DATE - ., F': ~iSf .. - 5•
$. p
5 OWNER -BUILDER DECLARATION ° Estimated Valuation r r
I hereby affirm that I am. exempt from the Contractors License Law for the following re u 'e
..reason . (Sec.: 7031.5,Business.. and Professions Code:, Any ctty„ 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:permft to-file.'a signed statement that he is:ucensed pursuant. to. -PERMIT. _ i - --•AMOUNT T• '
the provisions.of the ;Contractor's License Law,',Chapter 9 -(commencing with,Section -7000) or r ?.= ,r
,Djvislon 3.of the Busiriess•and Professions Code, or that:he:is.exerript therefrom, and the basis
.for the'. alleged exemption. ,Any' violation of. Section 7031.5 by .'any- applicant fora permit... ` PlanChk Dep: ,,z •.
I.iuble6ts the applicant to a civil penalty of not more than five hundred dollars ($500). ` - • - –'
.O,t, as owner. of.the.property, or my employees with wages as their sole compensation; will 'Plan' Chk. Bal. wpb c. w
do the work, and the structure is, not intended or offered for sale. (Sec:. 7044, .Buisness and COr1St.: ' •"
Professions. Code:,The Contractor's License Law does not apply -Jo, an owner of property. who .'
builds or.improves thereon:and'who does such work himself or:through'his own employees,:V a V,tN,
.'provided that* such Improvements. are not intended:or offered'for,sale..If, however, the building ;Meeh.`'- -
.,or improvement,'ls- sold, within.one'year of completion, the .owner -builder: will. have. the burden. - v. s•
'of proving that he did not build or improve for the purpose o/.sale.). :. EI@CtrlCal '
O I, as owner of the property; am exclusi4elycontracting with licensed contractors to coo- Plumbing-.
: struct -the project. * (Sec. 7044, .Business, and -Professions Code: The Contractor's License' Law
does not apply. to'an.owner ofproperty'who builds or -improves thereon, and who; contracts for_ ^`''S; M. I.such projects with'a contractor(s) licensed pursuant to the Contractor's License __ - -;
Grading - u .
•O -lam ezempt•under Sec • ` B.•S P.C..for this reason
Driveway Enc.
rate owner Infrastructure,
a WORKERS' COMPENSATION DECLARATION %" .Cy .' ,Yfan.L 6.
Thereby affirm that I have a' certificate of consent to self -insure, or'a'certificate of
'Worker's Compensation'Insurance;-ora certified copy,thereof: (Sec: '3800; Labor Code:)'. • '.. "'' -
Policy No. - .Company ..
❑Copy is filed with the city.-... O Certified copy is hereby furnished:
TOTAL .9 •y.: ., y 7 .:. .
CERTIFICATE OF EXEMPTION FROM-. REMARKS. - (;...
:-WORKERS' COMPENSATION INSURANCE _
(This section need not.be completed if. the permit is for one hundred dollars ($100) valuation ,q
.'or less) .. .. •... .... -:
>_
I -certify that ,n. the performance of•thg:work forwhich this permit is issued, I shall not !!
' employ any' person in any manner -so asfto becom Taub ect to-the•Workers'' Compensatio
Laws.o f3Cralifo ma` brV
rP: t .ems
Date Owner e'er •a"
NOTICE TO APPLICANT:ff-after.making this Certtficate.-of-'Exemption you-.shoufd:becomer •:.ZONE: •BY .h
subject to the Workers' Compensagon provisions of the Labor Code, • you. must *forthwith .'Minimum:Setback Distances
. comply with such provisions or this permit be deemed revoked. '
Front Setback frdi riBynter Line
} Rear$etback from-Rear.Prop.,Line s
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGEIS UNLAWFUL; AND . .,
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES'AND'CIVIL FINES -UP TO: ONE. Side Street Setback from'Center Line
HUNDRED.THOUSAND DOLLARS ($100,000), IN ADDITION.TO. THE COST DECOMPENSATION, - Side Setback from,PfOperty. Line "
.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF'THE LABOR CODE, INTEREST,- AND' •
ATTORNEYS FEES.
This is a building permw
it hen -properly filled out, signed and_ validated, and is subject to. FINAL DATE INSPECTOR
expiration it work thereunder is suspended for 180 days.
LceAify that I; have readYhis: application and. state that'the-above information is 'correct.. Issued by:,: Date Permit
`;t agree to comply with all: city and county ordinances, state laws, relating -to building
' construction;, and .hereby .authorize representatives .of this -city to .enter.' the . above >
mentioned property for Inspection purposes:: - Validated by: "
Signature of applicant— :.. ... -Date:
: -
-Mailing 'Address- Validation
.. City, State; Zip
J.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMOLG FEES
1ST FL. SO. FT. @ $
2ND FL. SO. FT.
POR. SO. FT. @
GAR. SO. FT, @
CARP. 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
J
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR @ 3/ac
HOUSE SEWER
FRAMING
FINAL INSP.
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
/ CUM
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
J
ROUGH PLUMX.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS I
V
SEWE OR S ✓K
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
i
GAS (FINAL)
TEMP. POLE 4
/
z
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
J
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
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 12/8/94 1 Type of Permit I La Quinta
No. 113213 1 Permit #
Owner Name Hank Czeranski Log
No. 53-280 Street Ave. Madero
City La Quinta zip 92253 Study Area 111
APN # I Tract # Lot # 0 Square Footage 11719
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 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 1719 or $ 2,956.68 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
Hank Czeranski
Name on the check
By Dolores A. Ballesteros
Superintendent
Telephone 322-8085
Fee collected /exempted by Mar Lou Lopez
Payments Deceived
V.,7 M .
Signature Check No:
Collector: Attach a cdfy of county or city plan eck application form to'district cbPy fog all wai
Embossed Original- Building Dept./Applicant Copy - Applicant/ReceiCopy -Ac6unting;
RECORDING REQUESTED BY:
Recording Requested By
Allen wan i n1a $tranceompatt
AND WHEN RECORDED MAIL T0:
The undersigned Grantor(s) declare(s) that the DOCUMENTARY TRANSFER I
ASSESSOR'S PARCEL NO: 774-034-002
TAX IS: $ 99-10 County $ City
TITLE ORDER NO: 2020217 L computed on the full value of the interest of property conveyed, or
computed on the full value less the value of liens or encumbrances
ESCROW NO: 7743—J remaining thereon at the time of sale
OR transfer is exempt from tax for the following reason:
GRANT DEED UNDERSIGNED GRANTOR
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Grantor/Seller
BRANDON CROFF and CARLA J. CROFF, husband and wife
r
M hereby GRANT(S) to
Grantee/Buyer
( HANK CZERANSKI and JOHANNA CZERANSKI,husband and wife as joint tenants
Ov all that real property situated in the City of La Quinta ,County of Riverside State of California,
( (name of city or unincorporated area)
' u described as:
Lot 23, block 182, SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 18, as shown by Map
on file in Book 19, pages 30 and 31 of Maps, in the office of the County Recorder of
said County.
Dated September 14, 199/
STATE OF CARNIA ) ss
COUNTY OF I 'I
On JQ/I o ' before
_717 \ / 1
personally appeared 2n1UC;IJ ` V—C,
personally known to me 18r proved to me on the basis of
satisfactory evidence) to be the person(s) whose name(s)
is/are subscribed to the within instrument, and acknowledged
to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/their signature(s)
on the instrument the person(s) or the entity upon behalf of
which the person(s) acted, executed the instrument.
WITNES;
Signature
MAIL TA
STATEMI
` 000eoaooe0000eaoe000eeeoeaeeeeeeeeeee
Z ELIZABETH HALL KENNEDY Z
S-¢ `' COMM. #1018216 S
P " NOTARY PUBLIC - CALIFORNIA P
RIVERSIDE COUNTY I
y My Comm. Expires February 21, 1996
• o
esooes000esoosaosseseossssYs ssi fi
(This area for official notary seal)
NAME ADDRESS CITY,A I
NAME r
STREET
Hank Czeranski
ADDRESS
67220 Rango Rd.,
CITY
o
Y
Cathedral City, Ca.
STATE
ZIP
u'
W
The undersigned Grantor(s) declare(s) that the DOCUMENTARY TRANSFER I
ASSESSOR'S PARCEL NO: 774-034-002
TAX IS: $ 99-10 County $ City
TITLE ORDER NO: 2020217 L computed on the full value of the interest of property conveyed, or
computed on the full value less the value of liens or encumbrances
ESCROW NO: 7743—J remaining thereon at the time of sale
OR transfer is exempt from tax for the following reason:
GRANT DEED UNDERSIGNED GRANTOR
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Grantor/Seller
BRANDON CROFF and CARLA J. CROFF, husband and wife
r
M hereby GRANT(S) to
Grantee/Buyer
( HANK CZERANSKI and JOHANNA CZERANSKI,husband and wife as joint tenants
Ov all that real property situated in the City of La Quinta ,County of Riverside State of California,
( (name of city or unincorporated area)
' u described as:
Lot 23, block 182, SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 18, as shown by Map
on file in Book 19, pages 30 and 31 of Maps, in the office of the County Recorder of
said County.
Dated September 14, 199/
STATE OF CARNIA ) ss
COUNTY OF I 'I
On JQ/I o ' before
_717 \ / 1
personally appeared 2n1UC;IJ ` V—C,
personally known to me 18r proved to me on the basis of
satisfactory evidence) to be the person(s) whose name(s)
is/are subscribed to the within instrument, and acknowledged
to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/their signature(s)
on the instrument the person(s) or the entity upon behalf of
which the person(s) acted, executed the instrument.
WITNES;
Signature
MAIL TA
STATEMI
` 000eoaooe0000eaoe000eeeoeaeeeeeeeeeee
Z ELIZABETH HALL KENNEDY Z
S-¢ `' COMM. #1018216 S
P " NOTARY PUBLIC - CALIFORNIA P
RIVERSIDE COUNTY I
y My Comm. Expires February 21, 1996
• o
esooes000esoosaosseseossssYs ssi fi
(This area for official notary seal)
NAME ADDRESS CITY,A I
z
GSD
o
Y
9
u'
W
fWr
THIS SPACE FOR RECORDER'S USE (! lLY:
The undersigned Grantor(s) declare(s) that the DOCUMENTARY TRANSFER I
ASSESSOR'S PARCEL NO: 774-034-002
TAX IS: $ 99-10 County $ City
TITLE ORDER NO: 2020217 L computed on the full value of the interest of property conveyed, or
computed on the full value less the value of liens or encumbrances
ESCROW NO: 7743—J remaining thereon at the time of sale
OR transfer is exempt from tax for the following reason:
GRANT DEED UNDERSIGNED GRANTOR
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Grantor/Seller
BRANDON CROFF and CARLA J. CROFF, husband and wife
r
M hereby GRANT(S) to
Grantee/Buyer
( HANK CZERANSKI and JOHANNA CZERANSKI,husband and wife as joint tenants
Ov all that real property situated in the City of La Quinta ,County of Riverside State of California,
( (name of city or unincorporated area)
' u described as:
Lot 23, block 182, SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 18, as shown by Map
on file in Book 19, pages 30 and 31 of Maps, in the office of the County Recorder of
said County.
Dated September 14, 199/
STATE OF CARNIA ) ss
COUNTY OF I 'I
On JQ/I o ' before
_717 \ / 1
personally appeared 2n1UC;IJ ` V—C,
personally known to me 18r proved to me on the basis of
satisfactory evidence) to be the person(s) whose name(s)
is/are subscribed to the within instrument, and acknowledged
to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/their signature(s)
on the instrument the person(s) or the entity upon behalf of
which the person(s) acted, executed the instrument.
WITNES;
Signature
MAIL TA
STATEMI
` 000eoaooe0000eaoe000eeeoeaeeeeeeeeeee
Z ELIZABETH HALL KENNEDY Z
S-¢ `' COMM. #1018216 S
P " NOTARY PUBLIC - CALIFORNIA P
RIVERSIDE COUNTY I
y My Comm. Expires February 21, 1996
• o
esooes000esoosaosseseossssYs ssi fi
(This area for official notary seal)
NAME ADDRESS CITY,A I
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
Received F
Address:
Account N
Service Ad
0 Meter(s)
❑ Service(s)
❑ Backflow
❑ House La
(s)
teral(s)
❑ DetectorCheck(s)
❑ Meter Surcharge
r
C C6anitation Capacity Charge
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account - Name
❑ Inspection Fee - Tract
Fee -
❑ Plan Check Fees Water I Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer Deposit
❑ Other
TOTAL
Remarks:
❑Copy to:
Cash Water Service
Check
Money
Cashier
Order CVWD-438 (11/89)
' EARTH SYSTEMS CONSULTANTS S.C.
79.811 B Country Club Drive
Bermuda Dunes, CA 92201 • (619) 345-1588
1 ,
:.I CLIENT NAME
CUENTADDRESS
CLIENT PHONE
DATE W.
/_l7. yrs S7-'-53 z 3
PROJECT
'53- 280 A "kbc>e d
LOCATION
4 N ru-
OONTRPZTOR OV*ai
WEATHER .
SAJ U
TEMP TIME ,
PRESENT AT SITE
FIELD TESTING REFERENCE CURVE
TEST LAT MOISTURE DRY MAXIMUM MAXIMUTI
M OPmIul
a
NUMBER NO. ELEVATION OONTENT DENSITY DRY DRY MOISTURE
A ' % Ibs/cu. it. DENSITY DENSITY CONTENT
% lbs/cu. it. %
11 7
78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA ,92253 - (619),-777-7000
OF FAX (619) 777-7101
September 4, 1996
Hank Czeranski
67-220 Rango Road ,
Cathedral City,. CA., -92234
J
RE: PERMIT. # 14364 Single Family Dwelling
Dear Mr. Czeranski, ,
The purpose of this letter is to inform you that your Single Family Dwelling Permit
#14364 for the project at53-280'AvenidaMadero, ha p red:
This permit was originally issued December 8, 1994. Please be' advised no further
work may take place, and no inspections will be performed until anew per
has
been obtained. Should you wish to obtain a new permit we will require the
following items to be provided for plan: review and .approval::
1. New plans. to be prepared to meet the requirements of the 1994 U.B.C.
2.' New title 24 calculations, reflecting the changes to the 1995 edition.
3. Plan review and applicable fees.
4. Full construction fees based upon.valuation.
5. Mechanical plan review and applicable fees.
6: Electrical plan review and applicable fees.
7. Plumbing plan review and, applicable fees.
8. Acceptance of the lumber on site by a licensed engineer, or a
representative of the Western Wood, -Manufactures's Association.
Please be advised that I am turning this file over to the City's "code Compliance
Division to begin an abatement process toward removal of the structure under the
provisions of the La Quinta Municipal Code, and the Uniform code for the
Abatement of Dangerous.Buildings.
Please fell free to contact me - should you,have -any questions regarding the above
MAILING ADDRESS - P.O. BOX 1504- LA OUINTA, CALIFORNIA 92253 ( '..
8
CITY OF u WINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
24-HOUR NgT1 EPECON
77" 7153
7p DEC 0.8 1994
Owner Hank Czeranska.
Contractor Same ( BV
Pwmit Number 14 3 6 4
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 53-280 Ave. Madero
SFD Permit does not include block
walls or pool.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK 1117S—
..FOOTING STEEL Z�
MAIN GROUND SYSTEM ,
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL.ABOVE HASjB EN, SIGNED
CONCRETE SLAB ZIZ 7 aE-
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 S
BOND BEAM
O.K. TO WRAP
GROUT O' 4' ❑ 8'
FRAMING
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
FINAI rUR TFCT
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4188
ti