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04767 (SFD)TAtyl 4 s. i P.O. BOX 1504 Building "^ 78-105 CALLE ESTADO R Address' 52- .925 Rubio LA QUINTA CALIFORNIA`92253 Owner M `, r4vhael C. Head Mailing BUILDING: TYPE CONST. OCG GRP. Address°43-5 6 ��a�t�1�.11t'i1'�an9 A.P. Number '773-312-022 City Zip Tel. gtelat nulnea 92201 1 Legal Description Contractor Project Description Same _ Address City Zip Tel. State Lic. 448019 City & Classif' Lic. # Sq. Ft. No: No. Dw. "Arch., Erigr., Size Stories Units Designer, New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address. - Tel. City, Zip State s j+ Lic. # ,LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect:. :e; f S SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation $0 675 I hereby affirm that I am exempt from the Contractor's License Law for the following i 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 PERMIT AMOUNT 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 + qpq for fhe..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 (5500). Plan Chk. Bal. 42.60 [11, at owner. of the property, or my employees with wages as their sole compensation, will6e do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. .382 "100 Professions Code: The Contractor's License Law does not apply to an owner of property who fi builds'or•improves thereon and who does such work himself or through his own employees, Mech. 36,01/ provided.. that such improvements are not intended or offered for sale. If, however, the building �f or improvement is sold within one year of completion, the owner -builder will have the burden Electrical i 7 s 85 of proving, that he did not build or improve for the purpose of sale.) 0 I, ae.owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 103.00 struct-the ,project..(Sec� 7044, Business and Professions Code: The Contractor's License Law �y does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. y f such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading - 2`0l f* 00 O I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. 20000 Date owner Infrastructure ail .i 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 cert H166 certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS w WORKERS' COMPENSATION INSURANCE (This section need not -be completed if the permit is for one hundred dollars (5100) valuation or less.) >;. tiT,'.�3 ?.i,ta4Am x' : 1'##i 14-1?,..G "i r 7 $ I certify that in the performance of the 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, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensatlori provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATEINSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to 11/3/813 �y expiration if work thereunder is suspended for 180 days. 1 & 3 / G 8 I certify that I have read.this application and state that the above Information is correct. Issued by: Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: Qity, State, Zip t , WHITE FINANCE PINK APPLICANT GREEN - BUILDING, GOLDENROD ASSESSORS OFFICE HARD COPY -FILE t .. ._F..�.:. ..: 3-'.'v .A., e':3.o_ ii _a.. s`r.:,.r ."3. ...,h` .� _.. _(.�.w_. ...�...._ _• t ,k r�'___..�... v_.. -... ks _.. ... r'..A. .4 ,.-L.. f.a.�.+7 CONSTRUCTION ESTIMATL NO. ELECTRICAL FEES NP. PLUMBING FEES ISI FL SO FT rp $ UNITS UNDERGROUND A.C. UNIT YARD SPKLR SYSTEM 2ND FL SO FT. a ROUGH PLUMB BONDING MOBILEHOME SVC. BAR SINK POR SO FT. of EWER OR SVZJr ' — 1 ROUGH WIRING POWER OUTLET ROOF DRAINS GAR SO. FT. 0 GAS (ROUGH) METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. SO FT. �' GAS (FINAL) TEMP. POLE DRINKING FOUNTAIN WALL SO. FT. a WATER HEATER SERVICE FINAL INSP. URINAL SO. FT. d WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION b GRADING cu. yd. plus xb WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING SO. FT. c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID 1 V c SEWAGE DISPOSAL SO.FT.GARgr 3i.c MOUSE SEWER • GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE JELECT.FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER OR SVZJr ' — 1 ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM b GRADING cu. yd. plus xb =$ LUMBER GR. FINAL INSP. / Zp r CRAMING �--� FINAL INSP. ROOFING ^/C �J--1 �/`^��j� _,I'G� �G�� [../V/lf FIYD 8— t v," L 0 0 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR, GAR. FIREWALL LATHING MESH /� Y INSULATIONISOUND -� P-� FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL ,. Building h Addres U 'i Own r ailing , Address 6 t [9iit�tyy :y Zip � r P.O. BOX 1504 t'APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CON ST. -Z OCC. GRP. - n� � A.P. Number Tel. , 9Description,6.6— f.,� / • �I AU. ^ f s . Legal 7 ` Contractor'"' - Project Description 'Address, r 1 4 ity r ZIP Tel : C 2 / U State Lic. City J GU & Classif. Cgon s Lic. # `r Arch., Engr.; L 'Designer Address,.' Tel. 4�City rJZip State Lic. # A. LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ffect. of Division 3 of the Business and Professions Code, and my license is in full force and ey ` SIGNATURE - - 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 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 c the provisions or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade. 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, Bulsness 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 •orimprovement 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 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 or 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 Owner rx. • " f WORKERS' COMPENSATION DECLARATION yy. 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 •.A- O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM • - WORKERS' COMPENSATION I URANCE (This section need not be completed if the permit 1 or o e hundred ars $100) valuation • . or less.) I certify that in the performance of or for w h p mit i ssued, I shall not -employ any person in any manner so to a me bje o t e W ers' Compensation Laws of California. Date Owner -NOTICE TO APPLICANT: If, a r aking 4Ws7 CAotcafe o xe tion 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 t This is a building permit when properly filled out, signed and validated, and is subject to expiration it 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-. 'r mentioned property for inspection purposes. Signature of applicant_ Date Mailing Address 't City, State, Zip FINANCE Sq. Ft. S 2 Size New Add ❑ Stories . 1 t. Units (' Alter ❑. Repair'❑' » -Demolition ❑' n ;rA/ 4• i _ y I• � stimated Valuation PERMIT 9 • AMOUNT •- Plan Chk. Dep. 'Z O• o'10` Plan Chk. Bal. ' Const. Mech. Electrical Plumbing S.M.I. - - - Grading Driveway Enc. Infrastructure G L .570..0 -. TOTAL REMARKS r ZONE: BY: - Minimum Setback Distances:' •. r :' - ' .7 - r Front Setback from Center Line Rear Setback from Rear Prop.line ' Side Street Setback from Center Line,' ' Side Setback from Property Lirie' ` FINAL DATE_ INSPECTOR `- Issued by: _Date r ' Permit Validated by: \'t x Validation: ` A Desert Sands Unified School District CERTIFICATION OF PAYMENT NOTI,�paa OF ts�; THIS SCHOOL FACILITY FEES BE.Uupt � �Aa . J"r CA�� nay Abb- T0: City of La Quinta MA ��DATE: _� � �� � Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certify that t4 , / , developer of which is located at within this District, has paid school facility fees imposed pursuant to the authorit ene at d by Government C de Secti n 53080 in th -amount of 1-7 S ( /J(Xl covering a total of square feet of () reside ti or ( ) industrial/commercial development and that build ng permits for this footage in this development may now be issued by your jurisdiction. for D SERI SAN IFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 I NO COR FILED FIDELITY.NAT.IONAi. TITLE INS. CO. v D RECORDED AT THE REQUEST OF p a AND WHEN RECORDED RETURN TO: G.A.H. Trust, Hugh Wm. Harmon, Trustee r z Ey �•` �� 43-576 Washington Street p ;,c�.x O �F O -'<(� i 0. Palm Desert, CA 92260 4 r w W o. F N W w Lcco MAIL TAX STATEMENT TO: ° c W m a �; J Q $ v 5� s W LL PERSONAL REPRESENTATIVE'S DEED TRANSFER TAX: $ 7i r cLAt COMPUTED ON FUS VALUE OF PRUPERTY CONVEYED I V WILLIAM ROBE.?T SINGER, JR., Conservator of the Person and. Estate of EV: HOFMANN, conservatee, - IN.CONSIDERATION OF THE SUM OF $7,200.00, receipt of which is hereby acknowledged, does hereby GRANT.unto, HUGH WM. HAEMON, Trustee of the G.A.H. Trust, U/DT dated -11/29/86, all of the right, title and interest of the conservatee in and to the following described real property:, Lot 9 on Avenida Rubio, La Quinta,'California legally described as: Lot 9 in La :Minta Unit No. 17, as per map recorded in Book 19, Pages 19 -and 20 of -Maps, in -the -office -of -the County_Recorder_of— j-� Riverside Co aty, California. f RIVERSIDE COUNTY TAX ASSESSOR'S TAX PARCEL # 773 312 022 This deed is ::lade, executed.and delivered, pursuant to an Order of the Superior Court of the State of California for the County of Los Angeles, in the matter of the Conservatorship of.the Person and Estate of EVA HOFMANN Los Angeles County Superior Court Case No.. P-488.924, a certified copy of which order is recorded contempo- raneously herewith. DATED: June? 1987. II 1 Q \ 7 xJ(� �ihDn JI o�.w,cQn_ X7 PERSONAL REPRESENTATIVE OF TZI ESTaE OF EVA HOFMANN, CONSERVATEE STATE of California ) r )'ss. COUNTY of Ve n tuna 0 On June 26, 1987 ,1987, personally appeared William Robert Singe:, Jr, known tq me to be the Conservator of the person �• and estate of Eva Hofmann, -and known to me to be the person whose name is subscribed to -the within deed,- and acknowledged to me.that .._ she executed the seine. NITNEb.T my hand and official seal on the day and year hereinabove first written. OFFICIAL SEAL r CYNTHIA LOUISE PINSKY =VENTURA o NOTARY P03LIC - CALIFORNIA LA PINSKY VESIURA COUNTY LIFORNIA MY mm�a. expires JUN 16, IM TYN 16, 1989 1 COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled plot plan. (1-20 scale) drawn to County speculations as indicated on the attached check list. A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* Ag9nt Tactor, i� r A-/1 'T� 4A /tact Pe yn 1 . 'IL LI' .. C.7'IG.;u C,-.- Tz- Address & Phone Owner Phone . Mailing Address XCffy % c to ZIP ��! Job operty Address � Lot Tract i apt G M, 7�% ) t / yam, -af, lGf 1. Gc�clfiv Lot SizejftteAge ! Use of Permit P/P, CU, etc. Other -- -. Dwelling, M 'Site Prep, etc.�,,yti,'"!: ki yI v (ureof Applicant Date REV CODE FECATEGORY: REV CODE', FEE I"CATEGORY: SUBSURFACE DISPOSAL 1238 $45.00 ❑ SITE EVALUATION UPON REQUEST 7349 -` $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION. ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 a. 1 at 4 Parcels (Each) 1238 $45.00 (Less than 1 year) b.. Each7Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) ❑ ,Site Evaluation in Conjunction with ❑ HOLDING TANK j 7351 $45.00 Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 DA 97 jr f Holding Tank Agreements Completed ❑ Yes ff Certification of Existing S.D. System S r.r , Required O Yes I�o� ( .�?��•' � WOCB Clearance required. (Attach Form ❑ Yes p Nom DOH SAN 007, Santa Ana Region Only) {l!{�,�,'; Soils Percolation Report Required. ❑ Yes G❑ om ' Special Feasibility Boring Report Required. 13 Yes AO No'"/- / Detailed -Contour -Plot _Plans Required,`(1 to 5 ft l7 interval) _ Yes f N0 — / 011ier ❑Yes E Staff Specialist Lot Inspection Required ❑ Yes _�j/No 1„ ....r,.. Lot Inspection Date Solis boring report by ct Proje* Data Solis( Map Page �! �� qSon Type Approved by �it�l I .. Date` ` No. of Systema Type o1.Ss_ n (s) ❑ F�old�ing Tank ❑❑ No. Dwelling Un +i Bedr (1) Septic Tank Soil Rate Wei m/Sernd laicpy� Replacement re�tJnita /.20O., ����� Gal KLeach Line Sq. Ft Sidewall allowance Ina"tell s) R long R wide with Leach Bed sq. ft trench area it rock/ sq. R min. dretnlines or of bittowiz per running R Leachlines/bed special design for slope: (3) Pit Diameter 'No. Pits Pit Below Inlet (BI) Seepage Pit Total Depth .,J� Q 1 Ot4ier. `*••.'_" Applicable r / N/A 4-' Overburden factor 1 6 // Max. Allovrabre Depth No. 2 System - r REMARKS: ` s' L-c�✓T�.�:y�. .� ��Z7 l ` Elie 0 This application E�APPROVED ENIEO for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated 'requirement's on the accomp I''ed p o plan, using the set forth in SECTION C above. A building permit is nry for the installation of the -'reserved above -designed system. No construction is,permitted in the required 100% expansion area.Lt/�v+oGy-°y✓J Septic tank lines be 50' from well (1) and sewer must minimum any (2 Leach lines must be 100' minimum from any wells,including expansio area (3) Seepage pits must be 150' minimum ,from any wells/including expan wn ar /Q r 4L J/// AZT ��y1 �lr r!:>J r O O Si nature of HeaRh��Officiaf'v`^ 1r . RECEIPT NO. Issued By SI ' Date DISTRICT: ❑ Riverside, Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe ,- DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW -.Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records f f T I TL_E 124- E?SEI-,:EY CA. UCU1.__O-1T Y UYN rel-�I-:-EE:�k 3L ! . JOHN H. HACKER, CIVIL ENGINEER, PALM SPRINGS 327-4565, OCEANSLDE 721-':.721 LATITUDE 33.0 WINTER TEMP. 31 DEG SUMMER TEMP. 110 DEG NAME.----_-- MIKE'HEAD ADDRESS ---- CITY ------- LA QUINTA / CA REF.CAL.ENERGY CONSERVATICN DESIGN MANUAL, FORM, HEATING LOSSES MANUAL J FOR COOLING LOSSES AREA BLDG 1364 SGS. FT. PERIMETER 151.556 SO. FT. .INSULATION•R VALUES ..FLOOR 0 '..CEILING 38 ..WALL 11 AREA NORTH WINDOWS 60• SO -'T. PERCENT. OF AREA 4..,}9883 AREA.EAST WINDOWS.29 SO.FT„ PERCENT OF -AREA 2.1261 AREA SOUTH WINDOWS 24 SO._FT.'. PERCENT OF AREA 1.7595 AREA WEST WINDOWS 58 SQ.F1 PERCENT OF AREA 4.2522 AREA SKYLIGHTS 0 SO.FT.' PERCENT OF AREA 0 TOTAL WINDOW AREA 171 SO.FT. PERCENT OF AREA 12.5.367 . 9 THE'U VALUE OF THE WINDOWS IS .65 DUAL PANE -THIS . BLDG .USES; DRAPES ?x FLAT SHADING DEVICES* ON WINDOWS (*mini—blinds, rollar shar_�s, venetian blinds or vertical blinds) THE TOTAL.S.C. OF THE WINEDWS IS 0.30 .SOUTH OVERHANG LENGTH 2 INTERIOR THERMAL MASS AREA = 300 SGS. FT. ATTIC AREA = 1364 SQ FT INFILTRATION (STD n.018, MED 0.014,- TIGHT.0.012) _ .014 •HEATING LOSSES FOOTING LOSSES... 6619.95 PTU CEILING•LOSSES. 1346.73 3TU WINDOW LOSSES.. 4334.85.BTU WALL LOSSES.... 3249.31 ETU INFILTRATION LOSSES... 5957.95 BTU TOTAL HEAT LOSSES RTU/HR.. 21508.8 GAS FURNANCE SIZE 41601.4 .BTU OR 45,000 BTU COOLING.LOSSES INFILTRATION LOSSES... 6110.72 PTU ' FOOTING LOSSES... 6789.69 13TU. CEILING LOSSES... 1381.27 3TU WINDOW LOSSES... 85013.31 BTU WALL LOSSES.... 3326.22 DTu INFILTRATION LOSSES. - 611 Q. 72. BTU N0. 'OF ;PEOPLE.... 5'COOLING LOSSES... 2000 KITCHEN... 1500 BTU DUCT LOSSES INCLUDED IN TOTAL TOTAL COOLING LOSSES. 2961.6,2 BTU