15644 (SFD):44
P.O. BOX 1504 No. 15644
Building ' 78-495 CALLE TAMPICO
Address 51-505 Ave. P. -mirex LA QUINTA, CALIFORNIA 92253
Sa'rS Y Labast la
Mailing
Address 84-541 Via Durango
City Zip el. i
T
Coache�2a, GA 92236 308-5403..:
Contractor 13
Address
City lZip Tela
State Lic. City
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
City I
Zip I State
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.
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 rile 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
subjects the applicant to a civil penally of not more than five hundred dollars (8500).
p@- �(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) Qcensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. & P.C. for this reagson, �{
Date r ,- Owner 'ai .: ,tom i 11 7.f� J ✓:'.! ..': 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 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 (S100) 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, 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,(]00), 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 160 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 sof this city to enter the above,
mentioned property for Inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING: TYPE CONST. VN OCC. GRP. A-3
A.P. Number 77'3-125--023
Legal Description Lotb Block 55
Project Description SM
Q1
Sq. Ft., . 17455 No. No. Dw.
Size', Stories Units
New ❑ , Add ❑ Alter ❑ Repair ❑ Demolition ❑
,Permit does not include block walls
or` pool.
Estimated Valuation $105,136.00
PERMIT AMOUNT
Plan Chk.-Dep. 250-000
Plan Chk. Bal. 660.50
3 `13. c2 A5
66
Const. 0 s 50
Mech. 68.50
Electrical 133.44
Plumbing
150.00
S.M.I.
10.51.
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,327.32
Plan
250GO
-Precise
Arts in Public Places
20.00
Side Setback from Pr perty, Lin—e---
ineFINAL
TOTAL 3, 975.52
3,725.52
REMARKS
FINALDATE.
ZONE:
BY:
Minimum Setback
Distances:
Front Setback from Center Line
,�.i. \
Rear Setback from Rear -Prop,,Line
Side Street SetbacI _ Center Line
Side Setback from Pr perty, Lin—e---
ineFINAL
I
FINALDATE.
INS T`j
�\
C�
Issued by:
Date Permit
Validated by:
Ii
\ i�
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND'FL. SO. FT.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
i
REINF. STEEL
GAS (FINAL) TEMP. POLE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
WATER HEATER SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SQ. FT.
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
WALL SO. FT.
LUMBER GR.
DRINKING FOUNTAIN.
SQ. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
VENTILATION
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
FINAL INSPECTION �Q
CERT. OCC.
SO.FT.GAR ® 3/<c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
I PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING S AIR COND. SOLAR
SETBACK `
GROUND PLUMBIN UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE G�
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS(ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
i
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 / /1
FINAL INSP.
ROOFING A
t
/ �/
�p/r�r�CC �:��✓ / !i/�/7 / (/
REMARKS:
VENTILATION
FIRE ZONE ROOFING '�
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION �Q
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 619475-3500
Date8/17.'/95 Type'of Permit La Quinta
No. 13616. "Permit #
Log
Owner Name : Sammy, Labastida
No. 51505- .• Street . Ave' Ramirez
City la,Quinta Z i p' � 92253, Study Area 113
APN # 773-125-013 Tract # " Lot # 1
0 ' S,quare Footage 1745
Type of DevelopmentI le. Hihily 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,rhobilehomes. 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.iniposed.pursuant to • Government Code 53080
in the amount7 or -QT`-,$ 3,001.40 have liven paid to D.S.U.S.D. for
the property fisted: aboye -and that building .permits aiid/or Certificates -of Occupancy for
this square footage in -',.this proposed project may now be issued._
Fees Paid•By Cash Telephoe `.3J8-5043
Name bnf the check
By Dolores A.• _Ballesteros
Superintendent
Fee collected /exempted by Pauline Pearson"
Payment Received"
Signature $3 001.40 cash
� � Check No.
Collector: Attach a copy of county or city plan check'application`form to district,*copy for all waivers.
I Embossed Original- Building Dept:%Applicant, Copy`- Applicant/Receipt Copy - Accounting
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
Received From:
Address:
Account No. 7 Lot(e
�7
._._
Service Address - �
Tract 7_
�Meter(s)
G.A. Code
Q. d
AService(s) � - % Af
''\\
$
d
❑ Backflow(s)
❑ House Laterals)
❑ DetectorCheck(s)
❑ Meter Surcharge
ASanitatlonCapacity Charge — 260f,_
❑ W.S.B.F.C.
�„r[ f�
❑ Temporary Construction Meter
❑ Turnon'Charge
❑ Uncollected Account - Name
❑ Inspection Fee - Tract -
Fee -
❑ Plan Check Fees Water I Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer Deposit "
O Other
Remarks: TOTAL
❑ Copy to:
Cash
Check
Money
Order
CMD -438(11/89)
CH RLES. D.:GARLAND, AkC-kIttbT.'S
a:ji 0 CATHEDRAL CYN DR. s
°CATW�%Dk4L dY*Y'','tA 92234
-(610) 773--6011
ty
August lg.:, 1995
City of La Quints
79405 Cdlle- Tampico
La:'Qu-inta, CA 92I53
Re: Labastida residence plan. check
To Whom It May., Concern,
I hEfve reviewed the truss manufacturer's roof tru's's layouts And design, drawings for the subject
project zp-r'p-'Y'id--ed:by,W06'ds'tbck Tr`vIgg Co. and -compatible with my
structural design .intent.
If you have any further questions 'please do not hesitate to 'contatt.-i
Me.
Sincerely,
Charles D. Garland
Architect
o
V.
�' °``-';•:ql. r', ..^.• : ^�. �yy.::w ;' r ?4q4iif •`. 4� �.!a+"'�,•,R.LSL{�. •`.?',i:?•i•'^'.•- 5 _.'�'*',.�,�-•;r•.•s:t?^'�' � r ..
` fit
{
f i' ^
t
" CHARLES D'tGARLAND ARCHITECT
...........
---- ::��� .,, x � ,�4���' 33;163 CATHEDRAL CYN DR. ` t
CA, HEDRAL'CITY,}CAt92234'
gifIN
,� Y' `. � �' .:,��W � �`�.-��T�;,`�` '� (61;9) 773�601F1 a..r, ��.� �• .
r�
f�ny!
19'95
+
,
! k � •. City of Lak uinta m �;
y Qa,
S' 4 181495'CallejTampico' 3f
. t La Qurnta, CA�92253;
R... f
fi
Project: _L•abastda residence
Re: Field revisions. r
To Whom. It May Concern,
gF'
The owner/builder for ahe�subtect.pro�ect Pias: contacfed me with some. field :conditions "that?
must be addressed b mei
..wk..:: �r y,.• Two off the post `bases required m my structural detailing Were
misplaced andtlo not align with their respectiveposts zl�have instructed-th`e owner/sjuilder;to,,;'!
cut;tle post:bases off:and insteatl us'eSim"'sontStcon' TieL>TT 2O connec 'j
P, 9 tors "The LTT s can
be;nailedrto=thekpost antl held,down�to thesill plateiaritl foundation with 1/2 x 6 Red -head
k ,(
anchors set -a minimum 3 1/2" into tf 'e •concrete:
� iii\\t:2•iiL;:ii �� .. ':'?! 9 i:• � . .. '"Y; '; '�"
�C
><>_< If you have
, -any, urtherAuestions`regardingahis matter `lease don'Y`hesitate.to`c
p all.
T tik e t1rF .,
Charles . Garland,
tt2»;:: tits, .��
Architect
A
r
fr-4Fr _�
rViRST—DE, 'CA- 92501
E NO. (909) 682-8880 * (800) 439-8880
PRELIMINARY REPORT
Date: MAY 10, 1995
To: ITC ESCROW
74900 HIGHWAY III
INDIAN WELLS, CA.
Attn: EVETTE
Effective Date:
APRIL 28, 1995 at 7:30 am
Your No.: 32-20108
Order No.: 255096 -BS
Title officer:
BRIAN SMITH
FAX NO. (909).682-8757
The form of Policy or Policies of Title Insurance contemplated by this
Report is:
X California Land Title Association (Standard Coverage Policy -
1990)
American Land Title Association Loan Policy (10-17-92)
With A:L.T.A Endorsement - Form 1 Coverage
American Land Title Association Residential Owners Policy
SCHEDULE A
The estate or interest in the land hereinafter described or referred
to covered by this report is:
A Fee
Title to said estate or interest at the date hereof is vested in:
DRAGO C. VINSKI AND MIRA VINSKI, HUSBAND AND WIFE AS JOINT TENANTS
The land referred to in this report.'is situated in the County of
RIVERSIDE, City,of LA QUINTA, State of California, and is described as
follows:
LOT 1 IN BLOCK 55 OF SANTA CARMELITA AT VALE LA QUINTA, UNIT.5 AS
PER MAP RECORDED IN.BOOK 18, PAGE 63 OF MAPS, IN THE OFFICE OF THE
COUNTY RECORDER OF SAID COUNTY.
At the date hereof exceptions to coverage in addition to the printed
exceptions and exclusions in said Policy Form would be as follows:
A. Property taxes, -including any assessments collected with taxes, to
be levied. for the fiscal year 1995 to .1996 which are a lien not
yet payable.
B. NOTE: For proration purposes, taxes for the fiscal year 1994-1995
are:
FIRST INSTALLMENT: $178.43' PAID
SECOND INSTALLMENT: $178.43 PAID
CODE NO.: 020016
PARCEL NO.: 773-125-013-7
HOMEOWNERS EXEMPTION: YES ( ) NO (X)
C. ASSESSMENT NO.: 0000
DISTRICT NO.: 92-1
TREASURER'S OFFICE OF: CITY OF LA QUINTA
FOR: SEWERS, -DRAINS, STREET IMPROVEMENTS
SAID BOND, IF ANY, WILL BE COLLECTED WITH THE COUNTY GENERAL AND
SPECIAL TAXES.
D. The lien of supplemental taxes, if any, assessed pursuant to the
provisions of Chapter 3.5 (Commencing with Section 75) of the
Revenue and.Taxation Code of the State of California.
PLEASE NOTE: FIDELITY NATIONAL TITLE INSURANCE COMPANY CANNOT
ACCEPT PERSONAL CHECKS FOR PAYMENT OF ANY PROPERTY TAXES. MONEY
ORDERS, CASHIER CHECKS AND ESCROW CHECKS WILL ONLY BE ACCEPTED.
1. An easement for PUBLIC UTILITIES and incidental.purposes, as shown
on the Map of said Tract, located within the WESTERLY 5 FEET.
2. An easement for POLE LINES, CONDUITS and incidental purposes in
document recorded DECEMBER 12, 1934 IN BOOK 206, PAGE 300,
Official Records.
Said easement is described as being over, across or beneath all
streets, alleys, highways, public places, public utility easements
and all division property lines (except such lines as coincide
with boundary lines of streets and alleys) as shown on Map of said
Tract.
Said easement is in favor of: SOUTHERN SIERRAS POWER COMPANY
3. Covenants, conditions and restrictions (deleting therefrom any
restrictions indicating.any'preference, limitation or
discrimination based on race, color, religion, sex, handicap
familial status or national origin).as set forth in the document
recorded JUNE 27, 1938 IN BOOK 378, PAGE 312, Official Records.
Which provide, among other things, that a violation thereof shall
not defeat or render invalid the lien of any mortgage or deed of
trust made in "good faith" and for value.