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13067 (SFD)a Building Address Owner T4hf 4 4Q�rw 53-605 Ramirez Jame: Belkamp Jr. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 73-300 Fiddleneck Lane City Zip Tel. Palm besert,C]. 92260 1 341-2271 Contractor Address ty lZip State Lic.!� City 8 Classif. 442-7 i '" Lic. # Arcn., tngr., Designer Bob Harman Address Tel 451J1 Qunnyd� nes 320--1121 City Zip State Pala Springs# ICA 92262 Lic. # r LICENSED CONTRACTOR'S DECLARATION I herebyy" affirm that I amJicense_ under provisions of Chapter 9 (commencing with Section ... J7000) OUDivision 3 of the dusine and Professions.Code, and my license is in full force and effect. '. _I t�.v /1 � -1 ' SIGNATURE I DATE V OWNER -BUILDER QECLARATION 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, alter, 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 penalty of not more than five hundred dollars ($500). O 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 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 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"projecIs 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 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Cppensation 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, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions or 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 ame Lender's Address 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- nd 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.. 4 Signature of applicant r! Date Mailing Address f City, State, Zip No. 13067 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774-121-018 � Legal Description Lot 6 Block. 232 Project Description SFD a ° j low Sq. Ft. No. No. Dw. Size =408 Stories Units New ❑°{ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not i.riclude block walls or pool. Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line Estimated Valuation $84,694.00 PERMIT AMOUNT Plan Chk. Dep. 250. 00 Plan Chk. Bal. -—Z -3-9T U Const. 12. ou Mech. 55.5u. Electrical Z Plumbing 144.00 S.M.I. _ _ 8.50 Grading t _20.00 Driveway Enc. —0— Infrastructure r 4• x TOTAL 3,234.09G`9U4. �7 REMARKS FINAL DATE INSPECTOR f Issued by: Date - Permit Validated by: Validation: a ° j low ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR f Issued by: Date - Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES., 1ST FL. SQ. FT. ® $ • 2ND FL. SQ. FT. r POR. SQ. FT. ® GAR. SO, FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ. 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 - HEATING (ROUGH) FLOOR DRAIN ` MECHANICAUFEES SEWE WATER'SOFTENER VENT SYSTEM . - FAN EVAP.COOL. HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER METER LOOP GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REINF. STEEL LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET.' COMPRESSOR HP POLE, TEM/PERM ' LAVATORY. HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB FRAMING 8��3 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT._RESID.® 1% c SEWAGE DISPOSAL REMARKS: SQ.FT.GAR ® 3/ac HOUSE SEWER 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 I ELECTRICAL HEATING & AIR COND. SOLAR SETBACK 000l GROUND PLUMBING —q—� NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK i FORMS SEWE ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.n_ ( GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE �v i GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FINAL INSP. G FRAMING 8��3 FINAL INSP. ROOFING g-5":_q3 v� (��t�1 rad, ?� -l� � 3 Lvt f� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL —,?G--473 1/0 LATHING MESH INSULATION/SOUND Lia l FINISH GRADING FINAL INSPECTION`D—? 000 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL 4 .. DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 6/17/93 Type of Permit La Quinta No. 12278 Permit # Log Owner Name James Belkamp, Jr. No. 53605 Street Avenida Ramirez City La Quinta Zip 92253 Study Area 113 APN # 774-121-018 Tract # I J Lot # 0 Square Footage 11408 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 1.65 x 1408 'or $ 2,323.20 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 _ Tames Belkamp, Jr. Telephone 341-2271 Name on the check By James F. Lively Assistant Superintendent, Business Services a Fee collected /exempted by Vickie J. Durrett �L� Payment Received Signature Check No. 515 Collector. Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy Accounting {Al M nC � a�coura weauesTeo Br wo u(ewroautmaauoasurueonea�aogrraavr '.• .••, t F _�:,af.4tjY - Me James Belknap, Jr. -- �, 73-310 Piddleneck Lane Palm Desert y. V Ca 92260 p same �i •' mua�erem' 556418 7-15418 j ®AN a GRANT DEED 774-223-116 THE UNDER ONF.D ORANTOF4S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ 26.95 O Namputed on AA value of prgyerty convoyed, or 0 Computed on full value less Vawe ra oafs or encwRb r6rt4S remaWnp at the of sale. 0 untncorporatad araa []Rhyof Da Quints ..AND FOR A VAWASLE CONSIDERATION. recelpt 61 which Is hereby acknowiadged, W41liam R. Riley, an unmarried -nnn 43 hit Pole and separate property hereby GMNT(s) to James C..Belknap, Jr, Trustee of tate The James Belknap.Separate Truot 44ted day 2, 1992 the (oUowirtp dascttbed rear property In the City of La QQuinta CWnty or Riverside Stale cfCalitom(a: Lot -6 Block 232 of .Santa Camelita at Vale La Quinta, Unit No. 22, .as per Map recorded in Hook 26, page 24 of Maps, Records of Riverside County, California Octad May 10, 1993 OF CAUFOW" OF R�gerataP On are my (0 A 19 43, . i ILAOsb OM, tllta•W A a Kawy Fia{q in ler smn SWe. t� .weer (w pna ed ri nw art er et, Y ems) to eo as per4m e w0 in W40~1� b Ml tl1Y �.. he — t.A A. WNESS W4 atroid "N' r , sou# {a[V dal aka FAX William R. Riley A110016 9f0ASM t1Maw W~.9MP0"" . R$CQRCWQ REQUISM BY E'�isuw•��� � +maramuatuo>raiw+� ;'i7e�37 Ca . Mr James Belknap: Jr. 9 e.w i {, .73-300 siddleAeck Lane OF 4 Palm Desert r NAL ux 3unrcnr3 to Y�r same10 ~ Am 11.1 x 5584113 2-15478 E➢AGE A90Y9 T1UE LJME FOR RKASMER'E tl28 GRANT DEED 09 7?4-121-113 . TH9 UNDERSIGNEDGRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFE'. TAX I$ S 26.95 0 NOMPulad on hdl value of p,operty conveyed. or p eomputbi! un (uil value fess ra;ua of ilanrt or oneumbraneo: reftnin$ at tlrttt3 of sate. ❑ unincorporated area ❑]tltyot Le Quints AND FOR AVAUMLE CONSOfFIATIAN, rocalpl 01 which Is hereby. acknowled(tod. William R. Riley, an unmarried nan as his sole and separate property hereby GRANT(s) to James C. Selknap, Jr, Trustee of the The James Belknap Separate ;rust dated May 2. 1992 the tollowbvdesalbadrealProperty tnthe City of La Qauinta County of Riverside + , State ofCalitomla. 'lot 6 Block'232 of Santa Camelita at Vale La Quint&, Unit Ho. 22, at: per !tap recorded in'Book 20, page 24 of !daps. Records of Riverside County, California Ile.f i BfATROFQ,,, C/•ItWO i`A_ D cow* d MerErlwaee►baiaw le�aa to Pu on bw.4s 0/ eatleleomry EAU= be ft Penang{ To" FtfpObtl q SO VAM WONVMWand ao wa that els ww vw ansa 1n '�' mliolWal opaets�e» aid ®+r 4 ae.}laLwWaE»pMearmaw•�mf Kb� fo � O�d0�M�0�OMapiO.srba�YeOa.Mad�wO. � tl � C OV9TCSAL SiJ1i. JaNET L. ALMS tMUIlM air aw wrote ser. Li r''y lte ta•+. f . CALVIN C. KAMINSKAS o DAN RILEY Asslslanl Commissloner 0 a Sealer, Welghls & Measures (714) 275.3000 ' (714) 275-3030 - OFFICE OF AGRICULTURAL COMMISSIONER- JAMES OIV MISSIONER JAMES O. WALLACE, Commissioner .83-612,Avenue 45' Suite 7 Indio, CA .'92201 (619)'342-8291 DATE CASE NO. DEVELOPER'S NAME ADDRESS: / Q. ZE TELEPHONE: (�0 ). 79t Dear Developer: After reviewing your landscaping plans, all plant material list?d is. not in violation of.quarantine,laws.governing the Coachella Valley. If substitutions do occur and. they differ from plant material listed; this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. Co Agricultural Comnissier s Office on . Pup cc: Indio and Riverside By: Er 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012 C� WE C t of 14a 11untR4. a*ub $afet Bthtrtuu This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building! 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: BUILDING ADDRESS 53-605 Avenida Ramirez Use Classification Single Family Dwelling Bldg. Permit No. 13067 Group R3 Type Construction VN Fre Zone Use Zone SR Owner of Building T m -G Rel knap Jr. Address 71-'iOO Fi Aril Pneck T.anP Palm Desert, CA 92260 City B , Lonnie Day wl Dote: October '8, 1993 Building Official POST IN A CON 9PI000U9 PLACE