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.
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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