10426 (SFD)Building
Address 54-325 RAMIREZ
T014 ATMEN
Mailing 270
Address 4- V_ W F
City I Zip
Contractor
JOE E7. STEMMER
Address.
LAPUMINTA IZip CA
State Lia
& Classif. 605557 B
Arch., Engr.,
Designer
Address
City j Zi
I hereby affirm that I
300) of Division 3 of I
4
P.O. BOX 1504 No. 10426
78-105 CALLE ESTADO C
LA QUINTA, CALIFORNIA 92253 % f
Tel.
Tel.:
56484530
City
Lic.# 21,9
Tel.
State
Lic. #
DECLARATION
7 with Section
full force and
't"z .
V V ^ t OWNER -BUILDER DECLARATION V^
I hfereby affirm that I am exempt from the Contractor's License Law for the following
.l reason,. (Sectr 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
'i subjects the applicant to a civil penalty of not -more than five hundied'dollars ($500).
0, 1, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the stiucture is not intended or offered for sale:`(Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply, to an owner ofproperty 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) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner I- t
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
,2. 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 of 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 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 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-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING: TYPE CONST. • OCC: GRP.-
A.P. Number
Legal Description
Project Description S¢d
Sq. Ft. 1400 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $81t120.00
PERMIT
AMOUNT
Plan Chk. Dep:
Plan Chk. Bal.
$250.00 $225.12
Const..
558.50
Mech.
49.00
Electrical
- 113.50
Plumbing
141„ 00
S.M.I.
8.20
Grading
20.00
Driveway Enc.
20.00
Infrastructure
1,786195
$25.00
TOTAL
$3,172.36
REMARKS
r- � r .,,
? 27"
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
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. S0. FT.
POR. SO. FT. ®
GAR. SO, FT. ®
CAR P. I 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
lawROUGH
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(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, TEM/PERM
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 ® 1% c
SEWAGE DISPOSAL
LUMBER GR.
'SO.FT.GAR ® V4c
HOUSE SEWER
FINAL INSP.
ROOFING0/
11
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE rP7L�BFEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR'
SETBACK
GROUND PLUMBING 11(
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
lawROUGH
PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER go gg�fT""'K
OUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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. ( L
FRAMING 47 (t)
FINAL INSP.
ROOFING0/
11
R (--b
i - ALO
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LA4 N o2 y ,- c.+o
MESH
INSULATION/SOUNDa la 4d4
FINISH GRADING
FINAL INSPECTION ,/ C
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS,UNIFIED SCHOOL :DISTRICT
'82 879 11igl wa, '411
I
'-NOTICE:... w ndio;<CA92201 .
Document' Cannot Be Duplicated (619) 347-8631
Date 12/30/91 Type of Permit" La uinta
K:
No. 110.78
Owner Name- , m»i
:`No:
APN # .
X325 _. _ : Street: Ramirez
a Quinta n . M` p • _9
Lot#;
Permit #
Log #
tiidy Area 110
Square Footage 11400
Type o€ DevelopmentSingle Family Residence ' No. of unite
Comments
At :the present time, the Desert Sands.;Umfied S6, o6t District does not collect fees on
garages/carports, covered :patios/walkways, residential" additions. under 500 square feet,
detached- accessbry structures or replacement mobilel omes. It has been, determined
the above=named owner 's. exempt:�fr"om.,paying school `fees°rat.this time due to the
-folio wing'.reasom ,
EXEMPTION NOT APPLICABLE
Z$is certifies that scliool qty fees unposed pinsuant to..",'Government Code 53080
�s
0 D t p•, �_,..
in the, aii; nt of,for $ 2 12 00' ' have been aid to D.S.0 S:D, for
the property listed above and that bulduig permits and/or _Certificates of Occupancy for
this square footage in this propose fpro�ect may�nowhe issued. t
Fees Paiasy Daryl M.a Allem & Tl oma& ,I._ Allen,:.Jr. Telephone 8183394036
Name'on theJcheck
J V=_Jl4 l
gy aures ,.. ive_ywx,x
Assistant Sxi e&intei dent; Business Services
Fee collected /exempted by~ :<.
1VI'arc�a Ewart
f Payment Received
Signature _./ IC- Checkr
,tiii T1 t1-6
Collector: Attach:a'copy, of.co inty or city plan check application form to district copy for all *aiv�are.'r
Embossed Original= Building Dept./Applicant .. Copy - Apphcant/Receipt 'Copy - Accounting
RECORDING REQUESTED. BY
Y,a.
AND WHEN RECORDED MAIL THIS DEED AND. UNLESS >t, �g$5►.
OTH[RW18[ SHOWN ®FLOW, MAIL TAX, STATEMENTS TO:MIA � ` CD d
T�
N �� "_
Mrs. Thomas Allen, JI. ,�, f M
NAMEr—'Mr. & U
BTeSeT 1630 S. Barranca a t— a :�,, b.,
ADDRESS Glendora, CA. 91740.
0'_Zj is N .
STAT
Ciry. An
ill L ,.i. �. t !i7UW�. • , el
Title Order No ............................. Escrow No ........................... TW Recordei S use
THE UNDERSIGNM-GRANTOR(s)-DECLARE(s)" :..:~,.__ -19.80^
DOCUMENTARY TRANSFER TAX is S. `
❑ unincorporated -area ® City. of La Quints
Parcel No. 774-24'3-016'=2
Ek computed on full value of:property conveyed, or
❑ computed on full value `less value'of liens or encumbrances remaining at time of sale, and
FOR A VALUABLE CONSIDERATION, receipto'f which is hereby acknowledged,
Bartley D. Elkins and Marilyn Elkins, Husband and Wife znd Robert 0. Vogeli
\� hereby GRANT(S) to
Thomas Allen, Jr..;and Daryl M-. Allen,.Husband and Wife, as Joint
Tenants
f
the following described real property in the
county of Riverside ,'state of California:
Lot 5 in Block.288 :of Santa Carmelita at Vale La..Quinta Unit No.
26 as shown by map on file iri Book'20 page. 50 of maps, Records of
Riverside County,. California
e
January., .8, 1990 �G� Iii/ � t'L•-Q'J
Dated _
ley U lk
STATE OF CALIFORNIA 1 Tit
COUNTY OF Los Angeles SS. M i }Tn E }'jos
On this 14t•h day of January
1 99(1before me, the undersigned, a Notary Public in o, a .t U oV R911 1
and for said County and State,- personally appeared
Barth D. Elkins afid'` 1
Marilyn Elkins''and Robert 0.. Vogel
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the' person s whose nameOFFInett +m
are subscribed to the within instrument and VL HIGiAL SEAL
they V.L HIGGINS
acknowledged that executed the WTARYPUSUC-CALIFORNIA
same. lOS MIGEa COUNTY
t D ;*y Comm. Expires Nov. 21. 1991
Signature
V.L. Higgins
Name (Typed or Printed) i'
Notary Public"in and for said County and State . FOR NOTARY SEAL OR STAMP
MAIL TAX STATEMENTS TO PARTY SHOWN. ON FOLLOWING LINE; IF NO PARTY SO .:SHOWN, MAIL AS DIRECTED ABOVE
Name
1.101 10/84 PRINTCO
.Street Address
x
City & State
DAN RILEY
CALVIN C. KAMINSKAS f
'> + Sealer, Welghls &Measures
Assisiont Commissioner
a (714) 275-3030
(714) 275-3000
OFFICE OF ..,.
AGRICULTURAL COMMISSIONER
JANIESO WALL;ljCE, Commissioner
83,7612, Avnud 45.: Suite 7
Indio; CA 92.20.1 ;
(619) 342=82:91
DATE I — l - �I :.CASE
DEVELOPER'S' NAME:
ADDRESS : �� e v \A
Or
TELEPHONE: S. S A L�� R_
Dear Developer:
After reviewing your,landscap:ng;plans all :plant materiah'listed is not in
violation of quarantine laws govern;I, . ,the' Coachella Valley; If ;substitutions
do occur and'they differ.from.plant material listed, this. office `must be not
immediately:
Thank you for protecting and preserving the. Coachella:Valley's,ppst-free environment.
Agricul t Colrmis s ioner'a `,Office
cc: Indio and Riverside _ -
4080 LEMON.STREET, ROOM :19 RN,ERSIDE'CALIFORNIA 92501 FAX (714) 275-3012
Ca
yy
1b105'CALLU ESTADO.,
,LA WkTA. CALIFORNIA 92253
Contractor` Joe_S iiC1 -, pf Owner
F .l _
Address 4�-� :ue,(`L` 1(. � ONiti A Job Address ,4vF R;k"nriz
La Quinta City License" No.: a�' l :Expires:. 2� �-1) : Bldg. '.Permit No. :
This form shall.be:posted on the'.Lob with the Building. -Inspection Card and it
shall be tt`e duty of the'General=.Contractor or if'Owner-Builder Permit, the owner
to see that' all sub -contractors ,.sign?•this ..card, giving his* .City of La Quinta
Business License Number, Contradt_ors'License.Number 'and ''current certificate
of Workman's'Compen's'ation."=Insur'ince'Certificate when he'starts $ihe job. Failure
to comply may. cause=;Buildinq Inspectors to stoptvork, or complaints to be filed
against such eoniracto'rs,or owners,
CITY CONT.
SUB -CONTRACTORS. NAME LIC. NO. EXPIRES. LIC..NO. EXPIRES
1 • Grade i Excavate Date Land 031 1 2--/ Q? 312854 g /191_
2. Pipelines none- �.
3. Cement -Foundations Desert Cities 502764 1/31/92
4. Cement walks C.'Drives same A's %'3
S. Asphalt paving same as #-3
6. Framing Ron Ruff 582 12/31/91 458575 2131LU
7.
Steel Structural no fie-_
8 •
Masonry
none'.
9•
Plumbing
E`dw.ar.ds,.,.;_. •:.2210 6/1/92 458510 3/31 /92
lD•'
Lathing
Paul Whitey 248 m/91 289676 8/31 /91
ll.
Drywall
Mar=k ALriette 12801_/�1/Tgl 1151941 2
L2.-
Plastering
same as=.10
L3.
HVAC
Artie Air., 930 9/2.6./91 351544 2/31 /92
l4•
Electrical
Raceway-Elec.. 622.0 6/26119 . 529649 1_2/21 /9
15.
Roofing.Rulbin.'Vas
I I P 1157" 131 /9z 456498 8/31/91
l6.
Sheet Metal
same as'4 1"3
17.
Floors-Al.1 'Types
owner
18.
Glass - Glazing`
owner
19•
Insulation/WeaLherstzip:'SChmi,t.t':= 3'062 6/13/92 •Z21417 11 /131 /q
20•
Sewage Disposal
same as' `//.1
21.
Painting/Decorating.
Owner
22.
Tile
Owner
23.
Cabinets -Installations- Dian Cabinets 739 3/5/93 487322 4/31/92
24 •
Ornamental. Metal
none
25.
Fences/Blockwalls.
owner
26.
Landscaping
owner="
27..
Others
28.
Do NOT REMOVE THIS" CARD
Before- Final Building. Inspection -Will Be Made
This. Fn.rm MiiOtt
AP, rnmoletPd%analviAPcid W t h � Ti.t-lP :2 A.. ralra A. D1 ana