10378 (SFD)BtIridP-,9 78-545 Sagebrush
Owner
B 619
T4&t
P.O. BOX 1504
78-105 CALLS
LA QUINTA, CALIFORNIAORNIA 92253
Address 69130 Gerald Ford 029
City Zip Tel.
Cat. City 92239
Contractor
Owner/Builder
Address
Zip I Tela
State Lic. I City
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
City (Zip (State I
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, 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
the provisions or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 or the Business and Professions Code, or that. he is exempt therefrom, and the basis
for thealleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
selects the applicant to a civil penalty or not more than rive 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, 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.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044,1Business 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 Seca B. & P.C. for this reason
x t
Date Owner
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, LaborCode:p
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 Address
This is a building permit when property 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
10378
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
(Legal Description
Project Description
SFn
Sq. Ft No. No. Dw:
Size 1770 Stories Units
New ❑ Add ❑ Alter ❑ Repair_❑
Demolition ❑
Permit does not inclu&�''any-block
walls
or pool
Estimated Valuation 103, 920.80
PERMIT
AMOUNT
Plan Chk. Dep. 250.00
Plan Chk. Bal.
306.10
Const.
653.50
Mech.
4.9..00
Electrical
133.85
Plumbing
172.50
S.M.I.
10.40
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2223.92
Arts in Public
25.00
Q�
TOTAL
REMARKS'P
I f U f tit_ l +��14.11
ZONE: BY:
Minimum Setback Distances:
Front Setback fro n Center Line
Rear Setback fron Rear Prop. Line
Side Street Setba:k 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. SO. FT. ®
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. 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
COLL. AREA
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FORMS
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LO SEWER #MK��
LAUNDRY TRAY
AIR HANDLING UNIT CFM
DUCT WORK
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEWPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB ti
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 V. c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
SERVICE
FINAL INSP.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
OBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ' ELECTRICAL HEATING & AIR COND. SOLAR'
SETBACK
GROUND PLUMBING,;�1//1101
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADEInv
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
LO SEWER #MK��
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE 7 1 Rh
b
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM ?
FINAL INSP. y C
FINAL INSP.
GRADING
to yd.
$ plus x$
=$
LUMBER GR.
FRAMING
ROOFING l
f c-lry
(per c
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
HING L
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION C
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 (619) 347-8631
Date 1/30/92 1 Type of Permit I La Quinta
No. 111150 Permit # 110378
Log #
Owner Name Robert N. and Betty A. Grimes
No. 78-545 street Sagebrush
city La Quinta zip 92253 study Area
APN # Tract # Lot # ® Square Footage 11770
Type of Development 16ingle 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 1.58 X 11,770 or$ 2,796.60 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 Robert N. Grimes Telephone 772-0908
Name on the check
By James E. Lively '
Assistant Superintendent, Business Services Al '; `� 0
Fee collected /exempts by Kathleen Emmerlin
Payment Received -
gna 1
Si tore �C.�eck No. 1022
Collector: Attach a copy my or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
t5IZ5Lt5y2541U I L.L NO .
,S r ., • "
RECORDING REQULaTED BY
•"h �F,7 1 � M F , a
. i,
,e y€z,'ANfa WH[Nr PKCONDED MAIL. THIS DEED AND. UNLVSG
;;.OTHEItW,SE BROWN 111EL.OW, MAII. TAX STATEMENT$ TOi
y NAMLr_. Robert N. Grimes
Betty A. Crimes -
77 -385 Evening Star Circle
CIM Indian Wells, Ca, 92210
STAT[
Zip J
Title Order No 1922894 F 12771
:Nan.. 23ry1 'J:14 N.U1
scrow No ........................... This spate for Recorder's ase
PARTNERSHIP GRANT DEED
THE UNDERSIGNED GRANTOR(s) DECLAkE(s) 29,15
DOCUMLNTARY TRANSFER TAX is =
unincorporated area [City of Le, Guinta
Parcel No. (11.7-381—m4-0
m4-0
C] computed nn full value of property conveyed, or
0 computed on full value lets value of liens or encumbrances remainin4; at time of sole, and
-FOR -A VALUABLE CONSIDERATION, receipt of which is' here'y' acknowledged,
nl i.
BERT -PROPERTIES, A CALIFORNIA PARTNERSHIP
hereby CRANT(S) to ROBERT N. GRIMES AND BETTY A. GRIMES
the following described real property in the CITY OF LA QUINTA
crwrtty of RIVERSIDE , state of California:
LOT 4 OF DESERT CLUB•MANOR TRACT,•AS SHOWN BY -MAP ON FILE IN BOOK'.
22, PAGES 53 OF MAPS,•R,EOCRDS OF RIVERSIDE•COUNTY, CALIFORNIA
DECEMBER 6,' 1991 BERT PROPERTIES
Dated
'Al 111N,7n-LN-
STATE OF CALIFORNIA ✓ JzmixgLn
J
COUNTY Oi�'__L05 Angeles SS oberC Desroch,ers
On 18th Jiknllar_l,1992 ' ,
before. me, the undersigned, a Notary Public in and for said County
and State, -Orsonally appearedRnhPrt Des4Car4RONALD J.BOUCHER
XXXXX XXXXXXX XX
.,. known to the .tc�o,«:oi�.�; i:.h..u•ceaa;Q�YY,wnr.e�w.,o�...wt,
to b• bnr' of the partners of the partnership �::`;; •'• t• OFPn•IAI.SIAL.
P' r
io
DOMIP-flf, 10
that executed the within ittatrum t, and acknowledged to me that ; af,.•,�`•,.�c�;.. t�p;ort'F`lN 1.1( CAI 11011ri1A
a/,.
such partnership utsd the as a .;� a .• +'4f;;3 1� t ,'tl;v.:�t ni 01:i it;I• �N
'
():.4,�'t<<< j Los A;vrc.Lr', cOUN I Y
n:;..; t Aty Cemmia;ion C> �, UNe. r 19 1
Signature
Sa.+�rsaacc.w r;.t,�eeu+aewu�aoo �a c.,:ae-..:ueoa�uvoorrA'm
Dominica No
Name (Typed or Printed)
Notary Public in and for said County and state (Space above for oscla) warial seal)
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE, IF NO PARTY 60 SHOWN, MML AS DIRECTED ASOVB
H
4
T H E -C 1 T Y
0
AL
Lainta
1:982-19924 Carat Decade
May 26, 1992
Mr. Bob Grimes
77-385.Evening Star Circle
Indian -Wells, CA 92210 ..
0 F
Subject:
Setback Adjustment: 92-116
Location: 78 -545 -Sagebrush Ave.
APN: 617-381-004
El
P
Dear Mr. Grimes:
This letter is to report approval of your recent application for a
setback adjustment, pursuant to Chapter 9.188 of the City of La
Quinta Planning. & Zoning Regulations. The foZ.lowing setback
adjustment has been approved subject to conditions and in accordance
with attached Exhibit A. "y
SETBACK ADJUSTMENT: `10 -foot setback reduced to 5 -feet
40-1
FOR: Air conditioning compressor within 5 -feet of _ear property
line.
CONDITIONS:
1.- Block wall shall be constructed around compressor.
2. Building Department shall approve location for compliance with
building codes..
After review it was determined that:
1. This adjustment is.consistent with the intent. and purpose of
the zoning ordinance.
2. There are special circumstances applicable tc the property,
including such factors as size, shape, topography, location or
surroundings that justify approval of the adjustment. These
special circumstances are: small size of lot which limits.
available locations for compressor.
LTRSS.08°3/CS
City of La Quinta
Post Office Box 1504 • 78-105 Calle Estado
La Quinta, California 92253
Phone (619) 564-2246, Fax 1619) 564-5617
DesV S Producliun: Mark Palmer D7sigU. b19-346-0772
3. This adjustment will not be
detrimental to the health, safety,
and general welfare of the community or be detrimental to
property in the vicinity
of the parcel for which the
'
adjustment is requested.
If you have any questions, please
contact the undersigned.
Very truly yours,
JERRY HERMAN .
,.
PLANNING & DEVELOPMENT DIRECTOR
Stan Sawa
Principal,Planner
SS:ccs
.
-Attachment: Exhibit A
cc:�&url.di g &=Safe-t_y�Depar_tment
Mr. Bob Grimes
Y
LTRSS.083/CS
-2-
%'
1
,
1
'
1
i
i f PROPERTY LINE 1 12 00
L ."� I X jLOPE FOR DRAINA6F
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IS IS
to
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,• �.._..........1 gb _�LLhF t UF.3.11FiAlNA �l: :. � N � � •
PROPERTY L114y1 12.00--.:_.__/
it
VERIf Y I.00ATION Of SERVICE.
f WITH POWER COMPANY %�
CITY OF LA 0U INTA
w
)ACHELLA VALLEY FRINGE -TOED LIZARD,-.
.' SECTION.10A MITIGATION FORM
,} 005182 10 5670 it -i9-91 i0
MISC. 1 77:40
0012174000000
10 CASH i TOTAL - i 77.40 CITY OF LA QUINTA
J. AMOUNT TENDERED 77.40
' CHANGE .00
THANK: YOU f
_ PERMIT. NUMBER g =_S c+5 -
r i b7p i
L ASSESSOR'S PARCEL NO (S) . ` , <O I "] _ 3 S' ,., .041-.�051�SH �15TOTAL iiri9-9.77.40 i0
ADDRESS r
G3r'X!fA (Name of Developer). has applied for a
o _
building/grading permit affecting 0.19 acres.
This proposal will -require the payment of $.
�7 ? 40
1 ($600.00 X O:l2 acr6s) ,
By:
• .r. .. .. �soc�`�.1-� P(q n Awl- -
Title
lo
We have received mitigation in the amount of $ '
($600.00 X acres) in the form,of cash on,;
from•r
Name of Developer
Py: }
Title
BJ FORM. 006
CALVIN C. KAMINSKAS i + '� s DAN RILEY
' °,� a Sea:er. Weights & Measures
Assistant Commissioner °
(71 4) 275-3030 .
' (714) 275-3000 V
414 Q
OFFICE OF .
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue 45 Suite 7"
Indio, CA 92201
(619) 342-8291
DATE �i `� / CASE NO
DEVELOPER'S NAME e_�
z ��f
ADDRESS:
TELEPIZONE:(�42 7
Dear Developer:
After reviewing your landscaping plans, all plant material listed 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.
Agricultural Commi on 's Office
.cc: Indio and Riverside .
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275.3012
OF rt+t°` .
OWNER -BUILDER VERIFICATION
Attention Property Owner:
a
An owner -builder permit has been applied for in your name and
bearing your• signature.
Please complete and return this information at your earliest
opportunity to avoid unnecessary delay in -processing and issuing
your. building permit. No building permit will.be issued until
this verification is received. r
1. I personally plan to provide the major labor and materials for
construction of the proposed property improvement (yes or no)
2. I .(have/have. not) signed an application for a
building -permit for the proposed"work.
3. I.have contracted with.the following person (firm) to provide
` the proposed construction:
Name
Address City
Phone Contractors License No.
4. I' plan to provide portions of the work, but I have hired the
following person to coordinate, supervise and provide the major
.work:
Name
Address City
Phone Contractors License No,.
5. I will provide some of the work but"I have contracted (hired)
the following persons to provide the work indicated: (see attached)."
i .
0 BUILDER SIGNATURE
RPT1
PACE
c CIN S r1z L/ C --r to/v..
0 /V -7-/Z-A GTOTZ is
:'ACTION NOTES PLA.NtlltiG. NOTES
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............ .. -------- ------ .......... - -----
��e u (-E F --Ty LINE
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--- - - . - PLANNING & DEVELOPME .'T DEPARTMENTION
a"
C"DITEti` N LLQ
. -
SUBJECT TO 0NsTAIliEaTI®N As PEP.
POOL AREA TO BE ENCLOSED BY
MINIMUM 5 FT: HIGH FENCE,
1
ALL GATES TO BE SEL -CLOSING
AND ALL A�'PLlCABL AND SELF -LATCHING.
IDAT4E 16Y --- --=---