06433 (SFD)Building
Address 5I-365 Juarez
Owner
Rav=md Wdhos ft
Mailing;
Address
City Zip
Contractor
E►llterprises
4
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Davis
Tel. „
No. 06433
I
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 773-042-W6 t
Legal Description r
Project Description SFD
T.nt• TAno- AAIttat: « 1/91 fe ntt
Same
BY:
Minimum Setback Distances:
. City
Zip
Tela
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
State Lic.
439695
City
10/2%89
Issued by:
&'Classif.
Lic.# -
Sq. Ft. 2550 'No.
No. Dw.
Arch., Engr.,
Size Stories
Units
Designer
New ❑ Add ❑ Alter ❑
Repair ❑ - Demolition ❑
Address
Tel.
Block wall Included
City
Zip
State
Pool RMImcl ded
Lic. #
LICENSED CONTRACTOR'S DECLARATION
hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70(10) of Division 3 of the Business Professions Code,
and and my license is in full force and
e ,
ffect
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirdn that I am exempt from the Contractor's License Law for the following
Estimated Valuation
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
$196,616
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires theapplicantfor such permit to file a signed statement that he is licensed pursuant to
PERMIT
AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basi$
for •the alleged exemption. Any violation of Section 703 1. 5 by 'any applicant for a permit
Plan Chk. Dep. •
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
Plan Chk. Bal.
\ 70.20
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions The Contractor's
Const.
1} (}j�
Code. License Law does not apply to an owner of property who
budkds or wproves thereon and who does such work himself or through his own employees,
'improvements
Mech.
provided that such are not intended or offered for sate. 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.)
Electrical
•4.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
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
S.M.I.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. 8 P.C. for this reason
Grading
Driveway Enc.
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, 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 N the permit is for one hundred dollars ($100) valuation
or less.) * -
I certify that in the performance of the 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: „, afar making this Certificate or Exemption you should become
subject to the Workers' Compensation provisions of the tabor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Ciel 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 certity that I have read this application and state that the above information is correct.
1 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
Infrastructure d, S3'a: I1
TOTAL
NtMAHKS tt1r*.rZ4 01:V 4.4 U,011
y.ti, -%0;,V.- I it t wl,
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
10/2%89
Issued by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE �+� �Ir�
YARD SPKLR SYSTEM
2ND FL. Sp. FT. @
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. Sp, FT_ ®
ROUGH WIRING
GAR. SQ. FT. ®
I 1POWER OUTLET
ROOF DRAINS
FOUND. REINF. f� /// /
! 7
GAS (ROUGH)
DRAINAGE PIPING
CARP. SQ. FT. ®
HEATING (FINAL)
WALL Sp. FT.
REINF. STEEL
DRINKING FOUNTAIN.
TEMP. POLE
URINAL
SQ FT a
GROUT
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
LUMBER GR.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FRAMING, yl
LAUNDRYTRAY
AIR HANDLING UNIT CFM
ROOFING lkd,0
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/.c
HOUSE SEWER
LATHING/'P%Yh" /6 90
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 ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK 11 1{ll,?
GROUND PLUMBING /,
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE �+� �Ir�
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. f� /// /
! 7
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.
FRAMING, yl
FINAL INSP.
ROOFING lkd,0
1 170-1
1 �`�
(�
O
REMARKS
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING/'P%Yh" /6 90
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
ANWR:N RECORDED MAIL THIS DEED AND UNLESS a1dERWISE SHOWN
y
Tr NIKII TAX STATEMENT TO:
rim•
�..r. & Mrs. Raymond D. Baldhos]W
Street
•ddreu
s4ta
L .�
MAIL TAX STATEMENTS TO
Nem• 1
et
Ndd,ess Return address above
city a
State L
TITLE ORDER NO. / ESCROW M.
SPACE ABOVE THIS LINE FOR RECORDER'S USE
GRANT DEED J Loi LINE A.7)JUSTMEN. T
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX is $ - -- -
❑ computed on full value of property conveyed, or
❑ computed on full valueless value of liens or encumbrances remaining at time of sale.
❑ unincorporated area ❑ city of _ AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
RAND D. BALDHOSKY AMID MARY LOUISE DAVIS, husband and wife as joint tenants,.
hereby GRANT(s) to
RAYt40ND D. BALDHOSKY AMID MARY LOUISE DAVIS, husband and wife as joint tenants,
the following described real property in the
County of Riverside , State of California:
Lot 6 and the north half of Lot 7 IN'BLOCK 50, UNIT NO. 4 OF SANTA CARIq LITA AT VALE
LA QL=A, AS SHOWN BY MAP ON FILE IN BOOK 18, PACE 62 OF MAPS, REODRDS OF RIVERSIDE
ODUNI'Y.
Lot Line Adjustment #
This deed reflects a Parcel Merger No. 89-078
La Quinta.
Dated CULL
STATE OF ne!.!FOPn!l�
COUNTY OF i` `v r` -S Mkt .. .
On this day of , in the year R�
before me he undersigned, a otary P is in and for said State, pe sonally
api � ANnVS:A
❑ personally known to me
®'proved to me on the basis of satisfactory evidence
to be the person whose name is subscribed to this instrument, and acknowl-
edged to me that he (she or they) executed it.
as approved by the City of
IRE .cAIINoRH.A
PfZINCIPAL OFFICE IN
RIVERS:DECOU�4 )990
My fpml. idn E1D' k�-...00.e��
M
Signature
NOTARY PUBLIC IN AND f SAID STATE
(This area for official notarial seal)
T-217 AIAII TAV CTATCA/CUTC AP nin ' -rn •...+..r
• t "M 1y,., ys� .'"q:L ,J,.�:.Ys.• ., � -1,„ .r4 .x'. �.�_ �s•.ti �, r � i;f� ' •*
1 • , c� . 'y �• +�' 1� v. ^� 'vi' K. 'i•y, c , �'�+"' `'
1
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parce
l No.
ENVIRONMENTAL HEALTH SERVICES %�
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM773 -O yea - UU7
Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on the attached checklist.
A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of
Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval.
APPLICATION
VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT LOG #
/
Agent, Contractor, Contact Person
Phone
Address & Phone " /
h-I>Nosk £NT-P-L11./I--7
Owner • II
,sic 140AID -1 4eL-1 04013
PhoneZo/ -
Mailing Address
City State
��
Zip
�/'
Job Property Address
S/` 36 f "�Fd�Al2
Legal Description Prop. (PM, Tract, Lot)
�D7- 6 ti%2 LoTFi of
Lot Size
. ater A nc II
Use of Permit P/P, CU, etc. ,4 w,Al7-A
Other SC• 01.x- CJ k9ft 1.P{
S All
Pre etc: fa ¢��
' z
Signature of Applicant / Date
CATEGORY: • - REV CODE FEE—
CATEGORY: REV CODE FEE
E7' SUBSURFACE DISPOSAL 1238 � 7, a
❑ SITE EVALUATION UPON REQUEST 7349 $42.00
❑ MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
LAND DIVISION
❑ SEWER/SEPTIC VERIFICATION 7348 $11.00
a. 1 st 4 Parcels (Each) 1238 $45.00
(Less than 1 year)
b. Each Parcel after 4 7344 $16.00
❑ PRELIMINARY ELECTIVE 7352 $45.00
❑ Rereview (2nd review same parcel) 7344 $16.00.
EVALUATION (Attach DOH SAN 53)
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK 7351 $45.00
Critical Area 7346 $86.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00
❑ Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $86.00
INI
Holding Tank Agreements Completed ❑ Yes? N 1
Certification of Existing S.D. System Required ❑ Yes5lmoo
WQCB Clearance required. (Attach Form 11 Yes
DOH SAN 007, Santa Ana Region Only)
Soils Percolation Report Required. ❑ Yes IJp�,
Special Feasibility Boring Report Required. ❑ Yes
Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes
Other ❑ Yes N6
Staff Specialist Lot Inspection Required ❑ Yes No
Lot Inspection Date
Soils boring report by # Date
��iP,rojjecct
Soils Map Page Soil Type `�`✓ Approved by )CIn, , Date -! �
No. of Systems
Ty a of System(s)
No. Dwelling Units
(1) Septic Tank
Soil Rate
ease/Sand
❑ iaingtiTank ❑ Existing `VvBedro
O Replacement
oms, eclW
Am*0004C
Gr Intcp
1.2
-11
Gal
` "
Gal's
NZ) Leach Line Sq. Ft.
Bo m trench area
Sidewall allowance
ft. rock/ ft.
Instal�rLiinne((s) ft. long ft wide with
Dear Bed sq. ft.
bottom
sq.
per running ft.
min. inch klb low drainlines or
of ar
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below
Seepag�t zo� Dppth
Otr:
. e
Applicable
- M
Inlet (BI)
0
Jr
Max. AIIowblePepth
N/A Overburden factor
a
� f
No. 2 Syste ♦ - �I
REMARKS:
-47 -J" .maces
7b
This appli is or t ory c cced i CTION B above, regarding the design of a su surface disposal system as indicated
on thea mpamed plot plan, using the requirements set forth in SECTION C above. A buildingpermit is necessary for the installation of the
1'
above -designed system. No construction is permitted in the required reserved 100% expansion area,
(1) Septic tank and sewer lines must be 50' minimum from any wellsq[ra 'f 4
Leach lines must be 100' -minimum from any wells, including expansion o
(3 . Seepage pits must be 115p' minimum from any wells, i cluding expansion arealQ d wv;; yv
� �fj.�C�,vq
—0lr
Signature of Health Official �`-Date V / JF
RECEIPT NO.Issued By �'���_ Date
DISTRICT: ❑ . Riverside, Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept"' GOLDENROD - Plans/Records '
r�
5111111111
r�
P
I
78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
FAX (619) 564-5617
February 26, 1990
Mr..Raymond Baldhosky
SUBJECT: SETBACK ADJUSTMENT 90-012:
APN 773-042-008 AND THE SOUTH HALF OF 773-042-007
Dear Mr. Baldhosky:
Your application for setback adjustments as shown on the
attached Exhibit "A", is hereby approved.
The City of La Quinta Planning and Zoning Regulations state the
following:
119.188.080 Conditions for Setback Adjustment. No
request for a Setback Adjustment shall be granted unless
- _ it is determined that the adjustment is consistent with
the intent and purpose of this title; that there are
special circumstances applicable to the property,
including such factors as size, shape, topography,
location or surroundings that justify the approval of the
adjustment of the setback requirement, and that the
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.
In the above case it was found that:
1. The SR Zone requires a rear five foot setback for
swimming pools, spas, and related mechanical equipment.
2. The Applicant has requested a setback of three feet along
the rear side of the property for the swimming pool and
spa.
3. A setback reduction was also requested for the air
conditions units and swimming pool and spa equipment.
This Department has determined that a three foot setback
would allow sufficient access space behind the mechanical
structures in question.
BJ/LTR%AI1Q& ADDRESS - P.O. BOX Ilia -LA QUINTA, CALIFORNIA 92253
4. The Applicant has also requested a setback reduction from
five feet to three feet between the house and the
swimming pool. This is considered acceptable if the
Applicant complies with the pool reinforcement building
code requirements.
5. Neither the pool, spa or related equipment encroach into
the five foot.sideyard on either side.
6. The waterfall proposed is allowed to be located within
the'rear setback.
7. The rear side of this lot abuts open space and a wash.
8. This setback adjustment is therefore in compliance with
the La Quinta Planning and Zoning Regulations. In
particular, the adjustment to the rear setback will not
be detrimental to property in the vicinity for which the
adjustment is requested due to the presence of a wash to
the rear of this property.
Should you have any questions, please contact the undersigned.
Very truly yours,
JERRY HERMAN
PLANNING & DEVELOPMENT DIRECTOR
Glenda Lainis
Assistant Planner
GL:bja
cc: Building Department
File
BJ/LTRGL.106 2 -