Loading...
14188 (SFD)Building 52-255 Ave. Juarez. Address Owner,. #q`1:11', -.m E Derain Mailing Address City Zip 1( Legal Description Project Description SFS Zip ITel. State Lia B 695405 (City 3330 & Classif. Lic. # -Arch.; Engr:, _... Designer Address Tel. City Zip State 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,l iml 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 (ccmmencing 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.(3500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot 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 projects with a contractor(s) licensed pursuant to the Contractor's License Law.) — — - 0 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION a I hereby affirm that I have a certificate of consent :.o 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 if the permit is for one hundred dollars ($100) v n or less.) - I certifythat in the performance of the work for which this permit is issued, I sha 1 not =any person in any manner so as to become subject to the workers' Compen ion Laws of California. Date Owner NOTICE TO APPLICANT., If, after making this `Certificate of Exemption, you should Q� subject to the Workers' Compensation provisions of the Labor Code,: you must_ fo I li— 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 INS city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip Sq. Ft. 2025 No. Size -z. Stories,, New ❑ Add ,p Alter ❑ No. Dw. -Units Repair'p Demolition ❑ it 8'B courtyard wall Y.ditio' nal wall and/o£ obtained • separa ely. - s , i - Estimated Valuation $123,9133.00 1 to -be f PERMIT AMOUNT Plan Chk. Dep. "' 250.00 Di lances: Plan Chk. ,Bal. " 351.34 Const. 7-3.50 Mech. 55.50 Electrical 142.61 Plumbing 0 138.00 .S.M.I. 11.38 Grading 20.00 Driveway Enc. .00 Infrastructure G.o X25 . 08 Precise Plan 2-11 . u u Arts in Pubi c Places 1W0!avJ.a.0 - ZONE: BY: Di lances: p Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line ­'L�t Z 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. ® $ UNITS O GH P U B. O w BONDING HEATING (ROUGH) STORAGE TANK FORMS s 2ND FL. SQ. FT. p YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. DRAINAGE PIPING WALL SO. Ff. DRINKING FOUNTAIN, SO. FT. ® WATER SYSTEM GRADING FINAL INSP. �%A cu. yd. FINAL INSP. $ plus URINAL ESTIMATED CONSTRUCTION VALUATION $ FRAMING /2 �/� WATER PIPING NOTE: Not to be used as property tax valuation REMARKS: FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM I IKITCHEN 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. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c 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 I PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING to 4,jqJNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE; O GH P U B. O w BONDING HEATING (ROUGH) STORAGE TANK FORMS s SE ER "7t ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE 0 y! GROUT i WATER HEATER SERVICE FINAL INSP. BOND BEAM ` WATER SYSTEM GRADING FINAL INSP. �%A cu. yd. FINAL INSP. $ plus - x$ =$ LUMBER GR. FRAMING /2 �/� LJ 6 6 44 -ROOFING 1-7,16 �J bJ A`v1'y r`fsr' D lT�o�vP REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND / AO � FINISH FINAL INSPECTION `� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL r. DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 9/13/94 Type of Permit I La Quinta No. 113061 Permit # Owner Name Wm. E Doran Log No. 52-255 Street Avenida Juarez City La Quinta Zip 92253 Study Area 113 APN # I Tract # Lot # 0 Square Footage 12026 Type of Development I Single Family Residence No. of units 0 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 2 026 or $ 3,342.90 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 William Doran Name on the check By Dolores A. Ballesteros Superintendent Fee collected //exempted by Tomi Doebereiner Signature l 1 a,{ ��Rtu Q Telephone � � t Payment Received Check No. 1298 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 Recording Requested By. First American Title Insurance Company Order No. Escrow No. Loan No. WHEN RECORDED MAIL TO: Mr. & Mr William Mrs. W ilia Doran, Trustees MAIL TAX STATEMENTS TO: Saule-as'-above'_.- a 3CA� 0 Y Uj U �o cc J 05. 0 C) 0 > QD Q Uj Cn rn op 1 0 Z DOCUMENTARY TRANSFER TAX $.t .......:.....: ..........t.................... .Computed on the consideration or value-of.properry-oconveyed; OR ...... Computed on the consideration or value less liens or encumbrances _ iemaining aftime of sale"` - - - - " Signature of Declarant or Agent determining tax—Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JAMES W. HINES, JR. -and LOIS L.HINES, TRUSTEES UDT SEPTEMBER 14, 1987 M hereby GRANT(S)to WILLIAM E. DORAN and VERNA H. DORAN, TRUSTEES OF THE DORAN FAMILY TRUST dated 09/10/81 the real property in the City of La Quinta County of Riverside State of California, described as Lots 4 and 5 of Block 7� of Santa Carmelita at Vale La Quinta , Unit No. 1 as shown on a map thereof recorded in Book 18, Page 46 of Maps, in tfie Office of the County Recorder of said County. Dated October 22, 1993 O&MM„�f�� STATE OF CALIFO n }ss. CO Y OF } On personally appeared me, 9 - - Ja s W.. Hines, Trustee Lois L. Hines, Trustee personally known to me (or proved to me on the basis of satisfactory OFFICDFELLBAUM evidence) to be the person(s) whose name(s) is/are subscribed to the within CAROL -n NOTAAYPUinstrument and ack nowledged to me that4w/sWthey executed the same ; PRINCIPAin iiedw/their authorized capacity(ies), and that by 4is/laer/their signa- ORANGture(s) on the instrument the person(s) or the entity upon behalf of which My Commission Expires the person(s) acted, executed the instrument. WITNESS my and and official seal Q Signature �. � (This area for official notarial seal) MATT, TAX STATEMENTS AS DIRECTED AROVR - 1002(1/91) COACHELLA VALLEY WATER DISTRICT + j CASH RECEIPT DETAIL N° 48312 Received Fr m �\\,,` 1 Q. VY -N 1= • + Q Y Q rN Dater (S ICIL, Address: � Account No. Lot( 1 K' 7 Tract C Service Address Q.A. Code 7 •.It O Meters)It $ 1e"8ervlce(s) BSZ� ❑ Backtlow(s) ❑ House Lateral(s) E7 Detector Check (a) ❑ MMeterSurcharge ❑ Sanitation Capacity Charge 145S41.1 / t7- ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account -Name I ❑ Inspection Fee -Tract - Fee - ❑ Plan Check Fees Water I Sewer - Tract - ❑ Bond Payment - A.D. Bond Assmt. ❑ Customer Deposit i ❑ Other 1 J TOTAL Remarks: G it I I N1'141 , ✓1 R - tl T-� ' p�„� r ❑Copy to: Cash Water Service Check / « C 3 Money Order. Cashier CVWD 3801/89) i Z.,� -k Earth Systems Consultants Southern California October 7, 1994 Building Department City of La Quinta 78-495 Calle Tampico La Quinta, California 92253 Project: 52225 Avenida Juarez La Quinta, California Buena Engineers Division 79-811 B Country Club Drive Bermuda Dunes, CA 92201 (619) 345-1588 (619) 328-9131 FAX (619) 345-7315 This letter was prepared to formally notify City officials that our firm has been retained by Mr. Bill Doran to perform inspection services during the grouting operations on the above referenced single family residence. The inspection services will be performed by a certified ICBO inspector in accordance with the project specifications. If there 'are any questions concerning this report, please contact the undersigned. Respectfully submitted, Earth Systems Consultants Brett L. Anderson, P. E. Copies: 1 - City of La Quinta; Building Department 1- - Bill Doran