003663 (SFD)Building
Address 53•-925 Nal
Owner
John Vela. u:
Mailing
Address 1�t1�•��Fn}a�
City Zi
. K°t�iae e'�"rrs F+Y T a
Contractor
same
Address..
4 Qum&
P.O. BOX 1504
78-105 CALLE ESTADO
D : LA QUINTA, CALIFORNIA 92253
marl 4-a
Tel.
�4i..915'�
BUILDING: TYPE CONST. -OCC: GRP.
A.P. Number 77A_17A_n7n
Legal Description Ten+ 'Q 'AII— ll+r%n nV Qalr +—m
lita
Project Description a a^ _arme
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.) ... _ ...
I certify that in the performance of thg work for which this permit is issued, I shall not
-employ any person in -.any -manner so as to become subject to the Workers' Compensation
Laws of California.
Date " Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject' to the' Workers' Compensation 'provisions of the Labor* Code; you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the '
•work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled'out,'signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information. is correct:
I agree'to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
HARD COPY
REMARKS
rrs.t`rte,rN, s.iYOT4 '_fey.'. - 00.P7�Y .
City
Zip
Tel.
ZONE:
BY:
State Lic.
& Classif.
City
Lic. # Aq0
Sq. Ft.
Size 1330
No.
Stories
No. Dw.
Units
Designer.
New Ek, Add ❑
Alter ❑ Repair ❑ . Demolition ❑
Address
Tel.
Garage 49$
Sq.Ft.
Date Permit
Validated by:
Validation:.
City"
.. ... ... ....
Zip
State
Lic. #
. LICENSED CONTRACTOR'S DECLARATION
hereby affirm that lam 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
ollowinge
hereby affirm that I am exempt from the Contractor's License Law for the following-S74
. reason: (Sec. 7031.5, Business and Professions Code: Any, city or. county which requires ai
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 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.lhan five.hundred dollars�($500). -.
10.1 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'COhSt'
. 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 or completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.) .. -
O 1, 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 contractors) licensed pursuant to the Contractor's License Caw.)
❑ I am exempt under Sec. B. 8 P.C. for this reason
Estimated Valuation
¢�10.. 1.1f
-
PERMIT •• -
AMOUNT
-
Plan Chk. Dep. .. .'�! 1•.d
-
Plan `Chk..Bal.
.
ny
_�tlr 1•
"Medi. -
'
' t,`
Electrical - -
W �'-
-Plumbinga
.
Grading
fE; y
Driveway Enc.sg�
Date owner '
Infrastructure
4, -
WORKERS' COMPENSATION DECLARATION
hereby affirm that I have a certificate'of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy theleof. (Sec. 3800, Labor Code.)
' "Policy No. Company
0 Copy is filed with the city. . ❑ Certified copy is hereby furnished..'
-
TOTAL T*i4 Sgxt
I Ina Q1
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
HARD COPY
REMARKS
rrs.t`rte,rN, s.iYOT4 '_fey.'. - 00.P7�Y .
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center.Line
Rear Setback from Rear Prop.. Line
Side Street SetbacL from Center Line
Side Setback from. Droperty ,Line
FINAL DATE
INSPECTOR
Issued by:
Date Permit
Validated by:
Validation:.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
2ND FL. SO. FT. ®
COLL. AREA
YARD SPKLR SYSTEM'
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. ®
FORMS
DRAINAGE PIPING
WALL SQ. FT. ®
ROUGH WIRING
DRINKING FOUNTAIN
SQ. FT. ®
DUCT WORK
URINAL
ESTIMATED CONSTRUCTION VALUATION $
AS (ROUGH)
METER LOOP
WATER PIPING
NOTE: Not to be used as property tax valuation
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WATER HEATER
SERVICE
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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
REMARKS:
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FIREPLACE
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEEm
PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PL BI G
UNDERGROUND
A.C. UNIT
COLL. AREA
LAB GRA - _
3
UGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
'�
SEWER OR
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. (
AS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
POLEca—
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
=$
LUMBER GR.
FINAL INSP. 7 /
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING '
MESH
INSULATION/SOUND S
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
,Desert Sands Unified School District
CERTIFICATION.OF PAYMENT
i. OF t.
SCHOOL FACILITY FEES
TO: -City of La Quinta DATE:
Department of Community Development -
78 -105 Calle Estado
La. Quinta; CA -9M3
)TICE—THISoOCU ENT-CAMNOT
This is to certify that ,
developer.6f ' which is
located at 3-q �wi;thin
this District, has paid -school facility fees•imposed pursuant to.t6e
authority generated by Government Cod Section 53080 in th` amount: of
;= r )
covering a total of- �.3 O. square feet of ( J' residential,or
( ) industrial/commercial development and that building permits fir
this footage in this,development may now be issued by your jurisdiztion.
'� _•
for DESERT SANDS UN FIED SCHOOL DISTRICT,
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - De -eloper
Llh 13.i ,1007
FIDELITY NATPe orrding.Ita quer ed By O —
u+ '
AND WHEN RECORDED MAIL THIS DEED AND TAX
STATEMENT TO. U R a
W 2 i F•�_ j' , ti�
: CC ¢ ti ,
John Vela Jr. W ° ' CV 0 1 �:-
c/.o Empire Construction Co r+ ° c
o Cri _„ l� c
84-326 Marquerita W 0 Q Z o L o •. ¢ 1►
Co.achella, Ca 92236
ASSESSOR'S PARCEL NO.
ESCROW NO.. 2512
TITLE ORDER NO. SPACE ABOVE THIS LINE FOR RECORDER'.S USE
GRANT. -DEED
-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 and, encumbrances.remaining at time of salba. r
Unincorporated area:.City of l and
By this instrument dated October 21, 1987 for a valiab.le consideration,
Richard'Eugene Bell
hereby GRANTS to
John Vela :Jr. & Bertha Vela, husband and wife as JOINT TENANTS
the following described real property in the State of, California, County of Riverside
Lot 8 -of Block 250..of Santa Carmelita at Vale.La Quinta Unit No. 23 as -,'per map
recorded 'in Book 20 page. 2S. of maps in -the office of Lhe County Recorder of S«d. C01mt;*.
STATE OF CALIFORNIA )
Riverside SS.
COUNTY OF )
On. 'October21, 1987 before. me, the .Richard Eugene Bell
undersigned, a Notary, Public. in'and for said County and State;
personally appeared Richard Eugene Bell
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is subscribed - —•-
to the within instrument and acknowledged that He
executed the same.
OFFiC`lAt �,�•AL '
Signature •p,, , '
DEBORAH R��C:U�T
i
p P NOTARY PUR_•C �. `I
RIVERSIDE CININTY Il
at s." My comm. expires 1t1L 26, 1991 l
To
`1
Cl
Q
2
W
CC
W
U)
u `Y
COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM — —
Applicant: Submit this form with four copies of a scaled plot plan (1.20 scale) drawn to County specifications required on the attached check list.
A non-refundable filing fee of $40. is required when the application is submitted. Check must be made payable to the County of Riverside.
Building Department Application Log #
Name (Owner. Agent. Contractor. Etc.)
i
Mailing Address
7
J
Cay ' �, ;
State
ZiptCode
Telephone g'
'Job Propeny Address
> C!t or CoryarTygrnny-.
!
'Legal Description of `Progeny. (Lot. PM TR)�;-,�;,t.,v:f�
� r � C -..,
/j
,�,fi!r�'"�. .r'7't.•i /�.si_....._,_
l't.'. � / L/ •�'%
KS 'g Tek 'l •�•.�� /��� � � <,
.Assessor's Parcel No
'Water Agenc •raWell
,.
sr+.~
Use of Permd I /I iahF4/ ✓� l� .)�Pla phg Case #
Lot Sae
/
•
Preparation
r'
--:S/
�n
SFD. MH Site Etc.
Signature of Applicant Dale
'The above information must be verified from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
Initial Date
Certification of Existing S.D. System required. ❑ Yes ❑ �` �- )' ` i','e
WOCB Clearance required. ❑ Yes (] No,"'ttt
Soils feasibility report required. ❑ Yes E Nq f n
t
Special feasibility boring report required. El Yes No 1
Detailed contour plot plans required. ❑ Yes �❑�,,°�NN9,, a
Staff Specialist approval required. ❑Yes .E� No Lot Inspection Date
report b / Project # Date �s
Soils/boringDate
Soils Map Page fa l Soil Type Ede, Approved by 1. ��---- rA l
r
fi
Type of System:
No. of Bedrooms'
(1) Septic Tank
Soil Rate Required
❑ Existing GQeNew ❑ Additional ❑ Replacement
✓Y Gam'.
Gals.
(2),Leach line sq. ft.
Sidewall allowance
Instalk.. Line(s)—Ft. Long,
Ft.
Leach h bbed-Sq.
(Bolt m trench area) a
ft. rock/ Sq. Ft.
ft. ®*N/A
Wide with min. inches
below drain lines
Ft. of bottoR;ii`''
per running
rock
area
Leach lines/bed-special design for slope:
Applicable
(3) Pit DiameterNo.
Pits
Pit BI
Seepage Pit total depth
N/A Overburden factor
O5' ❑,6�'
(�
Max. allowable depth tic%
'.t
J
/ I,r,�.A� f� A•=_�.,�,.a^....,5!P..;rd.=�. a �, -® i-..'. �H- .���&.'.. .�ri>HA .f �i .a -`9`Y. �.i�t�� �.C�I.?-.�.,
This application is'approved/alenied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements
set forth in Sectio B abo�A building permit is necessary for the lnstallatlon.of the above -designed system
n( 1me J J w
��/a Septic tank and sewer lines must be 50' from any wells _' e,9
2 Leach lines must be 100' min. from an wells includingex a slon'area ��' ``�`��
(3)" Seepage pits must be l50' min. fiom any wells including area r '1�+ t IZL41 ,mo i, C�_, <.,
/eexpansion
Signature of Health Official
A,
RECEIPT NO. Issued by Date
District: ❑ Riverside 21' Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File
DOH SAN 122 (Rev 8/87) '
F
J
r'
OIrIr_E OF ' . E. LEON SPAUGY
AGRICUL'I URAL COMMISSIONER
i � s' IA�IE�• O' WALLACE
1% �1 �)�. d AND Ag515;r.t Ch'.cai5SIONEv
_ --1j �, CLENIE;:�T BUNVENISTE
WEIGI ITS b. MEASURES
SE.AEER
49-613 Ilwy 86, Sulte II -12
Coachella, CA. 92236
qy` q� 619-342-8291
DATE CASE
DEVELOPER'S NAME-
ADDRESS:
AME:ADDRESS: 8. 3
C 927-36
TELLPI IONS : (6� 9) 3 Zi 53 01,
2, 3
Qom.. •
Dear Developer:
After reviewing your lai.rdscaping plans, ,-dl plant n>aterial listed isnot in
violation of quarantine laws governing the Coachella Valley. if substitutions
do occur and they differ fru►I plant material listed, this office ■rust be notified
ijaiiedistely.
Thank you for protecting and preserving the Coachella Valley's pest -free environn-ent._
Agricultural,Cctmdss' t er's Office
cc: Indio and Riverside Office