05-0259 (SFD)iL
Application description .
Property. Zoning .
Application valuation .
z --- „-- , „.,
DWELLING - S.INGLE FAMILY DETP;CHED
COVE RESIDENTIAL
124.9.15
)5
Owner
Contractor
DOUGLAS BIRDSELL
BIRDSELL BUILDERS, JOSEPH
P.O. BOX 630
P.O. BOX 680
LA QUINTA.
CA 92247' LA QUINTA
CA 92247
- -(— �) - --- - ----
(760) 36.0-=2301 -
WCC: ROSTEN INS
WC: 2292649105
11/22/05
CSLB: 811293
08/31/05
CCC: B
=----- Structure. Information
SINGLE FAMILY DWELLING
-----
Construction Type
TYPE V -,NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONE <=10
Flood Zone . . . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2001 CBC
# BEDROOMS
3.00
FIRE.SPRINKLERS NO
GARAGE SQ FTG
470.00
PATIO'SQ FTG
227.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE -FOOTAGE
1970.00
------------------------ ----------------------------------------------------
Permit . . . . . .
BUILDING PERMIT
Additional desc .
Permit Fee
727.00 Plan Check Fee'.
472..55
Issue Date . . . .
- Valuation . . . .
124915
Expiration Date
,.9./0.3/05
Qty Unit Charge
Per
Extension
BASE FEE
639.50
25.00 3.5000
THOU BLDG 100,001-50.0,000
87.50
Permit . . . . . .
MECHANICAL
Additional desc .
Permit Fee
59.00 Plan Check Fee
14..75
Issue Date . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 9.0000
EA MECH B/.0 <=3HP/1OOK BTU
9.00
,
P.O. BOX 1504 VOICE (760) 777-7012
'78-495 CALLE TAMrico FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS' (760) 777-7153
BUILDING & SAFETY DEPARTMENT.
Application Number: �5 ' S Date: 31
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
I hereby affirm under penalty of perjury that 1 am
Code. and my LiceoW is in full force and effect.
License Class ACJ—* _ _ .
Date 3" 2f—)CS
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
• provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
License No. 21124.3 _
�\- \1�� .
\ OWNER -BUILDER DECLARATION
I hereby affimrunder penalty of perjury that I m exempt.from the Contractors' State License Law for to following reason (Sec. 7031.5, Business and Professions Code; Any
city or countythat requires a perrnit,to construct, alter,.improve, demolish, or repairany structure, prior to Its Issuance, also requires'the applicant forthe permit to files signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State Dense Law (Chapter 9.(comrnencing with Section 7000) of DMsion'3 of the Business
and Professions Code) orthat he or she is exempt therefrom and the basis'for the alleged exemption. Any vlowtionof Section 7031.5 by any applicant for a permit subjects
the applicant to a dvil penalty of not more than five:hundred dollars ($500).):
U 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,
Business and Professions Code: The Contractors' State.Lidense Law does not apply to an owner of property who builds or Improves thereon, and who does the work
himself orherseif or through his or her own employees, provided that the improvements are nol•Intended or offered for sale. B, however„the building or Improvement is
sold within one year of completion; the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).
U l,as owner of the property, am exclusively contracting.with licensedcontractors to construct the project.(Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an ownerof property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuard to
the Contractors' State Ucense:taw.):
U I am exempt under Sec. B.& P.C. forthis reason
Date Owner
WORKERS' COMPENSATION DECLARATION_
I hereby affirmmunder penalty of perjury one of.the,followifig declarations:
_ I'have and will malntain'a certificate of consent to setiansureldr workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.,
f have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this perm is
Issued. My workers' compensation insurance carrier
_ I. certify that; in the performance of the work forwhich this permit Is Issued, I shall,not employ person in any manner so as to become subject the workers'
compensation laws of Call,”la, g that;. if I should beoo subject to.theworkers' compensation provisions of Section 3700 of the Labor Code, l shall
forthwith comply with th p Ion
Q �
Date 3 2 [ —G5 Applica
WARNING: FAILURE TO SECURE „ ER OMPE.NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL,PENALTIESAND
CIVIL FINES: UPTO ONE HUNDRED T SAND DOLLARS _($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES, AS, PROVIDED FOR IN
SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES..
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency forthe performance of the,work for which Us permit Is Issued (Sec.: 3097, Civ: C.).
Lenders Name.
Lenders Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a perm subject to the conditions and restrictions sefforth onthis application.
1. Each person upon whose behalf this application is made, each. person at whose request and.for whose.benefifwork is performed under or pursuant to any permit
issued as a result -of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quints, Its
officers, agents and employees forany actor omission related to the work being performed under or following issuance of this permit.
2. Any pemnit.issued as a result of this application becomes null and void If work isnot commenced Within days from.date of issuance ofsuch permit or
cessation of work for 180 days wilt subject permit to.cancell n.
1 certifythat I have read this application and state that the above info n i correct. I agree to comply with all city, and county ordinances and state laws relating 4o'building
constnrction, and hereby authdrize representatives of this county ter po aYove rrmeimtioned rty-for Inspection purposes.
Signature(ApplleantorAgent):
.\4. &
Page
2
Application Number .
. . . . 05-00000259 Date
3/03/05
-Qty Unit
Charge
Per
Extension
3.00
6.5000
EA MECH VENT FAN
19.50
1.00
6.5.000
EA MECH EXHAUST HOOD
6.50
-------------------------------------------------------------------------
Permit . . .
. . .
ELEC-NEW RESIDENTIAL
Additional desc
.
Permit Fee
10.8.35 Plan Check Fee•.
27_.09
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
197.0.00
.0350
ELEC NEW RE'S -1 OR 2 FAMILY
68.95
470.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
9.40
1.00
15.0000
EA ELEC TEMPORARY POWER POLE
15.00
------------------------------------------------------------------------------
Permit . . .
. . .
PLUMBING
Additional desc
.
Permit Fee
. .
135.00 Plan Check Fee
33.75
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
11.00
6.0000
EA PLB FIXTURE
66.00
1.00
15.000,0
EA PLB BUILDING SEWER
15.00
1.00
7.5000
EA PLB WATER HEATER/VENT
7.50
1.00
3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00
9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
6.00
.7500
EA PLB GAS' PIPE >=5
4.50
1.00
15.0000
EA PLB GAS METER
15.00
Permit . . .
. . .
GRADING PERMIT.
Additional desc
.
Permit Fee .
. . .
15.00 Plan Check Fee
.00
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------------------
Special Notes
and Comments
1970 S.F. SFD
PERMIT
DOES NOT INCLUDE
BLOCK WALL, POOL/SPA
OR DRIVEWAY
.APPROACH
Other Fee's
.;
. . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
,Page 3
Application Number . . . . .. 05-00000259 Date 3/03/05
----------------------------------------------------------
Other Fees . . . . . . . . DIF CIVIC CENTER - RES 366.00
ENERGY REVIEW FEE 47.26
DIF FIRE PROTECTION -RES 97.00
GRADING PLAN CHECK FEE .00
DIF LIBRARIES - RES 225.00
DIF PARK MAINT FAC - RES 5.00
DIF PARKS/REC - RES 502.00
STRONG MOTION (SMI.) - RES 12.49
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary
Permit Fee:Total
Plan Check Total
Other Fee Total
Grand Total
Charged
1044.35
548.14
2464.75
4057.2'4
Paid Credited Due
.0.0 .00 1044.3.5
.250.00 .00 298.14
.00 .00 2464.7.5
250.00 .00 3807.24
ti
—? 6S
Tityl 4 4 a"
P.O. BOX 1504
78-495 CALLE TAMPICO
V 4 e612 -r .z,z LA QUANTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC.. GRP.
ng
esS /J'O jr G A.P. Number ' 7 q /
tNT'.rt 1T7 -Z (47
12 /-J iL.1-7A"I"
VILY 101.
:Ui.c,7q Z-zV7 .OS1o97076
& Classif. F/ 1 2.57 3 I Lica #
Arch., Engr.,
Designer r4 CJ L G /L -/—?OZ N C &:-
Address
:Address Tel.
%7 3(rS� CCt-u ti rFf �13 i�R
LICENSED CONTRACTOR'S DECLARATION
I hereby�aflirm that I am licensed underprovToons of Chapter 9 (commencing with Section
7 of D vIsion 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, Buslnese and Prolesslons Code: Any city or courrty whlch requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance also
requires' the applicant for such permit to fi/e'a siggned statement that he is.licensed pursuant to
the or.9SW!ions of lire l ormactor's License Law. Cheoter9 (commencino-with Section 7000) of
a civil, penally of not more than
the property, or my employees
an owner
provement Is sold within one year of completion, the owner -builder wilf.have!the'burden of
proving that he did not build or Improve forthe:purpose,of sale).
O I, as owner of the pproperty, am exclusively contracting with licensed contractors to construct
the project (Sec. 7044,,. Business and Professions Code: The Contractor's Llcense,Law.does
not applyto an owner of property who builds ,orlmproves thereon, and who contracts for. such
prc/ects wRh,a contrector(s) licensed pursuentto Me' Contractor's License Law.)
❑ 1 am exempt under Sec. B. & PC., for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hetebyy affirm that I have a certificate of consent to sett -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 /s for one hundred dollars ($100)valuation
or less).:
1 certify that In the performaripeof.ft work for which this permit is issued, !.shall not
em�loCe Ifo
y any, person in any m to b me subject tQ Workers' Compensation Laws of
nis
Datej—05 �4��Owner
NOTICE TO APPLICANT. If, ;ftV making this Certificate of Exemption. you should become
sub)ect to the Workers' Compensation provisions of the Labor Code, you must,forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDINGAGENCY
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
Thls Is abuilding perk when properly filled out, signed andwalidated,.and is subject to
expiration if work thereunder Is suspended for 180 days.
I certify that I have read this appf _ tion and state that the above Information is correct.
I agree to comply with all unty ordinen s and state laws relating to building
construction, and.hereb a �n,
e re eMatives isciry.to:enter the above mentioned
property for IntoQction s_
Signature of.appllcant Datei��5 'UJ
Mailing Address
City, state., no
Legal Description r -
Project Description
2.76 1. r"'7 4915' x/`316 C 14 GV,aZ L
Sq. Ft. q % No. No. Dw. '
Size t9!::r� Stories /` Units
New)( Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT IL AMOUNT
Plan Chk. Dep. 2
Plan Chk. Bal.
Const,
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
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*
WHITE = ,BUILDING DEPARTMENT YELLOW = APPLICANT PINK =,FINANCE
RC DISTRICT., PLANNING.- REVIEW FORM
This form is to be used by CDD staff for review of single family dwellings -in ;the RC (Cove
Residential) District per Section 9.50.090 'of the Zoning Code. I.ts purpose is to determi'le: 1)
that the proposed housing design.does not duplicate the same- architectural style of any House
within 200 feet of the applicant, and/or 2) if there is a need for the applicant to file for Master
Design Guidelines: If the applicant does need to file .a Master Design Guideline, please transmit
this information to the Building and Safety Department as' part of your correction list. Please
attach additional explanations as, necessary,
APPLICANT: 2ouala1";5 e, C/
.SITE ADDRESS:
APN - � : b�� CASE NO.. (�
LEGAL: LOT BLOCK UNIT S.C.@V.L.Q.
CHECK AND APPROVED.BY: DATE:
Inform the assigned Building plan, checker upon your assignment to this case. The CDD
Executive Secretary maintains a log book to track applications, and assign case numbers.;
REQUIRED ITEM
Y.
N
COMMENT/CORRECTION
Verify legal and APN information
i
Consistent with MDG on file (as
applicable)
.MDG filing required (5 filings
since 9/3/98)
_
Architectural variety within 200
feet of the surrounding area:
Architectural design features:
A
I
ved by:P ate Reso #.
ty Council I
mmunit Dev. Dept.. 1
❑
Initu
Cas
is
No. 10 'TO 5
.Other Requirements:
El W
i
th Conditions.
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District —o
47950 Dune Palms .Road < BERMUDA DUNES 0
Cr RANCHO MIRAGE
Date 3/28/05 La Quinta, CA 92253 �� IND
W air
No. 27022 (700),771-8516 '% L' °!""r"�'
INUIG y�
Owner Douglas Birdsell APN,# 774-141-018
Address Jurisdiction La Quinta
City Zip Permit #
Tract # Study Area
Type Single Family Residence No. of Units 1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 53865 Avenida'Cortez 1970 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
At the present time, the Desert Sands Unified School District does not eolled fees on garages/carports; covered patfoslWalfcways, residential additions under 5
OO square feet, detached accessory structures (spaces that do not contain facilities for living; sleeping, cooldng, eating or sanitatfon) or replacement mobile ho
mes. It has been determined. 'that,the above-named owner is emmptfrom paying school fees at•this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies,that.school facility fees imposed pursuant to
Education Code Section 1.7620 and Government Code 65995 Et Seq.
in the amount of $2.24 X 1,970 S.F. or $4,412.80 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this squarefootage in this proposed project may now be issued.
Fees paid By National City Mortgage - Joe Birdsell Check No. 00002286
Name on the check Telephone
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by
ftnftg Residential
;y Payment Recd®
$4,412:80 'Over/Under
NOTICE: Pursuant to Government Code Section :t3 M(d)(1), this will serve to notify you that the 130 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this projectis issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on,the Distrid('s) behalf, whichever Is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original -',Building Department/Applicant. Copy - Applicant/Receipt Copy - Accounting
RECORDING REQUESTED BY:
First American Title Co. of Los Angeles
r
Escrow No. 7568 -MD
Title Order No. 1706198-14
When Recorded Mail Document
and Tax Statement To:
Joseph Birdsall AITCOWREMLE
P.O. Box 630
La Quinta, CA 92253
53-ge5 fie
Doc N 2003--0003420
02/0272005'08:00A F*e:7.e0
Page t of 1 Doo T Tax Paid
Recorded in Official Records
County of Riverside
Larry W. yard
Assessor, County Clark 6 Recorder
11111111111111111111111111111111111
11111111111
-* � , GRANT I
-Gr.: Ciao o eD
The undersigned grantor(s) declare(s)
M
====M=0
NNEMMMMMMM
.EEM-MM-MIMEI
�mnM
MMMMMM0
Documentary transfer tax Is S 110:00
[ X ] computed on full value of ,property conveyed, or
[ I computed on full value less value of liens or encumbrances remaining at time of sale, L�
[ ) Unincorporated Area City of La Quinta $F
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, �~
The Fausto Family Trust dated May 9, 1998 / fniW 7 L 1. F,4US 09t L UC/O /— rd 712tlnle�
hereby GRANTS) to Dauglas Dickinson Birdsell, an urmlarried man
the following described real property in the City of Le Ouinta
County of Riverside, State of California:
Lot 7 in Block 196 of Santa Carmelita Unit #19, at Vale La Quinta, County of Riverside, State of California, as per map
recorded in Book -19, Pages 33.and 34 of Maps,. in the office of the County 'Recorder of said County.
Property Address: "Vacant Land La Quinta, CA 92253
DATED. December 14, 2004
STATE OF CAjIFOR A
COUNTY OF 406 AIV
W before me;
personally appeared
personally known to me (or proved to me on the basis
of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that
by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
Witness my hand and offici eat.
Signature,
WThegusto Family Trust dated May 9, 1998
ary L. sto, Trustee
B
u io L. Fausto, Trustee
JUDV R
c4mfflawm# 1615107
,y ruta - Caw, +r ,
,,a MfC01lnl&b"n0c1122.2=
MAIL TAX STATEMENTS AS DIRECTED ABOVE
FD -213 (Rev 9/94) GRANT DEED
Jan 27 05 09:29a Birdsell
V1I LIv 6YVJ .0:409 ras
A ZT. ro
Recorft Requested By:
WANDA SZLL
;'60-360-2366
�gluucJuua
1
Return To:
National City Hank of Indiana
P.O. Btu_809068
DALLAS, TZ 75380-9068
Prepared B:
IMMA c6BSLL
National City Bank of Indiana
P.O. HOZ 809068
D11LLA8, TE 75380-9068 189mAbe" M XbmFar Deda
DEED OF TRUST
0003813080
DEPINMONS
Words used in multiple sections of this doc mens are defmod below and other words are defined in Sections
3, 11, 13, 18, 20 and 21. Certain roles rega ft d3e usap of words cud in'this doazaeat are also,provided
in Section 16.
(A) "Seturily fnssnaaeut" ulama this dMu0W, which is dated Jm,eayy 25, 7005
together with all Riders'to this'docvment.
(B) 'Bor.ower" is
DOUMAS DICKINSON BIRD U. An tmaarried Man
Borrowe'f 9ddnes 'is 53865 AVtrMiM COSTES LA Q177RtA, California 92253
. Borrower is die tnastas under this Security Instrawent.
(C) Meudev" is AccaBanc Mortgage a divisiem of
National City Bank of Indiana
' aderis'a National Banking Association,
organized and e:cistigg.under ft Inas of United States
CAUFO MA SM& Fam* FWMM UnWR@ddts Mag UNWORM 9MMU10ir Fam3006 IM
ea" s m' ,