Loading...
002806 (SFD)Building Address Owner Mailing Address City Contractor Address P.O. BOX 1504 52-165 AVtr.�L' 3'� Oa ' LA QUINTACCALIFORNIA 92253 Mick JviImm Ocn.-ALuetimn Zip ..Sam ..IZip - State Lic. & Classif- 3, Arch., Engr., Designer i •rte -- TZTI� No. 002806 BUILDING: TYPE CONST: . OCC. --GRP. A.P. Number 773--201-022 Telt. 564-2 Legal Description Project Description $<B'� Lic. # 2d2 Sq. Ft. q 528 No. No. Dw. Size " -Stories Units New -:a Add ❑ Alter ❑, Repair ❑ Demolition ❑ Address Tel. ' BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback. from -Center Line City Zip State _ -. . .. Lic. # work for which this permit is issued. (Sec. 3097, Civil Code.) - - LICENSED.CONTRACTOR'S DECLARATION - Lender's Name I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division,3 of the -Business and P/ro}f•e/ssions .Code; and my license is in full force and FINAL DATE INSPECTOR This is a building' permit when properly filled out, signed and validated, and is subject to effect. expiration it work thereunder is suspended for 180 days. SIGNATURE DATE I certify that I,have read this application and state that the above information is correct. •. - OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation 72,062.00 construction, and hereby authorize representatives of this city to enter the above- for rJ` reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a mentioned property inspection purposes. i _ �� S� Validated by: • permit to construct, atter, improve, demolish, or repaii any structure, prior lo•its issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to i. PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Validation: City, State, Zip Division 3 or the Business and Professions Code, or that he is exempt therefrom, and the basis ' for the Any violation Section 7031.5 by 'any for Plan Chk. Dep.),. HARD COPY alleged exemption. or applicant a permit' - subjects the applicant to a civil penalty of not more than five hundred dollars ($500). - Plan Chk. Bal.'„(;! - ❑ 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 Const. - 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, Mech::r.jA�t7 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 Electrical i_a� of proving that he did not build or improve for the purpose of sale.) • " ❑ I, 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.1. ,. such projects with a contractor(s) licensed pursuant to the Contractor's. License Law.) w Grading O I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date Owner Infrastructure T 1,058.92 WORKERS' COMPENSATION DECLARATION ' I hereby affirm that *1 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 O Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 1.973-65 1.723..65 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 inanymanner so as to become subject to the Workers' Compensation' Laws of California. REMA Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: ' BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback. from -Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) - - Side Setback from Property Line - Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building' permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. 12-3&—V I certify that I,have read this application and state that the above information is correct. Issued by: Date Permit _ 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- for rJ` mentioned property inspection purposes. i _ �� S� Validated by: Signature of applicant L' �� e Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SQ. FT. HEATING (ROUGH) STORAGE TANK ORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. SQ. FT. GAS (FINAL) WALL SO. FT. ® DRINKING FOUNTAIN SO. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. - WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1114 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c HOUSE SEWER MESH 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 PLUMBINGELECTRICAL HEATING & AIR GOND. SOLAR ,n SETBACK U D PLUMBING /�3 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE OUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK ORMS B R SEPT C N ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS OUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. 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 FINAL INSP. ROOFING DEC p 7 1987 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH /I NSULATIONISOUND Z FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL 0 Z O H U U-1 U) m Z O F_ U w U) old .r U Z O_ I— U W CO L_ j 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 $37 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,,-�i' Mailing Address I--- � ?r x .mil<< : .�, s� • , r—ee-// - City State Zip Code Telephone ,/ Job Property Address 'City or Community Legal Description of Property. (Lot, PM, TR) $'ti, 'Assessor's Parcel No. Water Agency or Well Lot Size Use of Permit Planning Case # / SFD. MH Site Preparation Etc. -Signature of Applicant / Date' '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 t3 No WOCB Clearance required. ❑ Yes ❑ No Soils feasibility report required. ❑ Yes b No f r Detailed boring report required. ❑ Yes © No Detailed contour plot plans required. ❑ Yes No Staff Specialist approval required. ❑ Yes No Lot Inspection Date Soils/boring report by A C t Project # Date Soils Map Page Soil Type Approved by Date Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing ®,New ❑ Additional ❑ Replacement I.�.�� �� � \ Gals. j - I A( (2) Leach line sq. ft. Sidewall allowance Install Line(s)—Ft. Long, Leach bed Sq. (Bottom trench area) ft. ock/ Sq. Ft. Ft. wide with min. inches Ft. of bottom per running ft. ❑ N/A rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI ( Seepage Pit total depth ElApplicable 5' 9'6' %4 Max. allowable depth N/A Overburden factor a I f\ _ fl! ",�.1•_t[" nV�.Ff, f;til.� i �t� s :x_.. � r This application is approved/denied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section`6-above. A building permit is necessary for the installation of the above -designed system. (1)) Septic tank and sewer lines must be 50' from any wells (2) Leach lines must be 100' min. from any wells including expansion area ,(3) `Seepage pits must b6,150' min. from any wells including expansion area Signature of Health�Official' I Dale ' RECEIPT NO. Issued by Date District: ❑ Riverside M Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) M. , AS Af . ......... .. ..... ne, OF pit, y�� a OFFICE OF ° AGRICULTURAL COMMISSIONER v� m 4080 LEMON STREET, ROOM 19 RIVERSIDE. CALIFORNIA 92501 (714) 787.2561 �Ay�15q� 46-209 Oasis Street, Room 14 Indio, CA 92201 (619) 342-82.91 Dear Developer/Landscaper: E. LEON SPAUGY COMMISSIONER JAMES O. WALLACE ASSISTANT COMM)SSiONER Thank you for inquiring with the Agricultural Commissioner's Office regarding local quarantine laws. Any diseases or insects associated with the plants/landscaping material presented on your landscaping plans do not pose a threat to the Coachella Valley Citrus, Date, Grape, Vegetable, or Field Crop industry.. We therefore approve your landscaping plans. If however, any substitutions of plants/landscaping materials within your plans occurs between now and the actual planting date, you must contact this office within 48 hours before delivery into the Coachella Valley. Also, the substituted plants/landscaping material must be held for inspection upon arrival. Any sub- stituted landscaping material found infected/infested with quarantine pests will be immediately treated or shipped out of the Coachella Valley at the discretion of the Agricultural Commissioner's Office. Under penalty of perjury, I.the undersigned will comply with the above. Autr:Qrized Agent: Name/C l�yCLf�_ Date Permit Number(s) Developer Q�n,o, Address^/�-G, �28����,s, L� 92202 AGRICULTURAL CO MISSIONER' S APPROVAL `✓ Date )2-17-9-G Authority cited: Agricultural Code; Sections 6301, 6461, 6 ,�� �'� 1, 6521- 6524 �► cc: 2 Plan Check, Indio Office, Riverside Office APPROVED BY: 92"f' cc DATE:Z 2% Ail Form A - 10/84 v�T�1�AL CQ RECORDING REQUESTED BY -' RECORDiNG REQUESTED BY r "FIRST AMERICAN TITLE INSURANCE COMPANY r. AND WHEN RECORDED MAIL TO 18 art �, M/M DONALD R. HANSEN of X78-220 Calle Cadiz / IBYB, •~� La Quints, CA 92253 e ( J MAIL TAX.STATEMENTS TO ,a same Iress L`': J SPACE ABOVE THIS LINE FOR RECORDER'S USE "CAT. NO..NN00582 Individual Grant Deed TO 1823 CA (2-83) THIS FORM FURNISHED BY TICOR TITLE INSURERS The undersigned grantor(s) declare(s): Documentary transfer tax is $ 7.7 o Z . ( xxx) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: (x ) City of La Quinta , and FORA VALUABULE CONSIDERATION, receipt of which is hereby acknowledged, DR. N. ROBERT-McCOY, JR. AND JOYCE L:�'McCOY, husband and wife b' hereby GRANT(S) to DONALD R. HANSEN and SHARMYN L. HANSEN, husband and wife as joint tenants 9 the following described real property in the City of La Quinta `N% County of Riverside , State of California: •� `�;ot�4—i'•rr"82'o-ck-`39; Santa Carmei�ta a£"V3 e a uin a, ni as s own y ap on i e • in Book 18, page 59 of Maps in the office of the County Recorder of said county. • 1 1 Dated: AUGUST 15, 1985 IL U T w,t,n .�L•R� -•� STATE OF CALIFORNIA 1 COUNTY OF ORANGE }SS. JO E L... MC COY On AUGUST 15th, 1985 bef)))ore � me, the undersigned, a Notary Public in and for said State, personally appeared ***N . ROBERT MC COY JR. , D. D. S. AND JOYCE L. MC COY*** personally known to me or proved to me on the basis of sat- isfactory evidence to be the persong—whosenames ar`e subscribed to the within instrument and acknowledged that they executed the same. WITNESS my h d and of ' 'al se - ' ` OFFICIAL SEAL LAURIE L MICHIE Rotary Public-Callfornla la Sign re ® ORANGE COUNTY My Comm. Exp. Jan. 24,1989 (This area for official notarial seal) Title Order No.__ _ _ Escrow or Loan No. MAIL TAX STATEMENTS AS DIRECTED ABOVE C a - U x to o0 = pp5 .p O OD Cn17. Q W pfi O X y x CD a V►W rt p W,O LL ~ w J cr r a. U m A W i U¢ . W rQO Q W LLL �N� • 1" Z�, O Go W a' 2 ' , • �• c LAI w fz LL. IL 03� . The undersigned grantor(s) declare(s): Documentary transfer tax is $ 7.7 o Z . ( xxx) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: (x ) City of La Quinta , and FORA VALUABULE CONSIDERATION, receipt of which is hereby acknowledged, DR. N. ROBERT-McCOY, JR. AND JOYCE L:�'McCOY, husband and wife b' hereby GRANT(S) to DONALD R. HANSEN and SHARMYN L. HANSEN, husband and wife as joint tenants 9 the following described real property in the City of La Quinta `N% County of Riverside , State of California: •� `�;ot�4—i'•rr"82'o-ck-`39; Santa Carmei�ta a£"V3 e a uin a, ni as s own y ap on i e • in Book 18, page 59 of Maps in the office of the County Recorder of said county. • 1 1 Dated: AUGUST 15, 1985 IL U T w,t,n .�L•R� -•� STATE OF CALIFORNIA 1 COUNTY OF ORANGE }SS. JO E L... MC COY On AUGUST 15th, 1985 bef)))ore � me, the undersigned, a Notary Public in and for said State, personally appeared ***N . ROBERT MC COY JR. , D. D. S. AND JOYCE L. MC COY*** personally known to me or proved to me on the basis of sat- isfactory evidence to be the persong—whosenames ar`e subscribed to the within instrument and acknowledged that they executed the same. WITNESS my h d and of ' 'al se - ' ` OFFICIAL SEAL LAURIE L MICHIE Rotary Public-Callfornla la Sign re ® ORANGE COUNTY My Comm. Exp. Jan. 24,1989 (This area for official notarial seal) Title Order No.__ _ _ Escrow or Loan No. MAIL TAX STATEMENTS AS DIRECTED ABOVE xk\f IED _ -0 y BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS ti PALM DESERT ,P LA OUINTA `110 INDIO y� Desert Sands Unified School District 82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631 December 23, 1986 * City of La Quinta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 Re: Lot 14, Blk 39 , Avenida Cortez Gentlemen: The developer of the above referenced project has mitigated its impacts on our overcrowded schools by payment of the amount of $628 per unit. This amount is to be applied to the cost of additional district educational facilities made necessary by suchnew development. Sincerely, John D. Broo Assistant S"A' Business' By: JDB/vmm erintendent Ica Richard M.—Beck Facilities Planner * This certification of payment of developer fees is valid for issuance of building permits only up to and including December 31, 1986.