14827 (PAT)P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address 52-501 Ave. Velasco LA OUINTA, CALIFORNIA 92253
Owner Jasrtes BelliaP
No. -14827
BUILDING: TYPE CONST.VN R3
OCC: GRP.
MailinAddress P.O. BOX 297 A.P.. Number 773294-013
City Zip Tel. 14t 3 . Block. 87
Palm Desert,9422601564-2,783 Legal Description
Contractor Project Description
Biblkndp Construction
sckme� s
City
State Lic.
& Classif. B 652815
Arch., Engr.,
Designer
Address
Tel:
%Illy
Lic. # 2845 Sq. Ft. No.
Size , 2430 Stories
• I Tel.
No. Dw.
Units
I New ❑ Add ❑ Alter,❑ Repair ❑ Demolition ❑
Fermit includes entry and rear patio.
City
Zip
State
Lic. #
- lock walls
andlor .pool pe=its to be,
11
oLtained separately.
LICENSED CONTRACTOR'S DECLARATION
I herebyaffirm se
thattl am licend under provisions of Chapter 9 (commencing with Section
7000) of.yD'ivision 3 of the
�1Business °and Professions Code, and my license is in full force and '
effect. JJ..� jr.rl�ij
j SIGNATURE >• DATE
" OWNEWBUILDER DECLARATION
hereby affimi that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,13usiness and Professions Code:. Any city or county which requires a
permit to construct, atter, 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 than rive hundred dollars ($500).
compensation, will
❑ I, as owner of the property, or my employees with wages as their sole comp
Estimated Valuation
$87,214.00l .
PERMIT -
- AMOUNT
plan Chk. De p
2 �. 0id0 '
- .
Pian ChkBal.
�t
24 y
Const.,�rj
nq
do the work, and the structure is not 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.) ,
❑ 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.)
O I am exempt under Sec B. 8 P.C. for this reason
Mech."
.,62.00 -
Electrical,
122.09i
Plumbing
138.00
-
S.M-.I.
8.72
Grading
20.00
Driveway Enc.
00
Date Owner
frastructure ,
•1,x926.41
.MPa 25. (iia
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
qj 4 opy Is filed with the city. O Certified copy is hereby furnished.
-
TOTAL
3,386.88 1 3,236.88
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(This section need not be completed if the pemmit is for one hundred dollars . ($100) valuation
' or less.)
I certify that in the performance of th? work for which this permit is issued, ['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: It, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the .Labor Cade, you must forthwith
comply with such provisions or this permit shall be deemed revoked. -
ZONE: BY: -
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE To SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL; AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
-
Side Street Setback from Centel Llne
-
Side.Setback from Property Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
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. . .
FINAL DATE
INSPECTOR
I certlly that l.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.
Issued by:
Validated by:
Date
1
inn
Signature of applicant Date
Mailing Address
�/alidation:
RA AD 11 0
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO.
1ST FL. SQ. FT. ® $
UNITS
jr,
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
FORMS
SEWER R
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH) s/!� �'
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL) 4/;/-&/h`-:?/'
TEMP. POLE wl*
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN
BOND BEAM `S �5
WATER SYSTEM
URINAL
SQ FT ®
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FRAMING
WATER PIPING
NOTE: Not to be used as property tax valuation
`A� �/�' (
� Z.
FLOOR DRAIN
MECHANICAL FEES
REMARKS:
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
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
MESH
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11A c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION �%�
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 3 �S
GROUND PLUMBING /
DERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER R
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. ��
GAS (ROUGH) s/!� �'
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) 4/;/-&/h`-:?/'
TEMP. POLE wl*
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM `S �5
WATER SYSTEM
GRADING
Cu. yd.
$ -Plus-x$-=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING %�7
`A� �/�' (
� Z.
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND•�(e 9
FINISH GRADING
FINAL INSPECTION �%�
CERT. OCC.�Lt��
FENCE FINAL
INSPECTOR'S SIGNATUIRESJINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: , Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 3/8/95'L I Type of Permit La Quinta
No. 13339. Permit #
Owner Name James Belknap Log
No.. 52-501 Street Ave. Velasco
City La Quinta Zip 92253 Study Area 112
APN # Tract # Lot # 0 Square Footage 11410
Type of Development 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:
k
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.72 X 1410 or $ 2,425.20 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 James C. Belknap, Jr.
Telephone 341-2271
Name on the check
By Dolores A. Ballesteros'`-'.�,;'
Superintendent?
Fee collected /exempted by Pauline Pearson "r
Payment Received :
Signature d �y ,� A A X"/�
g
�!� `y r 1249
�;�Ckteck,aNbo
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
FIDUITY NATIONAL TITLE INSURANCE COMPANY .
RECORDING REQUESTED BY:
When Recorded Mail Document
and Tax Statement To:
James C. Belknap, Jr., Trustee
P.O. Box 297
Palm Desert, CA. 92261
Escrow No. 2487—L
Title Order No.
_c)-7 Z ' Iv/ 6 o
036304 RECEIVED FOR RECORD
AT 2:00 O'CLOCK
FEB - 31995
PAID
Doc. Transfer Tlx Rioei°'d IN Oft I R.00rd,
FRANK K. JUl�" -:•.1N (�� Reaartler
RN. Co.
.: Foes 4 l
SPACE ABOVE THIS LINE FOR RECORDER'S USE
APN: 77 2 4-013 GRANT DEED
The un ersigned grantor(s) declare(s) '
Documentary transfer tax is $ 18.70 City tax $
[ xx ) computed on full value of property conveyed, or
comp.uted,on full value less value of.liens or encumbrances remaining at time of sale,
Unincorporated Area City of La Quinta'"
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
h
MILDRED F. INGALLS
hereby GRANT(S) to
N JAMES C. BELKNAP, JR., TRUSTEE OF THE JAMES BELKNAP SEPARATE TRUST DATED MAY 5, 1992
the following described real property in•the City of La Quinta
County of Riverside State of California:
Lot 1 in Block 87 of SANTA CARMELITA AT VALE LA QUINTA, UNIT 4610 as per map.recorded
in book 18, page 70 of Maps, Records of Riverside County, California.
DATED: December 21
. 1994
STATE OF CALIFORNIA
COUNTY F
ON I v 1,before me,
0 personally appeared
IIJI � �n (�� f • �H L4S
personally known to me (or proved -to me on the
basis of satisfactory evidence) to � be the person
whose name( is are subscribed to th within
instrument and acknowledged t e that he sh /they
executed the same in hi /her their authorized
capacity( i and that by his her eir signature on
the iristrument, the person , or the entity upon
behalf of 'which the person acted, executed the
instrume .
Witnes my hand and fficial sea .
vV1.,
Signature
0 e � ) �_. , "� _� ?.- � rw, ee
'Mildred F. In alls
DAVE M. LEE
F ; ; M COMM. #946481 O
C7 " m' 'NOTARY PUBLIC = CALIFORNIA
L� s ° ORANGE COUNTY j
MAIL TAX STATEMENT AS DIRECTED ABOVE
FD -13 (Rev 4/94) . I I GRANT DEED
mm Expires Oct. 31, 1995
1, -
GRANT DEED
Fidelity National Title
WSURANCE COMPANY
N
i
i si.
t
C-1
GRANT DEED
Fidelity National Title
WSURANCE COMPANY
N
JAMES O. WALLACE
Agrlculturol Commissloner
Director of Welghts & Measures
OFFICE OF THE
AGRICULTURAL COMMISSIONER
P.O. BOX 1089
RIVERSIDE CA 92502-1089
PHONE (909) 275-3000
FAX (909) 276-3012
CALVIN C. KAMINSKAS
Assistant Comn sloner
DAN RILEY
Sealer, Welghts & Meosures
(909)276-3030.
FAX (909) 276-4728
83-612 Avenue 45 Suite 7
Indio, CA 92201'
(619)863-8291
DATE S` r CASE NO. �C C/-'
DEVELOPER'S NAME:
ADDRESS
TELEPHONE*
Dear Developer:
After reviewing your landscaping plans," all plant material .listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions
do occur and they differ from plant material listed:, this office must be
notified immediately." 1W Iola -K& 4 4�e CC/
.Thank you for protecting and preserving the -Coachella Valley's pest -free
environment.
Agricultural Commissione s'Office
cc: Indio and Riverside.
r.
30 Day 30 Day
TemporaryQ�'�x,�x � � � ��Temporary
Pendina correctattached Pend i- PSUctions attache
X:
i i ittl in Stu '�t Pit
or
Tif� of `14a (Quinta
34t Mton
This Certificate issued pursuant to the requirements of Section 306 of the U ' niform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
N
-Velasco
BUILDING ADDRESS 52-501 Avenida
Single Family Dwellina 14827
Use Classification Bldg. Permit No..
JiI' ° Group R Type Construction. WN Fir* Zone Use Zone
JameS 0. Box .297
Owner of Building Address
City La Quinta, Ca., 92253 By. — Daniel P. Crawford Jr.
Date; June 27. 1995 -Expires July 27, 3.99
18 . uilding Official PMT IN A CONS'PICUOUS PLACE
t , -