11799 (SFD)1
P.O. BOX 1504 No. 11799
Buildin78-105Addrress 78-590 Singing Palms ` LA QUINTACCALIFORNIA 92253
Owner
Wilfred 8uerta
mailing
Address 79541 42nd AVe
City ZTel.
Bermuda Dunes ir"CA 92201 360-6213
Contractor
OwneriBuilder
State Lic. I City
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
City I Zip I 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 I am 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 or the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation or Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
O 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
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.)
❑ 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 or 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 1 am exempt under Sec. B.)1. P.C. for this reason
Date •� _lf Owner,��.x�,-
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
❑ 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) 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
11LDING: TYPE CONST. OCC: GRP.;
P. Number 617-051-017'
Legal Description_
Project Description
Sq. Ft
Size
New
2306 Stories
Nb. Dw.
Units
Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not include any block walls
snmatea valuation
131 rP-1b4.UU
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
250.00
377.89
Const.
751.50-
Mech.
62,001
Electrical
156.21
Plumbing
144.00
S.M.I.
13.2
Grading
20.00
Driveway Enc.
Infrastructure
2t964.69 -
t964.69Art
Art in a Pla'Vefs
19. 4Z
TOTAL
�#�itl•
4, ".1151
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:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB. L 21qyfj 7 BONDING
1'
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE L Q
✓
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
DRAINAGE PIPING
CAR P. SO. FT. @
_ $
LUMBER GR.
FINAL INSP.
A4 iiE
`n
FRAMING �2v�
DRINKING FOUNTAIN.
WALL SO. FT.
l�rC'Q/..
�Q C'v Ir
REMARKS:
URINAL
SO. FT. @
VENTILATION
ESTIMATED CONSTRUCTION VALUATION $
FIRE ZONE ROOFING
WATER PIPING
NOTE: Not to be used as property tax valuation
FIREPLACE
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
LAUNDRYTRAY
AIR HANDLING UNIT CFM
I
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GARDEN WALL FINAL
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEEPLUMB. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
00, GROUND PLUMBING3 UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. L 21qyfj 7 BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) ` 6 (� J3 METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE L Q
✓
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_ $
LUMBER GR.
FINAL INSP.
A4 iiE
`n
FRAMING �2v�
FINAL IN�S%P .as _fs
(�
�jROOFING �` aor -T2
l�rC'Q/..
�Q C'v Ir
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LARF 7 3 G Y%
MESH
INSULATIONISOUND 3 y
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
-1y/ 4 44. "
_ P.O. Box 1504 APPLICATION ONLY
Building 78-105 CALLE ESTADO
Addres111 LA OUINTA, CALIFORNIA 92253
Owner f
BUILDING: TYPE CONST. OCC. GRP.
Mailing
AddressC� �/ / /�
7/ � �v A.P. Number
City� ZRITel.61?/ 17 /
Y�� O / Legal Description BP/V C /
Contractor I
City lZip I Tel.
State Lic.I City
& Classif. Lic. #
Arch., Engr.,
Designer
Address
CityI Zip I State I
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 I am 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 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 five hundred dollars ($500).
F" I, as owner of the property, or my employees with wages as their sold compensation, will
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'I 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.)
f7 I am exempt under Sec. B. & P.C. for this reason
Date Owner
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
n 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) 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 it work thereunder is suspended for 180 days.
1 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 properly for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
FINANCE
Description
Sq. Ft.
Size
No. No. Dw.
Stories Units
New Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
z7n (YJ
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:
Validation:
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879,Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 3/2/93 Type of Permit La Quinta
No. 12050 ;Permit #
Log
Owner Name Wilfred Huerta
No. 78590 Street Singing Palms
City La Quinta Zip 92253. Study Area 126
APN # 61.7-051=017 1 Tract #I Lot # 0 Square. Footage 12306
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:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.58 A 2 06 or $ 3,643.48 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 Wilfred Huerta Telephone 360-6213
Name on the check ,
By James E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett 'Z "
Paymer flReceived''
Signature r.^r 121
> I..y Check'VNo.
�,
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
RG,�V R✓11w ncyv�.7.
' 6I A60 TIT'LS IN"ARM C+OMPAW
Ix
AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHER-
a c
ISE SHOWN BELOW. MAIL TAX STATEMENTS TO:V0
0L1W_Q
zO)
I
a s ttI
VAws Mr. & Mrs. Wilfred.Huerta O• u w'
�j 0 U _5 p
_� R o
o
Cr—W0
~ Ci3
)Rttas 29580 Poppy Meadow St•91351
UJ
n..r
� o _
.Tr s Canyon Country, CA., �, O U
' m w
m a
;TATE > co Q LUZIP 1 ('_ CDTitle
Order No. Escrow. No. 19 0SPACE
!jo (0
ABOVE THIS LINE
FOR RECORD
05.1• 0a 9-3
GRANT DEED
The undersigned declares that the documentary transfer, tax is $ .......... :.........................................................................
*and is
' computed on the full value of the interest or property conveyed, or is
❑ computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land,
tenements or realty is located in CJI°
❑ unincorporated area city of...............................................................................................•--..
and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
DARRELL A. PICKENS, an unmarried man
hereby GRANT (S) to
WILFRED HUERTA and DOREEN HUERTA,.husband and wife, as joint tenants
the following described real property in the
county of Riverside , state of California:
Lot 27 -of Tract 2043, as per map recorded in Book 41 Pages.6 and 7 of Maps, in
the office of the County Recorder of said county. Y
t
Dated November 29, 1988
4
Darrell A. Pickens v—
STATE OF CALIFORNIA
SS.
Riverside
COUNTY OF December
On this the 7th day of
Notary Public in and for said County and State, personally appeared
, personally known
to me or proved to me on the basis of satisfactory evidence to be the
erwhose name sub c to the with' instrument
and ac' � novyledged that execu d t s me. (�
Signature of
1 88
9 , before me the undersigned, a
Darrell A. Pickens'
FOR NOTARY SEAL OR STAMP
OFFICIAL SEAL
;f` + JACKIE PHILLIPS
' = Notary Public-C&Iomia
..� RIVERSIDE COUNTY
IN Comm. E.,P. Oct 281992
Assessor's Parcel No .............................................
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ARg1'E
Name Street Address City 8 State
CAL-1/CT (Rev 2-88)
r
COACHELLA VALLEY WATER DISTRICT
N2 y
CASH RECEIPT DETAIL
41 59
1 f
e-- Gj
r ��
Received From:
1 , "�
1
Address: Q9 S �% Q r'Ge.ct v c t}
fi Ci•/1 1c.1 .eY.l.� �``�
GDate:
-J �J� i
Account No. (J
V �ot(s)
Tract•
0
Service Address i S
l U S." �1c� �u,n
- 0 <i �L l �l `� G.A. Code
.Zi-Service(s) ,
SJ U J
❑ Backflow(s)
❑ House L"ateral(s)
. ❑ DetectorCheck(s)
❑ Meter Surcharge
Q.8anitation Capacity Charge
�+
y
❑ W.S.B.F.C.
❑ Temporary Construction Meter
• _ ❑ Turn on Charge
❑ Uncollected Account -Name
❑ Inspection Fee - Tract -
Fee -
❑ Plan Check Fees Water I Sewer -
Tract -
❑ Bond Payment - A.D. -_Bo, nd
Assmt.
❑ Customer Deposit
❑ Other
'
Remarks: d. V t S e
CEJ �l-Sytn 2 ( o
1 TOTAL
OSS t e-
BN FORM 116 !
BIA. FORM 1486
INSULATION. CERTIFICATION,
This is to certify that, in conformance with the. current energy 'regulations (Califomia Adminis=
trative Code, Title 25, State of- California*) and approved plans, insulation has been installed in
the building located at:
La Quinta Riverside
Gly Cm.ty
.78-590 Singing Palms
Sb -..t N.. (tf /1»Usb)a Sbr-A lot Numb" Tod No.
DESCRIPTION OF INSTALLATION
ROOFS
Type of Material
Manufacturer
Thickness R Value**
CERTAINTEED
EXTERIOR WALLS
r.'r« .-,Type of -Materixt FIBERGLAS
BATTS Manufacturer
FIBERGLAS 3'�2° R Value•• 5
—Thickness
''`• '
(Or Toe. X. )
.
`.� CEILINGS .
CERTAINTEED
u T�q of,Material FIBERGLAS
BATTS M�facturer
FIBERGLAS Thickness 211 R Value•• 38
(ot Toe. X—)
,
S4 FL Covered '
BLOWN=
R
Type of Material
Manufacturer
Thickness Na Bags
(Or Toe. K—)
Y X� WL/Bag S(l.
FL Covered R
Value•-
.��, urs . - - 4•,, 9 f. �
r S T
'FLOORS' i�` V2;, _ `
. :
`s�
�� i.7�; 'Type of=11latrrial Manufacturer-
Ttlickners R Value••`
.
':4a
- (or Te"o; K—)
SLAB'.ON GRADE
* ,Type of Matrri�f "
Mamifadatru
Thickness R Value••
Width of Insulation
Indies
�F61.1141)=ON WALLS (if required)
<.. ', .•
<Type of Material
Manufacturer
Thickness R Value••
,�i••e rr -=°s,.
(Or Tr.d. Nsr..) -
•REMARKS . (if desired)
General Contractor (Builder) Fred Huerta
License Humber
' . \ By Title Date
'.`Sui)Zontrador (Insulation Applicator) ACCENT INSULATION COMPANY License Number 274283
p...t.�Qr4�z'
(Tabs --Umc" it r■+..s C_. -A Co.Uuctor)BrTED FASSETT T)Ue PRESIDENT Date 5-20-93
(•Confwole 711/_f.{ty-r. C.d.. G_Sf 8.6.1.6.. stao/..d- f+d.n.s E7CCEUT fr... 3.C. 1903 of K. II..iA ..d S." C." .1 0.. Ss.t.
'Yr�1How. t)s... aHl•6•. of Ko B.AdMfw of 1...1o6. -N,. • 0" of CoRifww '
J c"f1lM Ob t Mo 8.w1.rt.. iwr ►..w LA.p.d M�o+1w�«s oir► fv .,y^" '•r'
►o orHlt
�.4.�b .f OM M.906""- -A.
'1er�t.►.e•«d•.orert.J ►/ !t "Mo Mo .f ooerN+q.or .i1.3or or6fiofi.r Kot o wwFr a..•.
fbM 8 1o6.. .wo Ok fw eed by. Ike Miff.. TW9s U..1.d" awNAo.s ; , stroe.d 1.t.lr ~#A.:even ..t •►ww >,.... .r ookw r..id..rlet_
-� :e" shell be P -a -d ot:a osoyi000s'Hallo.+�IKi.'.tM lwttly i 4i "^Ir!ItiN'H tobtloblo.'GL-4 M iss..d•ti'.s . b nf:.s d.o.rt..••t <
1 .. • oo1..s - lM-st..e..� � '1«�t wld�w Ar o.ir'.�w.• .•.qy 1r.t.f�.+ .
i _ ` (�'i Y.H. M Ko ...ours .f tb. I.dAMa of :� ssstwi.l 01• iJlfisy 4 se..f.dswtsbnabo/ �.rsooy N
We ai.vlr.^
peop"o of b.st. Tb. wd ft w 4. - 03 d s•.+.^da '+
ti.sele4ou sbon n.t 1.d.de n.y-v.l.o Hr r.8.0i.o;fodog.) '• .$
S Folut 116 0ftda6d, Ave.' L.os An elm -Calif. 90034-0.131870-9871
_': • 7 Folisl 1486- :1B1J1DING;; xDusw.:Ass='Tlots -# :cWFmuN LHC,`1571-'Br estr Btrd,Lm Angelm Calif. 90026– tM 625.5771
• C I TY O F LA QU =NTA
Contractor Address �' D
Owner Job Address
This form shall be posted on the job with the Building Inspection Card at all times in a
conspicuous place. It is the responsibility of the General Contractor or the Owner/Builder
to monitor the sub -contractors that are on this list are the same persons performing the
work. Any changes of this list must be approved by the City of La Quinta Department of.
Building and Safety prior to work being performed by a changed sub -contractor. Failure tc
comply will result in a stoppage of work and/or the voidance of building permit.
TRADE
SUB -CONTRACTOR NAME
CONTRACTOR'S
LICENSE NO.
WORKMAN COMP.
NO. ON FILE
CITY BUSINESS
LICENSE NO.
GRADE/
EXCAVATE
Q
PIPELINES
1t1 W
CEMENT/
FOUNDATIONS
e;s'$.
(�
CEMENT/WALKS
& DRIVES
//,tla
,j/� CliP�l3E' S
6/G f�j�3
ASPHALT
FRAMING
`Zdy
/
b ��
STEEL/
STRUCTURAL
(�
/ V��
C_-3
MASONRY
PLUMBING
LATHING
DRYWALL
4k 11
PLASTERING
.
HVAC .
_Z>A G
/��S
(� CZ
ELECTRICAL
` ! 9 116c-
l6G
�� •�l
ROOFING
ROOFING
SHEET METAL
FLOORS
GLASS/
GLAZING
INSULATION
SEWAGE DISP
PAINTING/
DECORATING
-
/'
/
TILE
CABINETS/
INSTALLATION
ORNAMENTAL
METAL
FENCES/
BLOCK WALLS
LANDSCAPING
P
OTHERS