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08843 (SFD)
44Q P.O. BOX 1504 Building 78-105 CALLE ESTADO Address '7 i. in * n3r LA QUINTA, CALIFORNIA 92253 C Owner I Mailing Address 79-553 Ave 42 City Zip ITel. r Address Zip j Tel. State Lic7 I City & Classif. 358739 Lic. # Arch., Engr., Designer Address I Tel. CityI Zip I State # 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 andtkrofessions Code, and my license is in full force and effect. SIGNATURE .F/!tDw f ✓' ' DATE OWN EWBUILDEi(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 thealleged 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). ❑ 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.) ❑ 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION Ihereby 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 C3 Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completedif the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the 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 t Mailing Address City, State, Zip No. 08843 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 740-1A1—ID1 Legal Description 7.r 4• 1 S1 tr sc-gent 1 it q% r A r»4i Project Description 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: 4 Date Permit Validated by: Validation: Sq. Ft.�� Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation ; PERMIT AMOUNT Plan Chk. Dep. :250 f# Plan Chk. Bal. A21 49 Const. 703, Mech. Electrical Plumbing 1 �� S.M.I. 1 n 08 Grading A Rt9 Driveway Enc. n Infrastructure 2114& 64 Y►rfi. 'E�>ta 1 's 1 Qs DI' TOTAL a 06 0 '9Z ASIA,fr 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: 4 Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. ROUGH PLUMB. BONDING YARD SPKLR SYSTF�M FOR. SO, FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. ® DRAINAGE PIPING WALL SO. FT. ® OTHER APPJEQUIP. DRINKING FOUNTAIN SO. FT. ® GAS (FINAL) TEMP. POLELA(21(�d449 URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WAIER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FRAMING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM REMARKS: 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. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/. c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER MESH GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE IPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING/ r/ Co W UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. J GAS (ROUGH) W d l METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLELA(21(�d449 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING 9 cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. y.Zr'I� ROOFING %� ����✓ ` � /n 2 f C �% 'j ✓J (/s( ( ✓ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION Q L CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL U1.f Y 'UF.., JU NI A 60 0Q_)182 10 7fi'S1 lU-1t'—YU lU Tel. 10. "GASH' 1 (DIAL I' �15V•V� 1' AhiUUNTF NLYEREl 25(y. U.V. GHANUE •U Tel. P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 CityI Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 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 (5500). O 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 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.) O 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 1 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 O Copy is filed with the city. O 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 the 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 Ihereby 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 slate 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 BUILDING: TYPE CONST. OCC. GRP. A.P. Number z6 F— 6/3 —,042 Legal Descriptionh�//_5 ffi'J Pv 7-6 ' �(2�7_ 11 Project Description IfI&l✓ Sq. Ft. No. No. Dw. Size Stories Units New O Add O Alter O Repair ❑ Demolition O Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 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: I• RECORDING REOULIEITED BY +. • • UNITED TITLE .CO. AND WHEN IIECOODED MAIL,TO r� �.m• MK. & Mrs. 'Lon Riddle �� �• 79-66,1 Avenue 42 0112 ItrNt n \� ( ,�r� kedr.q Bermuda 'Dune a# .Ca. 92201 \► d J (ot 6 �e V MAIL TAX STATEMENTS TO r 71 NMh• SAME AS ABOVE Ceeti(led to be a !rue areal str..t w rfffict COP of t ginal. Aden•„ city 11• i United Title Company flue (_ --SPACE ABOVE THIS LINE FUR[ RCORDEA'S USE --'—'—" - CAT. NO. NNOM12 ' Individual Grant t Deed TO 1943 CA 42-83) T„„y ,rpllM /t,gwIRHCO fey TICOA TITL[ INOU11[p9 'fhe undersigned grantor(s) declare($): 11TH1S I5 A BONAFIDE GIFT Ah'D 11% GRANTOR RECEIVED Documentary transfer tax is $ ^._..;..•._ N I IN RETURN, R & It 11911' a r ( ) computed on full Valli; of property conveyed, or con)puted on full vaiut less value of liens and encumbrances remaining at tient of stile. • , and ( ) Unincorporated area: Qty) City of LA QUIN'lA F0 -R A VALUABLE CONSIDERATION, receipt. of which is hzreby acknowledged, BEN E. TESCHNER•AND MARY LOU TESCHNER, HUSBAND ANI WINE AS JOINT TbNANTS hereby GRANT(S) to LON RIDDLE AND LISA MARIE RIDDLE, HUSBAND AND WI.FE AS JOINT TENATNS clic following described real property in the City of La Quinta County of Ri.ve'reide , State of California: LOT 152, Unit 5 of Diiaert. Club Tract au per map reCordrd e II21, pages r 61 and 62 i'neluuive of maps. in the office. Of the County Rcodeda.r of --- Riverside County, Calf.flari►f.a. c . October 1 19 9 U /TL�ulch�er5 Dated: �STATE OF CAIAFORNIA j SS �” e�~— COUNTY OF 11-V On , �121d�1!l� ._ �___l �I before • personallulap rearedd_ Aev otaryubli�in` and for said State, Personally knuwn t e or proved me on the basis of'sat- lcfactory evidence to be the person whose nanle��--' Urft0W. subscribed to the within inst;urnent and acknowledged that executed file same: EQO �OnOffy, WTI ESS n hand and official seal. Signatur _� (This arca for offlcl.l 11016f Is' Rs) – •-�------ 1,itic Order — Eiclow or [-urn No, No, __,-- --- 4i A `�9'•�V - ly t, At, I i f. ti ly 8 !v r f\ A 111041 1 r' .. c•a • ria .. -a ..r•-..T.�a �r .�-`'.. 1'K ':Yp. fir,-r"�.. t . .rte r -•�iy •`ytsa., ,��jSy,.W p�; h,,r. Al ;f RECEIPT NO. -71 i9. Issued,By/ Date_ 0' r © x� :a DISTRICT: ❑ Riverside,-' ❑ Indio ❑ Hemet 0 Perris ❑ Rancho Calif. ❑ Blythe���•�n DOH -SAN -122 (Rev. 3/90) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD-- Plans/Records n COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH AssemaPatio all fft ENVIRONMENTAL SERVICES DIVISION �61 — 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 speculations as indicated on the attached check list t�%S 03A&nop rreh�,• nd1bl�e_fi�ling fee (see below) is required when the application is submitted. Check must be made payable to the County of RtversldeApp�roval of this application shall remain valid for a period not to exceed one year from date of approval. AC �Q Q VERIFY ITEMSAIN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # 0191 �xr .,� kCo^tractor,. reO^ Address & Firm 56V410,0 sy S o LU a Phone Malting Addwriar ress 79- t/,/ v� City 'o' State Zip Job Property Address Legal Description Prop. (PM, Tract, Lot) Lot Size Water Agency/Well Use of Permit P/P, CU, etc. Other / t��U X � 1e ) ' Dwelli •, MH Site Prep, etc. 16151 61a Sig tura of Applicant Date : CATE ORY: REV CODE FEE CATEGORY: REV CODE FEE SUBSURFACE DISPOSAL 1238 $-57.801 ❑ SITE EVALUATION UPON'REOU967 7349 $ 43:00 M 0 MULTIPLE PARCELS WITHIN SAME v?1, 0 0 (NO PLOT PLANt,. Z LAND DIVISION t ❑• SEWER/SEPTIC VERIFICATION 7348 $ 17.00 O a. 1 at 4 Parcels (Each) 1238 $ 57.00 (Less than 1 year) ' 15 b. Each Parcel after 4 7344 $ 24.00 0 PRELIMINARY ELECTIVE 7352 $ 23.00 �, UJ ❑ Rereview 2nd review same ( parcel) 7344 $ 24.00 EVALUATION (Attach DOH SAN 53).: ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK I 7351 $ 47100 Critical Area 7348 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00 r INITIAL DATE Holding Tank Agreements Completed ❑ Yes 3 No T, ' Certification of Existing S.D. System Required ❑ Yes 3 No WOCB Clearance required. (Attach Form ❑ Yes I No DOH SAN 007, Santa Ana Region Only) Solis Percolation Report Required. ❑ Yes D No Special Feasibility Boring Report Required. 0 Yes ❑ No Detailed Contour Plot Plans Required (1 to 5 it interval) ❑ Yes No OUter ❑ Yes No Staff Specialist Lot Inspection Required ❑ Yes No Lot Inspection Date Soils boring report by Project Data tJ Soils .Map Page Sol Type Approved by i (rf t t/A ✓� Data Z No. of Systems Type of Systems) No. Dwelling Units (1 j Septic Tank ; Soil Rate Greesa/Sa�r d ❑ Folding Tank ❑ Existing Bedmoms, FixtureUnft f9O �� Greaselnlcp e Now ❑ RepbownwA Ue"' �//Zi6A // Gal UJ U) (2) Leach Line Sq. FLA;c7 Bottom trench Sidewall allows" noel _,,.�°� Install Line(s) n bng w�d^e�y�" h�ft. .... area', _ 011 tt rock/ sq. R -^^"'""per running ft �..�N. min. inches rock below drainlirk of `or ,of bottom ales ,r Leachfines/bed special design for slope: (3).Pit Diameter Vo P `` PR Below', Seepage Pit Joist Depth (TD) Other. Applicable (BI) . Max. Allowable Depth N/A � Overtxwrdan factor ❑ 5 i l 6 % - :.. No. 2 System REMARKS: /Y P f us /Sa r-ropK g/( fz' This application i APPROVED/DENIED for`the'category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated ,�.,rr on the accom pand�pbt plan, use the .requirements set forth in SECTION C above. A building permit is necessary for the installation of the Z above -designed system. No construction is permitted in the required reserved 100% expansion area. 0 (1 Septic tank and. sewer lines must be 50' minimum from any wells lines .must be 100' minimum from any wells, including expansion area LU ALeach Seepage pits must be 150' 'nimum .from any welllsi includi g ex Sion area Signature of Health Official 1 / %l 1 Date Vhc/0 ;f RECEIPT NO. -71 i9. Issued,By/ Date_ 0' r © x� :a DISTRICT: ❑ Riverside,-' ❑ Indio ❑ Hemet 0 Perris ❑ Rancho Calif. ❑ Blythe���•�n DOH -SAN -122 (Rev. 3/90) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD-- Plans/Records n O .� s , T : „yam•.. F,I�oF„1 p� 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 (6,19) .564-2246 -,FAX-(619) 564-5617 November' 5, 1991. To Whom It May Concern:. ; The structure and•lot located at 78-710 Avenida LaTorres is now located in a "AO flood zo;r a per• the revised.F.I.R:M. (panels 060709 0005B) for La Quinta. TKis change, became effective August i 19""1991., If you have any questions, feel free to contact me. Sincerely.. BUILD NG AND SAFETY Tom Hartung Director of Building and Safety TH/es LTRTH30 ` MAILING ADDRESS P.O: BOX 1504 LA QUINTA, CALIFORNIA 92253 -_ •1� f \ ... ,t� �\ �-,.�11 I I i 1 .1 � 1 �� %' �C t {v Il.l '� 1 i. � �� / � vl / �\� i �� • r f i SOF TV�..Ik 0 f AQU6� ta U*txt dub' idfPttPei tuH This Certificate issued pursuant to the requirements of Section 306 of the' Uniform Building! Code certifying that at the time of issuance this structure .was in compliance with the various. ordinances ,of the C6 -regulating building construction or use. For the following: -BUILDING -ADDRESS 78-710 La Torres,- Use Classification SFD Bldg. PermitNo. 08843 Group R3 Type Construction VN Fire Zone ,Use Zone SR. Owner•of Building Lon & ,Lisa Riddle - Address 79-661 Avenue 42 ► city La Quinta, CA 92253 _ - z„4 - By; . Lonnie Day 6*te; Apr i 1 2 3 , 1991. Building Official POST IN A CONS"PICUOU9 PLACE - i 1 I'i it r