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06492 (SFD)P.O. BOX 1504 No. 0692 Building 78-105 CALLE ESTADO Address 53-945 Vallejo LA QUINTA, CALIFORNIA 92253 Owner Mailing' 140M BUILDING: TYPE CONST. OCC: GRP. Address P. 0. Bays 981 774-162.-023 A.P. Number City. Zip Tel. _ Rancho Ifirage 92270 328-8215. Legal Description Contractor Project Description SFD Gt3ii8ffiL �QtitJt�i"iTC��l3i3 .. -- --- 52-823 Bermu4as Cites Zip Tela U Quiata 9225.3 $$64--4470 State Lic. City & Classif. 220017 Lic. # 148$ Arch., Engr., Designer Address Tel City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION hereby affirm that I am licensed underprovisions 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. A SIGNATURE * 1 4AA. f )r y' r;/%f;✓ DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Bushmess and Professions Code: Any city or county which requires a permit to construct, after, 6nprove, demolish, or repair any structure, prior to its issuance also requires the- applicant for such permit to fife a signed statement that he is to 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 penally of not more than five hundred dollars ($500). ❑ 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 Contractors 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 orimprovement is said within one year of completion, the owner -builder will have the burden of proving that he did not build or'reprove 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.) 0 1 am exempt under Sec B. & P.C. for this reason Date Owner 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 0 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 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: III, .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.) Lenders Name Lenders 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 certity 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 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 I�IfSPJii T�OFj Issued by: Date s Permit Validated by: Validation: •4 Sq. Ft. 1496 Size No. ' Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation { P�j Ij AAy cc ��}ryy .Si72.236}.00 /J PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. $ 232.60 Const. 563.00 Mech. 53.50 Electrical . Plumbing S.M.I. Grading 20.60 Driveway Enc. 20.00 Infrastructure 1,831.20 TOTAL ;M232.87 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 I�IfSPJii T�OFj Issued by: Date s Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® = UNITS SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SO. FT. STORAGE TANK FORMS SEWER OR SEPTIC TANK MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® ROCK STORAGE FOUND. REINF. GAS (ROUGH) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER DRINKING FOUNTAIN WALL SQ. FT. ® BOND BEAM WATER SYSTEM URINAL SQ. FT. LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. ` WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES //J i, _ ^ � %i `,, /�O WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)IDISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRY TRAY AIR HANDLING UNIT CFM FIREPLACE 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. SQ. FT. ®c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic HOUSE SEWER 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 zo BING`fj,�f' 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. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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 a �/ O � FINAL INSP. ROOFING %�/� � _ J L j1// � //J i, _ ^ � %i `,, /�O REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING �QH/,(l 2�z q0 MESH INSULATIONISOUND 6 f%Ql FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES i(�J rhmo®l TO: City of��Q? DATE: A, ''('��'�tme'nt' y�e�C.'tnA1�tevelopment l40 98- 105 a l.egstado La Quinta, CA 92253 This is to certify. t t 9L , developer of h i c is located at - ct- - % within this District, has paid school facility fees 'mposed pursuant to the aunt o ity g n rayed by Gopernment Codffl Sect -'oft 53080 i the amot of'_�� $ (�� covering a, total of z20 I square feet of ( ) res'd tial or ( ) industrial/commercial development and that buildi g permits for this footage in this development may now be issued by your jurisdiction. e +9 (p for DESERT NDS UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37. __ .., ,,:.: .,..,d.+.,e-x e4.,� t. gqs+�.� �.�.-v�-,�k.q,°`+.ra.5+e-vat .,t.r. �.,�.W:,.t�,,,,,�:-.a-a t�Sat 4.,:�., �,r..ti .3.0�,$ *�`'�.a�;. t• a�+s -.'.� � <.. t.''".o�.'��.P:.,- ; ', x ? 4 ' RECORDING REQUESTED BY� �' r TIT FIDELITY NATIONAL LE 1NS. t0, M _ _ AND WHEN RECORDED MAIL Goy ame N, Mr. and Mrs: Reefer- 0.Q•4y.,Z r... �_ treatH z ► i } ddress 71-904 A Hwy 111 Rancho Mirage; Ca 92270 ,ti_ .. �. :ate t_ J d 3 ¢ e. MAIL TAX STATEMENTS TO ame 1 Same As Above - J .rest ddress ity & - tate L J SPACE.ABOVE THIS LINE. -FOR RECORDER'S USE CAT. N0..NN00582 ' Individual.' -Grant Deed.. TO 1923 CA (2-83) THIS FORM FURNISHED BY TICOR TITLE INSURERS The undersigned grantor(s)'dedIke(s); J z Documentary transfer tax is $ 56.10 i I- (xx ) 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 ,( ):.dty of -,-La 'Quinta , and FOR A:.VALUABLE-CONSIDERAT.ION,:receipt. of which is hereby acknowledged, Charles L Foster; and °Mary E.`, Foster r hereby GRANT(S) to Max C Reefer and Anne G. Reefer, .Husband and Wife, as joint tenants the following"described'real property m'the x City of La Quinta County of Riverside ° M _ , State of California: Lots 1,2,and 3, of Block 257 Santa Carmelita at Vale, La Quinta, Unit No. 24 as per map recorded in Book lg'-, Pages 44 and 45 of maps , in the office of the County Recorder of said county. F r 1 t �.- '^vim � � • t t ' �' AV 3 � x t. �.A .. ,,r• s .s. ,.e,.w.�•du.a.5"..tr -.a -r ` t -;>s' a baa M i Dated. June 14 1989,i - 4,t ; ���-;:��•�, .��iNA$,„I�I�N,t!r...�T a�.> s � ,�.`....t ti ,'y ,r.��.� ChQarles L. Fostex _ :' COUNTY OFiJ/�UDeyS T/bN'a SS -I."7 % �T �Yx:..+.r�,a;•1,.•n",in{•lnno .k•. .� M�..ka.-.r. `wr .a ..e.,�:.,�t-r.::. ... - -, x Hr+vu........:.Cr'::. .. oMpw 9w ..r,ati« ., .pr ..f�'.. l4� undcr:. g acd, notary, ' uunc i,'; aims xor skid states personally appeared l personalty known to me or p oved to me on the basis of sat- isfactory isfactory evidence to be the person whose name subscribed to the within instrument and - acknowledged r ,s that executed the same. �r WITNESS my hand and official seal. ° . .. .� . -rte„ .�- .«-.�. � E%•sr � erq �� ,�° i � ; `�� �Q� �3..^ M' t t7frit V. Signature'! E , 'yf” h R �v + (Thsarea' official notarial se )= 5. itle Order No� ?�-S ,.1 f s Escrow or Loan`No t i RAAII TAX 4ZTATr:KA9: ITC AC rIIRCr`TCr-A ADnvc y. :�'7 -.��N�'. si �',��y"�W"x'� ^tom tt�'`s.�°.'r- 7 ''�[�'�3,cw..r•n:��,.�p�+�.•� ,`"j•''iij:. "''��^?-=e-r4�„"-+xi�:; -COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH' Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES 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 checklist. A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # Owner KVa) . C', City Lot Size Q0F /00 / • ` ' ""Signature of Apl ,/ !CATEGORY: X 0_ SUBSURFACE DISPOSAL m O MULTIPLE PARCELS WITHIN SAME Z LAND DIVISION ' O a. 1 st 4 Parcels (Each) b. tEach Parcel after 4 W ❑ Rereview (2nd review same parcel) U) ❑ Site Evaluation in Conjunction with Critical Area ❑. Site Evaluation Lot Less than 10,000 Sq. Ft. P 9 fe dress & Phone 34�U'O Phone Mailing Address State Zip ob Prope W770 d= Use of Permit P/P, CU, ato REV CODE FEE Holding Tank Agreements Completed''' 1238 y • fP! f e _ 0 1238 $45.00 DOH SAN 007, Santa Ana Region Only) 7344 $16.00 ❑ Yes -. -d 7344 $16.00 Detailed Contour -Plot Plans Required (1 to 5 ft. interval)- ❑ Yes 19 7346 $86.00 7347 $86.00 Legal (PM, 46)o -'/A.- c A v1 a4 e Other UAB _f • ' W. 22 Z, Date CATEGORY: REV CODE ❑ SITE EVALUATION UPON REQUEST 7349 (NO PLOT PLAN) ❑ SEWER/SEPTIC VERIFICATION (Less than 1 year) ❑ PRELIMINARY ELECTIVE EVALUATION (Attach DOH SAN 53) ❑. HOLDING TANK ❑ ALTERNATIVE/EXPERIMENTAL SYSTEM Soils boring report by U :Soils Map Page _ Holding Tank Agreements Completed''' t"~ ❑ Yes a Certification of Existing S.D: System Required -i ry•- F� "'O =Ye d WQCB Clearance required. (Attach Form 4O.Yes -0 DOH SAN 007, Santa Ana Region Only) W Soils Percolation Report Required. ❑ Yes -. -d Special Feasibility Boring Report Required. ❑ Yes Detailed Contour -Plot Plans Required (1 to 5 ft. interval)- ❑ Yes 19 Other ❑ Yes Staff Specialist Lot Inspection Required ❑ Yes Soils boring report by U :Soils Map Page _ No. of Systems f System(s) ❑ f olding Tank ❑ Existing No. Dwelling Units.! 11 Bedrooms, fixture.-bWts U Soil Rate W 2) Leach Line Sq. Ft. C+]'New ❑ Replacement Bottom trench area Q A aI 0 FEE $42.00 7348 $11.00 7352 $45.00 7351 $45.00 7345 $132.00 INITIAL DATE B ' Lot Inspection Date / Soil Type �� Proop # Date Approved by Date J7-141-10 f System(s) ❑ f olding Tank ❑ Existing No. Dwelling Units.! 11 Bedrooms, fixture.-bWts (1) Septic Tank Soil Rate Grease/Sand �rease Intcp ,Gal C+]'New ❑ Replacement Q A aI Sidewall allowance ft. rock/ sq. It. per running ft. Install Li a s) ft. long ft wide with min. inches rock bebw=drdi lines or Leach Bed sq. ft. . ofboiiOm±are i C�1�7A Leachlines)bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepaii Varepth Ap. er: plicable Inlet (BI) / �— l • w N/A Overburden factor ( T Max. Allq Depth No. 2 System REMARKS: /mpg, Mop �1111111111 Q This application APPROVED tE6 for the category checked in: SECTION B above, regarding the design of a subsurface disposal system as indicated V—� on theaccompanied plot pan, using the requirements set forth. in SECTION(C above. A building permit is necessary for the installation of theabove-designed system. No construction is permitted in the required reserved 100% expans'on area. (1) Septic tank and sewer lines must be 50' minimum from any wells /U Leach lines must be 100' minimum. from any wells, including expansion: a 3 Seepage : pifs must 50' minimum .from an ells, in luding ex' ansion area . /��. Signature of Health Official . Date rl� 'E p C RECEIPT NO. ` -Issued By :Date .a ��Q/ DISTRICT:."', ❑. Riverside, f5o Indio ❑-.(Hemet ❑ Perris, Or ;Rancho Calif.' ❑ Blythe DOH SAN'1.22 , ew$. 5/88) DISTRIBUTION 1;y WHITE 'Office file YELLOW Applicant PINK Bldg, Dept;: 'GOLDENROD'- Plans/Records AT J R ESTABLISHED IN 1918 AS A PUBLIC AGENCY 611 a/STWG� COACHELLA VALLEY WATER DISTRICT POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711 DIRECTORS: OFFICERS: JOHN W. McFADDEN, PRESIDENT STEVEN B.ROBBINS, PETER NELSON, VICE PRESIDENT GENERAL MANAGER -CHIEF ENGINEER TELLIS CODEKAS JULIA FERNANDEZ, SECRETARY RUSSELL KITAHARA DAN PARKS, ASST. TO GENERAL MANAGER PATRICIA A. LARSON REDWINE AND SHERRILL, ATTORNEYS September 17, 2003 File: 1112. Buddy Yessayian Post Office Box 1511 La Quinta, California 92253 Dear Mr. Yessayian: Subject: 53-945 Avenida Vallejo Account No. 606124.271.0.4 In response to your inquiry, all sewer requirements for the above -referenced property have been met. It will be the homeowner's responsibility to connect their pipeline to the sewer lateral. If you have any questions please contact Rosie Anacleto, Customer Service Representative, extension 2420. Yours very truly, ,av- Steve Robbins General Manager -Chief Engineer RIA:ra bc: City of La Quinta Post Office Box 1504 La Quinta, California 92253 TRUE CONSERVATION USE WATER WISELY z ESTABLISHED IN 1918 AS A PUBLIC AGENCY CCACHELLA VALLEY WATER DISTRICT POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711 DIRECTORS: OFFICERS: JOHN W. McFADDEN, PRESIDENT STEVEN B. ROBBINS, PETER NELSON, VICE PRESIDENT GENERAL MANAGER -CHIEF ENGINEER TELLIS CODEKAS MARK BEUHLER, RUSSELLKITAHARA ASST. GENERAL MANAGER PATRICIA A. LARSON JULIA FERNANDEZ, SECRETARY DAN PARKS, ASST TO GENERAL MANAGER REDWINE AND SHERRILL, ATTORNEYS June 14, 2004 File: 1112. Buddy Yessayian La Quinta Real Estate Post Office Box 1511 La Quinta, California 92253 Dear Mr. Yessayian: Subject: 53-945 Avenida Vallejo Account No. 606124,271.0.5 In response to your inquiry, this district does not have available information regarding the completion of actual hook up to our sanitation collection system for the above -referenced property. In researching our records, we found that the subject property has met our sewer requirements. It is the homeowner's responsibility to connect their pipeline to the sewer lateral. If you have any questions please contact Rosie Anacleto, Customer Service Representative, extension 2420. RIA:ra bc: City of La Quinta Post Office Box 1504 La Quinta, California 92253 Yours very truly, Richard Shonerd Customer Service Supervisor TRUE CONSERVATION USE WATER WISELY I AT E RESTABLISHED IN 1918 AS A PUBLIC AGENCY STWG� COACHELLA VALLEY WATER DISTRICT POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711 DIRECTORS: OFFICERS: JOHN W. McFADDEN, PRESIDENT STEVEN B. ROBBINS. PETER NELSON, VICE PRESIDENT GENERAL MANAGER -CHIEF ENGINEER TELLIS CODEKAS MARK BEUHLER, RUSSELL KITAHARA ASST. GENERAL MANAGER PATRICIA A. LARSON JULIA FERNANDEZ, SECRETARY DAN PARKS, ASST. TO GENERAL MANAGER March 23, 2004 REDWINE AND SHERRILL, ATTORNEYS File: 1112. Jenny Jones Tarbell 78-450 Highway I I I La Quinta, California 92253 Dear Ms. Jones: Subject: 53-945 Avenida Vallejo Account No. 606124,271.0.5 In response to your inquiry, this district does not have available information regarding the completion of actual hook up to our sanitation collection system for the above -referenced property. In researching our records, we found that the subject property has met our sewer requirements. It is the homeowner's responsibility to connect their pipeline to the sewer lateral. If you have any questions please contact Rosie Anacleto, Customer Service Representative, extension 2420. ICE bc: City of La Quinta Post Office Box 1504 La Quinta, California 92253 Yours very truly, Richard Shonerd Customer Service Supervisor TRUE CONSERVATION USE WATER WISELY ALMS UNDERGROUND CONSTRUCTION, INC. 38703 Vista Drive, Cathedral City, CA 92234 760-324-1911 Office 760-324-9541 Fax 760-578-1510 Cell Almsunderground@gmail.com CA Lic. 482180 C 2, �2,S ��en. 2016 s ; s To 5 3 7 7 ,7 Ave- Vag %1 � i S o S e w e f S we r L ai-fe rum 1 11.p ipeo-r s A0 be cxpp rok " r k 6(-- may, �o le- ea-st pC pr, �er l y 6 1\ A �e • 1/a Il�� v RECEIVED JAN 2 5 2016 CITY OF !A QUINTA COMMUNITY DEVELOPMENT