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12241 (SFD)_ P.O. BOX 1504 Buildingc>1�,260 DIAZ 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner A & M CONSTRUCTION Mailing Address P 0 BOE 3616 Cit yLA QUINTA Z 2253 Contractor A & M -CONSTRUCTION Address SANS SAME State Lic. & Classif. 487584 Arch., Engr., - Designer Address No. 12241: BUILDING: TYPE CONST. V_N OCC: GRP. A.P. Number 773-044-007/008 R-1 Tel. LOTS 20-21 BLOCS 48 554-4832 Legal Description Project Description SINULE FAMILY DWELLING WITH ATTACHED GARAGE Tela City Lic. # 4>0 Sq. Ft. 3312 No. No. Dw. 1 Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Tel. PERMIT INCLUDES 1401f of S' GARDEN WALL City Zip State AND 70 1. f OT 6' BLOCK GAILUMN WALL Lic. # LICENSED CONTRACTOR'S DECLARATION f I hereby affirm tha licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 bj t1�lBusiness and Professions Code, and my license is in full force and effect. 1! ! �•,J. SIGNATURE S l �/+" DATE I 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, after, 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). 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 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.) ' ❑ I am exempt under Sec. B. & P.C. for this reason Date Owner a r WORKERS' COMPENSATION DECLARATION I hereby affirm that I have acertificatis of consent fb self -insure, or a certificate of Worker's Compensation Insurance, or a car Ified copy thereof. Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. [ICertif ed copy i-s•here coshed. CERTIFICATE O 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, atter 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 whic work for h 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 ateMailing Address City, State, Zip Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. *Z50. 1J Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. `� • Grading Driveway Enc. Infrastructure2,054.16 Arca lu Putwitz 227.08 Z'QC' ue ME • til 2,32 ..34 Plan ch dFp__o_p1t— U. U TOTAL 4TMM) • j REMARKS Fees reflect lot MoTger neentive. ZONE: BY: Minimum Setback Distances: F,r_ont Setback,from Center Line ' Rear Setback from Rear Prop. Line `� p Sidert e Sideback rope Lin FINAL DATE IN PECTOR 11 11 S E-19� Issued by: Date. er I t Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. p $ UNITS ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL. SO. FT. p DUCT WORK ROCK STORAGE FOUND. REINF. MOBILEHOME SVC. BAR SINK POR. S0. FT. p REINF. STEEL GAS (FINAL) TEMP. POLE GAR. SO. FT. p POWER OUTLET ROOF DRAINS WATER HEATER SERVICE FINAL INSP. DRAINAGE PIPING CAR P. SO. FT. p WATER SYSTEM GRADING —cu. yd. $ -Plus-X$-=$ WALL SQ. FT. p LUMBER GR. DRINKING FOUNTAIN SO. FT, p FINAL INSP. -,2-2 URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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. p c BATH TUB SO. FT. p c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID p 11/4 c SEWAGE DISPOSAL FINAL INSPECTION SO.FT.GAR p 3/4c HOUSE SEWER CERT. OCC. 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 GROUND PLUMBING 3 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS ,SEMER.666SEPTIC TAN aROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) qele�/` METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM/�7 WATER SYSTEM GRADING —cu. yd. $ -Plus-X$-=$ LUMBER GR. FINAL INSP. FRAMING I/_/ 9 [,P FINAL INSP. -,2-2 ROOFING /49 —fZ.-93 4.0 Pre -ir"kf Q G/ r �T� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND /1 C• FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 9/3/93 1 Type of Permit I La Quinta No. 112409 Permit # Owner Name A & M Construction Log No. 51260 Street Avenida Diaz City La Quinta Zip 92253 Study Area 114 APN # I Tract # Lot # 0 Square Footage 13312 Type of Development I Single Family Residence I 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 1.65 x 3 312 or $ 5,464.80 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 A & M Construction Name on the check By James F. Lively Assistant Superintendent, Business Services Telephone 564-4832 Fee collected /exempted by Vickie J. Durrett Payment Received _ Signature Check. NO. 234 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 Order No. 185212 Escrow No. 3460 Loan No. WHEN RECORDED .NLAIL T0: A & M Construction P.O. Box 366 La Quinta, CA 92253 MAIL TAX STATEMENTS 'r0: same as above I' Y AUG 9ofl9 ct1• .!� .. R' cbrdpd on _0 995 <:. 113S not b-:,,-',. rc}rn� Or.g..��i�::l. Viffl-UAM U. County ? }r�:•r RIVL=RSIPH COUNTY C."AL11"ORNIA SPACE ABORT nil; IANF FOR R DOCUMENTARY TRANSFER TAX $..105. 60 .......................................... X ...... Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encumbrances rftnaining at time of sale. Signature of Declarant or Agent determining tax—Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Michael E. Sandlin and Mary Dawn Sandlin, husband and wife as joint tenants , hereby GRANT(S) to A & M Construction, a General Partnership the real property in the City of La Quinta County of Riverside State of California, described as Lots 20 and 21 in Block 48 of Santa Carmelita at Vale La Quinta, Unit #4, as (� per map recorded in Book 18, Page 62 of Maps, in the Office of the County Recorder of said County. •�i 1 i f, ��i 1� 1 .. I AUG I Da,ted_ May 6, 1993 STATE OF CALIFORNIA )ss. COYJNTY OF �/¢ f s /df• ) e7q. '0"b F 9 9 3 before me, personally appeared 'P'. J I f. Sates CII �?rfY rVtdA.) s,3A�)A 1.X) p (or proved to +ne on the basis of satisfactory evidence) to be the persogLLwhose names rare subscribed to the within ipstrument and acknowledged to me that /they executed the same ip hii4ter/their authorized capacitytiesl, and that by hi&4watheir signa- tureLsLon the instrument the personUor the entity upon behalf of which th` personjslacted, executed the instrument. WffNESS d and official seal. n Signature D_�d• Michael E. Sa4r4lin _ Mary DgXrn Sandlin David L. Barnes r ', 1) Comm. #90oo5c ^^� C 0TA4Y PUr111C CAIIFonNIAG) - C AIVIFISME CUUNTY 0 Comm E•pves Ap,111. 1897 - r,.t: 1 (this area for official notarial Real) �- _ %�-,is'�" ^.'h'..�7- --' ..-.--.-.,.�.-.-'-+^71'.�t.--, �.� - ... - .•+•-._„ r ...: :ti ...-.r * y-..�.-i �R y -.r. .... v.���' ..-Mi. #i, ,�, ' [' . n'` ��r'.- ..=.i4..NW-.•.�.y.�„ ...r•^r.�^J.[ :v '1,.. ��jr 5;r.r.--r^..-.�..-ya'"'tir-- �, COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY Assessors Parcel No. "ENVIRONMENTAL DEPARTMENT OF HEALTH PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM r 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. 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. .,I 0"93 11:46CO01 FROM LOG N oCQ VERIFY ITEMS IN SECTION A A NON -FEE BUILDING & SAFETY (goidenrod)FVPLICATION $1 S. 11 d Agent, Con cto , Contact Person Phone Address City State 1 0 Zip at ��'' 5�4 i o 3 le 6 L k-6�- &tf-,K 9 -MA . f Owners Phone Address City State Zip Job Property Address yA R2 City � 1-- Ov rNTA- State Zip Legal Description (P Tract, Lat) inn �a► ' - Z i6a0 V� CAt L 2-" t5 ZO-v L Lot Sizestar Agencb Use of Permit P/P, CU, etc. Other 11A/T # (L Tt L 7 lb OOID L V c-' 17 Illn H Site Prep, eta w Signature of Applicant a Date .6 CATEGORY REV CODE FEE CATEGORY r REV CODE FEE SUBSURFACE DISPOSAL (per system) 1238 153.00 t ❑ SITE EVALUATION UPON REQUEST 7349 $120.00 ❑ MULTIPLE PARCELS WITHIN SAME LAND DIVISION (NO PLOT PLAN) I C1SEWER/SEPTIC VERIFICATION 7348 $ 58.00 a. 1st 4 Parcels (Each) 1238 $153• ❑ PRELIMINARY ELECTIVE EVALUATION b. Each Parcel after 4 7344 $ 55.00 (Attach DOH -SAN -53) 7352 $ 69.00 ❑ REREVIEW (2nd review same parceq 7344 $ 55.00 a HOLDING TANK 7351 $119.00 ❑ SITE EVALUATION In Conjuction with Critical Area 7346 $197.00 ,- ❑ ALTERNATIVE EXPERIMENTAL SYSTEM 7345 ! $656.00 Cl GRADING PLAN REVIEW DETAILED $104.00 1238 p SITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172 00/ g ❑ GRADING PLAN REVIEW CURSORY 1238 $ 55.00 ❑ SECOND FIELD VISIT (SITE EVALUATION) 7346 $ 85.00' ❑ COPIES (LAND USE) 7786-81 $ .50 1141TIAL DATE Holding Tank Agreements Completed _ �O Yes 21 i r Certification of Existing S.D. System Required ❑ Yes No WQCB Clearance Required ❑ Yes ❑e o (Atta°ch Form DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required ❑ Yes , Special Feasibility Boring Report Required ❑ Yes(, Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes No! Grading Handout Provided ❑ Yes Staff Specialist Lot Inspection Required ❑ Yes e'No Maintenance Booklet Provided ❑ Yes eJ No Lot Inspection Date Initials C/42 / Soils Percolation Boring Report by Lk/Project # Date / e Soils Map Page Soil Type Approved By Date No. of Systems Type of System(s) No. Dwelling Units f (1) Septic Tank Soil Rate Grse /Sand ❑Molding Tank ❑ Replacement 9 -New Bedrooms, urs-" ore ntc/UntTrap ❑ Addition TN t (AL Gal. al Existing .❑ Ft. BalqArea Total Linear Sidewall Allowance .._� ft. rocld. ft. per running ft. Instal Une(s) ft. long h. wide with Leach Bed sq. ft. "'b Bottom Area Inlet Tested Depth [,Np min. rocrainlines or Proposed Bottom Tested Depth Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth ^r 3a ' * cher: Applicable Inlet (BI) (TD) Max. Allowable Depth -- N/A Overburden Factor T cosin- nr / Well Review Approved: Signature Date Well Drilling Permit # Grading Plan A proved: Signature Date REMARKS: a.,_ 4,11 76.�.. "Irt This application i ROV OENIED*for the categorAheckad in SECTION B ve• regarding the design of a subsurface disposal system as indicated on the accom anisie ot Ian, sing the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed system. Septic tank must be a%' minimum from any wellsz/ 10 , k,, (2 Leach lines must be 100' minimum from any wells, incl din expansion area (3 Seepage pits must be 150' minimum from any we Is, including expansion areal/ V�' Gr-vf+ef. Signature of Health Official Date ❑ CASH ®CHECK NO. / 3r_3 RECEIPT NO. 3 3 11 S Issued By V ' I ' Date DISTRICT: ❑ Riverside "W ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH-SAN-122(Revt/92) DISTRIBUTION: wHITE—OfBoe file YELLOW --Applicant PINK—Bldg. Dept. GOLDENROD—Plans/Records U El 110 lrrA- r rte. CALVIN G KAMINSKAS Asslslanl Commissloner (714) 275.3000 �.. DAN RILEY Sealer. welghls & Measures (714) 275-3030 orriu or AGRICULI URAL COMMISSIONER JAMES O. WALLACE. Commissioner 83-612 Avenue 45 Suite 7 bidlo, CA 92201 (619) 342-8291. DATE �� -�� CASE NO. C- ` �J / 93� DEVELOPER'S NAMF t Z (az. 111_ CA L �- Dear Developer: Qom\`-�-\0 After reviewing your landscaping plans, all plant material_ listed 3.s not 3.n violation of quarantine laws governing fele Coachella Valley. If substitutions do occur and they differ from plant maL-erial listed, this office must be notified himediately. Thank you for protecting and preserving Lhe Coachella Valley's pest -free environment. Agr cult 1 -Comniss oner's Off=ice cc: Indio a1id Riverside rd'i 4080 LEMON SMEE?, POOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275.3012 II �I/r it I0 rf OF Ila (0U*'ntd %Uftbt*n4It � dP ti1t£4t1aR This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building! I- , , , 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: i �I 51-260 Avenida Diaz BUILDING ADDRESS Single Family Dwelling 12241 Use Classification Bldg. Permit No. i� Group R3 Type Construction VN Fre ZoneUse Zone SR i � i I Owner of Building A & M Construction Address P.O. Box 366 City La Ouinta, CA 92253 By.. Lonnie Day I� Dote; February 22, 1994 d Building Official POST IN A CONSPICUOUS PLACE. -- - � EGGE ELECTRIC 00 - 51 9 56970 .F.02 r- HEGGE ELECTRIC CO. P.O. BOX 1365 x LA QUINTA, CA. 92253 i ' r RE: LOAD CAT,CULATION 51-260 DIAZ 3312' @ 3.WATTS PER ' ..............................9,936 GD.................................................1.500 DW......... ......................................1,500 KITCHEN ............ ...............................3,000 OVEN........................ ......................8,000 COOKTOP................................ ...........8,000 WASHER............................................ 1,500 DRYER..............................................5,000 POOL..................................... ........5,000 FUTURE.............................................3,000. TOTAL.............................................46,436 1ST 10 KW @ 100% ..................................10,000 REMAINDER @ 40% ...................................14,574.4 TOTAL.............................................24,574.4 A/C @ 100% ........................................16,000 TOTAL.............................................40,574.4 DIVIDE'BY 240= .......................................169.06 AMPS Installation Certificate: Residential CF -6I T r Use of this form to satisfy the requirements of the Administrative Code Is optional, but the Information must be provided and poste Site Address Permit Number An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form . may be used to meet these requirements. All appliance categories fisted below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1R). This certificate (or its egtitvalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, 1 have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to j demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under. Water Heating Systems. Heating Equip. CEC Certlibd . Actual —Distribution Duct or Heating Load Heating Type (furnace,' Manuf: Make & EHlclency Type and Piping Before Over- Equipment heat pump, etc.) Model Number (AFUE, etc.) Location R -Value Sizing (Bt h) Capacity (Btuh Com/; -5 DPr'C�'1trS,t, r� �j eA41LILL 1612 41V41 rl S,oao CEC Certified Cooling Equip.Compressor Unit Actual Distribution Dud or Type (air pond., Manuf. Make & Efficlency Type and Piping heatpump, etc.) Model Number (SEER) Location R Value The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Energy iency Standards, and are two of the criteria used for equipment sizing and selection. K e rLm' V7 Lft w A4e— i 5lmiT Pi ETit L, Signa to C Dam . HVAC Subontraclar (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS Energy External Water Heating CEC CartHled Rated' Tank Factor or Tank System Type Manuf. Make A Input (kW Capacity Recovery Standby' Insulation (storage gas. etc. Model Number or Btuh(gallons) Eff Iclency Loss °h R -Value jlalix go - y -7 r00 _1/0___ 1. For small gas storage (rated input 5 75.000 Stu/hr), electric resistance and hest pump water heaters list Energy Factor. For large gas storage water heetars (rated input >75.000 Stu/hr), list Rated Input, Recovery Efficiency and Standny Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. For Instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, f pursLiant to Title 24, Part 6, Subchapter 2, Section 111. �. na:.ire Date Plumbing Subcontractor (Co. Name) or GeAerW Contractor or Owner Revised January 1992 -From LINCOLN TRUSS �PHONE No. 714 922 2474 LINCOLN TRUSS 28"4 30.8TH ST. BANNING; dA. 92220 Sep.,03.1993 8:46011 F01,--- Sept.3,1993 A.M. Constr.ction Re: Diaz House 61-2,466 Dear Tom, The trusaec on this particular house ore de3igned to support iroof mounted air conditioners. The unito need to be placed on e pint.form that spans a minimum of 3 t'rusees. Tf: ynii have any other questions please feel. free to call. *_Siy, om Whi to (909)922 -?47'3 r