The URL can be used to link to this page

06489 (SFD), �1 P.O. BOX 1504 111 o. 06489 Building 78-105 CALLE ESTADO Address 54-170 Di= LA QUINTA, CALIFORNIA 92253 Pete P. i'dt1 Ralay I BUILDING: TYPE CONST. A. P: Number Legal Description Project Description OCC: GRP. S,`. Retaining wall Included Mailing Address P. 0. Box 556 i • • � - City .La Quint€4. •- Zip 92253 Tel. Contractor So= Address City Zip I Tela State Lic. City & Classif. 389982 ( Lic. # 1494 Sq. Ft. 1280 No. No. Dw. Size Stories Units Arch.; Engr., Designer New ❑ Add ❑ _ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 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. ' r j SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractors 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, demorsh, or repair any structure, prior to its issuance also requires the applicant for such permit to Me a signed statement that he is licensed pursuant to the provisions of the Conbactor'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 afteged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civilpenally of not more than rive hundred dollars (8500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will Estimated Valuation Q7� PERMIT AMOUNT Plan Chk. Dep. ' $250.00 Plan Chk. Bal. $ t y 205-17 Const. 57-7.00 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 inprove 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 Mech. y f1 53.50 Electrical .102.50 Plumbing 157.50 S.M.I. 3.25 Grading 220.€ 0 Driveway Enc. 20.(! 0 Date owner Infrastructure 1,554.49 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. TOTAL $2,.925.41 REMARKS CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the perfomrance 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. I` { Ir)tj•�'� } 4 I' t rty ! {tJ ilt 1 5;75.4 -t. Date Owner NOTICE TO APPLICANT: fl, 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 provsinns or this permit shall be deemed revoked. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lenders Address FINAL DATEINSPECTOR Issued by: Validated by: Validation: iQ/�3(/ 89 Date Permit 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. 1 certify that I have read this application and state that the above information is corect. • 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. .. t Signature of applicant -Date- ateMailing Address Mailing City, State, Zip i CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. DUCT WORK ROCK STORAGE GAR. SQ, FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. SQ. FT. GAS (FINAL) TEMP. POLE i1 /3 ,AR WALL SQ. FT. DRINKING FOUNTAIN GROUT WATER HEATER URINAL SQ FT ® FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation GRADING cU, yd. plus x$ FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER I ID `7 f • GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REMARKS: 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. SQ. FT. ® c BATH TUB GAR. FIREWALL SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 rh c SEWAGE DISPOSAL SQ.FT.GAR ® 3Yic 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 UMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SE IC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE i1 /3 ,AR GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cU, yd. plus x$ _$ LUMBER GR. FINAL INSP. j 9� FRAMING FINAL INSP. f �'i/ 2 /�J� ROOFING jfO/vll� VENTILATION I ID `7 f • n REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING • fl)N / MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL RECORDING PECUESTED BY D -------.,---..._. _ —Ott,tmntnumtenmrtnmrtmmtmummvntmtmuonnwmnumunnununnmmtmn� . I`��_�_,�----._---�-----;-------they= in t .- C'-+` +� LIC •I ac6owledgcd in the presence of said affiant, that—_—= executed the same, and that he. the said aRian% thereupon at5=! .� 1':0l+",ri'! F'0 Rit:F_ncir +E C UN'rY — ;r _ the i r request, subscribed s name as a witness thereto.= AND WHEN RECORDED MAIL TO r My Cownis3ion Expires Oct ber 21; 1977 -`---auuununuunngtrnug¢wiGutnnuumwuuuunuuuuuidtnunmunlnnilu11n11411U111_ P: Nungaray Nama - 52-138 Morgan Ave. Street Coachella, Ca. 92236 Address City 8 L Slote J • r MAIL TAX STATEMENTS TO Nomo Strom Addrass same as above City S I— ® LOc to e g m Cn a K{c t O . r cr, e. 1 sa, 4 0cc o IX o�S w o- LU 9X ulLW J SPACE ABOVE THIS LI E FOR RECORDER'S USE —�— TO 404 CA (9.68) a J®grit Tenancy Grant Deed 1D.,rX.83_85 THIS FORM FURN_ISH_EDg" YITLE INSURANCE AND TRUST COMPANY computed on fu 1 1 value �> of proper y co veyed FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, CNB JAMES S. BRODY and MADELINE BRODY, hereby GRANT(S) to PETE F. NUNGARAY and DELMIRA P. NUNGARAY , HUSBAND AND 1'LIIFE` AS J61NT TENANTS, the real property in the County of Riverside State of California, described as: Lots 16 and 17 Block 255 Santa Carmelita at Vale La Quinta No. 24, as per map recorded in book 19 page 45 of maps in the office of the County recorder of said county. GAJ � S . - �! anTes S. Brody s r STATE OF CALIFORNIA --- a December 1 a. On__5-, _ _97_5_ before me, :• e unders;Z.ned, a No:ary Public id and for 1 v' said Sfatc; personally appearrd. _Ka'/, Hays - __ +, .-- -- _personal Ly k+lptvn to n,e _,.aid the person .vhose name is subsc:lbed to the ,Alhin unirtur+ent. as a ` ;,ness thereto• -ho being by me duly l,% i= swcrrt, deposed and said: Thai ho resir'es In___. _Indio, _ Ca . _. --- James — __� _. CCS` :hal t,e ::•as present and saw_ James S. Brody and Mbdel ine Brody_ V — — v petsonelly known To him to be the same persons._- _. described Q in anti who E•:eeured the said ::ithin instrument, as---- sign, seal and deliver the same and/ James S. Brody and Madeline Brody n hat tF._i said --_---_--- Z � -------.,---..._. _ —Ott,tmntnumtenmrtnmrtmmtmummvntmtmuonnwmnumunnununnmmtmn� . I`��_�_,�----._---�-----;-------they= duly t .- C'-+` +� LIC o qs ac6owledgcd in the presence of said affiant, that—_—= executed the same, and that he. the said aRian% thereupon at5=! .� 1':0l+",ri'! F'0 Rit:F_ncir +E C UN'rY c _ the i r request, subscribed s name as a witness thereto.= C;,La L:ii-0lr� rial seal) N/IT 1E5$ Illy ha official seal. E My Cownis3ion Expires Oct ber 21; 1977 -`---auuununuunngtrnug¢wiGutnnuumwuuuunuuuuuidtnunmunlnnilu11n11411U111_ `and Signetute _ _;CL=rte_,'__ AN ror`'m Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES THIS 7 T0: City of La Qu g,>�api MENp �� DATE: Department of Communli�y b- ,dopitt�>Zt 78-105 Calle Estado�`�� La Quinta, CA 92253 CA CA /o ao -g� This is to certiftha� 1 I W1�tw , developer of ) TC,1,M 1 hich is located at -st-I!Z0, within this District, has paid school faci ity fees imposed pursuant to the authorityg era d by vernment ode Sec iost 5 080 i the amourLt f $ to( a,� cov ring a total of square feet of ( ) res'dential o,/ r ( ) industrial/commercial development and that buil ing permits for this footage in this development may now be issued by your jurisdiction. a,�- * 5-6o ( +00&q� 0, tffib-0,0�L for ESERT S DS UNI D SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 U Z O F_ U W U) .:.-h ?rAn :ry..�.. •. o -•y- - r`�s ''fi.� {.. j_.-yv:.:syiy'^ajti:.; .. �.�,p',; : �k'•r.c^. f:y ..ri a''Q,,.:+'r��% 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. jD p VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # Age , EontraEt ontact Pe on Phone Address & Phone Own e V Po C49 Stfito Zip Job Property Addre C�,7e--40i Legal Description Prop. (PM, Tract, L t) 12 Lot Sizg ater A enc II , /J� Use of Permit P/P, CU, etn Other 1D / �O r' Dwelling, MH Site Prep, etc. Signature of Applicant Date CATEGORY: REV CODE FEE '� CATEGORY: REV CODE FEE SUBSURFACE DISPOSAL 1238 �• 0 / ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 a. 1 st 4 Parcels (Each) 1238 $45.00 (Less than 1 year) b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $45.00 Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 r f�INIT/IADATE �W/ C_ 9 ter- �' 9 Holding Tank Agreements Completed ❑ Yes N ,�`' �� r Certification of Existing S.D. System Required ❑ Yes WQCB Clearance (Attach Form ❑ Yes 7No required. DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes No,,,-, Special Feasibility Boring Report Required. ❑ Yes r Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes Other ❑ Yes 7No Staff Specialist Lot Inspection Required ❑ Yes Lot Inspection Date Soils boring report by Project # Date 9 Soils Map Page ` Soil Type Approved by Date No. of Systems TWO System(s) No. Dwelling Units W (1) Septic Tank Soil Rate Grease/Sand ❑_�I°tding Tank ❑ Existing Er New ❑ Replacement Bedrooms, ++Aure-Mnits— ; gdP4 -ACMAL- Id 00 tL / T Intcp Gal /' Gal KM. �(2) Leach Line Sq. Ft. Be om trench areaft Sidewall allowance nstal Line(s) ft long ft wide with Install—.— Leach Bed sq. ft. rock/ sq. ft. per running ft. min. t k below drainlines or of botto are 6.C3-r'NA Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepag Pit Tqt l D9pth Other. Applic—able� / Inlet (BI) �( N/A t; Overburden factor 'M5 — _'/// .- Max. Allowable 9epth fi No. 2 System A11A REMARKS: This application V9219DIDENIE0 for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed system. No construction is permitted in the required reserved 100% expansion area. 0 Septic tank and sewer lines must be 50' minimum from any wells 4 10 (( Leach lines must be 100' minimum from any wells, including expansion area t 3 Seepage pits must -e- 150' minimum from any. wells, including expansion areal 'l. Signature of Health Offici TSI✓ ItCM W . LZ _s�l/CiG� I�TJ Date RECEIPT NO. Issued By Date " (r DISTRICT: ❑ Riverside, M^ Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records I MR� or OFFICE OF r)AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES �. CALVIN C. KAMINSKAS JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Assistant Commissioner Agricutturat Commissioner RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISTE Director of Weights & Measures Sealer (714) 787-2561 49613 Highway 86,, Suite B12 Coachella, Ca. 92236 %I. (619) 342-8291 DATE / S CASE DEVELOPER'S NAME: fE T C ADDRESS: "7,1� CD U t ti 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. s. Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agricultural C sioner's Office i cc: Indio and Riverside Office r Buena Engineers, Inc. ~� 79-811 Country Club Drive, Suite 4 Bermuda Dunes GA 92201 • (619) 345-1588 / 328-9131' Client Name Client Address Client Phone DATE l/ cf7•SP� TEST LOCATION JOB NO. ELEVATION FIELD TESTING LOCATION MOISTURE CONTENT % CONTRACTOR MAXIMUM DRY DENSITY % OWNER WEATHER TEMP. o at AM at PM PRESE'NT AT SITE A-10 99.5 90 -V TEST . NUMBER <;;;,,'•; TEST LOCATION LOT NO. `? ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY Ibs./Cu. h. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY Ibslcu. h. OPTIMUM MOISTURE CONTENT t 99.5 90 -V ' 4 154 �0 a REMARKS: E `•� CLIENT,REPRESENTATIVE SIGNATURE J FIELD REPORT TECHNICIANS SIGNATURE 08948 Oert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES TO: City of La Quinta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 • DATE: 13/131 This is to certify that /-&-k- '(. , developer ofd which is located at 3- CL, -.e -(J V r , within this District, has paid school faci ity fees imposed pursuant to the author 'ty generated b' Government Code Sectioli 53080 in the amount of $ ( ) covering a total of square feet of ( ) residential or ( ) industrial/commerciall development and that building permits for this footage in this development may now be issued by your jurisdiction. or DESERT SANDS UNI IED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37