10630 (SFD)Building
Address
4
Al
P.O. BOX 1504 No. 10630
52-210 Montezuma LA QUINOTACCAL FORNIA 92253
Dodco Construction
Mailing
Address 0- 1012
City I Zip lTel.
Contractor I
G=e as above
Address
Zip
State Lic. I City
& Classif. 3417810 Lic. # 1375
Arch., Engr.,
Designer
Address Tel.
CityI 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,Bdainess and Professions Code, and my license is in full force and
effeG. /
SIGNATURE*'"DATE
`
OWNER -BUILDER DECLARATION
I hereby affirm that I 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, 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 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).
❑ 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, Bulsness 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
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 it 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
(.Z;
��
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 773-241-0011
Legal Description Lot 1 Block 40
Project Description SFO
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:
Sq. Ft. 1506
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Permit includes garden block
walls;
permit dons
not include pool
Estimated Valuation
-'%
85,429.20
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
240.8R
Const.
576 50
Mech.
5-5:50
Electrical
124.23,
Plumbing
3.35.00
S.M.I.
a. GQ
Grading
2n� tin
Driveway Enc.
20.00
Infrastructure
1909.78
_7VO31, QS
TOTAL
3331.87
_34
REMARKS
;4446, it ')
741,74-447
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 FEEs1
1ST FL. SO. FT. ® $
2ND FL. SO. FT. ®
POR. SO. FT. ®
GAR. SO, FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO, FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
r "
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
DUCT WORK
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REINF. STEEL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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 ® IVa c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
SPARK ARRESTOR
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 UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING.
DUCT WORK
ROCKSTORAGE
FOUND. REINF._47
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
i
WATER SYSTEM
/
FINAL INSP.' / / �G/J
FINAL INSP. " w ( l[[ rr
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FRAMING 7j L�
ROOFING '7� �f LQ
/
/1 L
boo�h�y/}i
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING �C C
MESH
INSULATION/SOUNDAV
FINISH GRADING
FINAL INSPECTION-
NSPECTIONCERT.
CERT.OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 3/16/92 1 Type of Permit I La Quinta
No. I 11.261 Permit #
Owner Name DoDco Construction Log #
No. 52210 street Avenida Montezuma
city La Quinta zip 92253 Study Area 112
APN # Tract # Lot # Square Footage 115W
Type of Development Single Family Residence No. of units
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 11.58 IX11.506 lor$2,379.48 have been paid to D.&U.SM. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By . DoDco Construction Services
Name on the check
Telephone 564478
,� ,
By James E. Lively .
Assistant Superintendent, Business Services
Fee collected /exempted by Shelley D. Bennett
PaymenG,Receiveyd.,�'
Signature Check',ho""2225
Collector: Attach a copy of county or city plan check application form to district copy -for. aII waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
First American T it',Ou Insurance ompara
Order No. cccc
Escrow No. 10-16594 V
Loan No. a z
~ C WC
- y :r
WHEN RECORDED MAIL TO: v
IL
6i La.! c3s
Dan=.Featheringill/Cheri Lynn Feather ngill ca
P.O. Box 1012
La Quinta, Ca: 92253
SPACE ABOVE THIS LINE FOR RECORDER'S USE
MAIL TAX STATEMENTS TO: DOS TRANSFER TAX x,60 w
».. Computed on the consideration or value of property convoyed: OR
...... Computed on the consideration or value lea liars or encumbrenaa
same as above remaining at time of ale.
Signature of Oaclerent or Agent deer►mining tax — F Irm Name
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
EINAR HANSETH, Trustee of the EINAR HANSETH LIVING TRUST, dated September 12, 1991
hereby GRANT($) to
N DAN FEATHERINGILL and CHERI LYNN FEATHERINGILL, husband and wife
the' real property in the City of �G
,State of California, described as
County of Riverside
Lot 1, Block 40 of Santa Carmelita at Vale La Quinta, Unit 3, as per map
recorded in Book 18, Page 59 of Maps, in the office of the County Recorder
of Riverside County, California. --
Dated November 1 199
I
STATE OF CALIFORNIA Ins
COUNTY OF
On Noiiember 1991
before me, the undersigned, a Notary Public in and for said State, per-
sonallyapPealed Einat tt_necl'�t limstee **
personally known to me (or proved to me on the baste of satisfactory
evidence) to be the person(s) whose name(s) 19/are subscribed to the
within Instrument and acknowledged to me that he/sheAhey executed
the same.
WITNESS my hand and official seal n
Signatur
Einar Hanseth, Trustee
Form 3195 MAIL TAX STATEMENTS AS DIRECTED ABOVE
S .
MARY E. BE!28,1992
m®'
NOTARY PUBLIC • CALI
AL OFFICE
ORANGE COUNT
��1, ,,•
My Commission Exp. Aug.
OFFICIAL S
MA BETTE
BLIC - CALIFORNIA
PRINCI
ORANGE COON
`
61y Commission Exp. Aug. 47.
kow
(This ares for official notarial seal)
Form 3195 MAIL TAX STATEMENTS AS DIRECTED ABOVE
IF
II
low
0 7,
'yOF
�(
TiN of 1a Qu int a
U in an �n�P� �ttton
�
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
j
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
BUILDING ADDRESS 52-210 AVENIDA MONTEZUMA
Use Classification SINGLE FAMILY DWELLING Bldg. Permit No.
Ci
E
I!
Group R3 Type Construction VN Fre Zone Use Zone SR
I j
I;
!'
Owner of BuildingDAN FEATHERINGALE Address P 0 BOX 1012
( I,
r
City LA QUINTA, CA
By; LONNIE DAY
i�
• I ij
I I
Date: AUGUST 17, 1992
Building Official
P09T IN A CONSPICUOUS PLACE
--
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