003773 (SFD)Z�hG�'1�1�t/ • '
P.O. BOX 1504 No. 00 773
Buildinga 78-105 CALLE ESTADO
Address ..3r-950 _Avenida Villa LA QUINTA, CALIFORNIA 92253... .
Owner _
Western: Amrica i Conistructiob BUILDING; TYPE CONST:' " OCC: GRP.
Mailing w
Address P. 0. Box .1.379
City lZip
Contractor
P. 0. B010998
City . - _ . _ . Zip
A.P.,Number 774-253-005-4
Legal Description
Project Description �` ...
Autiu pal.r_ln I ` zAwtf
.i#.$—,d 0 1 IL
State Lic.
City
& Classif. •
Lic. #
Sq. Ft. 1530 No. No. Dw.
Size Stories Units
Arch., Engr., .. ..- . ..
•Designer
New ❑ Add ❑ Alter ❑ Repair ❑. Demolition ❑
Address
Tel.
City
Zip
State
. . .. . .
Lic: #
_ LICENSED CONTRACTOR'S DECLARATION
++
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. .. !. ' A- ,v
.. ... ......
SIGNATURE r- .w.-+,� _ _.Yk _ _ X .-DATE
OWNER- BUILDER DECLARATION 4 `: .
a>
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�rrequires. a
Estimated Valuation. i3,r
- -
PERMIT AMOUNT '
�
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 o/ the Contractor's License Law, Chapter 9•(commencing with Section 7000) of -
Division 3 o/ the Business and Professions Code, or that. he .is exempt therefrom, 'andthe basis
for the alleged exemption. Any violation of Section 7031.5. by 'any applicant for a permit
' subjects the applicant to a civil penalty o/ not more than live hundred dollars ($500):• '
❑.I, as owner of the, property, or my employees with wages as their sole compensation, will
tr
Plan Chk. Dep. q���v • �� -
- - 73.27 -
Plan Chk..Bal.
Const. �� 00
•
do the work, and the:struc(ure is not intended or offered for sale. (Sec: 7044, Buisness and
. Professions Code: The Contractor's License Law does not •apply to an owner 'o/ property who...
Mech...� . I
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 o/ completion, the owner -builder will have the burden.�
o/ proving that he did not build or improve for the purpose o/ sale.) ,
El ectrical ,� 6„ 75
Plumbing 05 . O0
0 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 o/ property who builds or improves thereon, and who contracts for
S.M.I.5 . A A ' -
such projects with a contractor(s) licensed pursuant to the -Contractor's License Law.)
O.I am exempt under Sec. B. 8 P.C. for this reason
Grading 20 .00
Driveway Enc. 20.00
Date owner
Infrastructure 3 76: 83
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.
s'!
TOTAL S2,727.49 112-1111,17, A/ !'
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS .y
!,(;,?} 3 # '? n 413gO.0 ('311_fF.t,_0f4 { ,
(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.t>�
i+:'t:ttt Y t U Y *?i.. 1 L t f f �'f 7
/d
Dale Owner'
NOTICE TO APPLICANT: If, alter making this Certificate of Exemption you, should become
• subject to the Workers' Compensation provisions o/ the Labor Code, you must forthwith.
comply with such provisions 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
FINAL DATE INSPECTOR
4/4/88
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.
1 certify that I have read this application and state that the above information is�correct.•Issued
' 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.
by:Date - Permit
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
HARD COPY11
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINC,FEES -•y
1ST FL. ' SQ. FT. ® $
2ND FL. SQ. FT. ®
POR. SO. FT. ®
GAR. SQ. FT. ®
CARP. SQ. FT. (q?
WALL SQ. FT. ®
SQ, FT, @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
EMP. POLE
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.
SQ. FT. ® c
BATH TUB
FINAL INSP.
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR®3/ac
HOUSE SEWER.;
VENTILATION
GAS PIPING
PERMIT FEE
FIRE ZONE ROOFING
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
(il - �-
11
GROUND PLU ING
UNDERGROUND
A.C. UNIT
COLL. AREA
/�LSETBACK
C�/
/V �LAB GRADE
U �/ - IF Y
(lam
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER SEFT
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
EMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
- _ $
LUMBER GR.
FINAL INSP.
n
FRAMING / f/L�
FINAL INSP.
ROOFING ////���
v �
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
�rFJNAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Desert Sands -Unified School District
CERTIFICATION OF PAYMENT
OF
NOTICE: THIS DCCIlMRl '(T`O1 4AMg1ZFEES
BE DUPLICATEM
TO: City of La Quinta DATE:
Department of Community Development*
78-105 Calle Estado
La Quinta,.CA 92253
RIO
This is to certify t at
developer of which is
located at within
this District, has paid school fc<cility fees imposed pursuant to the
authority generate by Government Code.Secti 53080 in he amouL11t of
$ 6. 00 (
cov ring a total of square .feet of ( is dential or
( ) industrial/commercial development and that -'building permits for
this footage in this development.may'now be issued by your jurisdiction.
ci
//,90
f SE T SANDS•UNIFIED SCHOOL' DISTRICT
White - Building Department •• Yellow - Facilities Planning • Pink - Accounting 0 Gold - Developer
(10)-37
_ _.
RECORDING LIESTEG BY
ORANGE COAST TITLE CO.
AND WHEN RECORDED MAIL THIS DEED AND, UNLESS
OTHERWISE SHOWN BELOW, Me.!; rw,r, STATEMENTS TO:
NAM[1
WESTERN AMERICAN CONSTRUCTI1
ADDRESSEET75-656 Vial.. Serena '
Indian Wells, CA 92210
CITY,
STATE
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Title Order No ............:..:::........ Escros� No...:---...-............... 'This space for Recorder's. use
F77
Grant Deed
THE. UNDERSIGNED GRANTOR(s) DECLARE(s)
DOCUMENTARY TRANSFER TAX is E .9.3
Q unincorporated area Vj City of : cL
Parcel No. 774-174-010
CYcomputed on full value of property conveyed, or
❑ computed on full value less value of liens or encumbrances remaining at time of sale, and
FORA VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
EARL D. SHOEMAKER and GERALDINE SHOEMAKER, Husband and Wife .as Joint Tenants
i
hereby GRANT(S)to WESTERN AMERICAN CONSTRUCTIONS COMPANY, A California Corporation
the following described real property in the City of La Quinta,e.
county of Riverside ,state of California:
\y Lot 15 in Block 250 of SANTA CARMELITA AT VALE LA QUINTA, Unit 23,
as per'map recorded in Book 20 page 25 of Maps, in the office of
the County Recorder of said County.
------------
Dated
..�_
Dated October 22, 19$7
STATE OF `South Carolina )l EARL D. SHOEMA C
COUNTY OF Georgetown. ( SS.
Owthis 3rd day of. -.November -/ -
._.:.....- before me, the t rale -cured, a P!otcry °ub:ic inGERALDINE SHOEMAKER
and for said County and State, .personally appeared
EARL D. SHOEMAKER and
GERALDINE-SHOEMAKER
personally known to rre (or proved to me on the basis of satisfactory J
evidence) to be the, person s whose name
- are
subscribed to the within instrument and f' i
acknowledged that — -they
executed the c -� : e.a�> ✓
same.
•C/ "
Signa C-•- 4+'1
cure
Name (Typed or Printed) ,!
Notary Public in and for said -County and State �j1• � C_ r FOR NOTARY SEAL OR STAMP
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
Name Street Address City dr State
1� gl
15
Of R.
{ �« , o> l ` r Or f IC E OF -E. LEON SPAI;GY
AGRICUL'I URAL COti1h115510NE11 ]n�IES o wALUNCE
ZP,1 �) f. `I V U ASS;SPANt CO�t.tt5510�EP.
v ,� �-I�. '! �, CLEMENT BENVENISTE ~
1 L�cl:'I FS b...MEASURES SEALER
49 '613 Ilwy 86, Suite 11-12
r M_J.•� Coacliellh, CA 92236
r 9 .1;69 619-34.2-8291
DATE 3 -4 -- S 8
*• CASE NO.. R
gg2S 63./��}
G✓�'
ti DEVELOPER S NAME- G-
-�
ADDRESS 6
Z2. r
3
TELEPIIONE:
Dear Developer: '
After reviewing your landscapiuig.plans, all plant material listed is not in
violation of quarat.itine laws governing the' Coachella Valley. If :substitutions
do occur and they differ frm Dlatlt:Iikate=vial--;listed, this office must be notified.
= hum—diatel'
Thank you for proectilig and preserving. the Coachella•Valley's pest -free environs ent.
Agricultural. Comnissi_o per's Office
cc: Indio and Riverside Office
17
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_ ... T ,i i M cd F• ••� `►'rX' 4 rt�ti i , .. tN. it a , �. i, t `I+ i. r•_. -
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HEALTH SERVICES DIVISION '
COUNTY OF RIVERSIDE, ENVIRONMENTAL r�
/ 7� — MV —0A0
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM/`
A' licant: Submit this form with four copies of a scaled of Ian 1.20 scale drawn to Count specifications required on the attached check list.
PP P f� P ( ,) Y P q
A non-refundable filing fee of $40 is required when the applicatiofi is submitted. Check must be made payable to the County of Riverside.
.�Building Department Application Log !i
Name ( caner. Agent. Contractor. Etc.)
Malin Addresst '
City - -
2
State ,-..
1 7
Zip Code
z -4 Ss -
Telephone
Szf 1
7
'Job Propertf Address
5� ysa Ave�'iet,, �,l
GI o. G.OlnmarM.y� -
:' �, �Nt
Le I Descnpuon of Properly. (Lot. P TR)
�a�s 8,�.��v
'Assessor's Parcel No
�Agqen
�ha.eG��
�'7ti _ _�/J� = r1_., Q� .'. Q
Use of Permit Li.f/f.'fsC t�ann�ng Case x
Lot Srze
— ` —
77 I l �Q
G�.j,�y'r_
C�'lGr
SFD. MH Site Preparation Etc. •-� �D ' f
/1
�Yn ��
Signature of Applicant Date r
'The above information must be verified from Building Application
STAFF USE — DO NOT, WRITE BELOW THIS LINE a
�-,�� ?� I,ni/ti/all r 'Date
Certification of Existing S.D. System required. El Yes N —�/ —
^J4
WOCB Clearance required. ❑ Yes (�J,'/�o�/
Soils feasibility report required. ❑ Yes
Special. feasibility boring report required. le ❑ Yes
Detailed contour. plot plans required. Cl Yes FV0
Staff Specialist approval required. ❑ Yes �No Lot Inspection Date
Soils/boring report by Project N Date
Soils Map Page I/Soil Type Approved by Date
Type of System:. �N\
No. of Bedrooms
(1) Septic Tank
Soil Rate Required
❑Existing 191 ew ❑Additional ❑Replacement .
3 W.
Gals.
I
(2) each line sq. tt.
Sidewall allowance ,
Install' Line(s)—Ft. Long,
- Ft'" 'thh inches
ach bed Sq.
Ft. 'botto
(Sotto trench area)
ft. rock/ Sq. Ft.
3v idN min.—
lines
of
per running-ft./A _
e -rock below drain
area
Leach lines/bed:special design for slope:
Applicable ��
factor
(3)'Pit Diameter
T'yt �%"'�
No. Pits.
Pit BI
/
Seepage Pit total depth
Max. allowable depth T�
N/A 4/ Overburden
l /dz,,r2 0 �rrd./tom
This application i rove�eraied-for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements
set forth in Section B a ove. A building permito necessary for the installation of the abdve-designed s stem. f
,h,�,o r
1) Septic tank and sewer lin�s must tS�e,�50' from any wellso/ /0 �
(2) Leach lines must.be 100' min. from any wells including exp s1 areae —'
(3 Se page pits must be .150" 0in. from any wells iricluing -expansion:area d r
Signature of Health Official J
RECEIPT NO. 336 7 Issued by Date
District: 0 Riverside ndio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
Distribution: 4NV HITE—Office file YELLOW—Applicant PWK�BIdg Dept. GOLDENROD—Pending File
DOH SAN 122 (Rev 8187J4! 1- ! u
&2
s
Fitch Engineers Inc.
`rr
5 w88
_. April 22, 1988 _ (`"
- - .PENN �o LA Q��i�T
FVfLOPNlflyT DEPT
r
City of La Quinta
78 105 Calle Estado
-, - La Quinta, Ca. •92253
Attn: Building and Safety Dept.
SUBJECT.- Retaining wall- 53 950 Avenida Villa, La Quinta, Ca.
Gentlemen:
Upon doing the,sol-compaction tests on the above described property,
we observed that -the wall has moved due to the method of compaction next to
same., As a+result of'the,wall•movement;'this'letter is to inform you that
if the wall fails or if the house foundation moves, cracks, rolls over or
otherwise shows structural damage•to the house, ,the undersigned is not
responsible.
Respectfully,
WM. H. FITCH
R.C.E. 12571
cc: Western American Const. Co.
CIVIL ENGINEERING = PLANNING—'SURVEYING — DESIGN
P.O. BOX 455':/;PALM DESERT, CA 92261
(619) 345-7667