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05527 (SFD)Building Address 5-066 VILLA Owner Jotm Vela Jr. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 ` Mailing Address 53--701 Ve1a$e64-,- City Zip Tel La Q'oiata 52253 61'9/5U-5394 Contractor fir Construction C 3. Address. . 53-701 Velasco a Un Quinta 92253 6191564 - State Lic. City & Classif. 337559 Lic. # 458 Arch., Engr., Designer. Tel. City I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 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. _SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031-5.Btsbess and Professions Code: Any city or county which requires a permif to construct after, ioWmve, demolish, or repair any structure, prior to. its issuance also requires the applicant for such permit to hie 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 civilpenalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided drat such improvenrerrts are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he rid root build or improve for the purpose of sale.) ❑ I,.as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec- 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractar(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec • B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No company ❑ Copy is filed with the city- ❑ Certified copy is hereby fumished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need riot be completed N the permit is for one hundred dollars ($.100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any penton in any manner so as to become subject to the Workers' Compensation Laws of Califomia Date Owner NOTICE TO APPLICANT: If, after makmng this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code; you must forthwith comply with such prov@ebns or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that then: is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lenders Address This is a building permit when property 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 No. 11LDING: TYPE CONST. OCC: GRP. - P. Number 773434-'004 4 Legal Description Lot 195• 3k 93 Project Description S7D 0552.7 REMARKS �-t,,r,_ ,:i•r .tis, ;tet �3cY?k1.i`P'b% J,1.,'Afa 1-4r4 ZONE: BY: Minimum Setback Distances: Front Setback -rom Center Line Rear Setback from Rear Prop. Line Side Street Se --back from Center Line Side Setback f-om Property Line FINAL DATE INSPECTOR Issued by: Date 3116/Permit Validated by: Validation: Sq. Ft. No. Size 1314 Stories No. Dw. Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ ;o fttaining €iIan Iaeluded Estimated Valuation $7606300 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal..o Const. ' Mech. Electrical , ' Plumbing 57•.i) S.M.I. Grading 20.00, Driveway Enc. 2X •of) Infrastructure r. . • ,r TOTAL REMARKS �-t,,r,_ ,:i•r .tis, ;tet �3cY?k1.i`P'b% J,1.,'Afa 1-4r4 ZONE: BY: Minimum Setback Distances: Front Setback -rom Center Line Rear Setback from Rear Prop. Line Side Street Se --back from Center Line Side Setback f-om Property Line FINAL DATE INSPECTOR Issued by: Date 3116/Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS COLL. AREA OSLAB GRADE CZ �� ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SO. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CARP. SO. FT. ® GAS (FINAL) TEMP. POLE WALL SO. FT. DRINKING FOUNTAIN GROUT WATER HEATER URINAL SO 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 (/�/ f� , O l Gj /%G r GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRY TRAY AIR HANDLING UNIT CFM SPARK ARRESTORGAR. 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. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK —' ROUND PLUMBIN — UNDERGROUND A.C. UNIT COLL. AREA OSLAB GRADE CZ �� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ORS I T ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEGUIP. 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. / l FRAMING / FINAL INSP. ROOFING (/�/ f� , O l Gj /%G r EMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTORGAR. FIREWALLLj LATHING MESH INSULATIONISOUND FINISH GRADING �ry� FINAL INSPECTION6 O CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 1 U - Desert ,;antis Unified School District • CERTIFICATION•OF PAYMENT OF "®Y ICE. THI SCHOOL FACILITY FEES DOCUMENT BE DUPLICATE CANNOT Q � TO: City of La Quinta DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certify t at • 6?7 developer of which is located at da- (0& within this'District, has paid school facility fees impose pursuant to the au orit g rat d by. o ernment C*d Section 3080 'n the amount of s 0 1�7: ( ) covering.a total of square feet of ( ) residential or'., ( ) industrial/commercialdevelopment-and that buil ing permits for ,this footage in this development may now be issued by your jurisdiction. for ESERT SA S UNIFIED SCHOOL DISTRICT White Building Department "'• Yellow - Facilities Planning 0 Pink - Accounting 0 Gold - Developer TH iERICAN TITLE COMPANY � - RECORDING REQUESTED BY AND WHEN RECORDED MAIL THIS DEED AND. UNLESS OTHER WISE SHOWN BELOW. MAIL TAX STATEMENTS TO: NAM[ john ' Vela etux AD DREGS 53701 Avenida Velasco CITY e STAT[ ZI: La Quinta, CA 92253 Title Order No. Escrow No. 88-1171 GRANT DEEB The undersigned declares that'the documentary transfer.tax is $.2a,-35 .. .................. ......... and is ®' computed on'the full value of the interest or property conveyed, or is computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land, tenements or realty is located in 0 unincorporated area . ❑ city of... La. Quinta ................ ........ ......... and . )FOIL,A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, NAREK.GWOZDZIOWSKI, A Single Man hereby GRANT (S) to JORN VELA.and 'BERTHA .VELA, Husband and Plife as Joint Tenants the following described real property in the City. of La Quinta county of . Riverside , state of California: s Lots 18 and 19 in Block 93 of SANTA CARMELITA AT VALE LA QUINTA, Unit No. 11, mai:- eocrded in Book 18, Page 75 of__Maps_Ean the office of ' •the County Recorder of said County i c�..,1 i. .:.ia•., c � ?.l e. x,. �-1t•l,c..r i3%: t::.�E'iY)r";cli".r-`, - ;'!I ?t .J.�-) h'i )�.i L% c .�c. '� � :.i.) .? -�.L. r ,�,, Aucrust =9" 1988• Date • STATE OF CALIFORNIA, ) COUNTY .OF LOS ANGELES j SS. -On SEPTEMBE i2 62.. 19 88 before me, the under - it eda Notary .Nblic in and for said State, personally appeared ❑ personally known to me proved to me on the basis of satisfactory evidence to be the person whose name -subscribed to the within instrument and acknowledges• that_ h executed the same. Signature of Nota Ma ek Gwozdziowski FOR NOTARY SEAL OR STAMP OFFICIAL SEAL CHERYL CARRIG NOTARY PUBLIC - CALIFORNIA LOS ► NGELES COUNTY My comm. expires DEC 20, ISM Assessor's Parcel No, ... . MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING .LINE; IF NO PARTY SO SHOWN, MAIL`AS DIRECTED ABOVE. Street ACity 6 State GTC 101 c°oX ICU—a a) Ic No AL `1 _je 1 ..1 4 R ati ul a SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEEB The undersigned declares that'the documentary transfer.tax is $.2a,-35 .. .................. ......... and is ®' computed on'the full value of the interest or property conveyed, or is computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land, tenements or realty is located in 0 unincorporated area . ❑ city of... La. Quinta ................ ........ ......... and . )FOIL,A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, NAREK.GWOZDZIOWSKI, A Single Man hereby GRANT (S) to JORN VELA.and 'BERTHA .VELA, Husband and Plife as Joint Tenants the following described real property in the City. of La Quinta county of . Riverside , state of California: s Lots 18 and 19 in Block 93 of SANTA CARMELITA AT VALE LA QUINTA, Unit No. 11, mai:- eocrded in Book 18, Page 75 of__Maps_Ean the office of ' •the County Recorder of said County i c�..,1 i. .:.ia•., c � ?.l e. x,. �-1t•l,c..r i3%: t::.�E'iY)r";cli".r-`, - ;'!I ?t .J.�-) h'i )�.i L% c .�c. '� � :.i.) .? -�.L. r ,�,, Aucrust =9" 1988• Date • STATE OF CALIFORNIA, ) COUNTY .OF LOS ANGELES j SS. -On SEPTEMBE i2 62.. 19 88 before me, the under - it eda Notary .Nblic in and for said State, personally appeared ❑ personally known to me proved to me on the basis of satisfactory evidence to be the person whose name -subscribed to the within instrument and acknowledges• that_ h executed the same. Signature of Nota Ma ek Gwozdziowski FOR NOTARY SEAL OR STAMP OFFICIAL SEAL CHERYL CARRIG NOTARY PUBLIC - CALIFORNIA LOS ► NGELES COUNTY My comm. expires DEC 20, ISM Assessor's Parcel No, ... . MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING .LINE; IF NO PARTY SO SHOWN, MAIL`AS DIRECTED ABOVE. Street ACity 6 State GTC 101 },� r�,fr"" Gk"'F���1 �•U�e•";izayg�SS%a'�"��175 �� 1 (� COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessons 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 ndicated on the attached checklist A non-refundable filing fee (see below) is required when thea is submitted. Check mus: 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. Q VERIFY ITEMS IN SECTION A FROM BUILDING 8 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG' Z Q P: Agent, Contractor, Contact Person . f�/i>__r,'L� C't'/t/Y �(j�' T�fR /,fl Phone �'�`l`� Address a Phone 7«/ ✓� L -�5c: �C� Cl) Owner Phone . �,t/ ` Mailing Address City �.%� %%E=� State ef'� c Zips , T�J,J--� J b Property Address �rf-p.�.,F1. 4�letgal�0.escript�pn/Prr p. PM, T�trLot�� f., t`..��1 _ �� r.• 7l.BG /L -:tit,. Lot Size tWater Agency I- Use of Permit P/P, CU, etc. aZ-a' k.[ -r., *- 7-D, Other etc S ' nature of Applicant bate CATEGORY: REV CODE FEE, -.SUBSURFACE CATEGORY: REV CODE FEE be DISPOSAL 1236 x$45 00� ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) m Z LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 Q a. 1 st 4 Parcels (Each) 1238 $45.00 (Less than 1 year) H- b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 W ❑ Rereview, (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOF SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $45.00 Critical Area 7346 $136.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 INITIAL„ DATE c/ 2 — 1-15-- U Holding Tank Agreements Completed ❑ Yes U5No / ��AL Certification of Existing S.D. System Required ❑ Yes ,.pNo / WOCB Clearance required. (Attach Form'/ 4'. It ; ❑ Yes Q o DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes _T Special Feasibility Boring Report Required. ❑ Yes p) f Detailed Contour Plot Plans Required (1 to 5 it interval) ❑ Yes Other ❑ Yes ❑ NO' r Staff Specialist Lot Inspection Required ❑Yes Q�No r } Lot Inspection Date Solis boring report by Date r� Soils Map Page SaA TypeG� Approved by ���f�.- - Date U Z No. of Systema TyA of Systeme) O Holding Tank O Existing No. Dwelling Unita(/ 1 Bedrooms, FlxturevMMts (1) Septic Tank Soil Rate Grease/Sand �Qrsese Q 'New O Replaoertrent intcp Gal UJ (J) %(2) Leach Line Sq. Ft Sidewall allowance Install '-n�Lk. (s n long ff W1de Leach Bed sq. It. Bottom trench area Y n rock/ n min. inches rock - dref�lin�es ' ct b per running n or Leachlines/bed special design for slope: (3) Ph Diameter No. Pita Pit Below Seepage Pit otal Depth / Other. Applicable ' Inlet (BI) J N/A t% Overburden factor Max Allowable Depth `. No. 2 System REMARKS"�.iZt/✓I, (Q.�(�c.• .tel e r;�. „j �i`A(��'�'� ��iU2-t This application is' FPROVED HIED for the category checked in SECTION B above, regarding the design of subsurface disposal system as indicated 0 on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permt is necessary for the installation of the Z above -designed system. No construction is permitted in the required reserved 100% expansion area. _ r ! (1 Septic tank and sewer lines must be 50' minimum from any wellsc� � 2 Leach lines must be 100' minimum from any wells, including expansion area (3) Seepage pits must be 150' minimum fro any wells, including expansion area `�l /D r ,7-. --' y�. a,c. � %�,�/- � l %j�i9 ':t—.2,t�..�• /moo. y3 Signature of Health Official -2FI: CSC/: �- er - %li �/T Date ice[/ i7P /) RECEIPT NO. Issued i DISTRICT: ❑ Riverside, ❑ ndio ❑ Hemet I DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file Perris ❑ Rancho Calif. ❑ Blythe. YELLOW-- Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records �A .� �� R �` OI NCE OF E. LEON SPAUGY �— r AGRICUL'I URAL CO.'AMISSIONLIZ �) s IAME5 o WALLACE O1 'Ai i U SSS;Si:.�► rh���ccIU�EP. f --�=► roCLEMENT BE`VEtiISTE" WEIGHTS Fc NIC��SUIZCS SLALER 49-613 Ilwy 86, Suite II-12 r• 'Coachella, CA 92236 �4�t!rg7 . t 619-342-8291. DATE Z... 18 t CASE 140. DEVELOPER'S NAME: -ADDRESS: S� 3 -7 11� TELEPHONE: ��,) �� r 5-3 1y • t Dear Developer: t Y After reviewing your landscapijiq plans, all plant material listed is not in violation of"quarantine laws governing the Coachella Valley. If substitutions do occur and they differ frun plant material listed; this office must be notified i►nrediately. Thank you for'protecting and preserving the Coachella Valley's pest-free errvirorpient. Agricultural. Cam's ioner's Office cc: Indio and Riverside Office