12284 (SFD)J 1� Y-. r • ,
t awo
P.O. BOX 1504 N o .
Building 78-105 53-320 Ville LA QUINTAC
Address CALIFORNIA 92253
Owner Raul Velasco
(waning
Address P.O. Box 1915
City Zip Tel.
Indio, CA 92202
Contractor
Char6ee Reeder Construction
Address
P.C. Box 2086
Cjtytathedral Ci P 9.22351 Tel. 327--8757
State Lic. City
& Classif. B 467173 Lic. # 3036
Arch., Engr.,
Designer
Address Tel.
City (Zip (State
Lic. #
LICENSED CONTRACTOR'S DECLARATION : r
I hereby affirm that,l,am llicensed under, provisions of Chapter 9 (commencing with Section
7000) of Divigion,3:o'f the Business and`Professions Code, and my license is in full force and
effect.+"` ���•� .,_,,.,,... �r�'Rr'� r
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,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 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).
❑ 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.)
O 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.)
❑ 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.)
_,.fold& No.-company
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 tha 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 o1 Exemption you shou.'d 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 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 Address
City, State, Zip
12284
BUILDING: TYPE CONST. OCC. GRP._
A.P. Number 774-094-004
Legal Description Lot 21 Block 214
Project Description SFD
t
}
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line -
-Side
Side Setback -from Property Line -
FINAL DATE
Issued by:
Validated by:_
Validati
Sq. Ft.
Size 1400
No.
Stories
No. Dw.
Units
New 01� Add ❑
Alter ❑
Repair ❑ Demolition ❑
Permit does
not include
block Wall or
pool,
Estimated Valuation
$86;269.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
246.70
Const.
582.00
Mech.
62.00
Electrical
122.10
Plumbing
141.00
0
.S.M.I.
8.76
Grading
20.00
Driveway Enc.
00
Infrastructure
l ft 848.33
J?zeclse Plan
25.00
TOTAL
, 38.8
3,054.83
REMARKS
t
}
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line -
-Side
Side Setback -from Property Line -
FINAL DATE
Issued by:
Validated by:_
Validati
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
GRADE
f
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS/
ellFOUND.
L SEWER
OUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT.
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN.
SQ. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
-$
WATER PIPING
NOTE: Not to be used as property tax valuation
FRAMING Q - Z -7—f1340FINAL
FLOOR DRAIN
MECHANICAL FEES
�re� to 2L-7
rK�
7
-
-
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L 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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1114 c
SEWAGE DISPOSAL
INSULATIONISOUND
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
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
1,0"SLAB
GROUND PLUMBING �p S
UNDERGROUND
A.C. UNIT
COLL. AREA
GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS/
ellFOUND.
L SEWER
OUGH WIRING
DUCT WORK
ROCK STORAGE
REINF. O�
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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
FRAMING Q - Z -7—f1340FINAL
INSP./Z_ /�3
(9
ROOFING LD Z2 �? 3 ,c 9
�re� to 2L-7
rK�
7
-
-
3 4-0
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
3 ,n
GAR. FIREWALL / f L __; _j V /
LATHING } /
•7 C.
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION /7_4 —G%J °
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 19/21/93 1., Type of Permit La Quinta
No. 12441 k.; Permit #
Log
Owner Name Raul Velasco
No. 53320 Street Avenida Villa
City La Quinta Zip 92253 Study Area 113
APN # 774-094-004 Tract # I Lot # 21 Square Footage 11400
Type of Development Single Family Residence 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 1400 or $ 2,310.00 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 Charles R. Reeder Construction Telephone 327-8757
Name on- the check
By Dolores A. Ballesteros
27
Superintendent
Fee collected /exempted by Vickie j. Durrett f 1 x
Paym-` �'ecei ved r '
SignatureNo
1053
Check :
Collector. Attach a copy of county or city plan check application form to district copy for all'-waivers.I L. -
Embossed Original- Building Dept./Applicant - Copy - Applicant/ Receipt Copy,=`Accounting
rZ RECORDING REQUESTED B
L' Recordingegne�e��
�ilrst American
1!1221cAn— .; ,�::eL- y
�U WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN BELOW
, AIL -,AX STATEMENT TO:
Name Raul Velas co
Street..
Address., P .0.-.:'-' Box 1915
city& .Iridlo
state CA..9220 2..
i- MAIL TAX STATEMENTS TO
Names Raul Velasco
P 0. 9
`' Box= 15
Street n y
Address—Indio. -
ciiya': CA 92202
State . -.
TITLE ORDER NO. 1934074 ESCROW N0. 9 5 8 2J H
- l_....._ ..._,- ...... ,A SPACE ABOVE THIS LINE FOR.RECORDER'S USE'
GRANT.. DEED....._.:
A PN: 7 7 4 -0 9 4-0`U:.
J THE UNDERSIGNED GRANTOR(S) DECLARE(S)
_ DOCUMENTARY TRANSFER TAX IS $ 23.10 -
computed
3.10computed on full value of property conveyed, or
❑ computed on full value less value of liens or encumbrances remaining at time of sale
. ❑ unincorporated area
O
[� cltyof La Quin to
,AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
RO N LA: �RENIER E, a single man,
v\ � ` r�•
hereby GRANT(s) to
RAU L VE LA SC 0, A SINGLE MAN
the following described real property in the City
County of Rive rs id e
Lot 21 of Block 214, Santa Carmel
pe r- map reco rded in. Book 19, Page 38
County.
,y
Dated Feb. .3;:2, 1992
STATE OF CALIFORNIA ,l
CPUNTY OF '... }SS.
On 120, -before me, l7 a r
I. personally appeared
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s) or the entity upon behalf of
Which the person(s) acted, executed the instrument.
OITNESS my hapd_and official l
Signature_
EC 966 (REV 7-91
of La Quinta
State of California:
at Vale La Quin ta,
of Maps, Records. of
Ron La freniere
Unit -.No. 20,
Ri.ve rs ide
MAIL TAX STATEMENTS AS DIRECTED ABOVE.
(This area for offis ial notarial seal)
as
OFFICIAL SEAL
.JUDY SANDOVAL
NOTARY PUBLIC • CALIFORNIA
PRI14CPAL OFFICE IN
LOS ANGELES COUNTY
„ ..
My. Commissi+m Exp. Jas. 28, 1994
MAIL TAX STATEMENTS AS DIRECTED ABOVE.
(This area for offis ial notarial seal)
as
(t of 1a Qutu a
Ul tit MVan
This Certificate issued.pursuant to the requirements of Section 306 of the Uniform Building
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:
BUILDING ADDRESS 53-320 Avenida Villa
Use Classification Single Family Dwelling Bldg. Permit No. 1.2284
Group R3 Type Construction VN - —.Fire ions Use Zone SR
Owner of Building Raul Velasco Address P.O. Box 1915
City Indio, CA •92202 By. Lonnie Day77
r
;`�' Dote• December 16, 1993 '
Building Official
• r POST IN A CONSPICUOUS PLACE
• .. .. .....w. Z ... •..I�Jr mow- �.. .Y—
_-. _.[ �.....r 'f •.
Installation Certificate: Residential CF -613
Use of this form to satisfy the requirements of" Administrative Code Is optional, but the Information must be provided and ponied.
/ 53-320 Villa 12284
Site Address Permit Number
An installation cemilicate is required to be posted at the building she prior to the issuance of the occupancy permit. This form
may be used to most those requirements. All appliance categories listed below we 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 equivalent) shall be prepared and signed by the person(s) assuming overall
responsibility tot the appliance installation.
1, the undersigned, verify that the equipment listed in the category above my signadure it the actual equipment installed and
that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that
the equipment is equivalentlo or more efficient than the equipment specified on the Conificate of Compliance submitted to
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 Certified Actual Distribution Duet or Heating Load Heating
Type (furnace, Manu1. Make & Oflclency Type and Piping.:. = Before Over- Equipment
heat pump, etc.) Modal Number (AFUE, etc.) Location R•Vslue Sizing (Btuh) Capacity (Btuh)
'[/1I7/E.0110
` CEC Cort"Ied,
Cooling Equip. Compressor Unit Actual Distribution Dud or
Type,(alr oond., Mariuf. Make 3 Efficiency Tripe and Piping
heat pump; etc.) Model Number . (SEER) Location R- Nue
The building design heat loss and design heat gain rate have been determined using a mathod,specified in Section 150(h) of
the Energy Efficiency Standards, and are two of the criteria used for equipment sizing aid selection.
Sagnarjre Dade HVAC Subontractor (Co. h:ame) or General Contractor or Owner
WATER HEATING SYSTEMS
Energy' External
Water Heating CEC Certffled Rated' Tank Factor or Tank
System Type Manuf. Make 6 Input (kW Capacity Recovery Standby' Insulation
(storage as, etc. Model Number or Btuh(gallons) Eff Iclancy Loss X R•Value
-Sw1 00
za:s uo 913 F.tn sn
t. For small gas storage (rated input s 75.000 Bt:.a'hr), electric resistance and heat pump water heaters list Energy Factor.
Fc, large gas storage water heaters (rated input >75.000 Btu!hr). list Rated Input, Rtrcovery Efficiency and Standoy toss.
For Instantaneous gas water heaters. fist Rated Input and Recovery Efficiency.
For Instantaneous electric water heaters, list Rated Input.
FAUCETS b SHOWER HEADS
All faucets and showerheads installed are listed in the Commission's Directory of Cortifiad Faucets and Showerheads,
pursuant to Title 24, Pan 6, Subchapter 2, Section 111.
Signa%ire Date Plumbing Subcontractor (Go. Name) or General Contractor or Owner
Revised January 1992
wProfessional. Service Industries, Inc.
American Engineering Division
NO:
REPORT OF FIELD COMPACTION TESTS
:,.`
'FEET
TESTED
FOR:d �
DRY
,DENSITY
LBS./CU. FT.
PROJECT: 3Z•3 /V� ,V)l`1ti
DATE:
0 — S. —
..?.a'•
I[i 5- E
OUR REPORT NO.: 0-% 3
TEST.
;:, TEST LOCATION �.
.e.r•_.
ELEVATION
..- IN:.'
COMP
TEST
TEST
aELATIVE
• .:
NO:
:,.`
'FEET
CURVE,
.NO.
MOISTURE
`Yo
DRY
,DENSITY
LBS./CU. FT.
COMP:
9'e
RETEST
N0.
NOTES
..?.a'•
I[i 5- E
3
-
'
S . L.
/8 5
.Y�
�' --A
''Z.�
G ��
i
•
T1
_ V 1
v
Ail 12+ G:. V �IJs
i
NOTES DENSITIES SHOWN: albs. per cubic foot, 1.. FILL'MATERIAL A. Y ST RESULTS'COMPLY WITH SPECIFICATIONS
WATER CONTENT: Per Cent of dry weight 2. BACKFILL B. TEST RESULTS DO NOT COMPLY
PERCENT COMPACTION; Based on maximum 3. BASE COURSE WITH SPECIFICATIONS
dry density obtained ori sample indicated by 4: SUBBASE C: TEST IS AFTER FIECOMPACTION
soil ID number 5. SOIL CEMENT
OTHER
espectfuily submitted,
Professional Service Industries, Inc.
42-240.Green Way Suite C ,• Palm Desert; CA 92260 • Phone: 619/341-5790 • FAX: 619/341-5794
PSI A-1042(#1)
-E
M-
OMER,, �Q
IMO Hall
K R,
21M A A Ily ow;
_rW
f
1W
W
14;
41
OF
2,
_S 14
tal tn
_,*s Cer tifica teissued
pursuan't to tte requirements of Section'306 of 'tHe ,U'nif6rrh, Building!
Code certifying that at the -time of 'issuance this 'structure was, in'. compliance with ,the "va'rious.;
o rd ancet'-o h�bf�_ regulating,buildrifig -cons & truction use,-. Fbr.,the,f6ilowinc:
in '
AI
.;5j,'-32-0 Avenida Villa-,
RUILDING'ADDRESS
%
,,
Usi'Clas�sif icdtion :' -I
-sngle- Family.bw6i'ling Bldg. Perm12284y' it N6.
se'Zone
Group R3 Type,Constructio'n` VN _,Fire Zone USRI,
IT
a -til. Velasco, 0 T 0' Bbx' -1915r'
'�'bwhiir of Buila"
ingL" Address,-, 7,
,Indio; CA:- 9220
y d �2
Cit Lonnie Dayy
Z,
De'C`e'nU5er J6,, 1993
f
Build ng ffii:ia(
_ing Of icial,
•I , ,i. 9
POST IN, A CONSPICUOUS
112H
Rk
U I=