14798 (RER)P.O. BOX 1504 No. 1.479
Bui�"ing -18-495 CALLE TAMPICO t
Address 52-8,50 Ave. Herrera LA QUINTA, CALIFORNIA 92253
Ownert
fiai rk Anderson
Mailing , BUILDING- TYPE_CONST. OCC: GRP."
Address
A.P. Number:
i . City Zip
Legal Description
Contractor Remodel bathroom into. a
Project Description
�Jwnerf B lild� laundry. rblam viiith electric water' heater
Address _ , ,
City .. Zip Tel.'
State Lic. City
& Classif... Lic. # Sq. Ft. No.: No. Dw.
Engr.;
Size Stories • Units
'Arch., - .
DesignerNew ❑ Add ❑ Alter ❑ Repair ❑ Demolition p
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S. DECLARATION I
I 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
is in full force and
effect,
SIGNATURE DATE -
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Co0tt5ctor's''Lioense Law for Estimated Valuation $1 (Wi 4t
the following - •
,_reason:.(Sec. 7031.5, Business and Professions Code: Any city or ;county 'which requires a
permit to construct, after, improve, demolish, orrepair any struclure,'pdoi, to its issuance -also I _
-requires the applicant for such permit to file a, signed statement that he is licensed pursuant to PERMIT AMOUNT `
the provisions of the Contractor's License Law, Chapter9 (commencing with Section 7000) of - -
Division 3 of the Business and Professions Code, or that. he, is 'exempt therefrom,o, and the basis- . .
for the alleged eiemption: Any violation of Section -7031.5. by 'any applicant for a permit Plan.Chk. Dep. -
subjects the applicant to a civfl penahy or oot more than Ove hundred dollars (5500). -q - • -
j�1 as owner of the roe Plan Chk. Bal:,,•' iri • "-•�_.�;.J
p p rty, or my employees with wages as.their sole compensation, will
ifo the' work, and the structure is not intended'or offered forsale. (Sec. 7044, Buisness antl
Pro/essions Code: The Contractor's License Law
as
not apply to -an owner of property who ,Const. -
builds or i iproves thereon and who does such work. himself or through his own employees, Mech. '
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 ' 'Electricalof proving that he did not build or Improvefor the purpose of sale.) A
❑ I, as owner of the property, am exclusively contracting. with licensed contractors to con• Plumbing r 28.E 50
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 - $•M•1, - -
I such projects with a contractors) licensed pursuant to the Contractor's License Law.) • -
Grading
O" 1 am exempt under Sec. B.&-P.C. for. this, reason
j j t Driveway Enc._
•(Date � r< 0 ger r Infrastructure "
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or .a.certjficate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) - - - -
Policy No. Company
❑Copy is -filed with the city. O Certified copy is hereby furnished.
4 TOTAL
43V50
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE a
(This section need ,not be completed if the permit Is for one hundred dollars ($ 100) valuation - - -
or less.) fro.., -
I certify that in the performance of'tfig W rk for which .this'permit is. issued, I shall not
employ any pperson in any man" rs'as 1o�tiR oma subject to the Workers' Compensation.
Lawsof Califor
',- Dated °Owner5-
NOT/CE TO APPLICANT: ,O, after 'making". this Ce • Lcate, of 'Exemptron you 'should become. - ZONE: —BY: -----
subject to -the Workers' Compensation "provisions of the Labor Code, you must forthwith -
comply with such provisions or this permit shall be deemed revoked. -M inimurn Setback`DistanceS - -
' Front Setback from Center -Line
Rear Setback from Rear Prop. Line '
WARNING: FAILURE TO -SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND - Side Street Setback from Center Line -
SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP:TO ONE.'- -
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF.COMPENSATION: Side Setback from Property Line
DAMAGES.AS PROVIDED -FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND .
ATTORNEY'S FEES. - '
Thisls a building permit when properly filled out, signed and validated, and isSubject to FINAL DATE INSPECTOR
expiration if work thereunder is'suspended for 180.days. f
I certify that I have.read'this application and state that the above information is correct. Issued by: Date Per
':1 agree to comply with all city and countyordinances and state laws relating to building
construction, and hereby authorke.representatives -of this city. to -enter the abovein
mentioned property for inspection purposes. Validated by: "
Signature of applicant Date F E B 2 7 1995
Mailing Address Vandatlon:. '
City, State, Zip
By /
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW
,TS
IST FL. SQ. FT. p $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
Y
ARD SPKLR SYSTEM
STORAGE TANK
2N0 FL. SQ. FT. p
SEWER OR SEPTIC TANK
ROUGH WIRING X
DUCTWORK
MOBILEHOME SVC.
BAR SINK
GAS (ROUGH)
FOR. SO. FT. p
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
GAR. SO. FT. p
POWER OUTLET
ROOF DRAINS
TEMP. POLE
DRAINAGE PIPING
WATER HEATER
CAR P. I SO. FT. p
SERVICE
FINAL INSP.
WALL S0. FT.
WATER SYSTEM
DRINKING FOUNTAIN
FINAL INSP.
SO. FT. p
=$
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
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NOTE: Not to be used as property tax valuation
REMARKS:
FLOOR DRAIN
MECHANICAL FEES
VENTILATION
WATER SOFTENER
FIREPLACE
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAR. FIREWALLAV
GARBAGE DISPOSAL
Z
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
MESH
AIR HANDLING UNIT CFM
41
IKITCHEN SINK
tmwv -f-0
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
CERT. OCC.
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
i8
BOILER B.T.U.
SO. FT. p c
BATH TUB
SO. FT. p c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID p 1 Vac
SEWAGE DISPOSAL
SQ.FT.GAR p 3/ac
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
GROUND PLUMBING
'
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING X
DUCTWORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING % S
FINAL INSP.
ROOFING Z/ Q�
t
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REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
OLD
SPARK ARRESTOR
GAR. FIREWALLAV
J2
Z
LATHING 2
MESH
41
INSULATION/SOUND
tmwv -f-0
1 -
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
i8
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113
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APRLICA14ON FOR TREE PLANTING
I (we), the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if trees are required under River-
side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understood that no final inspection
will be given until said requirements have been met or exception has been granted by the County. Now, therefore, it is agreed that the prop-
erty owner shall cause the property lines to be surveyed in the event no survey stakes can be found. Further, it is agreed that the County of
Riverside shall assume
�noo reessppoons/iibility should trees have to be removed due to lot line errors. %
Owners Name E SG,�E7�fek` i '# A pkWAAA `Sort Building Permit No. z3b / 0L(a
"
Mailing Address
Job Address �a�) n ��� L� Communyy
Legal Description 2rf:Zt� ;;)- .i— -- / 14 6 JL. V a -c
Assessor's Map, Book & Page 01 Type Structure
Type of SO ^{ Is water available dad Dept. Plot Plan No.
Type of existing trees in road right,?*f—way.
Trees preferred by applicant (1)
Date
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL
Approved species (llea Burn an Pa (01ivP) Number of trees_
a CL Spacing of trees Distance from lot lines: Front2'in RjW Side
IX o Additional requirements Per plat plan nn rev rte- No strept trpps will be planted
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Date Building and Safety notified 7/79 Signature
Reason
Request for hearing:
Owner's Signature
Planning Dept.
Concur ❑
Date
YES ❑
REQUEST FOR EXCEPTION
(attach additional page if necessary)
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Non -concur ❑ Explanation
Signature
Road Dept.
Concur ❑ Non -Concur ❑
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established
Date hearing notice mailed to owner
Approved ❑ Disapproved ❑ Date Owner notified of decision
Date.Building & Safety notified
Signature
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NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
FCOUNTY OF RIVERSIDE
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284 199 9/74 CANARY — FILE, PINK—APPLICANT, w
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Owner El_12,,Vr 7'/¢ A 1-/1.14 LA YSC4"-J Architeeti- a" C`- U t'_ L V 1 ': 10C' Contractor 1 11 G lk, ys-C k5
_
Address ` -
City i if D! L) rt; City_ ►
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a ✓ EIS 7 G � T
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Phone Phone Phone
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I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
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Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety
3
shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to be done within the County R/W
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without an encroachment permit.
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property to be odcu ted, ntil �e) have
complied with all laws of the County of Riverside and the State of California governing said property./
DATE ---�s� SIGNATURE OF OWNER AND/OR AGENT (�
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
USE OF STRUCTURE
JOB ADDRESS .- �.,-/G.'" SINGLE FAMILY DUPLEX L]
Y
LEGAL DESCRIPTION OF PROPERTY " APARTMENTS AGRIC.
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% 7 �'
COMMERCIAL [� INDUSTRIAL L]
CC
COMMUNITY' �"` ALTERATIONS ❑
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NO. OF SUBMITTED PLANS --_ USE OF PERMIT
j
CASE NO.
p Z
NO. OF PARKING SPACES REQUIRED _ NO. OF BUILDINGS NOW EXISTING --
Q
ZONE SETBACKS: FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE __ OF FEET REQUIRED ON STREET
f
DATE — ! SIGNATURE OF LAND USE OFFICIAL --__
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DEDICATION REQUIRED: YES E3 NO El NO. OF FEET---
/4:i�f�-'
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CURB AND GUTTER REQUIRED: YES ❑ NO E3JL4' STREET
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ot:
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CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YE�r ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROENT? Y SNO ❑
°C
DATE f SIGNATURE OF ROAD DEPT.
_
WSEWAGE
DISPOSAL
= p
errxVETMENT
WATER POLLUTION REMARKS
�n FLOOD CONTROL—
z AIR POLLUTION
W DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD::
284 199 9/74 CANARY — FILE, PINK—APPLICANT, w
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78-495 CALLE TAMPICO — LA OUINTA, CALIFORNIA 92253 – (760) 777-7000
FAX (760) 777-7101
TDD (760) 777-1227
December 16, 1997
Mark Anderson
52-850 Avenida Herrera
La Quinta, CA., 92253
RE: Expired Permits #14798,14898
Dear Mr: Anderson
The purpose of this letter is to inform you that your Addition & Remodel Permits #14798 &
14898, for the project at 52-850 Avenida Herrera, has expired. In accordance with 1994 UBC
section 106.4.4, no further work may be performed until a new permit has been issued. . .
Please contact Daniel P. Crawford Jr., Building Inspector I, at. (760) 777-7012 to obtain any
information you need regarding a new permit and/or any required inspections. Should you
choose not to complete the project, we would then have to pursue any or all of the following
actions:
1) Abatement of the project through the City Attorney's Office and Code Compliance Division.
2) Notice of non=conforming'structure placed upon property profile.
3) Action filed with Contractor State License Board. Optional if Owner/Builder.
Please contact us at your earliest convenience prior to 10 working days to resolve this issue, and
for any questions you may have.
Sincerely,
Mark Harold
i
& Safety Manag Crawford JInspector
cc: file
dpc
MAILING ADDRESS P.O. BOX 1504 LA OUINTA, CALIFORNIA 92253
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