9878 (BLCK)TA.
a9b;
tyl 4 U-
P.O. BOX 1504
Building 51350 Montezuma LA
CALLS
Address LA QUINTA, CALIFOORNIARNIA 92253
Owner
A E 1-1 B ui.iders
Mailing P 0 BASS 366
Address •
City La QuintaZtigi253 Tel -564-4832
Contractor
Same
Address
Zip
State Lic. I City
& Classif. 4$7.584 Lic. # 526
Arch., Engr.,
Designer
Address Tel.
city ZiP State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
t.
7000) of Division 3 of the Bu$iness and Professions.Code, and my license is in full force and
effec! .!� e
f 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 the,
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 rive hundred dollars.(8500).
❑ 1, 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.)
❑ 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
1
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,-3866—rg&57;C
Poljcy No. Company 1 (—
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 (S100) valuation
or less.)
I certify that in the performance of the 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 r
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
No.x9878 _.
f
AY ~tl'
f
4
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number
Legal Description
Project Description
1101 -of 41 slump atone wall
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ 'Demolition ❑'
Estimated Valuation
.
1015.20
PERMIT
AMOUNT
Plan Chk. Dep.
41
Plan Chk. Bal.
Const.
54.60 :r.
Mech.
Electrical
Plumbing
S.M.-I.
.30
Grading
Driveway Enc.
Infrastructure
TOTAL 54.30
REMARKS
51
T.�.�61g• n �� .'T.t
AV N11—e, w ,.... •. — -..
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 FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO. Fr. ®
CAR P. SQ. FT.
WALL SQ. FT. @
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
I 1POWEROUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
SEWER OR SEPTIC TANK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROCK STORAGE
LAUNDRYTRAY
AIR HANDLING UNIT CFM
GAS (ROUGH)
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
WATER HEATER
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
HOUSE SEWER
GRADING
cu. yd.
$ plus x$
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
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
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION•
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESRNITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
ti =82=879 Highway 111
NOTICE: -Indio, CA 92201
Document Cannot Be Duplicated: (619)347-8631
Date 3/7/91
No. 110455
Type of Permit I La Q Uinta
Permit #
Log #
Owner Name Roy Pina/A&M Construction
No. 51350 street Montezuma
city La Quinta zip 92253 study Area 113
APN # 773-081-001 Tract # ILot # Square Footage 11480
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 'unposed pursuant to Government Code 53080.
in the amount of 11.58 1 X 1480 or $ 2,338.40 have been paid to D.S.U.SM. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposedproject may now be issued.
Fees Paid By A & M Construction Telephone 5644=
Name on the check
By Richard M. Beck ' x
^E,�
Director,, Facilities Planning & Developments
Fee collected /exempted by Shelley D. Bennett .
rt,.a
Paymen aRec6vq,,%k.s
Signature _3-"y .
> f; CACheck �N .` 1003
Collector:- Attach.a copy of county or city plan check application form to districtG6py.for all waivers..
Embossed Original- Building Dept./Applicant Copy ; Applicant/Receipt Copy - Accounting
low
t.
cc
0
AND WHEN RECORDED MAIL TO
IL
0or
Wome Roy L. Pina
stre" Ouiet Cove
O
0
to
CD
W.
.6925
Carlsbad, CA 92004
L
City 6
W
T
F9
MAIL TAX Ci'ATEMEiiTs TO
SANG AS ABOVE
'Ad*on
son L
X.,
SPACE ABOVE THIS
LINE FOR
RECORDER'S USE
CAT. No.,0111011100502 -!red, I
lvlt��xal
Grant Deed
TO 1923 CA 12 831 .
Two room run"I9"90
law vicom TITLIt 8 "Sumane
The undersigned grmitor(s) declare(s):
Documentary transicir tax is $
A IL (XX ) computed on full value of property conveyed, or
11
computed on full value less value of.licns and encumbrances remaining at time of $31L..
".Unincorporated area: (XX )City of lt�And
,11 -OR A VAI.UARI.E CONSIDERATION, receipt of which is hereby acknowledged,
C. SHERMAN, An Unmarried -'WL,m.-jn
hereby G;RAW(S) to
RQtli.. PrNA, An Unmirried Man
the following described real property in the Cit y of La ouinta
county of Rivcr
-i dt. State of Qlifornia:
Lot J# Block 19 of Santa Carmelita at Vale LA ouinta, Unit No. 2 as per Pap
.recorded in Book 18, Pdgcs 55 and 56 of mapi; in the office of the County
Recorder of said county;
A19--h—ir 17
J,4 1j. 4,14 Marj rIe C. Yhermsn
sw,q: oi., cwd
Lzilh. ol.- ('A
On
isir. I the tindmignivd. A Nfi(ari- Public in and for said Stoic,
priminalk- aplicared
. .. . . ... .... e. 110q^
pei—nAlli. kn ... A -n 141 Ow itr llrivuej to Me on the basis of %av
be Iiir.11cmin' Whow none i!
1. •I Ir Ili, ..nlrrn uialrnmrnr and acknowled$rd
MAR 1991,
6 1991
01,?f�978-105 CALLE ESTADO - LA.QUINTA, CALIFORNIA 92253 (619) 56ti ffo LA
pultgTA
March`5,- 1991
Mr. Brian Monroe Subj'e'ct.-.;
A & M Builders Setback Adjustment #91-044'
PO -Box 366 Location.: Cove
La Quinta: CA 92253 51=35`0
---
Dear Mr. Monroe.:
This letter is to report', approval of your recent. application
for a setback adjustment, pursuant to Chapter`9.1'88 of the City.
of La Quinta Planning & Zoning. Regulations. The following
setback adjustmenthas been approved subject to conditions and
in accordance with attached Exhibit•A.
SETBACK ADJUSTMENT: 20% -reduction on front setback.
(i.e.-20 foot setback reduced to 16 feet)
FOR: House and patio.
After review and the attachment of conditions.it•'was determined
that:
:1'. This adjustment is consistent.with the intent and
purpose of the zoning ordinance.
2.- There are special circumstances applicable to tile -
property, including such factors as size•, shape,
topography, location or surroundings that justify
approval of.the.adjustment. These special
'circumstances are: this is'a triangular 'shaped lot
with a`limited developable.area.
If you. have any questions, please contact the undersigned.'
Very truly yours.,
JERRY HERMAN
PLANNING & DEVELOPMENT DIRECTOR
Glenda M. Lainis
Assistant Planner
GML:ccs
Attachment: Exhibit A
cc: ,Building & Safety Department t,
Mr.' -Roy pina; Property Owner
LTRGL. 153LING ADDRESS P.(V. BOX 1504 - -LA .QUINTA, CALIFORNIA 92253
.x,{'.11•^ F'1 5��"Si•.�i�. vr. 4_.' 4 i.}`Pry!�Fil•}:'/f•'jn�%jji•���',,'�Ne![�6W.,•/f,�F'n.`iPtT�`�Il M1b�j^yrrlhJ•�.'.'.�"1-��R.FY•F•9 '��'i\•�lY ryµ'.
COUNTY OF RIVERSIDE DEPARTMENT. OF HEALTH A""0°" ftmW
No.
ENVIRONMENTAL SERVICES DIVISION", : • 773 -08/ = 00
PERMIT APPLICATION FOR A SUBSU10FACE SEWAGE.DISPOSAL SYSTEM. -
Applicant: Submit this form with four copies of a scaled plot.plan (1-20 scale) drawn to County speculations as indicated on the attached check IISL
�p A n�opsiefurrc�abAeffiling fee (see below) is required when ;the application is submitted.' Check must bemade payable to the County Of.
Riverside Approval this valid fora
application shall remain period not to'exceed:one year''from date of approveJ:
Q
"VERIFY IA
:
ITEMSrIW);SECTION FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION L'OG #
.3
Contractor, Contact"Person,Phone Ad ress & Firm
�4
Owner
UJ
Phone .
Mailing Address
CO
city
State
Zip
Job Property Address"
Legal Description Prop. (PM, -Tract Lot)
JS cA
41t4
Lot Size
Water Agency/Well
Use of Penni, P/P, CU, etc.
Other
• S�aoo
G v ��
• . .
Dwelling MH Site Prep, etc.
7,1Signature
of Applicant
Dats
CATEGORY: REV•CODE FEE
CATEGORY: REV CODE :. FEE
SUBSURFACE DISPOSAL 12380
SITE EVALUATION UPON REQUEST 7349 $ 43.00 .
m
❑ MULTIPLE PARCELS WITHIN SAME SQA
(NO PLOT PLAN)
LAND DIVISION+, '
❑ SEWER/SEPTIC VERIFICATION. 7348. $ 17.00
0
a. 1 at 4 Parcels (Each) 1238 $ 57.00
(Less,than,l year) '
��•;-
b. Each Parcel after 4 7344 $ 24.00
❑ PRELIMINARY ELECTIVE 7352: . ` $ 23.00
...W.
❑' Rereview, (2nd review sameparcel) 7344 $ 24.00
EVALUATION (Attach DOH SAN 53)
U)
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK 7351- : $ 47.00
Critical Area 7346 $111.00
❑ ALTERNATIVE/EXPERIMENTAL . 7345 ' $222.06'
❑ • Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $ 87.00
INITIAL PATE
Holding Tank Agreements Completed ❑ Yes No��_ .
Cedtficatio^ of Existing S.D. System Required ❑ Yes . No
WOCS Clearance required. (Attach Form ❑ Yes + No
DOH SAN 007, Santa Ana Region Only)
Soils Percolation Report Required. ❑ Yes No
Special Feasibility Boring Report Required. ❑ Yes No _
Detailed Contour Plot Plans Required. (1 to 5 R interval) ❑ Yes No
Otter ❑ Yes No
Staff Specialist Lot Inspection Required ❑ Yes No
Lot Inspection Date
Solis boring report by i'•/ /lam Pro # Date
U
Soils Map Page Sol Type Approved by AA h Date
'
Z
No. of Syetertre
Type of System(s)
❑HoldingTenk ❑.Existing
eliing UnMa
(1) Sepik Tank
Soil Rate
G
Bed .Ir Units
Grease
New ❑ ReptaCe^wnt
141 T
JyGalLU
(2) Leech LineSqrFt
ec4tom area
Sidewall allowance
tL rook/ sq. Rf�a
IrsteII L k*s) R long wide with
Leach. Bed sq.
o
per running tt.
NA
min. rods below draMl or
Leachlines/bed special design ovs p -e:
(3) Pit Diameter
No. Pits
Pit Below
Seepage Pik Total Depth -
(TD)
Other:
Applicable
Inlet (BI)
Z�
Max. Allowable Depth .
N/A rden factor
-
❑ 5 IiC 6
/
yo
No. 2 System
REMARKS:
1A
0
This application i APPROVFD ENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as, indicated
'
on the acoompan' p t plan, using the requirements set forth in SECTION C above. A building permit is necessary for the . installation of. the
2
above -designed system. No constriction is permitted in .the required reserved 100% expansion area.
Septic tank and sewer lines must be 50' minimum from any wells
(2) 'Leach lines must be 100' minimum from any wells, including expansion area
W
�s(3 Seepage pits must be 150' minimum from any wells, including expansion area
Signature of Health Offic•iift e
4�i . ,...
,,78-105 -CALLE ESTADO — LA =QUINTA, CALIFORNIA 92253 - (619) .564-2246
�x'T,�•. `-• FAX (619).,564.561.7
August 32,11 .1991
Riverside County Assessor
46-209 Oasis Street,
Indio, CA 92201 _ • .. ' ,
Re: Parcel 4;#773-08.1-001-1, '`Lot 1, Block 19
TO WHOM'JTMAY CONCERN:
t In• reference,�to the above-mentioned- parcel, please be ..advised' that -
_ ,this lot was. 'assigned the 'address of 51'-350 Avenida Montezuma ,by
lthe•' City of La Quinta.
The property. owneris aware'. of • "this 'and would appreciate -your
correcting ''your records ,--to A, show ;the `_,correct address• of r51-350
Avenida.Monte'zuma,, instead'of 51-350 Avenida'Obregon._.
„
_ Your, prompt attention to this Patter ,is appreciated. ,
Sincerely, ,- ' ; • ,
B G AND FET ARTMENT - • `
_.
Tom• Hartung'j
Director of-Buildirig and`SafetyA
cc: Roy L. Pina _ .....• r
n' :.LTRTH50
.f > �.P • '•'.r<{y' - 's * , ; Jam+
# MAILING', ADDRESS'.' P.O. BOX 1504 SLA, QUINTA, CALIFORNIA 92253 =''