SFD (002176)Building
Address
Owner
i P.O. BOX 1504•, No. 002176
78-105 CALL,F�",,E ESTADO
WS Pmerd& navarro LA QUINTA, CALIFORNIA 92253
a
BUILDING: TYPE CONST.
mailing
Address g_p, BM 1.178773-334x-016
A.P. Number
City I Zip ITel.
Ia QW nta 1 92253 I 564-3594
ress
City' � Zip Tel. Val 92307
State Lic. City
& Classif. ytr,n«sne Lic. #
MIL;Y., r-ngr., . . .
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
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
1 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 penally'of not more than five hundred dollars ($500).
O 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.)
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.)
0 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
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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 anyperson 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
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., g_
Signature of applicant
X
•� ��•"'"ri • Date
Mailing Address
City, State, Zip I f
HARD COPY I
OCC. GRP
Legal Description 3
Project Description _qJncJt_ fmilily rNPIl.iM
REMARKS
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
86
Issued by: Date 3-12— Permit
Validated by:
Validation:
A4791 3 14
.i 734,21 R
Sq. Ft. DW 1412
Size GM 4'40
No. No. Dw.
Stories � Units �
New Ad(i"
Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation
,�{{O�
6.80
PERMIT
AMOUNT
Plan Chk. Dep.
2W.00
Plan Chk. Bal.
✓IL.1!3
Const.
358.00
Mech.
31.00
Electrical
£7.10
Plumbing
85.00
S.M.I.
5.25
Grading
Driveway Enc
20.00
Infrastructure
1,116.11
TOTAL
11984.21
1,734.21
REMARKS
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
86
Issued by: Date 3-12— Permit
Validated by:
Validation:
A4791 3 14
.i 734,21 R
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SQ. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO. 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
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
BONDING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
DUCT WORK
LAUNDRY TRAY
AIR HANDLING UNIT CFM
GAS (ROUGH)
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ®c
BATH TUB
WATER HEATER
SO. FT. ®c I
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
BOND BEAM
SO.FT.GAR ® 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
UGH PLUMB. '��3
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC
UGH WIRING 5
DUCT WORK
ROCK STORAGE
FOUND. REINF.
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.
$ P lus x$
_$
GR.
46xFINAL INSP. G
/�USLUMBER
/llFRAMING
�INAL INSP. !
lilt ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 5 LzI, 'y
MESH
�U<e JNSULATION/SOUND
r^
GRADING
''//FINISH
4/F/�
INAL INSPECTION
1N ✓
/' //////������CERT.
OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
'tk�FIED
o
N 8ERMUDA DUNES r
RANCHO MIRAGE
INDIAN WELLS H
PALM DESERT v
%P LA OUINTA �a
110 INDIO
Desert Sands UAed School District
82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631
March 13, 1986
City of La Quinta
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
Re: 52805 Navarro
Gentlemen:
The developer of the above referenced lot
has mitigated i:ts impacts on our overcrowded schools by payment
of the amount of $628 per unit to be applied to the cost of
district educational faci'li.ties made necessary by such new
development.
Sincerely,
VrL1. V-1 ...k
John D. Brooks
Assistant Superintendent
Business Services
JDB/crm
JIM PETTUS CONSTRUCTION
•
P.O. BOX 1059 c xF
APPLE'VALLEY, CA. 92307
619-247-6468
----------------------------------------------------------------
V
February 28, 1986
Mr. Larry Rogers
53705 Martinez
La Ouinta, Ca. 92253
Re: Project for Mr. Charles Stebbins.
Dear Larry,
In response to our phone conversation this morning, I am happy
to supply you with this notarized authorization to sign con-
tracts for the Stebbins project. This will relieve me of the
time consuming necessity of driving down to your area, as well
as allowing us to proceed with the greatest amount of'speed on
Mr. Stebbins home.
Therefore, I, James C. Pettus do hereby authorize and instruct
my business associate, Larry Rogers, whom you know, to sign and
validate such contracts and encumbrances as may be necessary to
initiate and satisfactorily complete all lending and con-
struction requirements, including loan documents binding me and
or my company to the extent necessary to complete the above
named project for Mr. Stebbins.
Sincerely,
a 8 C. Pettus
1
O)SAFECO
TITLE INSURANCE
1 STATE OF CALIFORNIA
SS.
COUNTY OF 9nn Rprnardinn
On this the 28th day of ebruary 19, before me the undersigned, a
- Notary Public in and for said County and State, personally appeared Tamp c r- P t , k
v
'v
c
" personally known
a to me or proved to me on the basis of satisfactory evidence to be the
person whose name -j-&-- subscribed to the within instrument
Go
a d acknowledged th executed the e.
m
C1.
f9 10 Si ture of Notary
J
Q
U
FOR NOTARY SEAL OR STAMP
---------------
OFFICIAL SEAL
GLORIA J. W 11 'CK
:.p Notary Public • California
L San Bernardino County
My Com. Exp. Feb. 18, 1987
Z
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COUNTY OF RIVERSIDE, DEPARTMENT OF HEALTH
PERMIT APPLICATION FOR A SUBSURFACE DISPOSAL SYSTEM
Applicant: Submit this form with three copies of a scaled plot plan drawn to county specifications required on the
attached check list. A non refundable filing fee of $15 is required when the application is submitted. Check must be
made payable to County of Riverside.
Name
/-RRkl 'R 6 G-efZ-S
Mailing Address
f t o /%
City
State
Zip Code
Phone
LP Q. xf TIA
22-53
1,5(,q 35 9 9
'Property Address All
'City or Community
'Legal Description of Property (Lot, Parcel Map, Tract)
-F2-845 vAR o
L� Ou rti int
1-0-r-3 BLOCK IL/8
'Assessors Parcel No.
Water Serving Property From
Lot size
-3314-0 -�
C c EIA -A VAQti--' '-Ek btST
Som /do
Si nature Applicant
o ppDate
above information must be verified from Building Application
Staff Use — Do Not Write Below This Line
Initial Date
WQCB Clearance required Yes ❑ No 1�, SFp
Soils feasibility report required Yes ❑ No
Detailed boring report required Yes ❑ No
Detailed contour plot required Yes ❑ No
Comments:
Soils or boring report by Date
Approved by Date
Soils Map Page Soil Type Tract File No. Other
Number of Bedrooms
"3
Septic Tank Size (gallons)
Rate Required
/ 19—
Type of System
New Addition Replacement
Hsu
/ooa
�S /ov
❑ ❑
Leach line sq. ft. of bottom area trench
Leach bed (sq. ft. of bottom area bed)
Seepage Pit Diameter
Number of Pits
Seepage Pit Depth B.I.
Total Depth of Pit
5' El' 61C�'
otic
/S''
ice,
Location of System
Additional Requirements / / n
L
A permit is fi�ppraved%denied for the design of a subsurface disposal system as indicated on the accompanied plot plan
using the requirements set forth in Section B above. A building permit is necessary for the installation of the above
stem.
designe7,'-t--� 5
2, z c
Signature of Health Official Date
Receipt No.
District: Riverside ❑
D19 2'72
DISTRIBUTION: WHITE - Office File
DOH SAN 122 (Rev 10/84)
Indio 11' Hemet ❑
YELLOW - Applicant
Issued By
Date 2 1 -
PINK - Building Dept. GOLDENROD - Pending File