09071 (SFD)44
P.O. BOX 1504 Cit N o.
Buildijis 51-230 AVENIDA fl$EECON 78 105 CALLS
Addrrest
LA QUINTA, CALIFORNIACALIFORNIAORNIAESTAD9 92253 ��,! j
A & H CONSTRUCTION
Mailing
Address p. 0. BOX 366
City Zip Tel.
.LA QUINTA,CA 92253 1564-4832
Contractor
AOOresS
City Zip
State Lic.
& Classif. B1 487584
Arch., Engr.,
Designer
Address
Tela
Lic. # 6
Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Cha ter 9 (commencing with Section
7000) of Division 3 of he Business and Profess ns Code,- nd my license is in full force nd
effect. f.:F-�,l�
v
SIGNATURE '
kTE-
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).
O 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 or sale.) j
0 I, as owner of the property, am exclusively contracting with Iicensed�Q�t?actors t on- jl+
struct the project. (Sec. 7044, Business and Professions Code: The Contra tbrts,L'ice'e Qaw
does not apply to an owner of property who builds or improves thereon, ddon ��JlhtY'confr is YYor
such projects with a contractor(s) licensed pursuant to the Contractor's License La ) M
❑ 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 furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE ✓`Y
(This section need not be completed it 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 person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Dale Owner
NOTICE TO APPLICANT: It, 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.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING: TYPE CONST. SPD . OCC: GRP.
A.P. Number 773-052-009 and 010
09072
Legal Description Lotto g and In
Project Description SPD
V.6— A 'D W, A --A f tea.
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
_NEV PERMIT ISSUED DUE TO REVYSRD 7ETS,
LOT MERGER 088-092, ver Mark Harald.
Pii?Rti"ill:il5 PlQRi4fTT lintcR�7
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep. $r di nth
Plan Chk. Bal.
Const.
Mech.
I lectrical
J.M.I. -
Grading -
Driveway Enc.
Infrastructure t
4' s a
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:_
Validated by:
Validation:
Permit
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT. ®
POR. SO. FT. ®
GAR. SO, FT. ®
CAR P. SD. 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
WAIER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
�,�— `
`il,/I
n —
i
O
SO.FT.GAR ® 3/ac
HOUSE SEWER
VENTILATION-.�—
GAS PIPING
PERMIT FEE
PERMIT FEE
---JPERMIT 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 P MB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SPCVEf{-AR S IC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. D
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 �'�1/i
�,�— `
`il,/I
n —
i
O
/1�
REMARKS:
VENTILATION-.�—
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING I— A W
MESH
INSULATIONISOUND3/a Q/
r
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES11NITIALS
GARDEN WALL FINAL
Building
Address
eti
' ARROW PRINTING. INDIO 13001 3.418 139318.cN
P.o. eox i5oa I APPLICATION ONLY
78-105 CALLE ESTADO
LA QUINTA',,CALIFORNIA 92253
7
Mailing
Address Ail /&o I,,L 3CK
City � -Zip
:Tel.
Plan Chk. "Dep.
Contractor
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 rive hundred dollars ($500). -
O I, as owner of the property, or my employees with wages as their sole compensation, will
Address
City
Zip
Tel. "
State Ljc. =
City
8 Classif.
Lic. #:
Arch., Engr.,
Designer
Tel.
WILDING; TYPE CONST. OCC. GRP.
\.P. Number / —(/—�C/ /_ 2-,0/6
_egal Description '
)roject Description
Sq. Ft.
New ❑
No.
Stories
No. Dw.
Units
❑ Alter ❑ Repair ❑ Demolition ❑
City Zip State.
Lic: #: Y.
LICENSED CONTRACTOR'S DECLARATION r
1 hereby aflirm t I.am licensed under provisigryR1s of Chap -r9 (commencing with otion
7000) of Div' ' the Business and r s dns Code d my license is in full rce gAd
effect. li�i � ��
SIGNATURE -"ATE-
OWNEWBUILDER DECLARATION Estimated Valuation
1 hereby affirm that I am exempt frorii the Contractor's License:Law'for the folloiwing >
reason: (Sec. 7031.5;Business and Professions' Code: -Any,'- city or, county: which requires a
permit to construct, atter, 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
..Chapter -9 (commencing with Section 7000)of
Me provisions`�of the Contractor's License Law,
PERMIT
'- AMOUNT
Plan Chk. "Dep.
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 rive hundred dollars ($500). -
O I, as owner of the property, or my employees with wages as their sole compensation, will
Plan Chk. Bal
Gorki.
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
:Meeh.
-
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. f. however, the building
Electrical
-
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.); ' '
Plumbing
❑ I, as owner of the property, am exclusively contrac)ing:withlicensed,contractors to con- N'
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
S.M.I.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.;-
❑ I am exempt under Sec. B. 8 P.C. for this reason r
. �•
Grading
-
Driveway:.Enc.
Date owner
f
frastructure .
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self insure, or a -certificate of
WorkeYs 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. '
TOTAL.
.
CERTIFICATE ( EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE,
REMARKS '
(This section need not be completed U the permit Js' for one hundred dollars ($100j valuation
or less.) - ,
I certify that in the performance of the -work for which this permitis issued,`) shall not
emplWanyon in any manner soas. to become subject to the Workers' Compensationwa.
DateOwnerNOTLICANT., 7/, 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,
ZONE: BY: x
', Minimum Setback DistanCes�
`Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street'Setback from Center Line
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performanceofahe '
work for which this permit is issued. (Sec. 3097, Civil Code.)
SidAetback from Property Line
Lender's Name
= FINAL DATE
Issued by:
INSPECTOR
Date Permit
Lender's Address
This is a building permiPwhen properly filled'out,signed and validated, and is subject to
expiration if work thereunder; is suspended for 180 days.
I certify that 1 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-
bovementioned property for -inspection purposes.
mentioned
Validated by:
Signature of applicant Date
Mailing Address -
Validation:
<
DESERT SANDS UNIFIED SCHOOL DISTRICT
82:879,Hig *ay.,11-1
NOTICE:
DocUm-e'nt Cannot Be Duplicated (619):347-8631:
Date
I 12/20/901 Type of -Permit jlLa QUinta
No. 110343 .. Permit # 108897 7-1
Log #
'Owner Name A & M Construction, -,: :
No. 517230 Street V bregoi
city _LA Quinta zip 92=,.
Tract #
APN #
Area
Square'Footage 13344
Type .of Development ISingle Fami*ly'-'R.e0d'ence. No of units
Comments
At the present time; the Desert Sands Unified District does not collect fees on
garages/carports,, covered,patios/walkw 4 y" s'j residential'
�sideriiial additio'ns':u'nder 500 square feet,
detached accessory structures or- repidd6ment.w6bilAom es. It has been determined
the, above -'named owner is exemptfr ying 0 o-imp'4", school At this time, due to the
following reason:
EXEMPTION-NOTAPPLICABLE
This certifies that 'scl600l,40W,fees MAIM
in the amount of or- $
,the property listed- abovpapd that build
this square footage in, this:proposed p� - ojec
Fees Paid By Shelly Morn's
Name on.the ;check
.,
]By Richar& M. Beck
DI*Lrectori:F,aoifitiei.-Planiiing,& Development
Fee collected /exempted by Carlene Ellenz
pursuant to .Gove iment,Code 53080
6ii6:and/oeC,bktificEites of OCCUDanev for
Telephone``
Payment Received.
Signature Check No. 502
Collector: Attach a.copy ofCounty ority plan ch6ck.apolieption-form to District copy.
Embossed Original- Building Dept./Applicant COPY - Aoplk"ceipt Copy. -,,m_counting
y.3 �MIAM li/M/LMW t►
r •
(I7�I .f�/.{VGl✓ t�AMI, W7V Yf�/ /�/r M�T..7.1
t - �;
ODCAWN SHOUM &FLOW, AML TAX SLAARAM la,
r.
"4Mirlpm B. Satoh -06
.
if
AU
4
. •� t..: �. � } � � N•
.•.•",.� '1/!NC# ASd11S ISR REC.Oa;03�'! Nf1,t � � +,
TIlM Wada Ma $OSby] - � _ s ,
bel wr or bun No. 1065
Padmrship;Gran! Deed
The WNdW0WWd ooar+�*ay act go tam a s��2 5 D 4
i -(, • ) canputad an tLA vows of prapwM cor%wmd. or j
' t ) computed on h,r value +eu vow d t7farr a+O snourribnonoss »mdnhv d tune d sow
(. ) Urwroaporato case ( ) Gb
FOR A VALUABLE OONSOMATION. meW d which ti tw$bV odarowwdpia.
A i N CONSTRUCTION, ,r
a GENERAL c>Q+ w+�p "WAb utdw thb lows Of the SIC" Of `
hasty GAMIS to t ;
C. STANLBT HATCH, JR. AND MARLRNE B. BdTCBj'SUSBAND AND WIPE, AS COi►MNITY*,
PROPERTY
the torowWV described recd propfarfy In the
Gourov d Riverside . State d Cawomla: '
LOT 9 d 10 IN BLOCK 44 OF SANTA CARAlELITA AT VALE LA QUINTA; UNIT N4 AS. PER
MAP RECORDED IN BOOK 18, PACE 82.OP MAPS,. RECORDS OF RIVERSIDE COMM,
` CALIFORNIA. .
J
a
February 18, 1990
STATE OF CN*Of*M l SS
OOLSMOF Riverside `
On mnf� aw d " Feb tus t�► . , ', .
�. ;10 ��. ow» me. ttr urdrsrar� o Notary ARY+c rn an0 for xse
' Caurrtr oneArora. o�r�orwW opowso Rick Z.Morris
fMr+ Mann �l �1Lr A
'
pm IV cov knardl
to tTt♦ 16 tv.
d Wo PoMm, d It* pG&%@p V the a»e~ Wo Wgh n *%parent
a+o acr�arA�aC7b b rms t+id wd+ptsttmWil- wec~ trp sane
vritrEss my t+ona +e "Co
spnonw
Deborah J. MiI
iF
T rQ1
c
A A M CONSTRUCTION
PWnw
paomr
> J
av .
• .. ' ` P
9V
ocr¢w aw
Deborah J. Miller
L J.
trot
t Er9eet 1+n 2T t!!t 1
Vfm uw tv oftwo Sed)
MAL W 3TATk#litaM AS UNMGSW PAQW
:.its ry�r:«. .4 t :R�Mp'�. ^�►'�4N
+ I. fS• F 1 n ., �� � %� S It
' .a/N/darleJrMeOaera11a1►tli iy. :t: r -p
.' 1 F. a. Q lid) ZFC. i .,. � _ � x'i�'. �, �h - ` •�� ' ,
P.O. Boy 1552,^ `
La Qw intc, CA 69863 r ti y' i'
Mp�cn %own "M Pon flacoReklit's uft-�u
SHORT FOAM OFM OF TPUST-ANA ASVWW' Wf OF 21HIS ANNA iEOYEST FOR OVIVAi MOM
Thi. Ihed of Trust, nods 12th ° ' dy, .t ' DeoarlbQ�+, ;1699 .rasa. [7Yy
A d N CONSTRUCTION, a Cenerat Partnership � • .
.
whom 446M 116 P. Q,M+aaFatwi) Lata CA luaMf 989.,5 f)
ZENITH ESCROW SERVICE. • California rwporufw heitin ulled tayssss. onAr _ • �`
F. B.. d A., IA'C. , a `Catitornia Corporation •." >' ;� }
4 heeds G&W Wesalnwttr. Y
W ittleemOtt Tref Ttodter m morusta awe», now nes An aettscot wt � s � ttn,
wn rows s"er sdo p"17 Is
r
Q - f;ctnAty. CiSfd11�, iwKireti at ;
LOTS B AND 10 IS BL= 44 OF SANTA CARAtBLITA AT VArx is Qum. UNIT -4, AS PER NAP
'RECORDED IN BOOX l9, PACE' 88 OF W.PS, ;B THE OFPICt! OP TI' COUr, Z RSCOR M OF an
COUNTY. - '
This deed of trust is Siren to secure a portion of the purchase price of the
herein described property.'
TWF HER VM the veru, roues aid profits thersol. SUWECT. HOM'FR. to the rilbr. poww aA amdwotty Sim to mod covimid
upeo Tkne eiary by parafiraph ( 101 of the provision iweorporstsd herrio by re$wt as to se8as and Apply OWN Nests, (two sad p►o
Fryeli� Pa�poss of Sseorirq: l. Petfe•rmaate of c:er agreem of of Trustir Wwpomod.by roWmm or cow -Ir d hsrsia 2. Paystawt of
tMe indtieredarss esideaeri orae p:emiswry ante of e+sa data ltererrlt!►. and nay esadeisioa or teeswd sbsntel, in the peiseipAi were of
fi „� jj� 4 �e teAeaad br Trrxsw Lt (sror r! Benr�icie>y or seder. . .
To Prose"" Ssesrity vert Tbk Med of'!'ntst. Trusaw Afi esros t By the tsa wdoet sad 460"ry of ttrb Mad of Trust and 16 4W.
satev d hereby, cher prot'isions ( 1) to 114). i thwvs. of the fictillovs 6WA of tMat rocatdad is 0A CeW3404 at faith !Mm and in ties
ba.h' awd at the pop sd official Records is tae cam of ttae toway tee"W where W4 property h located, now below mpp0am tb amot
of na.b temady. tri: '
to" n an Aofla "Qs t)uertv Aru cense east
tupttrut S IVU 1267 $74 oUNU !'f 0 13114 117 - tausst dsrr *w"ab, tyresvv Ann "m ►Act
� SAxcEMtAttbawC 1,&V TV1t 11 sAarAfu�teAttA 1/&682!N 122
M5ff" ! 6•61 5 M3 VEaTL'sv1 91648 19th 31 sut10s3=srp>l/to/er3 M3 429 1 LOSMULIS V1141 TMW ,IQ
#M tltG! 9'10M ACCKV r310;7 rEM 1;ii • 3"01190 !. tor" stritS !I w" IM "a ltiwo
!which pmr6jolm idasliod in e11 a umk% are are the tereraw br•,a3) kaeby we Ail ier l)4w-, S':.a'e!a And was a
pips herrn( as fo11y as tho%% act Ur -h herein at ieas'�et tbu he w'..". a'nelrs ata par/or� aRfd lcntt ser do, the nrfilstvdr M
pprrooppeerr►►I) sbi3istieea. Aad patties ie .4 Flv tW,1W 1e eoeetresd to t cfde b tie ptopt�rtr, � eno psttfw nt 42 bt *w
T)ssd of'irat -
T4u W Trwow rAgseft tine a espy of «•y Ndfes of 0dasll Aad Of seta ffrsiee► of Ssls hwft—e+ N 14 ms" to r+. M Air
wwr" arssafrtt ,
Ir:A rdaace wish Ssctiaa 29.x, 0,a Cada tsgw�t b irnsky suds by tits oedeesvl6rad'lpiT�CCB t�tat A espy of a,y fwtke
d O r ,_any iigk* of 5sk cedes 1Yt1 of Tract romedea
it Bock irAji" . -.�=01 W Raverria d .. . Co1Eft'�ie.'Its
a me iracritrrd prrpaty. esme" iT -
as Tracor is wrkr
is ntwwd as Bsne<id"T. sari
be moold ft low
whom ad:set. is —
iNmebw And Serval
*STATE Of' CALfFaOfiMA.
cot�mr Op �'•
Or b 't as4 tAa and•.•
*Fled. o no" raw in sari tot aria soth isysmQt
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i irterrnrert sees f" #10 1dw saw,
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as ztsre
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'ty. � 4.�•MMwrw�.r�,nvi+i+r+fiirMn�As�►�;"""' ww+.r.r..'...�•--. +w+r�.t .ar ..��
;'y "•• "' {' l• t .. � ;. r•`- , .t-- '.•w.+ • - ...._.. ._-..,r. «.-++w.sa - :.••e.t•. y. ..w.+. , .. �i•+..ir.�y�y..
+ T } .. it yf[._ + � �� Y�' a S • �', ryJ. � a } .l r -! � ,
��a..:q`.�t'"a+'�:�iL".4�ir. k,�." � �:.�i:y'+M1+Fw.t' �M''� �;►tFe�' x'k:� 1�,Y�C�+';x �-`��r-`»i 7c�'�'� .t'.!f`y`' _ '�` ��'a ` d I�Yr�-w-�•. r•' ' x �"-.y E
''•�' 0196000t16a "tau"
WON UM MCGIVANY
aAN1 v►►rr.N QlCpapaO YAC► ro � . �
A j40
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rp.a.. e. A,, tree
rs P.O. Sox 1661. ti `
6.4"La Quinta, CA 02853
tAcc Asove TMIS t.1Nt rrok 119coltDt11'a use -
SHOOT FORM DEED OF TRUST AND ASSIGNMENT Of RENTS AND REOIIEST FOR SPECIAL NOTICE .1 � t
r This Eked of Tenet, uredo this 12th d+l N Daoamber,
. r , betle»es ,
Act M CJ:JSTRICTION,. a Genera 1. Partnership , bode alladttvscos.
nb.oddtaso is. P, %A41at ►ru) La pta CA'r(state) 82263 flip)
D
ZENITH ESCROW SERVICE, a CaMnenis mrprrat;or, hrrrin called TResTce. anti ,
P.B._ A A., INC., a California Corporation
Witneesetbe Ile Trwtot mevoeAst.t carts, t*Amrau Aro twom to lsuv is ar rntnr. 141111 rlttlila er SAts Cant propst^r'12
Riverside . �'. CA1110 els, daaiW all
WrS g AND 10 IN BLOCK 49 OP SANTA CAf1MELtTA AT VALE 'LA QU.INTA, UNIT A, AS PER MAP .
RECORDED 11.' BOOK 18, PAGE 62 OF MAPS, IN THE OPPICIC OF, THE CouNty ?ECORDE1?.0F SAID
COUNTY.
7
x Thin -deed of trust in given to secure a portion of the purchase pride of the
herein described property.
"Should Trustor herein sell, agree to hell, transfer, convey or assign the property described
herein or any portion thereof or any interest, therein, either voluntarily or involuntarily
without the prior written consent of the Beneficiary, then and in that event all sums secured
hereby shall, at the option of the thcn 11#meficlary, become immediately due and payable."
;HIS DEC OF TRUST IS BEING RE—RECORDED TO M6 THS ABOVE CLAUSE..
')'tail f HER WITH the wets. issues anA profits thereof, SUBJECT, HOWkN0. to the r,gK poster end authority given to and vmforred
upon 11-kfiriary by persviph 110) of the prov!siom Inco:poralM herein by reference to collect and apply such rents, issues end profits.
for the E'ert�srac� of Securing:1. Petformtroce of each saroemeat of Truster incorporated by r0nerce cr contained herein. 2. Payment of
thr Irr+(rbtednass evIZAnced by one, promi»ery note of mean date herewith, and way estestsian or.. wwal thereof, in the fidneipsl sam of
�_ p, nt7n_ nn eLwvied by Trustor t) favor of Beaefday or order.
To Prutert the $ceurtty u(Tbb Qesd o(Trrst,Tetator Aterrrs t By tht eso:ution and delivery of th» Deed of Trust and 6a now
located hereby, that provisions (1) to (14) . (neksive, of the fictitious deed of trust rworded in the eoun:ks at forth below, and In the
M,r.t and at the pace of 06tial Rerords in the office of the county rrcordi.! where said property is locstoi, noted below opposite the name
ref sett h rnnsty, vis:
toum? eat) scow ►ACCeoet+nr DAtt aJea PWsouNTr 0411 9" Pact a worn Date own►ACI
1"PT P'A1 9 lo." 1261 574 ! OAAFlGE 94 6$ 6116 111 '! SAN CERNARCM0 9'6163 10)0 14 S/XTG MRAM 9.6,U 2244 922
IIt" 9 t CA 61% 363 �1 Y1MtURA 9,6164 3303 31 r SAntU•S06IM 9/10 63 1139 129 II tGSANf�tES 3/29,66 T%10 342
Ar 9 19.61 ACC0091 231091 YEAR 199 SA,ti U160 9 *40 63 SMES 9 I= 19M FACE ISS320
leiti.)t pruvialoea. k1ent cal to, nil counties, are printed on Or reverse 1wreof) berrby are adopted and inrorp .-taW herein And tante e
port heteof as fussy as thouo art forth herein at length: that he will oh;.erve and perfum said prevltiom. end tkst IN rohnruv*j to
prape�) ons. a d parties in sold provisions shot! be construed to refer to the property, obligtiiorns, and ptrties at forth k Crit
rest
7's v-1 dei Trutt rsg4a is Cha¢ a copy of any Votlee of Defauk and of any Notice of Sale hereunder bo mailed to hiat at kL
aA6trss vanrinba�olutwR lards .
v
I ord►ntn with Seal.'" 2924b. Cl-il Code, ragtxrt ie herAy made by the andendg red 7R araC a copy of luny Notice
silo a 1ntl+.colyt sn Die:iM of Sage under Deed of Trust reootded
in ROA til Records of County, Califntnts, to offetttng
above doMboA prop". evrA3d by
as Trusent to +hkh
is meed w Censidary, s=td r Tlrstew
be truilm to
>rlrrne eddnaa b
(Humber am Street)� (City) (9tatr) (21p)
STATE Of CALIFOXXIA. � SS. Sidsataraof rrattar
COUNTY of OY j(MUPS
Olt "ms ms► tba ander-
' shale), a !943sry P06cre in acrd fw said Stara, pa'soastly appwed
la
bewln to rx BY:may 'a r lad r.
s to be dw person— wUose stole rwhacrt'bed to the within
hatrraeet sad othsowledged ria oratww tba elms.
t W'iTNM say h! -Ad and ot'ic(al oval
o
Vtt-vo (Tywt er Po -,g i 17'314 a & Isr airist optoo d swel)
I
i PAXTKtRSHtrTim
r or
All 0
. Now, PJAC in and br aid E.te. WOWA h rOvtwrod
snewD� it+orra b rr;cr Droved to tae an dw b.w d.atltdedM .vidsnoW b be lM prswAW e:emtod ft Wsounw o on b" d
parbfrehlp .nd ackr owMd"A b rw dw dw pat tw Oup *&*MOW tc
wrrt= =hww: Mel ..ety OFFICtAL St"
110
LESLIE 1EA. MOOSAVi
fIOTAR'r FMlr • CAUEORM 4000
in ani for Mid &AW Mp oattta. OO1N� n+ Stu
Mo 021 MV VU uM PM M ac
FYIPI; r i
r.:
s 1A • —
ted 1.9y
of
Ij
r4ftum 708
4
goinm "*mill
r 04". &M 1504 -
pas ont axle.
-6103 UNSIM, ,
f la,auirita, -p� t
"awwrit, o y
1;.
pl,
--EXHlBflTl;Z---
GER�
ATE, -�,?A C E -VM E R,..
Cf R%TI-F,l G Of
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pa
Record ow"Ors
Aim —k Zee, Nwnbefs
F INC.
7 ll-wO 5 2:-% -')9 9'sys.
........ .
A. Nc
2-410-9
Ph
oqqoolio� 0. mer
�'Or- CALIFORNIA.
.61:U)W J)ES610FD REAL PROPERTY LOCATED - .� . I ..
q 11.
-Y of RIVERSIDE'. CITYOF LA QUIN FAS..,
.COUNTY
E AT VALF-
i(n S 9• AND 10 IN 111J" 44 .OF SANTA rAl" LITA.
LA QUINTA. 'UNIT 4. AS -PER-MAP, -1RICORDED-M-SOM 18j.'
P 'E 62. -M MAPS. IN INE OFF, I;E, OF�!TME CO3U1M RECORDER
OF SAID COUNTY.t.
v,
'A Zw
��•+. `'. .�.-: T,.y'� ...., _. � .�.�-^�;."'r r"•+r•..`"^r.ti.ew.-s�+w--�.ryt •� ,.. +r .<.-.s+.Y.�
.. � ._ � �"`.- 'F'f'�rrc �•?..''C.. +fig, M r -..e.- .
m
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U)
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH • A.s.orsP"°NN°` 2
ENVIRONMENTAL�SERVICES DIVISION.,-.- ..
771 -oct -0o9 o
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Applicant: Submitthis form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on the attached check IIsL
.� on; refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of +
c�)a Nerside.iAopWif of this application shall remain valid for a period not to exceed one year from date of approval.
VERIFY ITEMS{Jf, JSECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # G
m Agent-ontrador, Contact) -"Person Phone Address & Firm
`'" e56b+ %r/uc bio ��/-VC3Z ;We 70 Geo1,4e G/0,Oi*.:2 4,W4C/•M7; .
Owner Phone Mailing Address
City State Zip Job Property Address Legal Description Prop. (PM, TreCt Lot)lOf3 ��/O �u[ yy
L t� �.9,��.•.�� a �- �.Qi a✓
Lot Sire use of Permit P//"P,,CJU, etc U,1* Other N !T Ity
Signature of Apl
CATEGORY:
L� C SUBSURFACE DISPOSAL
❑ MULTIPLE PARCELS WITHIN SAME
LAND DIVISION
a. 1 at 4 Parcels (Each)
b. Each Parcel after 4
❑ Rereview (2nd review same parcel),,
❑ Sitelvaluation in Conjunction with
Critical Area
❑ Site Evaluation Lot Less than
10,000 Sq. Ft.
REV CODE
1238
1238
$ 57.00
7344
$ 24.00
7344
$ 24.00
7348
$111.00
7347
$ 87.00
Holding Tank Agreements Completed
Date
(�N
i.N.
CATEGORY:_. .. _:'I
O
❑ " SITE EVALUATION UPON REQUEST
7348
(NO PLOT PLAN)
o
❑ SEWER/SEPTIC VERIFICATION
❑ Yes
(Less than 1 year)
DOH SAN 007, Santa Ana Region Only) "
❑ PRELIMINARY ELECTIVE
-
2
EVALUATION (Attach DOH SAN 53)
❑ Yes
❑ HOLDING TANK
Special Feasibility Boring Report Required.
O ALTERNATIVE/EXPERIMENTAL
(3) Pit Diameter
SYSTEM
Holding Tank Agreements Completed
❑ Yes
(�N
certification of Existing S.D. System Required
❑Yes
EY®No,_
7348
$ 17.00
o
WOCB Clearance required. (Attach Form
❑ Yes
p
DOH SAN 007, Santa Ana Region Only) "
$ 47.00
-
2
Solis Percolation Report Required.
❑ Yes
Special Feasibility Boring Report Required.
❑ Yes'
(3) Pit Diameter
Detailed Contour Plot Plants Required (1 to 5 R•interval)_
❑ Yes
r d
Ogler -
❑ Yes
Appl'�e
Staff Specialliat Lot Inspection Required
❑ Yes
No
V CODE
FEE
.
Sidewall allowance :; '
7349-•
$ 43.00
r
Leech Bed sq. R ,
7348
$ 17.00
fl rock/ . aq. it
7352
$ 23.00
of
7351
$ 47.00
-
2
7345
„$222.00
DATE f�
Sills boring report by Pror!t Data '
Soils Map Page Sol Type l Approved by'f
#Date
No. of Systems T of S em(s) No. Dwelling Unlls (1) Septic Tank Soil Rate Greeae/Send
D�ng Tank ❑0 Existing � Bedrooms Rxtnre�lnit8 �Intcp
Ban+c' �OYlt7 r_e� a,3�dg�
i2=Una , FL
• ..
# _ `
.
Sidewall allowance :; '
Install �Line(s))
v v
R brig a wide with
r
Leech Bed sq. R ,
fl rock/ . aq. it
min. inches rack b`eieiA
dralalr' s or
of
O
per running fl _ /
C9FFj/�
-
2
"'^.. -
a
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pita
Pit Below
Seepag!Notal 0)epth
Otlra ,
Appl'�e
/r
%
Inlet (BI)
(TD)
pak
N/A Overburdefactor
`� C�6 s
/ '
!
D /
Q
Max. Allowable 9"thn
0
No. 2 System 1.4
_
-I REMARKS:
AZA)
v
This ap tion is E 11F.D-for the category c � ed in, SECTION B above, regarding the design of a subsurface disposal system indicated
on the accompaniedplot Ian si 9. i SECTION C above. A build' permit is necessary for the installation of the
above -designed system. No construction is permitted in the requited reserved 10096 expansion area
O 1) Septic tank and sewer lines must'.be 50' minimum from any wells / U
Leach Imes . must be 100' minimum .from any wells, 'including`. expansion area'
(3 Seepage. pits- must' be .150' minimum from any welts, i cludi expansion .ar /� ����✓ .�1 .
- Si nature of Heatth`Official'
RECEIPT NO 1 9 .Issued ByDate
DISTRICT .:" O Riverside 10 1filo _. ❑ y Hemet a Pems " . ❑ Rancho Calif:-" _ 8lylhe
DOH -SAN 122 {Rev 3/90):"
DISTMBUTION:'-F WHITE 616 file •YELLOW:. -Applicant' rPINK, Bldg,Deplr GOLDENROD -Plans/Recorda''
fillOFFICE OF
""AGRICULTURAL: COMMISSIONER
• AND
WEIGHTS &MEASURES CALVIN C. KAMINSKAS
Assh.fanl4080 LEMON STREET; ROOM 19 CLEMENT
CBENV � NIS
JAMES ;O. •WALTACE CLEMENT BENVENISTE
Agfie et comm!sitoner, RIVERSIDE. CALIFORNIA 92501: Sealer
OMeeta of Wetphts &,Memkoes (714)_787=2561
49613 Aighway..86, Suite B12
Coachella '.&,:92236:-
( 619 ) :342=8291: .
DATE //. /S_ v CASE N0: (PC jLL S l l %S 90 P
DEVELOPER'S
ADDRESS: ?O
Dear Developer:
After reviewing yourlandsca in lans; all :plant material listed is not in.
P 9.P
violation of quarantine`'laws governing;.ttie'Coachel]a Valley. If 'substitutions
do occur end they differ from plant material listed, this office.must be notified
immediately.
Thank you for protecting and preserving. the .Coachella Valley's pest-free environment.
�. " •, : �� log. �sl-�-
j
A cul ural Conmss" ner'.s. Office C a [J
cc$ Indio, and Riverside Office. U '
i
;
I ;