13243 (SFD)ARROW PRINTING, INDIO. CA 1,93 271228 -CL
CV
4 QUWA
P.O. BOX 1504 No. 13243
Building 51-373 Obregon 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Roger Meyer
Mailing BUILDING: TYPE CONST.—OCC. GRP.
Address 39857 Desert Sun A.P.Number 773-081-002
City Zip Tel. Legal Description— Lot 2 Block 19
Rancho Miraqe,ICA 92270 328-3480
Contractor Project Description SFD
Address
City Zip e .
State Lic. City
& Classif. Lic. # Sq. Ft. No. No. Dw.
Arch., Engr., Size I fic;() Stories Units
Designer New 0 Add 0 Alter 0 Repair El Demolition 0
Address Tel. Permit does not include block wall or
City Zip State pool.
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
I hereby affirm that I am e . xempt from the Contractor's License Law for the following Estimated Valuation
reason: (sec. 7031.5,Susi . ness and Professions Code: Any city or county which requires a 100,328.00
permit to construct. after, 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 PERMIT AMOUNT
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 Plan Chk. Dep. 250.00
subjects the applicant to a civil penalty of not more than five hundred dollars (S500).
0 1, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 294 . 74
do the work, and the structure is not intended or offered'for sale. (Sec. 7044, Buisness and Const.
Professions Code: The Contractor's License Law does not apply to an owner of property who 643 . 00
builds of improves thereon and who does such work himself or through his own employees, 49 . 00
provided that such improvements are not intended or offered for sale. If, however, the building Mech.
or improvement is sold within one year of completion. the owner -builder will have the burden Electrical
of proving that he did not build or improve for the purpose of sale.) 130 . 65
0 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 0
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law 160 . 5
does not apply to an owner of property who builds or improves thereon, and who contracts for S. M. 1. 10 . 10
such projects with a contractorfs) licensed pursuant to the Contractor's License Law.) Grading
0 1 am exempt under Sec.—B. & P.C. for this reason 20 . 00
Driveway Eric. .00
Date—Owner 7 Infrastructure 2,138 . 33
Precise Plan 25.00
WORKERS' COMPENSATION. DECLARATION Artq i n Piihl i P1 ;3r_P__c; 25 -nn
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
0 Copy is filed with the city. 0 Certified copy is hereby furnished.
I TOTAL 3,746.32 3.471.32
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE REMARKS
(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 thp 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 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. Minimum Setback Distances:
Front Setback from Center Lin
—Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
I hereby affirm that there is a construction lending agency for the performance of the
work forwhich this permit is issued. (Sec. 3097. CivilCode.) Side Setback from Property Line
Lender's Name
Lender's Addres
This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE —INSPECTOR
expiration it work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct. Issued by: —Date—Permit
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 properly for inspection purposes. Validated by:
Signature of applicant —Date—
Mailing Address Validation:
City, State, Zip
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway I I I
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 8/26/93 Type of Permit I La Quinta
No. 112394 Permit #1
Log
Owner Name RogerMeyer
N o. 51373 Street Avenida Obregon
city La Quinta - . Zip 92253 Study Area
APN # 1773-081-0 Tract # J Lot#F2 Square Footage 11650
Type of Development Fsingle 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 imposed pursuant to - Government Code 53080
in the amount of X or $ 2,722.50 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 Roger Meyer Telephone .328-3480
Name on the check
By lamps F. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
Payment- Receiyed
Signature P_c
Ch'�' k No. 1602
Collector: Attach a copy of county or city plan check application form to district c4y for all-.ivaivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt COPY ,A-&.ou`nfing
- RECCRDING REQUESTED BY
AND WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN BELOW
MAIL TAX STATEMENT TO:
Nam, — Roger D. Meyer, etal
Street 39857 Desert Sun
Address
City & Rancho Mirage, CA 92270
Slate
_MATL
Name
Street
Address
City & same as above
State
TITLE ORDER NO. 557048 ESCROW NO. 2-15558
SPACE ABOVE THIS LINE FOR RECORDER'S USE
GRANT DEED -
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX IS $ 13.20
0 computed 'on full value * of property conveyed, or
Momputed on full value less value, of liens'or encumbrances remaining at time of sale.
D unincorporated area
0 city of AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Frank Mitchell Moldenhauer, a-singlo4 man
hereby GRANT(s) to R - oger- D. Meyer and Florie H. Meyer, husband and wife, and Karin
Meyer, a single woman, all as joint tenants
the following clescribed real property in the
County of Riverside
, State of California:
Lot 2, Block 19 of Santa C-Elrmelita at Vale. La Quinta No. 2 in the city of La
Quinta, as shown by map on file in Book 18, Pages 55 and 56 Of Maps, Records of
Riverside County, California
Dated June 9, 1993
STATE OF CALIFORNIA
COUNTYOF Riverside ss.
On 6/23/93 before me,
personally appeared
Frank Mitchell Moldenhauer
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 �e/she�they executed.the
same in his/her/thei.r authorized capacity(ies'), and that by hts/her/their
signature(s) on the instrument the persdh(s),,or the entity upon behalf of
which the person(s) acted, executed the instrument.
WITNESS my hand an official seal.
Signature
NOTARY PUBLIC IN AND FOR SAI:D STATE
CO -441 (REV 11/92B) MAIL TAX S TEMENTS AS
Frank Mitchell'Mold�enhauer
* 9Fr1CIAL SFAL
DIANE F. HENRY
NOTARY FUCLIC - CALIFORNIA
RIVERSIDE COU.NTy
hily C0MM,,EXPirZS CICI. 14. 1994
(This area for official notarial seal)
I fa
78-105 CALLE EStADO LA' QU
INTA, CALIFORNIA` 92253 (619) 564-2246
December 22, 1988
To Whom It�May Concern:
A pe.Vmit was issued for.51-).031' Avenida.. Obregon :'.-Assessorls. Parcel
Number !73;-'081.,-002,, * 6 n * J u n e 198.3 -to. construct a� single family
dwelling. The -ground plumbing and -foundation 'footings were
inspected '.,and. signed' June 2
Off n- 9,_19,830" by Phil Coggins, the
Building Of f ic'la:l ..at the subsequent . ly, work, was stopped and
all permits have....exp.lred.
The slab conforms to' cur -rent flood plain -requirements as well as
complying with�minimumsize re�
quif e-me'n-ts.
Should you'hay.e:any further-que§tions concerning. the above, please
contact the urid6rtigned
Very truly,yours.,,
MURREL CRUMP
PLANNING DIRECTOR
Tom Hartung,
Building official
TH:bja
BJ/LTR,
MAILING, ADDRESS. P.O. BOX -1504, LA QUINTA, CALIFORNIA.92253