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12271 (RPL)
T4.hf 4 4 a" P.O. BOX 1504 Building 52-070 Montezuma. 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Mr. Mrs. Suarez Mailing Same Address Quinta, CA 12253 T%64-3227 Contractor - eaat(No-mad Builder --s 9 .OU Address 79--600 Cortez 922a Quanta, CA ZIP42253 Tej64-0602 r City Lic. # 2589 Arch., Engr., Designer Address T4.hf 4 4 a" P.O. BOX 1504 Building 52-070 Montezuma. 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Mr. Mrs. Suarez Mailing Same Address Quinta, CA 12253 T%64-3227 Contractor - eaat(No-mad Builder --s 9 .OU Address 79--600 Cortez 922a Quanta, CA ZIP42253 Tej64-0602 State Lic. & Classif. B 584219 City Lic. # 2589 Arch., Engr., Designer Address I Tel. City( Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ofDivision3 of the Business and Professions Code, and my license is in full force and q.ffect. wl! 'SIGNATURE DATE 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) or 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). ❑ 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 or proving that he did not build or improve for the purpose of sale.) O 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 WORKERS' COMPENSATION DECLARATION 1. hereby affirm that I have a certificate of consent to self -insure, or a certificate of w,orker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Poli�cy,o� Company t , f�Copy is filed with the city. O Certified copy is hereby furnished. >i•:, • .t ..� CERTIFICATE OF EXEMPTION FROM ,g WORKERS' COMPENSATION INSURANCE (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 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 or 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 ateMailing Address City, State, Zip No. 12271 BUILDING: TYPE CONST. OCC: GRP. IA.P. Number ,Legal Description Project Description Pool a no heater Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ 3' sad -yard setback approved per Setback Adjustment 93-204 5timated Valuation BOt. t70 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 9 .OU Const. 64.35 Mech. . UO Electrical 45.00 Plumbing 24.00 S.M.I. Grading Driveway Enc. Infrastructure TOTAL +r * A�lotll471'�Y a7 Ut (.ti: Yi .r�.,Y aygi+- r L: tIJS. tAJdv V t36r1A.i t., w ZONE: BY: -,Minimum Setback!Distances: )�= Front Setback from Genter Line FINAL DP Issued by Validated vaiwation: a r CONSTRUCTION ESTIMATE ' NO. i ELECTRICAL FEES ' NO. I PLUMBING PIPES 1ST FL. SQ. FT. @ $ UNITS UNDERGROUND 4) j frXj.$ )� COLL. AREA SLAB GRADE YARD SPKLR SYSTEM BONDING 2ND FL. SQ. FT. @ STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK MOBILEHOME SVC. BAR SINK GAS (ROUGH) POR. SQ. FT. @ HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS GROUT WATER HEATER DRAINAGE PIPING FINAL INSP. CAR P. SO. FT. @ BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. WALL SQ. FT. @ =$ DRINKING FOUNTAIN. FRAMING ROOFING _ A Lam( URINAL SQ FT @ ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING FIRE ZONE ROOFING NOTE: Not 4o be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER SPARK ARRESTOR VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER LATHING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM INSULATIONISOUND 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 SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/a c SEWAGE DISPOSAL SQ.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 PLUM BIN UNDERGROUND 4) j frXj.$ p 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 FINAL INSP. FINAL INSP. GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING ROOFING _ A Lam( -p/ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL K ti POOL AREA TO BE E CLOSED BY o . MINIMUM 5 FT. HIG FENCE. ALL GATES TO BE SE F -CLOSING ° AND SELF -LATCHING. ' 3 n b Cj IMT � PLANNING 9 tl� IN�TAI SUBJECT �u6L. , W� t ,w lL`y CJ o o n�•n AND ALL Aal'LICABu.E.C©S (� _ of DATE 9-v _ y Y .S��zC9%0 tfv GJ� P:O. BOX 1504 APPLICATION'ONLY Building 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Q )e-,t.i 61e qc� C ��4� 7" BUILDING: TYPE CONST. OCC. GRP. Mailing' r�� Address A.P. Number 1VZ 1 " Ll t*) 7 City Zip Tel. Legal Description Contractor _ j / J Project Description City Zip Tel.. State Lic. City & Classif. Lic. # Sq. Ft. No. No. Dw. Arch., Engr., Size Stories Units Designer ,ou New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 0 Address V Tel. y 17 / City Zip State C.� Lic it �a 66 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 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 yts-the applicant to a civil penalty of not more than five hundred dollars ($500). s owner of the property, or my employees with wages as their sole compensation, will 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.) l:l 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 contractors) licensed pursuant to the Contractor's License Law.) 17 1 am exempt under Sec. B. & P.C. for this reason _42 Date WORKERS' COMPENSATION DECLARATION 6J 1 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. O 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 ($100) 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 1 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 it 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 BUILDRING-DIVISION Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading /Driveway Enc. Infrastructure TOTAL AMOUNT n G1YIMnr\J ^AMAnn: R A /.f16 A AC._i',7._Q7 i f} I `. to -i 'T "TOT At i'75.00'_.. 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 IST FL. SO. FT. $ 2ND FL. ,SQ. FT. CtL POR. SO. FT. Q GAR. SO. FT. @ CAR P. SD. FT. WALL SQ. FT. SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM s BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)IDISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 SQ. FT. B c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® I / c SEWAGE DISPOSAL SO.FT.GAR @ 3/<c HOUSE SEWER REMARKS: VENTILATION 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 DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 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 OK'S bIUNAlURE5lINIIIAL5 GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Daae 6/8/93 Type of Permit I La Quinta No. 112256 Permit # Log Owner Name Francisco & Grace Suarez No. 52-070 Street Montezuma City La Quinta Zip 92253 Study Area 1112 APN # 773-201-007 Tract # Lot # 0 Square Footage 12500 Type of Development ISingle Family Residence No. of units 1� 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 mobilehorries. 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 1.65 X 2 500 or .$ 4,125.00 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 Grace C. SuarezTelephone 564-3227 Name on the check J By James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Tomi Doebereiner Payment Received Signature A0* -r Check.: No: 001 Collector. Attach a copy of county or city plan check application form to district copy for all waivers: Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy - Accounting "W . 0 <EGoRUING REQUESTED Vi TITLE INSURANC■ AND WHEN RECORDED MAIL TO Name Mr. & Mrs. Francisco Suarei Street 54225 Ave. Rubio Address La Quinta, Ca. 92253 City & , State L J TITLE ORDER NO. ITITLE OFFICER IE Uj v c cc Y - .. cTp u c o 8 ca Ai W I, w CC W d SPACE ABOVE THIS LINE FOR RECORDER'S USE ' IA.P.N. n_So/•/,no_nni. i CAT. NO. NNO1064 - TO430CA16-83) FULL RECONVEYANCE- TITLE INSURANCE COMPANY OF CALIFORNIA, a.:corporation, formerly•Title. Insurance.and.T-rLrst Company, as duly appointed Trustee under Deed of Trust hereinafter referred to, having received from holder of the obligations thereunder a written request to reconvey, reciting that all sums secured by said Deed of Trust have been fully paid, and said Deed of Trust and the note or notes secured thereby having been surrendered to said Trustee, for cancellation, does hereby RECONVEY, without warranty, to the person or persons legally entitled thereto, the estate now held by it thereunder. Said Deed of Trust was executed by Franri am a Suarez and Grace C RiiarP2r huchand anti wifo ' Trustor, and recorded in the official records of Riverside County, California, as follows: Rec. August 9, 1989 as Instr. No. 268397 in Book/Reel ---- Page/Image ---- Desc. Lot 21 and 22, Block 39, Santa Carmelita at Vale La Quinta Unit No. 3, as per map recorded -in Book 18, Page�59 of Maps, Records of said,County of Riverside In Witness Whereof—TICOR TITLE INSURANCE COMPANY OF CALIFORNIA, a corporation, formerly Title Insurance and Trust Company, as such Trustee, has caused its corporate name and seal to be hereto affixed by its Assistant Secretary, thereunto duly authorized on the'date shown in the acknowledgement certificate shown below. TICOR TITLE INSURANCE COMPANY OF CALIFORNIA, a corporation, formerly Title Insurance and Trust Company, as such Trustee STATE OF CALIFORNIA + COUNTY OF Ri varSi dP (SS. On February 25, 1991 1 By ZYYb4�� before me, the undersigned, a Notary Public in and for said State, Assistant Secretary personally appearedHelen R. Arms Helen R. Arms personally known to me, or proved to me on the basis of satisfactory evidence to be the person who executed the within instrument as the ' ,, l IFFI C1:! L ;-;E 1, Assistant Secretary of Ticor Title Insurance Company of California, and acknowledged to me that such corporation executed the same as EiLEEN YOUNGsuch Trustee. WI S my hand and official -seal. , NOTARY PUBLIC—U•LIFORNIAis NOTARY BOND FILED INRIVERSIDE COUNTY Signature My Commission Expires�April 22, 1994 Eileen Youn ( his area for official notarial seal)