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11596 (SFD)P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 52-090 Mionte2iTTna. LA QUINTA, CALIFORNIA 92253 Maiestic Momeis Mailing Address P.O. Boas 76 City Zip ::[!�56�-6014 La Quinta, CA 92253 Contractor JMK Development 11684 Ventura Blvd. CityZip Tel.: Studio City, Ci 91604 213 656.3153 State Lic. City & Classif. 590684 Lic. # 253-17 Arch., Engr., Designer Terry A. Roach Address Tel. 77419 Sawgrass Circle 360-'1114 City Zip State Palm Desert, C' 92260 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that4am 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 i i ..� ��rry.Q; , " 2. Y Z1Z1,,i�_f . 9 2„ 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 struottue,, 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 five hundred dollars ($500). 0. 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 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 or property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - O 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. 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 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 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 No. 11.596 BUILDING: TYPE CONST. • OCC: GRP. A.P. Number 773-201-006 Legal Description Lot 21 Elk 39 Project Description SF D '' Sq. Ft. Size 1863 • No. No. Dw. . Stories 1 `Units ; New ON Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Permit includes stucco wall. Pool permit to be obtained sef,aratel.v. Estimated Valuation 5115 623.70 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 335.33 Const. 695.50 Mech. 69.50 Electrical 138.67 Plumbing 144.00 S.M.I. 11.60 Grading 20.00 Driveway Enc. Infrastructure 2,400.70 Arts in Publ:.c Places 39.10 < n^ TOTAL 14,104.40 3,854.40 REMARKS ZONE: f BY: Minimum Setback Distances: Front Setback. from Center Line Y 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. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. 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 pioperty tax valuation firlROUGH FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER 'LENT SYSTEM. FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID a 1% c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 31'ic HOUSE SEWER FINAL INSP. ��//Q/j tt O0 J ROOFING G) / (� [[ w 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 PLUMBINGPZV UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE firlROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMSIVY 4f7 EW OUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) _Z — f J 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.T '$— FRAMING J FINAL INSP. ��//Q/j tt O0 J ROOFING G) / (� [[ w 2 J REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIRE ALL LAT ING MESH INSULATION/SOUND g3 FINISH GRADING FINAL INSPECTION -10—/,g CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL P.O. BOX 1504 APPLICATION ONLY Building 78-.105 CALLE ESTADO Address - /771_0 � LA QUINTA, CALIFORNIA 92253 Owner . . t• 'r Mailing :XT�4= ma BUILDING: TYPE CONST.�OCC. GRP. Address ITS !qI m^ A.P. Number r Gity 1P Tel. —� Address P State Lia City & Classif. Lic. # Arch.,An ZL 90� I 1n Desiane � �� Y J:QJZI I Lic. # LICEN ED CONIIRACTOFFS 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 Contractors 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 thealleged 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': 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 .'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.) 1 1 I, as owner of the property, am exclusively contracting with licensed contractors to con. .. strucl the, projecl...(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 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 n Copy is filed with the city. u 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 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 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 Legal Descri S9.Ft. o No. No. Dw. Size j,-(,rp Stories ' Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ mated Val PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure on TOTAL 7s-0 REMARKS AMOUNT 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: _ DESERT SANDS UNIFIED SCHOOL.DISTRICT 82-879 Highway, 111 NOTICE: Indio, CA 92201' Document Cannot Be Duplicated (619) 347-8631 Date 12/7/92 1 Type of Permit I La Quinta No. 111881 t Permit # Log Owner Name Majestic Homes No. 52090 street Montezuma ; City La Quinta Zip 92253 Study Area 112 APN # -773-201=008 Tract # I Lot# 21' 0 Square Footage. 1863 Type of Development Single Family Residence No. of units Comments At the present time, the Desert Sands Unified School District does not cbllect 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, s -This certifies that school facility fees imposed pursuant to', Government Code 53080 in the amount of 1.58 x 1863 or $2,943.54 ' 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 projectmay now be issued: Fees Paid By Chi Living Trust Telephone 568-6014 Name on the check By Iames E. Liver Assistant Superintendent, Business Services r Fee collected /exempted by Vickie J. Durrett ^� Payment, Received Signature L� h115877 } ,Check No,, 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 0 C First American Title Insurance Compati AND WHEN RECORDED MAIL THIS DEED AND. •uNLtrAA y1 }� WISE SHOWN BELOW, MAIL TAX STATEMENTS .._.TO. tj t W CV . t�.C3 El 0 IC Uj dt iRANK IL The Chi Trust N.Acoazes C/O Alice Tipton �,{ `_ � c,,, . .485_• N. , Palm Drive' _ • J (� I O STATE Palm S rifts 3 d � z�� .� P• 9 ► , �- 82252 i (M� ' Title Order No. Escrow No: r ' • Q 11 - 1952626 10-157»4` l� dk AtloVE fA14 LINE P64 !lEtrtiRd�•I 4 699 - GRANT DEED qv;�_0�5� .The undersigned declares that -the docnrnentaty trapsfcP fait 1 :: � ::::::::::::-.—:::.:,,:....................® ' computed on the full value of the interest of propetty CoN411s'' ❑_ computed on :the full value less the'value of, liens tit ettCUNibt®ttcbs_tetitAining thwom At tate Me of Ade. 17h6 Midi.; tenements or realty is located in ❑ unincorporated area ❑ ..city of ..........:.............: t<t,a ....................................................................... . FOR- A VALUABLE CONSIDERATION, receipt bI whlch,k hereby Ack„owieagea, 1 FRANCISCO A. SUAREZ AND GkAC1t ..Co StJARt t 119911AN MW 111FB Ag '161 P tMuft , hereby GRANT(S) to < ( ALICE TIPTON,' TRUSTEE OF' TH9 N THE CHI TRUST DATED.JANUAJtY 31f 1992' N the following described real property In the CITY _ 01� a 00ft A county. of RIVERSIDE state bf CAlifottiiA:� ior, 21 IN BLOCR• 39 O% SAtdK t:11PAftJ+A Al' VALE LA 09MAi, • UNIT, o. ' I j A4, 99M s4 MAP ON FILE IN: BOOR 18 PAGE-59 OF !LAPS'# AkC09b9 OF 1tIVERSIDg C0#NTY# CALff+'ORtffA• Dated_ • August 10# 1992 XA STATE OF CALIFPNIA , • •� � �y% 0The undersigned declares that the documentary transfer taxi::..............::.:::.......::.:..:...:...:.:::.:::..........: aha is computed on the full value of the interest or properly conveis ❑ computed on the full value less the value of liens or eticumbtances remaining thereon at the time of Aale. The land; tenements or realty is located in ❑ unincorporated area [] city of..................::................................................:............................... Ahd FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, FRANCISCO A. SUAREZ AND GRACE Ca SUAR$Z, HUSHARD AND Wkk Ad JOINT TENANTS hereby GRANT(S) to f� ALICE TIPTON, TRUSTEE OF THE THE CHI TRUST DATED JANUARY 31, 1992 the following.. described real property in the CITY OF LA Qt12NTA (Ati county of RIVERSIDE , state of California: LOT. 21 IN BLOCK . 39 OF SANTA CAttNi�LI A AT bAL2 LA Offf"A, b-di ff illfi: I, AS .Slat m III NAP ON FILE IN BOOR.18 PAGE 59 OF MAPS, RECORDS OF RIVERSIDE COUNTY#• CALIFORNIA. Dated August 10, 1992 , CE C. SUAR01 ' STATE OF CALIFqPNIA SS. . COUNTY OF 1 � y . On this the day of 197Q, 61otaInd thP Underslgned,'A No P c in ar4 f9f said Court d Sitateopersonally appeAr ipM (� FON NOtANY SEAL ON 81W personally known to me or proved to me on the basis of satisfactory evidence to be the MIC"M J. HARiMOald comm. iStbl34d personr� Wt► name tuc�ibed to the wllhln Instrument NOW �Nr Ppuubbild-CdifsoinlO . and acknowi ed th f t the MASIM COUNty My t<oitun. 64*61 JUN al. 104 Ir e of Notary ..:: Assessor's Parcel No............................................. MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF, NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE Name Street Address City d Sidle f�U unT on— n em T H E C I T Y 0 F rV r ♦ mm F AL La! inta 992 Ten Carat Decade January 12, 1993 Mr. 1 Roach Majestic Homes North PO Box 76 La Quinta CA 92253 Dear Mr. Roach: Subject: Setback Adjustment: 93-157 Location: 52-090 Ave. Montezuma APN: 773-201-008 R,y .52 This letter is to report approval of your recent application for a setback adjustment, pursuant to Chapter 9.188 of the City of La Quinta Planning & Zoning Regulations. The following setback- adjustment has been approved,subject to conditions and in accordance with attached Exhibit. A. SETBACK ADJUSTMENT: 1. Five foot setback reduced to three feet (side yard). 2. Twenty foot setback reduced to eighteen -feet eight -inches (front yard). C- FOR: 1. Swimming Pool 2. Single Family Home CONDITIONS: 1. The applicant shall comply with Municipal Code Fencing requirements for pools. 2. Ensure pool is reinforced to Building Code requirements. 3. This setback adjustment does not apply to mechanical pool G.b equipment. 4. The garage door shall -be setback 20 feet from the front yard property line but the house may be eighteen -feet eight -inches from the front property line. All other SR Zone Code Standards shall be met. 5. A.building permit shall be issued for any on-site improvements ,41 After review it was determined that:sr; 1. This adjustment is consistent with the intent and purpose of the Zoning Ordinance. City of La Quinta Post Office Box 1504 • 78-105 Calle Estado La Quinta, California 92253 Phone (619) 564-2246, Fax (619) 564-5617 LT RGT • 1 9 0 / C S Design 8 Production: Mark Palmer Design. 679-.tU772 ere are special circumstances applicable to the property,, cluding such factors as size, shape, topography, location 01:�%.-, , S, rroundings that justify approval of the adjustment. These ecial circumstances are: 1). this lot has limited space for a of in the side yard and the recreational facilities will not atfect any of the existing public utility easements, and 2') the buildings plumbing and form boards were installed on the property in error based on wrong information on the approved construction drawings (eg. lot length 131 feet vs. 136 feet). 3. This adjustment will not be detrimental to the health, safety,_ and general welfare of the community or be detrimental to. property in the vicinity of the parcel for which the adjustment is requested. If you have any questions, please contact the undersigned. Very truly yours, PLAJER HER N ERHER N L PLA NG DE ELOPMENRT DIRECTOR rou ell Associate Planner GT:ccs Attachment: Exhibit P cc: Building & Safety Department LTRGT.190/CS -2- a I:Gr4,Tlc,H OF \ve,TB}a f.VlxxvtR ca -Nmnor 19�IFY DEP�'!•I, w I �70I 5 10"i 121 LOT *'21 I � Ib. b .52--090 I PP To oc MIN. 12"t+ap„e -TCM. �upd ii �\ • d*Aft L�jaLF�+ !1I4 Civ LINE I`6 131.4' .SITE.- PLAN ,,g..I,IOM ^klT.r•a •♦ LOT #211 NORTH ... DIVISION 13 EXHIBIT CASE NO -7-103 sl ?�i.�'�'�,�t"+h�.a�-.;�;y'' '�'Y7,�1'�itS 6'r�'�L►�+.aKss'°3,+�:,p�d�'�tH'�SA�`%'a.-.,�'''e�'�'��"`�'�w.i �'�ri�r+Y'Mi;�'�w�'M'•��,'�'.,�'":�- COACHELLA VALLEY WATER DISTRICT CASH RECEIPTDETAIL Received From-4—.-� Account No. `-� t✓_ -®� Lot(s) Service Address Y / XJ! Meter(s) Services) ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) ❑ Meter Surcharge XSanitation Capacity Charge✓ ❑ W.S.B.F.C. 3 ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee -Tract - Fee - ❑ Plan Check Fees Water I Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt ❑ Customer Deposit _ ❑ Other Remarks Tract G.A. Code $ 5 D, 47 (' TOTAL ❑Copy to: Cash Water Service ` Check Money, s i Cashier +" ri Order ^ o- l s�t>, CVWD-438(11189) �.�"'7"efk . x•'p6t�"'„�o=ror;,•--a�+:i^",�,1.: .INNt�M'IXC'M.�.TTriN'�A+,.'?rve.rgiaf` �`wig-p�y�T.•irr�,{.ys•rs'�"'••,',� ' Amdm, , e. �� Pr ofessiona[Service' Industries, Inc. American Engineering Division ` - REPORT OF FIELD COMPACTIONTESTS TESTED FOR:%L • f (�� a n;� ” �L ..��.-,Ot, %1'0�'1� .PROJECT: s,z 'y DATE:" ` j, • ,- G : OUR REPOR!::; NO.: CJ 7 j y TEST COMP TEST TEST TEST LOCATION ELEVATION CURVE MOISTURE DRY • ' RELATIVE E RETEST NOTES NO. FEET NO. % DENSITY % NO. LBS./CU. FT. I 'lue" l -A it ( n -s /0-e-7 moi: J, I f =1a 34 Ir ' a NOTES: DENSITIES SHOWN: Lbs. per cubic foot 1. FILL MATERIAL qQEST RESULTS COMPLY WITH SPECIFICAT S WATER CONTENT: Per Cent of dry weight 2'BACI(FILL B. TEST tiESOL"TS"DO NOT COMPLY ZL PERCENT COMPACTION: Based on maximum:". 3. BASE COURSE WITH SPECIFICATIONS dry density obtained on sample indicated by 4. SUBBASE - C.' TEST 19 AFTER RECOMPACTION •. soil IDnumber 5. SOILCEMENT 6. OTHER Respectfully submitted, 1. K``��l ,t Professional Se rvice7ndustries, Inc. 42-240 Green Way, Suite C • Palm Desert, CA 92260 • Phone: 619/341-5790 • FAX: 619/341-5794 PSI A-100-2 (# 1) ' 1 � � ,'� �l. y .�, l ` � ; Y, -" )i , � t• 4 �• . '" . may, r-�� � ,fie - , , (I JA I !LIQ + v A II ; l it r�� a• ,y.,.- e,.. �-1 ., �/ :, �' l C��-.• nn .GSCy � De� ;�..,•V�. (Own't in ".,a, U, b: This Certificate issued pursuant,to the requirements of.Section 306 of, the. Uniform `Bullding( 'Code certifying'thatatthe`time of issuance this structure -was in compliance with the.vairious. ordinancesw of the= City. regulalting building construction :or. use', . For ,the following:, jail I_ I _ w' .r _ � _ •,,:. .r.. _ \ � � M+ ,u� 'BUILDING ADDRESS 52=090 Avenida Montezuma -. ..t. ` single•:Fam ly- Dwelling t \°11596' Use,. Bldg.'Permit No. f Group R3 Type,rConstructlon VN' Fire Zone' Use.Z0n' 'SR. I" Majestic Homes" ` \! "'. P.:O.� Box ,76 1 �' I 1Ownei of'Building i .. Address La QUinta, qA 92253 y . �i YCitY:, _ Lonnie Day L ' ` Date August 191 -1993 ^a p :Build ng'= iol .4 .- . P09T INA CON3PI000UB 'PLACE IF I=