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SFD (08866)54404 Avenida Madero 08866 4 ` P.O. BOX 1504 / " ' No. 08866 Building 78-105 CALLE ESTADO Address 54--404 Mader© LA QUINTA, CALIFORNIA 92253 Owner LY) Mailing PITImem Rrothorn r ewn BUILDING: TYPE CONST. OCC. GRP. Address 45-250 Saurr #12 A.P. Number 77A-712_0047 City Zip Tel. indict 92201 347-2+470 Legal Description Lot 18, RlaOk 261 Contractor Project Description RF Samoa Address State Lic. & Classif. Arch., Engr., Designer Address Zip I Tel. 547897 Lic. # 1469 Sq. Ft. Size John Castillo New ❑ Tel. City- IZip ^A^Aw IState I _ Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70 130) 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 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.) ❑ 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.) ❑ 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 (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 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 1700 Add ❑ Estimated valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS No. No. Dw. Stories Units Alter ❑ Repair ❑ Demolition ❑ AMOUNT 268.13 608.00 SJ5.JB t -I%% It/. 6.5 20, a 20.00 2024.64 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 1ST FL. SQ. FT. $ 2ND FL. SQ. FT. POR. SQ. FT. @ GAR. SQ, FT. @ CAR P. SQ. FT. WALL SQ. FT. @ SQ 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 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB BOND BEAM SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 1+/. c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR @ 3/ic HOUSE SEWER FINAL INSP. ROOFING 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 Z !� !g GROUND PLUMBING DERGROUND A.C. UNIT COLL. AREA SLAB GRADE 2� ROUGH PLUM . BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SE IC ANK ROUGH WIRING DUCT WORK ROCKSTORAGE 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 G RING yd. $ plus x$ =$ LUMBER GR. �.cu. FINAL INSP. / /G FRAMING '] 6 P 6 FINAL INSP. ROOFING / V REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 01I'v M ESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL ARROW PRINTING. INDIO 140010-M 159510 -CN 4 ' I ! ,^, r / P.O. BOX 1504 APPLICATION ONLY AdrfrPdc9 f' ►%/ 14— 1 I / %J f J/IC ('J LA QUINTA, CALIFORNIA 92253 mailinAddress SES—a1S Srnurr 2 . City- - 0 ( U IZip "I't 2'ZO f ITO L r% " ZA470 ' I Contractor I SABt-(.r 1 Tel. Mate LIC' & Classif. Sq 7 q —7. Lic. a Arch., Engr.,C4S-+< t ff Designer K Address S aro-51n&rf- Tel. City Izip 22f / (State IdLA / I Lic. q LICENSED CONTRACTOR'S DECLARATION 1 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 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Busiress and Professions Code: Any city or county which requires a Permit to construct, after, irprore, demolish, or repair any structure, prior to its issuance also for such Perini! to No a signed rthe hrsuant to prapplicants the ovisions o Contractors License Lew, Chapter 9statement ( ncommencing with Sectionu7000) 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 clvllpenwlty of not more Man 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 bulls or improves thereon and who does such work himself or through his own employees, provided Mat such improvements are not intended or offered for sale. If, however, the building Or krprovement is said within one year of completion. Me owner -builder will have the burden of proving that he did not Ladd or improve for the purpose of safe.) ❑ 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 contractorfai licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. 8 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 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 (this section need not be completed it the permit is for one hundred dollars (E 100) valuation or less.) . 1 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: ff, after making this Certificate of Exemption you should become subject to the Workers' Corrpensatkn provisions of the Labor Code, you must forthwith cmpy with such provfsiorts 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 Lenders 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 rad 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 ALDING: TYPE CONST. OCC. GRP. P. Number 7 %I 4 -2 3,7 -06) - Igal Description L o L C C ouolsAh r oject Description 1tJ 5 Sq. Ft.No. / No. Dw. Size 78G Stories Units New ❑' Add ❑ Alter.❑ Repair ❑ Demolition ❑ IEstimated Valuation J00 (!9 ' — I PERMIT I I AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. 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 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 12/3/90 No. 110299 Owner Name Type of Permit Pinson Brothers & Arroya No. 54-404 street Madero city La Quinta zip 92253 La Quinta Permit # 1088W Log # Study Area 111 APN # 774-232-006 Tract # I Lot # Square Footage 11700 Type of Development Single 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 53M in the amount of 11.58 1 X Fi—J-65--1 or $ 2,686.00 have been paid to D.S.0 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 Cristobal Arroya Name on the check Richard M. Beck Director, Facilities Planning & Development Fee collected /exempted by Carlene Elle z Signature (] Payment Received Check No. 2279 Collector: Attach a copy of County or City plan check application form to District copy. Embossed Original- Building DeptJApplicant Copy - Applicant/Receipt Copy - Accounting RECORDING REQUESTED E AND WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN BELOW MAIL TAX STATEMENT TO: Name Pinson Bros.& Arroyo Develop. Street Address 45-250 Smurr Street city & Indio State Ca. 92201 Name Street Address City 8 State TITLE ORDER No. 4039201-41 ESCROW NO. 4701—JC SPACE ABOVE THIS LINE FOR RECORDER'S t1SF GRANT DEED 774-232-006 THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ 33.00 E computed on full value of property conveyed, or ❑ computed on full value less value of liens or encumbrances remaining at time of sale. CY,unincorporated area ❑ city of AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Caren K. Rager, an unmarried woman hereby GRANT(s) to PINSON BROTHERS & ARROYO DEVELOPMENT, A CALIFORNIA PARTNERSHIP the following described real property in the County of Riverside Lot 18 in Block 261 of Santa shown by Map on file in Book Riverside County, California. Dated Nov. 28, 1990 , State of California: Carmelita at Vale La Quinta, Unit No. 24, a 19 Pages 44 and 45 of Maps, Records of (apn #774-232-0061 STATE OF CALIFO)IA COUNTY OF / SS. On this ✓T day of N i Vr in the year 19 0 , before me, the undersign 5, a Not Publicin and for said State, personal ppeared /t — ` 7 e (or proved to me on the basis of satisfactory evidence) to be the person whose name / S subscribed to the within instrument, and acknowledged to me that he — executed it. WITNESS my hand and official seal. Signature ------- NOTARY PUBLIC IN AND FOR SAID STATE Caren K. Rager 1 OFFICIAL SEAL 1 i •• JOYCE A. COOPER i -, NOTARY PUBLIC—CALIFORNIA 1 PRINCIPAL OFFICE IN 1 1 R VILASWE COUNTY 1 try commission Empire$ Sept. 1, 1992 1 11—m — — — — - — — — — — utrnat (rKty arab) MAIL TAX STATEMENTS AS DIRECTED ABOVE. (This area for official notarial seal) ♦' Of • , a e • V d '. 1 "1 i JAMES O. WALLACE Agrlcuttwat Commissioner Director of Weights & Measures OFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES 4080 LEMON STREET, ROOM 19 RIVERSIDE, CALIFORNIA 92501 . . (714) 787-2561 49613 Highway 86,. Suite B12 Coachella, Ca. 92236. 1 n (619) 342-8291 DATE /y60CLWUC 7 CASE NO. I'L 1 5 qfl DEVELOPER'S NAME: ADDRESS: 4S^ _&-,b CA 4220 TELEPHONE: (6 0) 9) 3(4-7, 92'-t 70 Dear Developer: CALVIN C. KAMINSKAS Assistant Commisslonor CLEMENT BENVENISTE Seater After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and 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. A,\ "-I Wjr_iqfj&tural Commissioner's Office cc: Indio and Riverside Office :. ,_ ' 4:i I Client Name Client Client Phone Buena Engineers, Inc. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 DATE TEST LOCATION LOT NO. JOB NO. PROJECT FIELD TESTING REFERENCE CURVE LOCATION A, Q MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY IbsJcu. ft. CONTRACTOR L OWNER WEATHER Gz,.,r1 TEMP. 8 r o at AM c at PM PRESENT AT SITE TEST NUMBER TEST LOCATION LOT NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY IbsJ& ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY IbsJcu. ft. OPTIMUM MOISTURE CONTENT % . (da 3 3 D REMARKS: L- - _ L -., _._r_....._ — __ 1_ •—_ .... ._ .. i `i , _r 1 1 LI _I - 3 •.1. t .._.;....I , iii f •'ii . r a E •, ! i.-f_ I t... _..Y .,. ; . i_,... . i i y t..i ; 1 ,._;..:.+ i_j... b H- F -R—. ti s•i-.. - j IT} .H.}i ' ..I -{_L ' : j; Ylj -k-.• r ._ ... .:.. ,- ! -%— ; 1 -•1 r 1 r 1 . L-. j. _ -1 i 1 r SY-1—l'- .., — -_ hbus i l ' 1. r l 1. . ! , : -1 I L Y •J { . . -._-.1_-. 5y -39'1 1. , ; . Buena 'Engineers,` -Inc: ItDATE/OZ Qi FILE NQL;PJ -} I *t of 4 a (Qu*nta, This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building! Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 54-404 AVENIDA MADERO 8866 Use Classification SFD Bldg. Permit No. _ Group R3 Type Construction VN Fire Zone Use Zone Owner of Building PINSON BROTHERS _& ARROYOAddress 45=250 SMURR 4112 City INDIO, CA Building Official MARK HAROLD By; Date: MARCH 12, 1991 POST IN A CONSPICUOUS PLACE SR