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SFD (11546)51885 Avenida Martinez 11546 Building -885 AVENIDA MARTNIEZ Address Owner DESERT SUN BODE DEV., INC. Address 78-365 HNY 111, #185 P.O. BOX 1504 ///) N O . 78-105 CALLE LA QUINTA, CALIFORNIAORNIA 92253 City Zip Tel. LA QUINTA 92253 $64-6904 Contractor DESHIT SUN ROME DEV., INC. Address 78-365 HWY. 111, 19185 City Zip Tel T.A nf1TVrA 0177Sq Sl.A_AnnA State Lic. I City & Classif. r ~' Lic. # 1954 Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I amdicensed under,'provisions'of Chapter 9 (commencing with Section 70 OO) of Division 3t of the'Business and Profes$i6ns'Code, and my license is in full force aand effect. T (, f/ tw /Y r , r r 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 of sale.) ❑ 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.) 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 CCopy 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 ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ -any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING: TYPE CONST P. Number 11546 OCC: GRP. Legal Description 773-175-018 Project Description BLOCK 117. LOT 6 REMARKS - ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: Sq. Ft.136$ Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑. Demolition ❑ Estimated Valuation A 68057.60 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. 4227.53 Const. 558.50 Mech. 49.00 Electrical 119.78 Plumbing 144.00 S.M.I. 8.20 Grading 20.00 Driveway Enc. —0— Infrastructure 1,785.55 TOTAL $3,162.56 2, 91'2.56 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. Sp. FT. ® CAR P. Sp. FT. WALL SO. FT. ® Sp FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET I 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 r 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 ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP. - A l l ROOFING c% 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 C L UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE OFROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS —G&A" OR SEPTIC TAN ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE t I LLL GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING n FINAL INSP. - A l l ROOFING c% to ( /1 f/-`%/ Q✓,wC tai C) REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING lAA ko MESH INSULATION/SOUND/ FINISH GRADING n FINAL INSPECTION- % 3 v CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURE&INITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated Date 11/4/92 N o . 111813 Owner Name (619) 347-8631 Type of Permit Desert Son Home Development No. 51885 Street Avenida Martinez City La Quinta Zip 92253 La Quints Permit # Log # Study Area 115 APN # 773-175-018 1 Tract # Lot # © Square Footage 11368 Type of Development ISingle Family Residence No. of units Q 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 1.58 x 1 68 or $ 2,161.44 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 Desert Son Home Development'Telephone 564=694 : r Name on the check By James E. Lively Assistant Superintendent, Business Services ; x Fee collected /exempted by Vickie 1. Durrrett ZL" Payment ReceivedSignature ' 0 Check No. 1001 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 I,t• K. '-ria;- -r'. __ . .-r.-r-•xdeit P. c'Y,.!!^ ; '••^ '',••5•' L• ^' r•.. ,.. T it:.'fr•-" 'h'°, ?'k; ,;-..f•%•-t': i. Y' . ...ryf i,;.sY „.c.r f. ^.,t .., - COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY Assessors Parcel No. DEPARTMENT OF ENVIRONMENTAL HEALTH — 175 018 PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a SCALED plot plan (1-20 SCALE) drawn to County speculations as indicated on the attached check list. A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. proval of this application shall remain valid for a period not to exceed one year from date of approval. WA . 41 LOG # VERIFY ITEMS IN SECTION A FROM A NON -FEE BUILDING & SAFETY (goldenrod) APPLICATION Age tContr ontact Person Phone Address City State (// y 6Z 9 L D Owner Phone Address City State Zip PEs.ERT soy SA1491= Job Property Address J4f/FN/0,4 City State Zip Legal Description Prop. (PM, Tract, Lot) Fs r1•9/e Tr1/,E 1 vl f/T .2 s3 Lor ( 4cock .Sa tiT C' Lot Size aer Agency — Use of Permit P/P, CU, etc. Other AT VALE LA( /vlo'i4 41W7#/ DM 'n • HlSite Prep, etc. Si na , Applicant Date CATEGORY REV CODE FEE CATEGORY REV CODE FEE SUBSURFACE DISPOSAL (per system) 1238 53.00 SITE EVALUATION UPON REQUEST 7349 $120.00 ❑ MULTIPLE PARCELS WITHIN SAME LAND DIVISION (NO PLOT PLAN) ❑ SEWER/SEPTIC VERIFICATION 7348 $ 58.00 a. 1st 4 Parcels (Each) 1238 $153.00 ❑ PRELIMINARY ELECTIVE EVALUATION b. Each Parcel after 4 7344 $ 55.00 (Attach DOH -SAN -53) 7352 $ 69.00 ❑ REREVIEW (2nd review same parcel) 7344 $ 55.00 ❑ HOLDING TANK 7351 $119.00 ❑ SITE EVALUATION In ConJuction with Critical Area 7346 $197.00 ❑ ALTERNATIVE EXPERIMENTAL SYSTEM • 7345 $656.00 ❑SITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172.00 D GRADING PLAN REVIEW DETAILED 1238 $104.00 ❑ GRADING PLAN REVIEW CURSORY 1238 $ 55.00 ❑ SECOND FIELD VISIT (SITE EVALUATION) 7346 $ 85.00 D COPIES (LAND USE) 7786-81 $ .50 NITIAL DATE ^ / 0 9i? Holding Tank Agreements Completed O Yes H No +Z !-( Certification of Existing S.D. System Required ❑ Yes WQCB Clearance Required D Yes ; N o (Attach Form DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required O Yes < , Special Feasibility Boring Report Required D Yes Detailed Contour Plot Plans Required (1 to 5 ft. interval) D Yes Grading Handout Provided ❑ Yes Staff Specialist Lot Inspection Required D Yes FNo Maintenance Booklet Provided O Yes Lot Inspection Date Initials # Date C/42 / Soils Percolation Boring Report by A/nn /jLiic/Prroject Soils Map Page Soil Type /VlA Approved By / 1--- Date No. of Systems Type of System(s) D H9 g Tank Replacement No. Dwelling Units / • (1) Septic Tank Soil Rate rease/Sand G Trap ❑ ew ❑ Addition Bedrooms, is D t /Lint ❑ Existing Gal. Gal. Sq. Ft. Total Linear Sidewail Allowance Be Leach Bed sq. ft. a A Bom rea ft. rock/ sq. ft. per running Linft. g . wide with Install es) long tt of Ott Area /tt. Inlet Tested DepthA min. inches ow drainlines or Proposed Bottom Tested Depth Leacnlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (BI) Pit T t Seepage oal Depth Seepp (TD) Otite Applicable N/A Overburden Factor -161 `fir 6 6 r r D I Max. Allowable Depth Well Review Approved: Signature Date Well Drilling Permit # Grading Plan Approved: Signature Date y / REMARKS: /' rl"►-DL6. IL This application i PPROVED/ IC)TEB for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accom an ed o Ian us',e.Gequkements.ssUodUn.SE-=QN.Gabove q building permit is necessary for the installation of the above -designed s,e o J (1) Septic tank must be 100' minimum from any wells Leach lines must be 100' minimum from any wells, inclu ng a nsion area 3 Seepage pits must be 150' minimum from any wells, inoludin xpansion area(/ /Q K G2Q-d - - Signature of Health Official ✓` • Date ❑ CASH LL -CHECK NO. IS %Q RECEIPT NO. (:2 Issued By Date 0 — S DISTRICT ❑ Riverside Z__] , alop ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH-SAN•122(Rev1/92) DISTRIBUTION: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—PlanslRecords r4 z r emin fion ESCIIOVJ flc. 78-451 Highway ill • Laxuinta, CA 564-0852 (619) 564-3410 FAX (619) 564 852253 ESCROW INSTRUCTIONS ESCROW OFFICER ESCROW NO: 3901-T Mary Jo Miller DATE: 09/04/92 Buyer has handed you initial deposit in the amount of Prior to close of escrow, Buyer will deposit the amount of. $ 500,00 TOTAL CONSIDERATION . , • • • • • • • $ 19,500.00 and will deliver any additional funds and instruments $ 20.000.00 comply with these instructions which you are authorized to use provided instruments have required from me to enable you to been filed for record on or before 09/11/92, enabling you to Protection policy of title insurance, with title company liability fpr the amount of t e g Y procure CLTA Owners or Joint consideration, on real property described as: 2 / _ total a 1 Lot 6 of Block 117, Santa Carmelita at Vale, La Quinta, as thereof recorded in Book 18 page 80 of Maps in the OfficeloflthesCounty on a map of Riverside County, California, y Recorder PROPERTY ADDRESS: Vacant land, La Quinta, CA 92253 (Not Verified) TITLE TO APPEAR VESTED IN: DESERT SON DEVELOPMENT, INC., a California Corporation P on FREE FROM ALL ENCUMBRANCES EXCEPT: (A) Current Installment(s) of Payments ns which are included general and collectedlther count and cit taxes for the ensuing Y taxes, including any special district levies assessed pursuant to cheear, if any, a lien but not for paythe current fiscal yearnot, PAY ANY SUPPLEMENTAL TAX pRILLSlASSESSEDons of epFTERate B CLOSEill T OFe ESCROWb DUE TOle.e THEe RECORDING OF THE delinquent, Including SEL LER TO BUYER. Statutes of 1983 of the StatelOfeCalifornia. BUYER T6 (B) Covenants, condltlons, restrictions, reservations, THE CRANT DEED FROM easements, now of record, if any. oil or mineral reservations, (C) Bonds or assessments now rights, rights of way, and of record, if any, not delinquent. INSTRUCTIONS: 1- PRELIMINARY TITLE REPORT: This escrow is subject to buyers approval title reportt on the subject property within 2 days of recei tof same, a P written disapprovalP preliminary of said report is not received within p the allotted time the event report shall be deemed approved and the satisfaction'o'f this requirement. Prorate as of Close of Escrow Taxes based on latest tax bill or on amount furnished by title company I/We agree to pay buyers usual charges. Change of Ownership Statement with the Count?Recorder are aware of should they fail to file said Statement at theRclosee ofthe of responsibllit assessed by the County Recorder, of Escrow, yy under AB3132 to file a liability in connection with same. Escrow Holder they w Buyer(a) are further aware that Ls released and ill be aub ect to flues and ppenalties as Desert Son Development Inc relieved from any responsib111t , a Y and/or California Corporation Buyer: By; William F. Fitzgerald The foregoing terms, approved and acce ted provisions, conditions and my part to cause P in their entirety instructions, and those on be applied 'funds sett forthb abovew vlthlnas b the et LmechasoncurredaboveI will the reverse side charges for evidence of title as You arin e authorized to hand y°u ve necessary documents of are hereby agreed to called for whether or no Pa Your esc owe charges, es,ld or havecallcaused to Pay. You are hereb provided. prepayment penalties, if an Y'authorized to pay bonds, this escrow is cons . mmated, 8 my recording fees, Y, to show title o called for,assessmenes, taxes, except those Pay Documentar and any Liens d record, the buyer Y Transfer Tax on deed as requlredcluding Seller: Avedis Kasparian Seller: Jacqueline parian M.r, Orr 7-t -W. - t 'Cu Tit of Ka(Quinta Ilutotn4 dub $dfet r 34t*11t*,'w*Vn 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 51-885 Avenida Martinez Use Classiiicotion Single Family Dwelling Bldg. Permit No. 11546 Group R3 Type Construction VN Fire Zone Use Zone SR Owner of Building Desert Sun Homes Address 78-365 Hwy 111, Ste. 185 City a uint 225 By, Lonnie Day Dote: February 26, 1993 Building Official POST IN A CONSPICUOUS PLACE