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RPL (0008-303)52965 Avenida Martinez 0008-303 06624 06345 LICENSED CONTRACTOR DECLARATION I.hereby affirm under penalty of perjury that I am licensed under provisions of Chapter,9. (c5mn4'encing with Section 7000) of Division 3 of the Business and Professionals Code, -and my License is in full force and effect. License # Lic. Class Exp. Date 556236 C5 U?J.28Ef Date -' ©V Signature of Con ra to OWNER -BUIL DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) I have and will maintain a certificate of consent to self -insure for workers' Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. . I have and will maintain workers' compensation insurance, as required by `Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier STAT FUND Policy No. 1576269 (This section need not be completed if the permit valuation is for $100.00 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., and agre f that i I should become subject to the workers' compensationYrovis ns i ectioA3700 of the Labor Code, I shall forthwith comply with t ose provisi • • st f Date: f ` "' N Applicant - 1 ` • Warning: Failure to secuje orkers' Compensation cove rage`i js awful and shall subject an employer( criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all'City, and State laws relating to the building construction, and hereby auth%rize/rerpres2nlati ves of this -City to enter upon the above-mentioned proZ i e'Itfor insection!urp oses. Signature (Owner/Age")'x'l Dat BUILDING PERMIT PERMIT JI { DATE/,/ „ VALUATION LOT (I O8 .0'3. TRACT $140M,00 JOB SITE ADDRESSsA . APN OWNER CONTRACTOR/DESIGNER/EN (NEER ED 1*G+}iMH :PC)O. 52-965 AVEN.DAMAR'fR4r,,7 44026 ]:` Y" iOl i IR LAQUIN'1'A CA 92253 1'Ai >.`Ala.` tT CA 92235 '0)3 40-55 t CBVf 1504 c: V UL _n CL 1 r 00 I S USE OF PERMIT POOLAN19/OR BPA Q 22 POOL &_ SPA ONLY-ALAii.MWBARRIIHJ:S SHALL BE IN PJACE AT PRIG PLASTER IN:SAEt;'1'iOl•I,POOL BOUIP:MENT ENCLOSURE 18 NOT INCLtlli.E13 DI THIS PERMIT POOL AND/Olt 9PA 14,SS0,001S f. ]K91iAlYQ.M) COST OF CONS'TRUM'1'ON PLAN CHECK FEE 101.000.439-318 $105.30 CONSTRUCTION FrZ 101-000-43t3 OO $161-00 MECHANICAL LAICAL FEE -- 'POOL. 101-000-441.000 $21,00 ELECTPJCAL FELE — POOL 101-000-4 0-000 $43.00 PLO1v1&O FEE -• POOL 101-000.419.010 $27.00 SU:B-71'0TAL CONSI UMON.AND CLAN C3,WX $363.30 d LESS 1'Rk:-PAID 1 ER11 $0.00 TOTAL FM%Wf +'S PUE NOW $363.30 f RECEIPT DATE BY DATE FINALED' / ' C INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR tt BUILDING APPROVALS MECHANICAL APPROVALS 9et Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS Steel POOLS - SPAS Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test 5 Final PLUMBING APPROVALS Gas Piping EacTestric Final _ Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation . Q Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: C_'T yls COP Y March 8, 1990 My husband and I have left several messages on your answering machine and since you have neglected to return our calls I find it necessary to contact you by mail. Also, our attorney advised us to give you written notification of our request for you to -remove your side fences which are on our property. Also, we want you to build your own fence back freestanding from ours, since we do not want your fence attached to ours. Also, the dirt that was removed from our property line should be replaced so that our property line will be level with the rest of our property instead of the level you have lowered the other lot to. I have contacted the city regarding this matter and at Mr. Hartung's request I am sending a copy of this letter to him for the city's inspection file. I have also contacted Keri Nelson at Nelson -Eggert Realty and alerted her to this situation and I am also sending a copy to her. We would appreciate, actually insist on your speedy remedy to this situation since our patience has already been extremely taxed and is running out from the weeks of waiting for you to do something about this. Be assured, we do not intend on dropping this matter, Mr. Moss. Sincerely, Mr. and Mrs. Thomas A. Caramello Homeowners at 52-990 Eisenhower La Quinta, Ca. 92253 cc: Keri Nelson Tom Hartung E: ^ ! .tea Paul G. Moss ', AR Q g 1990 Champion Homes P. O. Box 4694 CITY OF LA QUINTA Palm Desert, Ca. 92261 PLANNING & DEVELOPMENT DEPT. Dear Mr. Moss: My husband and I have left several messages on your answering machine and since you have neglected to return our calls I find it necessary to contact you by mail. Also, our attorney advised us to give you written notification of our request for you to -remove your side fences which are on our property. Also, we want you to build your own fence back freestanding from ours, since we do not want your fence attached to ours. Also, the dirt that was removed from our property line should be replaced so that our property line will be level with the rest of our property instead of the level you have lowered the other lot to. I have contacted the city regarding this matter and at Mr. Hartung's request I am sending a copy of this letter to him for the city's inspection file. I have also contacted Keri Nelson at Nelson -Eggert Realty and alerted her to this situation and I am also sending a copy to her. We would appreciate, actually insist on your speedy remedy to this situation since our patience has already been extremely taxed and is running out from the weeks of waiting for you to do something about this. Be assured, we do not intend on dropping this matter, Mr. Moss. Sincerely, Mr. and Mrs. Thomas A. Caramello Homeowners at 52-990 Eisenhower La Quinta, Ca. 92253 cc: Keri Nelson Tom Hartung Building Address 52--355 Martinez P.O. BOX 1504 78-105 CALLE ESTADO IUINTA, CALIFORNIA 92253 Mailing Address P. 0. Box 14694 City Zip Tel. Fain Dawrt 92250 307-4464 Contractor Address Tela State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. City I Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 700(1) of Division 3 of the Business and Professions Code, and my license ism full force and effect SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason_ (Sec. 7031.5,13usiness and Professions Code: Any city or county which requires a 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 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 penally of not more than rive hundred dollars ($500). ❑ 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 hilkwelf or through his own employees, provided that such improvements are not intended or offered for safe. N, however, the building or improvement is sold within one year of completion, the owner -builder wig have the burden of proving that he did not build orsnprove 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 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. 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 alifornia.DateOwner NOTICE TO APPLICANT: 8, 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, Civg Code.) Lender's Name Lenders Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 100 days. I certity 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. JILDING: TYPE CONST. OCC: GRP P. -Number 773-331-025 Legal Description Project Description R@t8inIn wall 60" 06624 Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 9900 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const.25.j 0 Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKSe• f 7 { Cs C'G ('f f {-•tt , 09_. its 1V L.H `ri 1 1-14114 x a.1 , V1. 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 t l/6/139 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS ' SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SO. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. SO. FT. GAS (FINAL) TEMP. POLE WALL SQ. FT. DRINKING FOUNTAIN. GROUT WATER HEATER URINAL SO FT ® FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation GRADING cu. yd. -Plus-X$-=$ FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FIREPLACE 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 GARDEN WALL FINAL SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.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 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. w'/ GAS (ROUGH) 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. FRAMING FINAL INSP. ROOFING REMARKS:- EMARKS:VENTILATION VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS ' GARDEN WALL FINAL ) 11' .1 Building Address Owner Mailing Address City •4 4 " P.O. BOX 1504 78-105 CALLE ESTADO 52-965 Martinez LA QUINTA, CALIFORNIA 92253 Tamw Development, 1=. Sam Address City State Lic. City & Classif. 573797 1 Lic. # 1245 Desigy, , ner Address Tel. City I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 70(1(1) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNEWBUILDER DECLARATION I hereby affiml that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,13usi ness and Professions Code: Any city or county which requires a permit to construct, after, knprove, 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 (oommencing 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 civilpenalty of not more than rive 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 Japroves thereon and who does such work himself or through his own employees, provided that such inprovements 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, 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 contraclor(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 1 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 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 Ihereby 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. 1 agree tocomply 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. 46345 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 773-331--025 Legal Description Project Description SPD ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Sq. Ft. 1360 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ FINAL DATE INSPECTOR '9/2o/s9 Issued by: Date Permit Validated by: Validation: Estimated Valuation $78„88L PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. $ 219.09 Const. 545.00 Mech. 53.50 Electrical 106.70 Plumbing 157.50 S.M.I. 5.53 Grading 20.00 Driveway Enc. 20.00 Infrastructure 1,736.68 TOTAL 3 14• n t'f 'f %) 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 '9/2o/s9 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES, UNDERGROUND A.C. UNIT I 1ST FL. SQ. FT. $ UNITS I ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® ROCK STORAGE FOUND. REINF. POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL DRAINAGE PIPING CAR P. SQ. FT. ® TEMP. LE/UI) - WALL SQ. FT. DRINKING FOUNTAIN. WATER HEATER URINAL SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation GRADING cu. yd. $ -Plus-x$-=$- lusx$=$ROOFING FLOOR DRAIN MECHANICAL FEES LUMBER GR. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER t `` q( v GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REMARKS: LAUNDRY TRAY AIR HANDLING UNIT CFM 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER MESH GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE fLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK /G- ROUND PLUMw&-7 (7 UNDERGROUND A.C. UNIT COLL. AREA LAB GRADE - ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS / / OR SEPTIC TAV ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. LE/UI) - GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-x$-=$- lusx$=$ROOFING 1 LUMBER GR. FINAL INSP. fQ FRAMING FINAL INSP. ROOFING / t `` q( v (jJj ` P REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 'tObN © MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF , SCHOOL FAG' D -TY FEES CD TO: DATE: 'ply This is t e tif' that Vi/ IUA) d./0 developer of mwhich is located at `jffil-a-,, 1 IS , within this District, ✓has paid school facility 'fees imposed pursuant to the authority generateWGove nment Code Section 5'3080 in the amo t*00 $ el n ( covering a total of [ squar feet o ( ) resident ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. .DCk--P- Won for DESERT SAND UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES -MIS NOTICE: IS DOCUMEN7` cum . TO: City of a i AACATED, CANNOT DATE:q Ig K €um Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer 0 007 , "`— This is to c rtify at l /" developer of y which is located at , within this District, has paid school facility ees imposed pursuant to the au or' y g .Hera d b G vernm nt o e Se tion 5 080 i the a ount of covering a total of square feet of ( ) resid ntial or I/(JCJ ( ) industrial/commercia' evelopment and that buil in permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS' UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer 0 007 RECORDING REQUESTED BY AND WHEN RECORDED MAIL THIS DEED AND. UNLESS OTHER. WISE SHOWN BELOW. MAIL TAX STATEMENTS TO: NAMc TAMCO DEVELOPMENT, INC. ADDRESS P. 0, BOX 4694 CITY a Palm Desert, CA 92261 STATE Ztr L Title Order No. _-°0/01, Escrow No. 10-10668 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED 'Tile unders`1gned -declares that the documentary transfer tax is S....14...30.................................................................. and is = )0- computed on the -full value of the interest or property conveyed, or is ❑ . computed -on. the full..value .less the value of liens or encumbrances remaining thereon at the time of sale. The land, tenements or realty is located in ❑ unincorporated area ❑ city of.................................................................................................... and FOR A VALUABLE CONISIDERATION, receipt of which is hereby acknowledged, JANE-McCARTY, a.widow. hereby GRANT(S) to _....-... ..TAMCO-.DEVELOPMENT, INC., a California Corporation the following described real property in the city of La Quinta county of Riverside , state of California: Lot 12, Block 145, Santa Carmelita at Vale La Quinta, Unit No. 15, as shown by map on file in Book 18, Page 92 of Maps, Records of Riverside County, California. Dated T... - Certified to be a true and corre COPY Of the Fife Genor_i c, Jzi; to McCarty STATE OF CALIFORNIA - COUNTY. OF -._1.0,.5. 01 ?J_ t C SS. Ic On this the I day of fv r. 19-&1 before me the undersigned, a Notary Public in and for said County and State, personally appeared Jane McCarty personally known to me or proved to me on the basis of satisfactory evidence to be the person whose name --)-S subscribed to the within instrument and ack ledged that .;,-S r t t execut &the same. l/ Ignature of Notary FOR NOTARY SEAL OR STAMP 7,_ I' OFFICIALSE'L ;^..:.r RAQUE1 E. DOPJAIiUE NOTARY PUBLIC CALIFORNIA Co PRINCIPAL OFFICE IN ' LOS ANGELES COUNT ;J•, P. y Ccmm-sqion Ezn. !d 81. Assessor's Parcel No ............................................. MAIL TAX STATEMENTS 1'0 PARTY SHOWN ON FOLLOWING LINF: 1F NO PARTY SO SHOWN, MAIL AS DIRECTED ABO\'F. Nani--- ----------`'u,•,•t :\Tin•.. (:its 'K Stair .r'= •--..r' "h.., '.f4 ' ' . y`t'b7 V,ia•{..»Ii'^nJiX ': .e f l] A r G p -q RECEIPT NO. . f % 01 Issued By e- Date DISTRICT: ❑ Riverside, ©S Indio O Hemet ❑ Perris ❑ Rancho Calif. ❑. Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant' PINK - Bldg. Dept. GOLDENROD - Plans/Records Ri COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES 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. Approval of this application shall remain valid for a period not to exceed one year from date of approval. Q VERIFY ITEMS IN SECTION A FROM BUILDING &, SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # Z 0 Agent, Contractor, Contact Person ! Phone Address & Phone W Owner - Phone Mailing Address CL ``s City (>Crzr State C/A Zip Job Property Address Legal Description Prop. (PM, Tract, Lot) (.qtr 1 jvinir0n MA171NEL 10T/1 RIK 05 Lot Size r A e ' e I`r Use of Permit P/P, CU, etcZGR r c.* Other QX f00 ra D. M C 4444117A % Dwell i Site Prep,etc. c, r . t: : a g Signature of Applicant Date CATEGORY:, REV CODE FEE El SUBSURFACE DISPOSAL 1238 CATEGORY: REV CODE FEE ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) In Z LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 0 a. 1 st 4 Parcels (Each) 1238 $45.00 (Less than 1 year) U b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 W ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $45.00 Critical Area 7,346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 /INIT At Holding Tank Agreements Completed ❑ Yes 'e ftp. f j DATE Certification of Existing S.D. System Required ❑ Yes 0 No WQCB Clearance required. (Attach Form ❑ Yes No DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes Special Feasibility 136ring Report Requiied. —' ❑ YesQ Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes ❑ If Other 11 Yes [7 No Staff Specialist Lot Inspection Required ❑ Yes ❑ No Lot Inspection Date 1 f Soils boring report by —ProjectDate (` Soils Map Page t Soil Type Approved by Date U Z No. of Systems Type of Systems) ❑ HoldlAg Tank ❑ Existing No. Dwelling Units ` /' Bedrooms-Fixtere.0 (1) Septic Tank Soil Rate Gr /Sand 0 b'N'ew ❑ Replacement q,- /,q Greas9l tcp .444/ 6 fGal t / Gal U W . (2) Leach Line Sq. Ft. Sidewall allowance Instal Line(s) ft long ft wide with Leach Bed sq. ft. Bono t hrea fe rrun sq. ft per running ft. min. mohes"'r Aq w drainlines or - 8f txa om area FY Leachlines/bed special design for slope: Applicable I- (3) Pit Diameter No. Pits Pit Below Inl[et (BIS Inlet Seepage page Phi ,T 1 gpth Max. Allow e.Dppth N/A " Overburden factor c05 ` f No. 2 System M REMARKS: This application is PROVED/ -QIEID for the category checked in SECTION B above, regarding the design of a subsurface disposal. system as indicated on the accompanied plot pan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation o`i the Z ' above -designed system. No construction is permitted in the required reserved 100% expansion area. 1) Septic tank and sewer lines must be 50' minimum from any wells/a ^, l h►*a c.r+. IU In3 (2 Leach lines must be 100' minimum from any wells, including expansion are Ca . Seepage pits must be 150' minimum from any wells; including expansion area ; ` !i Signature of HealthOfficial - ✓V. ,4 Date r G p -q RECEIPT NO. . f % 01 Issued By e- Date DISTRICT: ❑ Riverside, ©S Indio O Hemet ❑ Perris ❑ Rancho Calif. ❑. Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant' PINK - Bldg. Dept. GOLDENROD - Plans/Records Ri 1• OFFICE OF G e AGRICULTURAL COMMISSIONER V AND WEIGHTS & MEASURES CALVIN C. KAMINSKAS JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Assistant Commissioner Agricultural Commissioner RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISTE Director of Weights &.Measures Sealer 787-2561 49613 Highway 86, Suite B12 Coachella, Ca. 92236 DATE -E o2$- l (619) 342-8291 DATE DEVELOPER'S NAME: ADDRESS: 7 e -L- j `i u C _ Pf .S L=c r." =I I -? 2 - es Es e, --(- TELEPHONE: Dear Developer: 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. T6ri#ltural Commissioner's Office CC: Indio.and Riverside Office