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SFD (003044)53345 Avenida Martinez 003044 Building Address 53-345 Mart4nea Owner Ytobert E. Burton, Jr. Mailing Address 4I--155 yucca Lane CityZip Tel. Bermuda Dunes 92241 Contractor Address Zip I Tel. State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City Zip State Lic. # 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) 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 or completion, the owner -builder will have the burden or 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.) ❑ 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 or 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 Address City, State, Zip HARD COPY No. 043044 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 77"91-017 Legal Description Project Description Sincle Faailx Dwellina Sq. Ft. Size New C No. No. Dw. Stories Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ 490 Mf >? '215. Sq. Ft. -of Porch 517 Sq. Ft. of Garage Estimated Valuation ,S'86tr4943.50 PERMIT Plan Chk. Dep. .Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure proCIA0 Plan TOTAL REMARKS AMOUNT 2. •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 /10 /A7Permit Validated by: Validation: A7734 4 13 2 6829 it CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING EF ES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ. FT. ® CARP. 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 ROUGH PLUMB. 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 GAS (ROUGH) 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 ® 11/4 C SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3/ac HOUSE SEWER nFI FRAMING % (rJ /�� // FINAL INSP. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE 7ONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE , PJWMBING ELECTRICAL HEATING & AIR COND. SOLAR GSSETBACK 6 �� GROUND PLUMBING �! UNDERGROUND A.C. UNIT COLL. AREA 1-1CSLAB GRADE J�— (0 ROUGH PLUMB. &&NDING r) HEATING (ROUGH) STORAGE TANK Rq(—FORMS �� SEWER OR SEPT t07 ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) IS ER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) E P. POLE yfl;-A-leep GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. AL INSP. / nFI FRAMING % (rJ /�� // FINAL INSP. /// 2L`&OOFING,O/ �j tz �.Jays� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALLaLKLA THING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL I 3 O •' s r. s s A o t N tee. S I 3 O • Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES TO: City of La Quinta DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certif that developer of S located at ' —'7-ZJ- i %1/91.7'7i11 this District, has paid school facility fee authority generated by Government Code Sect $ :2 covering a total of ( ) industrial/comm r is developmen this footage in this developmentmay a'p" • which is within s imposed pursuant to the &It 53089 in the amount, of 21J square feet of ) residential or t d t t buil ing permits for VW be/i0hued by your jurydiction. r"DESERT SANDS UNT'FIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 Sale Escrow Instructions Jackie Phillips Escrow Officer ep 44-900 SAN PABLO AVENUE PALM DESERT, CA 92260-3537 (619) 568-3627 r t 10-1163 Escrow Number January 28, 1987' Date I have handed to La Quinta Palms Realty, for deposit herein, the Paid outside of Escrow sum of $250.00, and will further deposit an additional $7,250.00 Cash through Escrow plus closing costs, in the form of a cashiers ow 'check, just prior Encumbrances of recor ow to the close of escrow, „ „ ,. and will deliver to you any instruments which this escrow requires shall he executed by me, all of which you are instructed to use provided on or before February 2, 1987 you hold a policy of title insurance with the -usual title company's -a =P".arn; riith-e'-liability -equal to the total -considerations -herein -covering Lot 5, Block 211, Santa Carmelita at Vale La Quinta, Unit 20, New Encumbrances Total Consideration 1 7,500 100 .10 7.500 -100 -- As per map recorded in book 19 page(s) 38 of maps in the office of the County Recorder of Riverside County, Calif. (Memo: Property Address: Vacant Lot - refer to legal description above 1 except any oil or mineral reservation of record showing title vested in: ROBERT EDWIN BURTON JR. (Exact manner in which title shall be held shall be determined per a vesting statement to be deposited -in to this escrow) Free from encumbrances except:. ALL" (1) General and Special taxes for the fiscal year 19 87 , 19 88 , which are not delinquent as of close of escrow (2) The lien of supplemental taxes, if any, assessed pursuant to Chapter 498, Statutes of 1983, of the State of California (3) Covenants, conditions, restrictions, reservations, rights, rights of way and easements of record, if any INSTRUCTIONS: (A) This escrow is subject to the Buyers approval of a copy of the Preliminary Title Report and C.C.&R.'s within -two -(-2). days from Buyers receipt of same. No written disapproval to escrow holder within said time period shall be deemed buyers approval as to -this condition. All parties signing this agreement hereby acknowledge receipt of a copy of these instructions. Prorate taxes based on latest available tax bill as of Close Of Escrow Prorate insurance handed you as of N/A or buyer will hand you new insurance at his option. Prorate Homeowner's Association dues as of N/A Prorate interest on loans of record as of N/A Prorate rents and adjust deposits as of N/A based on rent statements handed you. Any rents in arrears are to he disregarded in your prorations. Credit seller and debit buyer the amount of impounds, if any, as disclosed by beneficiary statement from the holder of the loan of record. I/We agree to pay escrow fees and charges as charged. EACH 'PARTY SIGNING THESE INSTRUCTIONS HAS READ THE ADDITIONAL ESCROW CONDITIONS AND INSTRUCTIONS ON THE REVERSE SIDE HEREOF AND APPROVES, ACCEPTS AND AGREES TO BE BOUND THEREBY AS THOUGH THE REVERSE SIDE HEREOF APPEARED OVER THEIR SIGNATURES. Buyer's Signature p— " - -% - -N- 7fW,o Buyers Signature .,,-Robert Edwin_ Buxton Jr. Address Phone The foregoing terms, provisions, conditions and instructions, and those on the reverse side hereof are hereby approved and accepted in their entirety and concurred in by me. I will hand you necessary documents called for on my part to cause title to be shown as above, which you are authorized to deliver when you hold or have caused to be applied funds set forth above within the'time as above provided. Pay your escrow charges, my recording fees, charges for evidence of title as called for whether or not this escrow is consummated, except those the buyer agreed to pay. You are hereby authorized to pay bonds, assessments, taxes, and any liens of record, including prepayment penalties, if any, to show title as called for. Pay Documentary Transfer Tax on deed as required. Pay commission as follows $ Seller's Signature Ethel Z. Pickering Address 'D 1 (8/86) to to Seller's Signature Phone • RED Lion .nn onTARIo 222 N. Vineyard, Ontario, California 91764 (714) 983-0909 —70 L-A (PO W TA bc-,07- o 3Y '79a2 For Reservations, Call Toll Free: 800-547-8010 2 47 Z O H U W Cn .a. Z O PZ U w X Z O 1= U W N Ah MW COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 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 specifications required on the attached check list. A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) f. Mailing Address 4 1-0 L J r City- Statee Zip Code Telephone 'Job Property Address CitCit'y o'r`Community Legal Description of Property. (Lot, [PM, TR) 1 'Assessor's Parcel No. Water Agency or;Well- 1 /J / - Use of Permit 4 K_/JPYDI /lK . )JCL t'(anning Case k Lot Size SG X106 /✓ / / i SFD, MH Site Preparation Etc. Signature of Applicant Date 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE *'/ Date Certification of Existing S.D. System required. ElYes©No 4X r%- .L"%-0 WOCB Clearance required. I--] Yes LI No Soils feasibility report required. ❑ Yes No Detailed boring report required. ❑ Yes ©`No j Detailed contour plot plans required. ❑ Yes D No I i Staff Specialist approval required. ❑ Yes .© No Lot Inspection Date Soils/boring report by Project # Date Soils Map Page HWO Soil Type( Approved by Date - Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required El Existing 'N❑O ew Additional Replacement 3 wax. AM Gals. (2) Leach line sq. ft. Sidewall allowance Install 7Line(s) Ft. Long, Leach bed Sq. ( om,trench area) ft. rock/—Sq. Sq. Ft. Ft"wide With min. inches Ft. of b5bttom. per running ft. _N_/'A rock below drain lines area Leach lines/bed-special design for slope: Applicably (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth /A Overburden factor •❑:5' R6 / Max. allowable depth 1)40Ny This application isiappmvdenied,for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit is necessary for the installation of the above -designed system. `" (1) Septic tank and sewer lines must be,50' from any wells lU, v' licd / l r (2) Leach lines must be 100' min. from any wells including expansion area L C(31) Seepage pits must be 150' min. from any wells including expansion area //c Signature of Health Official / r Date RECEIPT NO. K Issued by 1 - Date District: ❑ Riverside ED -Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) I