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SFD (003055)53855 Avenida Martinez 003055 P.O. BOX 1504 Building 53x155 Avenida hartinez 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner - _ Javier Cantu Mailing Address City Zip Contractor O n6r/Bui? dei Address No. 003055 BUILDING: TYPE CONST. OCC: GRP,. A.P. Number 774-171-018 Tel. Lot 6, Block 247, Unit 23 92260 345-0032 Legal Description Project Description Siiigle Family Dt7ell:ng HARD COPY City Zip Tela State Lic. City & Classif. Lic. # 768 Sq: Ft. No. No. Dw. Size Stories 1 Units Arch.; Engr., - Designer Joha Cactillo - New ❑, Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 480 Gar3ga 346-$973 City Zip State Wo'cd Y1 naca Tr Mn 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 r, effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation $75,900.00 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 - PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section .7000) of - .y 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 Plan Chk. Dep. $250.00 ' subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, - Plan Chk. Bal.. S 10.30 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 Const. ^c n 361 0 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, that Improvements . t Mech. provided such 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 n(1f) Electrical • 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- Plumbing 1114^(110 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 S.M.I.- 57 • such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - ❑ I am exempt under. Sec. B. & P.C. for this reason Grading 70 i0 Driveway Enc. 20.00 Date r ! Owner tii cG I - -- Infrastructure 1113.26 WORKERS' COMPENSATION DECLARATION 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. TOTAL $28ii. rS S?l338 S5 CERTIFICATE OF EXEMPTION FROM REMARKS 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 ZONE: BY: subject to the workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback.from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lenders Address FINAL DATE INSPECTOR ' . 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. Issued by: Date Permit 1 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 :to r in purposes. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip 87773 4 16 L, 3&.55 it HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLOMBING FEES IST 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 BONDING FLOOR DRAIN MECHANICAL FEES ORMS I2� / WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM MP. POLE _ 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/e c SEWAGE DISPOSAL G/ w 1 SQ.FT.GAR ® 3/4c HOUSE SEWER VENTILATION 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 BACK GROUND P M UNDERGROUND A.C. UNIT COLL. AREA B GRADE'Lg/ ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK ORMS I2� / SEWER OR SEPTF icy/ ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) MP. POLE _ GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ _$ L BE GR. FINAL INSP. MING �i�j FINAL INSP. ROOFING 7 c� �' G/ w 1 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH (.JGNSULATION/SOUND 7-2041 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL marc. � vn a awnw i unc��m � ihw, GARDEN WALL FINAL 0 Desert Sands Unified School District• CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES LA 31 o /Z7 ""'D TO: City of La Quinta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 W1• DATE: This is to certify that (, developer of which is located at ,t , within this District, has paid school faZi4ity fees i posed pursu nt to the authority generated by Government Code Section 53080 e aunt of covering a total of U square feet of ( residential or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS•UNI ED SCHOOL DISTRICT White - Building Department • Yellow - Facilities P1n • Pink - Accounting • Gold - Developer (10)-37 ,. c M47om— Palm Desert,Eserouw, Inc. ESCROW INSTRUCTIONS _ Post Office Box 87 • 1 74-140 El Paseo, No. l Escrow No: 3837 Palm Desert, California 92261 Date: J a n u a ry 7, 1987 Telephone: (619) 568-2787 Escrow Officer: Diana Thune y The undersigned Buyer and Seller hereby mutually understand and agree that the statements set forth herein shall be construed by all those concerned as unconditionally in. corporated in these Buyer's and Seller's escrow instructions, to wit: 1. Buyer will hand you .................•............................................................. $ a s required 2. Broker will hand you.............................................................................. $ 3. Proceeds from loan to be procured by Buyer..:.......................................................... $ ALL CASH 4. Buyer has paid outside of this escrow, to seller (with which you are not to be concerned) .............................. $ 5. Encumbrance of record, approximate unpaid balance....................................................... $ 6. Buyer will hand you a new purchase price encumbrance.................................................... $ 7. $ 8. $ 9. TOTAL CONSIDERATION........................................................................... $ 8,200.00 and Buyer will deliver to you any instruments and/or funds reyre rg9' Buyer to enable you to comply with these instructions, all of which you are authorized to 2 ' use and/or deliver pursuant to obtaining on or before a standard Policy of Title Insurance, with the issuing Title Company's exceptions, providing that said policy has a liability of at least the amount of the above total consideration, covering the property in the County of Riverside State of California, described as follows: Lot 6 of Block 247, Unit #23 Santa Carmelita at Vale La Quinta as per map recorded book 20, page 25 of maps, in the office of the county recorder of said county. Property commonly known as: Vacant Lot (Not Verified) SHOWING TITLE VESTED IN: JOSE M. GARZA AND IRENE M. GARZA, husband and wife as joint tenants SUBJECT TO: General and Special County and City (if any) taxes, including special district levies, payments for which are included therein and collected therewith, for current fiscal year, not delinquent, including taxes for ensuing year, if any, a lien not yet payable. A lien of supplemental taxes, it any, assessed pursuant to the provisions of Chapter 498, 1983 Statutes of the State of California. ( Y E) fdovenants, conditions, restrictions, reservations, exceptions, easements, rights and rights-of-way of record and in deed to file, if any; and the exception of minerals, oil, gas, water, carbons and hydrocarbons on or under said land, now of record, and in deed to file, if any, affecting the use and occupancy of said property. ( n of Deed of Trust, now of record, and note secured thereby, approximate unpaid balance of $ 7.0 'k, as per their terms; further approval of which is hereby . waived through this escrow by Buyer and Seller. ( n q Deed of Trust, (loan) to file, and note secured thereby for $ 0 as per their terms; further approval of which is hereby waived through this escrow by Buyer and Seller, the proceeds of which shall be used to apply on purchase price, to be payable in monthly installments of $ c 0 - including interest at - 0 % per annum. SELLER is aware certain disclosures must be made to IRS, under 1986 Tax code 6045, as per separate form. Service fee of $25.00 shall be charged to seller. 10. ADJUST/PRO-RATE the following items only on a 30 -day month basis, as of date of filing deed (close of escrow): (n o) If above encumbrance is a purchase money trust deed, endorse interest on note thereof to commence from N A (O ) Pro -rate INTEREST on Trust Deed of record, based on statement of beneficiary, or his agent(s), together with funds shown impounded therewith for payment of taxes, fire, and FHA Insurance, if any. (n o) If said unpaid balance based on said statement of beneficiary, or his agent(s), is more or less than the sum(s) stated above, adjust said difference as follows: ( — ) in cash; ( — ) through Deed of Trust to tile; ( ) adjust the purchase price. e l; Pro -rate TAXES on real property only, based on latest tax bill in your possession or on amount furnished by the Title Company. O) Pro -rate rents based on Seller's statement with no adjustment against Buyer in case of uncollected rents. Transfer all deposits. o) Hold and transfer INSURANCE as handed you with mortgage clause attached. Deliver to 1 st beneficiary, if any. You are to assume that all premiums on said policies have been paid, but Buyer has option to furnish new insurance through escrow and to hand you funds to pay premium or paid receipt as per Lender's requirements. (a p ) Pro -rate homeowner's dues: (n p) Ground Rent; h o ) Proprietary Dues; ( n dBased on written statement provided you by said association or appropriate servicing agent. Each party signing these instructions has read the additional escrow conditions and instructions attached hereto and approves, accepts and agrees to be bound thereby as though the said additional escrow instructions appeared over their signatures, and hereby acknowledges receipt of a copy of these instructions. The undersigned hereby agrees to pay, on demand, charges for completing recording and notarizing all documents, charges and requirements by title company, buyer, lending institu- tion, if any, and the buyer's andlor borrower's customary escrow fees, necessary to complete this escrow; if a loan escrow, pay all charges from loan proceeds and make no charge to lender. LAI Buyer Jose M. Garza Y Irene —9 53 — Y y Buyer M. Garza Mailing Address 8 2 2 5 3 The foregoing terms, provisions, conditions and instructions are hereby approved and accepted in their entirety and concurred in by me. Seller will hand you necessary documents andlor funds called for on my part to cause title to be shown as above, which you are authorized to deliver when you hold for my account the sum of $ 8,200.00 , plus or minus adjustments set forth above, together with any documents due the undersigned as described above, within the time as above provided. From seller's proceeds, pay your escrow charges, my recording fees, beneficiary forwarding fees and charges for evidence and any liens or encumbrances of record, plus accrued interest, charges and prepay- ment penalties, it any. Affix Documentary Transfer Tax as required on Deed to property I am conveying, Lender to have no expense. 97 C East Highland Ave. Sierra Seller Celeste C. M c C r e a r )Miler Mailing Address Madre, CA 91024 CA 2 z O H U UU rn Ti 0 Y Q 2 W cc X z O_ U w Ah Ak COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 7} _) 7 / _ G / C PERMIT APPLICATION FOR A SUBSURFACE SEWAGE 0 DISPOSAL SYSTEM I ! 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.) Mailing Address ', City State Zip Code Telephone J 'Job Property Address /mor Community a / 'Legal Description of Property. (Lot, PM, TR)l` "oL C .'4 ./' • / 1 r./ / L/ 1 ` V aC 4. L. yt I y.dr 'Assessor's Parcel No. Wate Agen c omwe-H Q . U . ! / / f Use of Permjt AZW kJ14W. "'yf Panning Case N Lot Size / (/)t /{ /J 1 7 / 71 — v V/ ! / SFD. MH Site Preparation Etc• / r/ Sri X LUQ Signature of Applicant r Date 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date n C Certification of Existing S.D. System required. ❑ Yes '' o , WQCB Clearance required. El Yes LJ N Soils feasibility report required. ❑ Yeslo/ Detailed boring report required. ❑ Yes E?No,- i Detailed contour plot plans required. ❑ Yes 12 No Staff Specialist approval required. ❑ Yes 0~940 Lot Inspection Date Soils/boring repo by n Project # Date Soils Map Page /V Soil Type ` Approved by Dated Type of System: / No. of Bedrooms (1) Septic Tank 4 / Soil Rate Required El Existing 9 ew ❑ Additional E) Replacement n—,:" ,4x • r/l/ Gals. (2) Leach line sq. ft. Sidewall allowance Install. Long, (/ r ZLeeaarfi bed Sq. (Bottom trench area) ft. rock/ Sq. Ft. ft. ©'N/A Ft livid with min. inches Ft. of`bottom `- per running rock below drain lines area Leach lines/bed-special design for slope: Applicable (3) Pit Diameter No. Pits Pit BI f Seepage Pit total depth ` A _ N/At, r• Overburden factor 6' H I Max. allowable depth y U This application israppr ov d-1,defnied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth 3 in Section B above. A building permit Is necessary for the installation of the above -designed system. ,/ (1)1 Septic tank and sewer lines must be,50' from any wells ! / v . rs j c.. , >/ r '( " •'v+ 4t, ' u 2 ,r>L (2) Leach lines must be 100' min. from any wells including expansion, area rr' - . -cwr e t Seepage pits must be 150' min. from any wells including expansion area',//t Signature of Health Official t 7 /lJ /.. Dated RECEIPT NO. 16 06) Issued by K Date 3-1c 0 District: ❑ Riverside E Indio ❑ Hernet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) /i