SFD (11085)Building 51-445 Mandoza
I
P.O. BOX 1504N o . 11085
78-105 CALLE ESTADO r ,v ;
LA QUINTA, CALIFORNIA 92253
Owner
Desert Sun iiozne Dev. , Inc.
BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address 53600 Juarez
City Zip Tel.
- La Quinta 92253 564-6904
Contractor
Same
Tela
State Lic. I City
& Classif. 629265 B Lic. #
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State
Lic. #
I LICENSED CONTRACTOR'S DECLARATION
I hereby affirms that,l'am licensed'und"err�1'revisions of Chapter 9 (commencing with Section
/7000) of Division 3 of the Bus_ iness and PfoWssions Code, and my license is in full force and
T'effect. r'
V 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 rile 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 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 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-
slruct 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, ora certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
P0 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. n, 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.
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
A.P. Number
Legal Description_
Project Description
SFD
Sq. Ft. 12.72
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit includes patio block walla or
pool permits
to be obtained separately
Estimated Valuation
78,777.20
PERMIT
AMOUNT
Plan Chk. Dep.
2550.00
Plan Chk. Bal.
217.99
Const.
540.50
Mech.
4t). 040
Electrical
11F . 62
Plumbing
160. Sn
S.M.I.
7.46
Grading
20.1f)(11
Driveway Enc.
.00
Infrastructure
1676.78
r ,
TOTAL��3:i7�-�
REMARKS
r... ..;". ;•A. ter, t.a.t' ►."' ..fir
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
IST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ, FT, ®
CARP. SO. FT.
WALL SQ. FT. ®
SO 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
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH Cpm-� (�
rely
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SO. FT. a c v
BATH TUB
FINAL INSP.
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.FT.GAR ® Vic
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
SETBACK
GROUND PLUMBING wt 6&4e
DERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EWER eff,5E1TTTI!"rA V1 /jOUGH
WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH Cpm-� (�
rely
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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 a tl/
jg
(/
FINAL INSP., / �%
/'
ROOFING
loft _ ^vin If� (an LN
e
Vv%A n2JP
%/�jRZ y►1�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION7/*3
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Continental
Affix I.R.S. 5,17.60....,...
0
N
NO COR FILL'-)
GRANT, BARGAIN, SALE DEED
THIS INDENTURE WITNESSETH: That .... FRED .SASS, Trustee..of. . the . FSDRH.. TRUST, DATED,-NQVTMFF,..t4, .1.984
......
in valuable consideration, the receipt of which is hereby acknowledged, do hereby Grant, Bargain, Sell and Convey to:
DESERT. SUN, ,., HQME„I)FVFLOPMFNT,...I11TC..,..a. California. Corporation ........................ • ..• • • •
............................................................................................................
d
............................................................................... .......... ...................
all that real property situate in the ................................................. County of-KV�rside.:: ,
California
State of 14144aka, bounded and described as follows:
Lot 3, Block 137, of Santa Carmelita at Vale La Quinta, Unit 114, as per Map recorded
in Book 18, Pages 82 and 83 of Maps, in the Office of the County Recorder of Riverside
County,
SUBJECT TO:
1. General and special taxes for fiscal year 1992-93.
2. Easements, Reservations, Conditions and Restrictions, Rights of Way
now of record.
Together with all singular the tenements, hereditaments and appurtenances thereunto belonging or in any wise appertaining.
DATED:..... June . 24 .................... 19--92 -. FS.ti$H..T.RUS7v.....................................
::,
.................................................... j. .. ............ ....
j ass, Trustee
................................................
STATE OF NEVADA
Order No ...............
County of CLARK
On chis 2 th dsy of JUNE19 92 . When Recorded,;mail to........ DESERT V ...................................................:.....
:.
Personally appeared before me, a Notary Public.___ _ . 53660 AVENIDA JAIAREZ'
Fred Sass LA 1UNTA, CA 92253
......................................................................................................................... .
who adcnowledped that he executed"the above
cc
instru
`. Notar�ybliL ..� lit
O Notary FYei Nevada N
S O
I CGIiPi I `! l:: c: LARK
I -
I ,i-•"y�.y=� j✓fy CC.ilRils$IJII C.-.rpiras (� Z
Gc:cLer 5, 1994 — -� ;
L'.
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 8/11/92 1 Type of Permit I La Quinta
No. 111635 Permit #
Owner Name Desert Sun Home Development, Inc. Log #
No. 51445 street Avenida Mendoza
city La Quinta zip 92253 Study Area 113
APN # 773-093-007 1 Tract # I ILot # Square Footage I 1272
Type of Development Single Family Residence No. of units 0
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 11.272 7 or $ 2,009.76 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 Desert Sun Development Telephone 564
Name on the check
By James E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett „ f -
Payment Received
Signature6�)C�a- Check No.15026159
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
.11±,AvrI&Ak�/
(�tv
of
C�xrf,�
Tit�1 IIf 14M (Quinta
%Uitbini� alib �dfvt�J 34illi"eithill
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 51-445 Mendoza
Use Classification Single Family Dwelling Bldg. Permit No. 11085
Group R3 Type Construction VN Fre Zone Use Zone SR
Owner of Building Desert. Sun Home DeyelopAddress 53-660 Juarez
City La Quinta, CA 92253 By. Lonnie Day
1 / Dote: February 12, 1993
Building Official
T IN A CONeTICUOUS PLACE
III