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SFD (15277)3 ry 1 Building r Address 5a--925 Avenida Mendoza Owner Antonio Labas-ida P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 AdepSS 84-=547. Via Durango City Zip Tel. Coachella 92236 1 398-5403 owner/builder Address Tela State Lic.I City & Classif. Lic. # Arcn., tngr., Designer Address Tel. 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) 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 u acts the applicant to a civil penalty of not more than five 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 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.) O 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) jicensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date 7E11?ir Own.r,i //4/" /! A-4-',11 1111" (4 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. 3900, 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 (8100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, l shall not employ anyperson 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. 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 ateMailing Address City, State, Zip No. x.5277 BUILDING: TYPE CONST. V p _OCC. GRP. R3 A.P. Number 73-181-020 -^ Legal Description Lot8 Block 119 Project Description SFD— permit does not include block wall or pool • REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from,Rear Prop. Line Side Street Setback ffom Center Line Side Setback fro 'Property ci e� oo FINAL DATE �/NSPE, 7 Issued bv: Date ��� Permit Validated by: _1q 1_�� —,-75 ///// Sq. Ft. Size -1392 No. Stories No. Dw. Units NeWS0 Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation I PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 244.47 Const. 585.50 Mech. 45.00 Electrical 122.30 Plumbing 132.00 S.M.I. 8.72 Grading 2€ .00 Driveway Enc. Infrastructure 3922.94 ts in Publir ?laces -a- VIA" .5 -On TOTAL 1 3359.93 3109.93 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from,Rear Prop. Line Side Street Setback ffom Center Line Side Setback fro 'Property ci e� oo FINAL DATE �/NSPE, 7 Issued bv: Date ��� Permit Validated by: _1q 1_�� —,-75 ///// CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINi; FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE �� ROUGH PLUMB. C YARD SPKLR SYSTEM 2ND FL. SO. FT. p HEATING (ROUGH) STORAGE TANK POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. GAS (ROUGH) Rp�� DRAINAGE PIPING WALL SO. FT. OTHER APP.IEOUIP. DRINKING FOUNTAIN SO. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation 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 FINAL INSP. LAUNDRYTRAY 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. SO. FT. ®c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1'/4 C SEWAGE DISPOSAL SO.FT.GAR ® 3/4c HOUSE SEWER GAR. FIREWALL 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 P UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS g� SEWE R ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. �L/ GAS (ROUGH) Rp�� METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL jGAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. �( FRAMING X /%2 FINAL INSP. ROOFING 7V / w I, 1 �y//l� �UUU®71�,j////J / REMARKS: VENTILATION./v FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 9 MESH INSULATION/SOUND S! FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL Building Address ✓ �-i�,✓ Owner /i 4 P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 _ r 1 Mailing ��- S ! [Ila a ►moi, gran Address J � city Zjp r6ach oe!la- �a , Contractor LaG�a 5 City Zip Tel. State Lic. & Classif. City Lic. # Arch., Engr., Designer Address Tel. rv� BUILDING: TYPE CONSST. OCC GRP. 0 A.P. Number J 6 S�103 Legal Description'1 Project Description CityI Zip I 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) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation o/ Section 7031.5 by any applicant for a, permit subjects the applicant to a civil penalty o/ not more than live hundred dollars ($500). l7 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 o/ 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 o/ completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose o/ sale.) L 1 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 properly who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 17 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 _ 0 Copy is filed with the city. 0 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. t . 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. 1 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 DIVISION ,r Sq. Ft. j 'aG) No. No. Dw. Size 1 i l Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ IEstimated Valuation I7 F7 ) 6 V. 00 PERMIT AMOUNT Plan Chk. Dep. 2$0.00 Plan Chk. Bal. 2 `'% Const. 50 S, Sa Mech. ' , ©D Electrical 2--3r-> Plumbing 32, DO S.M.I. 517 'L Grading D0 Driveway Enc. _0 — Infrastructure2-2. 6TY 2J TOTAL I j; REMARKS . I 1 1 YI 7V n' \/ 11 \- W I ZONE: BY: v Minimum Setback Distances: Front Setback from Center Line u 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: J CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES / IST FL. v SO. FT. @ $ 2ND FL. _ SQ. FT. @` POR. SQ. FT. @ GAR. SQ. FT. 0 CAR P. I SQ. FT. WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ O UNITS MOBILEHOME SVC. POWER OUTLET BONDING YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING STORAGE TANK NOTE: Not to be used as property tax valuation SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK FLOOR DRAIN FOUND. REINF. MECHANICAL FEES METER LOOP HEATING (FINAL) OTHER APP./EQUIP. WATER SOFTENER GAS (FINAL) VENT SYSTEM FAN EVAP.COOL HOOD SIGN GROUT WASHER(AUTO)(DISH) SERVICE APPLIANCE DRYER BOND BEAM WATER SYSTEM GARBAGE DISPOSAL GRADING cu. yd. plus x$ FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR. FINAL INSP. LAUNDRY TRAY FINAL INSP.$ AIR HANDLING UNIT CFM ROOFING KITCHEN SINK REMARKS: ABSORPTION SYSTEM. B.T.U. VENTILATION TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM FIREPLACE LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER GAR. FIREWALL BOILER B.T.U. SO. FT. @ c BATH TUB MESH SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. FINISH GRADING $0. FT. RESID @ 11A c 8 `L SEWAGE DISPOSAL SO.FT.GAR @ ?/ac toHOUSE SEWER FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE 00 PL.CF� FEE CONST. FEE ��;� `l �� �b ELECT. FEE I22,30 SMI FEE PLUMB. FEE i32, o0 STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB, BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP.$ ROOFING REMARKS: 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 DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 7/6/95 No. 113542 Owner Name Type of Permit Antonio Labastida No. 51-925 Street Mendoza City La Quinta Zip 92253 La Quinta Permit # • Log Study Area 113 APN # I Tract # Lot # 0 Square Footage 11392 Type of Development I 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 1.72 X 1392 or $ 2,394.24 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 N/A Telephgne``398=5403 Name on the check fi`& By Dolores A. Ballesteros Superintendent Fee collected /exempted by Mary Lou Signature Collector: Attach c9Vy of county or city plan Embossed Original- Building Dept./Applicant Payment Received Check No. Cash application form to district copy for all waivers. y - Applicant/Receipt Copy - Accounting ire•_ cs'c.`•:'��:; f RECORDING REQUESTED BY: nJestors Title Company - Escrow Division AND WHEN RECORDED MAIL TO: MR. ANTONIO LABASTIDA 51685 AVENIDA CARRANZA LA QUINTA, CA 92253 ESCROW NO. 32-10177 THIS SPACE FOR RECORDER'S USE ONLY: K AL GRANT DEED TITLE ORDER NO. 575886 THE UNDERSIGNED. GRANTOR(S) DECLARE(s) DOCUMENTARY TRANSFER TAX is $ _ 16.50 [X] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. [ ] Unincorporated area [X ] City of LA QUINTA, AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, LOIS L. OAKLAND, a Widow hereby GRANT(s) to: ANTONIO LABASTIDA, a Single Man the real property in the city of LA QUINTA, County of Riverside, State of California; described as: Lot 8, Block 118, Santa Carmelita at Vale La Quinta, Unit No. 12 as shown by Map on file in Book 18 Page 79 and 80 of Maps in the office of the County Recorder of Riverside County, California. ALSO KNOWN AS: APN #773-181-020' LA QUINTA, CA 92253 A.P. # p, 0 pil DATED Au��u��SS g1994 STATE OF kJ2It A Nev Mexico COUNTY OF ants re On August 23, 1994 before me, a NotaryPublic in and for said State, personally appeared ois L. Oakland personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Mail tax s ements to: MR. ANTONIO LABASTIDA. 51685 AV LOIS L. OAKLAND (This area for off Ictal n', seal 'r ?A, LA QUINTA. CA U �O rn U. W Go Q :p LU Q c.� irUj I:Yr THIS SPACE FOR RECORDER'S USE ONLY: K AL GRANT DEED TITLE ORDER NO. 575886 THE UNDERSIGNED. GRANTOR(S) DECLARE(s) DOCUMENTARY TRANSFER TAX is $ _ 16.50 [X] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. [ ] Unincorporated area [X ] City of LA QUINTA, AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, LOIS L. OAKLAND, a Widow hereby GRANT(s) to: ANTONIO LABASTIDA, a Single Man the real property in the city of LA QUINTA, County of Riverside, State of California; described as: Lot 8, Block 118, Santa Carmelita at Vale La Quinta, Unit No. 12 as shown by Map on file in Book 18 Page 79 and 80 of Maps in the office of the County Recorder of Riverside County, California. ALSO KNOWN AS: APN #773-181-020' LA QUINTA, CA 92253 A.P. # p, 0 pil DATED Au��u��SS g1994 STATE OF kJ2It A Nev Mexico COUNTY OF ants re On August 23, 1994 before me, a NotaryPublic in and for said State, personally appeared ois L. Oakland personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Mail tax s ements to: MR. ANTONIO LABASTIDA. 51685 AV LOIS L. OAKLAND (This area for off Ictal n', seal 'r ?A, LA QUINTA. CA