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PLBG (08-1244)f, ' P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: /Applicant: 08-00001244 52020 AVENIDA MENDOZA 773-233-001-22 -000000- PLUMBING COVE RESIDENTIAL 6000 T-vy 4 4 Q" Architect or Engineer: N� ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines rofessionals Code, and my License is in full force and effect. License Class: A -B -C36 -C4 License No.: 422155 Date:_�3 Contracto OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Owner: RONALD THOMAS 318 CAMARILLO ST PLACENTIA, CA 92870 (714)577-5777 flDl VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/23/08 Contractor: ROTO ROOTER PLUMBERS JUL 23 9 20�� 796 N. STATE STREET J HEMET, CA 92543CIr'OF (951) 658-8541 F/Nq�y�QU110q Lic. No.: 422155 CEQEPT. WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 and policy number are: Carrier INS CO OF WEST Policy Number WSD5000151 certify that, in the performance of [he work for 'cfi this permit is issued, I shall not employ any person in any manner so as to come ct to the workers' compensation laws of California, and agree that, if I shou come lect to the workers' compensation provisions of Section 3700 of the Labor sh rt with comply with those provisions. Date: �- �Applican WARNING: FAILURE TO SE E 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. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this 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 application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 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 ab information is correct. I agree to comply with all city and county ordinances and state laws relating to buil ' co ction, and hereby authorize representatives of this county to enteruponthe above-mentioned pro i ectian pur oses. Date:US Signature (Applicant or A Application Number . . . . . 08-00001244 Permit . . . PLUMBING SEWER Additional desc . . Permit Fee . . 30.00 Plan Check Fee 00 Issue Date Valuation . . . . 6000 Expiration Date 1/19/09 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments SEPTIC ABANDONMENT/SEWER HOOK UP Fee summary Charged Paid ----------------- Credited Due -------------------- Permit Fee Total 30.00 ---------- .00 ---------- .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 .00 .00 30.00 LQPERMIT JOB NAME PURCHASE ORDER # JOB ADDRESS .tea G �a �v,r /�I/�rJa zA CITY STATE ZIP .t. /9 ❑ YES GUARANTEE ❑ NO 8 A.M. - 5 P.M. MON. THRU FRI. "--RESIDENTIAL GUARANTEE LABOR FT ❑ BATH SINK - - - - - - - Main/Branch Lines ............ ❑ 6 months Toilet Auger .................. ❑ 7 days ❑ HEMET (951)6588541 ❑ LAKE ELSINORE (951) 674-2312 ❑ FALLBROOK & BONSALL (760) 728-7497 ❑ WEST RANCHO BERNARDO & WORK ORDER NO. RD�O_ RODTERtt ❑ BANNING(951)922-9491 ❑ PE's (951) 657-9 2 ❑ RANCH M]MECULA (951)699-0555 ❑ REDLANDSIYUCAIPA (909) 797-8697 ❑ OCEANSIDE, CARLSBAD (760) 722-3155 C3 VISTA & TRI -CITIES AREA (760) 726-6260 WEST RANCHO PENASQUITOS (858) 484-2138 ❑ LAKE SAN MARCOS & LA COSTA (760) 726-6720 O , lumbers ElBEAUMONT (951) 645-3338 ❑ SUNCITY(951)679.8919 ❑ PALM SPRINGSIDHS (760) 322.2622 ❑ INDIOIPALM DESERT (760) 346.1736 ❑ ENCINITAS & CARDIFF (760) 753.2674 ❑ DEL MAR & SOLANA BEACH (858) 481.1633 Q RANCHO SANTA FE & OLIVEHAIN 858) 756-3396 DATE............................. JOB # �2 3 li ? J !� ........................................................... Division of RotoCo.. Inc. 796 N. STATE STREET . HEMET, CA 92543 `% ��'C�S License Number 422155 • Federal ID Number: 330475032 Toll Free: (800) 491-7686 . Fax; (951) 652-9515 . 1-800 GET ROTO (438-7686) TECH #1 TECH #2 JOB NAME PURCHASE ORDER # JOB ADDRESS .tea G �a �v,r /�I/�rJa zA CITY STATE ZIP .t. /9 ❑ YES GUARANTEE ❑ NO 8 A.M. - 5 P.M. MON. THRU FRI. "--RESIDENTIAL GUARANTEE LABOR FT ❑ BATH SINK - - - - - - - Main/Branch Lines ............ ❑ 6 months Toilet Auger .................. ❑ 7 days Plumbing Repair ............. ❑ 6 months Plumbing Replacement ......❑ 1 year Extended Guarantee ......... ❑ 1 year COMMERCIAL GUARANTEE LABOR AREA DRAIN -------0 Main/Branch Lines ............ ❑ 30 days Toilet Auger .................. ❑ 24 hours Plumbing Repair ............. ❑ 90 days Plumbing Replacement ...... ❑ 90 days REASON FOR NO GUARANTEE ESTIMATE: My estimate for performing this work is: $ FIXTURE MAIN LINE: FT ❑ BATH SINK - - - - - - - -0 FLOOR DRAIN - - - - -0 CLEANED- TOILET -----------0 KITCHEN SINK -----0 FLOOR SINK -------0 BATHTUB -2-------0 LAUNDRY ---------0 AREA DRAIN -------0 SHOWER ---'------0 URINAL -----------a OTHER ❑ ACCESSED VIA CAUSE OF STOPPAGE DRAIN O CLEAN OUT 0 ROOTS ❑ GREASE COVENT C)OTHER ❑UNKNOWN TIME IN TIME OUT WORK ORDER AUTHORIZATION / WAVIER: I authorize Roto -Rooter to perform the described services and I agree to pay the amounts Indicated. I understand that Roto -Rooter is not responsible for broken, settled, rusted, deteriorated, or lead pipes, fixtures, or clean outs and any damage resulting from cleaning or repairing such lines - 1 have asked Roto -Rooter to provide services, Under Section 1689.13 of the Califomia Civil Code, In order to induce Roto -Rooter to provide these services; 1) initiated negotiation and contract; 2) executed this contract in connection with the making of emergency or immediate necessary repairs or services necessary for the imrp6diate protection of persons or personal property detailed on this Invoice; and 3) 1 expressly acknowledge and waive the right to cancel this contract within three or seven business days, whichever applies. (PRINT NAME) r (SIGNATURE) COMPLETION i acknowledge completion of the above described work which has been done to my complete satisfaction. �9TY. PART NO. DESCRIPTION / REMARKS / REPAIRS NEEDED PRICE PLEASE INITIAL FOLLOWING: A. The serviceman discussed Roto -Rooter products with me. B. 1 have been advised additional lines cleaned at this time are half prices. C i have been advised that running my main line from a 3- roof vent is improper access and can only be given a 10 day guarantee, a 2" main line has a zero guarantee. In order to get a 120 day guarantee a cleanout must be installed. CLEAN UP CEO] IXCELLENT []SATISFACTORY ❑ POOR CUSTOMER COPY TAX TOTAL _ + PAYMENT RECEIVED CC EXRDATE APPROV # I hereby authorize Rotoco, Inc. to charge my Credit Card for the above charges. I understand that by signing below I am agreeing to all charges incurred on this invoice and that the work was completed to my satisfaction. Cardholder Signature X SEE REVERSE FOR TERMS & CONDITIONS r ❑ CASH ❑ BILL ❑ CK # ❑ CREDIT CARD/TYPE I / ' , CONDITIONS AND EXCLUSIONS Roto -Rooter Service & Plumbing Co. guarantees the services performed as set forth in this invoice to be free from defect in materials or workmanship for the applicable time period stated above. If within the Guarantee Period a drain stoppage or other defect in the repair of plumbing fixtut'es or plumbing parts installed by Roto -Rooter Service & Plumbing Co. occurs, Roto -Rooter Service & Plumbing Co. will clear the drain stoppage or, repair or replace (at Roto-Ro6ter Service '& Plumbing Co.'s option) the plumbing fixture or plumbing part previously installed at no cost to customer, subject to the following exclusions and limitations: 1. This Guarantee appfies"only to the specific sewer lines cleaned, or plumbing fixtures or plumbing parts supplied and installed by Roto -Rooter Service & Plumbing Co: 2. , Roto -Rooter. Service & Plumbing Co. must receive notice of the defect within the Guarantee Period. 3. This Guarantee does not apply to: a. Multi Unit Dwellings sewer and drain lines, plumbing fixtures or plumbing parts. b. Materials furnished or work performed by other than Roto -Rooter Service & Plumbing Co. c. Drains, sewer fines, plumbing fixtures and plumbing parts which have been misused, abused, damaged or modified by others; d. Drain or sewer line stoppages caused by foreign objects, including but not limited to sanitary articles, paper towels, toys, etc.; or e. Sewer lines which are settled, broken, offset deteriorated, damaged or improperly or illegally installed. f. Drains, sewer lines, plumbing fixtures on septic systems. g. Commercial accounts. 4. The Guarantee Period commences on the date or original service and shall not be extended by subsequent services or repairs made pursuant to the terms of the Guarantee. The Guarantee hereunder extends to the customer invoiced for the services and is not transferable. 5. Roto -Rooter Service & Plumbing Co.'sliability hereunder shall be limited to recleaning of drain or sewer stoppage (Max. two repeat visits) or the repair or replacement of defective plumbing fixtures or plumbing parts: Roto-Rooter,Service & Plumbing Co. shall not be liable for (1) Incidental or consequential damages; (2) Water or other damage; (3) Coss of use; or (4) Loss of anticipated benefits or profits, any of which result from the furnishing of services or products, or from the breach of the Guarantee, even if Roto -Rooter Service & Plumbing Co. knew of the likelihood of such damages. 6. Any implied warranty of merchantability, or fitness for a particular purpose of use, shall be limited to the duration of the foregoing written guarantee. The foregoing written guarantee is the customer's sole and exclusive remedy and in lieu of all other guaranties and warranties, express or implied, written or oral. This guarantee may only be modified in writing, signed by an officer of Roto -Rooter Service & Plumbing Co: 7. This guarantee does not apply in the event customer breaches any of the Terms and Conditions of service, including but not limited to timely payment of all charges. 8. Collection. Owner agrees to pay all collection fees and charges including but not limited to all legal and attorney fees that result should Owner default in payment of this contract. Overdue accounts are subject to interest charged at the rate of 18% per annum. 9. Legal Fees. In the event litigation arises out of this contract, prevailing party(ies) are entitled to all legal, arbitration, and attorney fees. The court shall not be bound to award fees based on any set, court fee schedule but shall if it so chooses, award the true amount of all costs, expenses and attorney fees paid or incurred. TERMS: NET 10 DAYS. A FINANCE CHARGE will be computed on the unpaid balance by a single period rate of 1-1/2% per month. which is an ANNUAL PERCENTAGE RATE OF 18%. A $35.00 FEE WILL BE CHARGED FOR ALL RETURNED CHECKS. "State law requires any one who contracts to do construction work to be licensed by the Contractors State License Board in the license category in which the contractor is going to be working — if the total price of the job is $750.00 or more (including labor and materials). Licensed contractors are regulated by laws designed to protect the public' If you contract with someone who does not have a license. The Contractors State License Board maybe unable to assist you with a complaint. Your only remedy against an unlicensed contractor may be in civil court, and you may be liable for damages arising out of any injuries to the contractor or his or her employees. You may contract the Contractors State License Board to find out if this contractor has -a valid -license. The board has complete information on the history of licensed contractors including any possible suspensions, revocations, judgements and citations. The board has offices throughout California. Please check the.goveriiment pages of the white pages for, the office nearest you or call (800) 321-CSLB for more information! 1 Co Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 IBuilding Permit Application and Tracking Sheet Permit # q� Project Address: 07 Owner's Name: A. P. Number: Address: 3 ('9 CO Mq a, t In S f rleT Legal Description: City, ST, Zip: Cti �5 7d Contractor: O OECD Telephone: 71q - Address: S �o Project Description: City, ST, Zip: P .e -- C' i4 S L/ . C Telephone: CO t7 ✓Ir C 0 State Lic. # : ��ao7 /s City Lic. #- Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees T lb 0 4hf 4 4 a" P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 52-020 Awid.da 1fmod= LA QUINTA, CALIFORNIA 92253 mailingDA-M 200 Address 72'2 `1.8 St... CityZip Tel. Sissy Aim 92M 693-3444. Contractor umd3tl 003rD. ity lZip Tela No. 002774 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 773-233-403 Legal Description 100-- 22 Project Description Edll4le familY State Lic. City & Classif. 330551 Lic. # 859 Sq. Ft. Size Arch., Engr:; Designer New C Address I Tel. City (Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) t. of Division 3 of the Business and Professions Code, and my license is in full force and effec SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8 usiness and Professions Code: Any city or county which requires a permit to construct, atter, improve, demofish, 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 anownerof property who builds or knproves 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.) ❑ 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. A P.C. for this reason,,' Date i f" 'Y i r, is owner i X.1; t t c'�` {fes 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 NOTICE TO APPLICANT. If, alter 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 shelf 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. 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 for inspection purp%ores. ._ Signature of applicant L +w f' rx Date —t/ Z /1'6 Mailing Address `Y r City, State, Zip s - , _0 ,' c Q f t l r' HARD COPY GAR 4322 No. Stories No. Dw. Units Alter ❑ Repair ❑ Demolition ❑ (Estimated Valuation $ 70,812.00 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.1. Grading Driveway Enc. Infrastructure TOTAL REMARKS AMOUNT i �Q . f4ii 3446.00 33.00 72_28 107.110 4,r4 20,0n 20.000 1.039.62 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 1222-86Permit Validated by: Validation: A 6 9 5 9 12 22 165-330 U CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. p GAR. SQ. FT, ® CAR P. SO. FT. WALL SO. 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 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER ROCK STORAGE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRYTRAY AIR HANDLING UNIT CFM OTHER APPJEQUIP. 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. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL FINAL INSP. SO.FT.GAR ® 3/ac HOUSE SEWER • �(��f/2//////�� /v GAS PIPING PERMIT FEE REMARKS: 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(, —17 7 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS z11-9 SEWER ORS 1 ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) 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 6 �� ` FINAL INSP. ROOFING �(��f/2//////�� /v REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THI G r MESH INSULATION/SOUND �r FINISH GRADING n� / KI FINAL INSPECTION—�—� �l 0 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL . '0,1fIEp o � i o 2 o H BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS H PALM DESERT a %P LA QUINTA 'gyp INDIO y� Desert Sands Unified School District 82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631 December 22, 1986 * City of La Quinta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 Re: 52020 Mendoza Gentlemen: The developer of the above referenced project has mitigated its impacts on our overcrowded schools by payment of the amount of $628 per unit. This amount is to be applied to the cost'of additional district educational facilities made necessary by such new. development. Sincerely, John D. Brook Assistant SXvfrce/ in dent Business S, // By: JDB/vmm r,icnara n. becx Facilities Planner *,This certification of payment of developer fees is valid for issuance of building permits only up to and including December 31, 1986. i z O U w U) tJ To z O F– U w U) U) Y Q 2 W M X z O i= U W U) - COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE 7 73 — SEWAGE DISPOSAL SYSTEM it 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 # Na a (O. ner, Agent, C tractor, Etc.) Mallin Address CC -• Cit State 4�r Cha-�.�.. Zip Cate �iZ T phone 6 C �L-A114 J� Property AddressCityrpyCorumuaity,... Legal Description of Property. (Lot, PM, TR) ifll.+c� la�� 44 iktrA 'Assessor's Parcel No. Water `Agency-rflV'm— Use of Permitr 7�,,,4 �t h• C/^Pl n in Case # Lot Size` SFD, MH Site Preparation Etc. '§nature , O p e ( Date Jhe a e information must be::,!.!,!1]f1from Bullding Application L�V STAFF USE — DO NOT W ITE BELOW THIS LINE Initial �Date ,�� Certification of Existing S.D. System required. E)Yes 210N6" % +'��/ L. LLL— „— WQCB Clearance required. ❑ Yes ❑;ld' Soils feasibility report required. ❑ Yes d�No Detailed boring report required. ❑ Yes E�I o Detailed contour plot plans required. ❑ Yes �`J No Staff Specialist approval required. ❑ Yes P1 No Lot Inspection Date Soils/boring report byyl,j Project # Date / . Approved by Date LI) G Soils Map Page f i Soil Type( Type of System: ❑Existing l7'IVew `` 0 Additional ElReplacement No. of Bedrooms(1) :3 %h ,44 r, -.ten lit ,,i Septic Tank Tr� &;M Gals. Soil Rate Required y 2 Leach lines ft. O \ q• � Sidewall allowance Install Lines) � Ft. Long, Leach bed Sq. (Bottom trench area) ft. rock/ Sq. Ft. ee,,.witth min.- inches Ft. of'bottom -per running ft. ❑.N/A- rock below drain lines� area Leach lines/bed-special design for slope: Applicable (3) Pit Diameter No. Pits Pit BI , Seepage Pit total depth N/ factor , /(( Max. allowable depth %d " /Overburden This application is approved dentrrdfor 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 (1))Septic tank and sewer lines must berS' from any wells _./ /0 r S (2) Leach lines must be 100' min. from any wells including expansion area (3)^ Seepage pits must be 150' min. from any wells including expansion area �� j� . �. f°.•� / C Q�LQ `' = "� y r Signature of Health Official' �" - — Date RECEIPT NO. O f��/` Issued by District: El Riverside L�In,d o ❑ Hemet ❑ Perris ❑ Rancho Calif Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. DOH -SAN -122 (Rev. 6/86) ❑ Blythe GOLDENROD—Pending File \Q t,l A.P.N. L „( TO 1923 CA (12.74) ® -RECORDING REQUESTED DY O OD �. U TICOR TITLE INSURANCE �, A C7 COMPANY OF CALIFORNIA R ccY Q ,. Z pQ AND WHEN R[CORD[D MAIL TO cdc� U CT1 r I LL Name Z Deseret Homes, Ltd. Q QC 1 Street in 7220 Trade Street #100 CC Address San Diego, CA.92121 Uj City i State L Attn: Verna Lench O • MAIL TAX STATEMENTS TO oxQ F Name Ix Z`\�� Street LU � Address SAME AS ABOVE City a state I J \Q t,l A.P.N. L „( TO 1923 CA (12.74) SPACE ABOVE THIS LINE FOR RECORDER'S USE 773-233-001-0 Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS A.P.N D The undersigned grantor(s) declare(s) Documentary transfer tag is $ 7 • 7 0 �1 (X� computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: (X )q City of La 0 u i n t a and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, v CHARLES A. BOOTH AND LOIS- G. BOOTH, husband and wife hereby GRANT(S) to DESERET HOMES, LTD., a California limited partnership �-- the following described real property in the City of La Quinta m County of Riverside , State of California: Lot 22 in Block 94 of Unit No. 11, Santa Carmelita at Vale La Quinta, in the City of La Quinta, County of Riverside,.State of California, as per map recorded in Book 18, Page 75 of Maps, in the Office of the County Recorder of said county. June 30, 1986 9IS, ES A BOO H .STATEOF CALIFORNIA 1COUNTY to 'OF Los Angeles - }SS.On July 9, 1986 before me, the under• G. BOOTH signed, a Notary Public in and for said State, personally appeared CHARLES A. BOOTH AND LOIS G. BOOTH known to me to be the person -Swhose names are subscribed to the within instrument and acknowledged that 72 executed the same. WITNESS my hand and official seal. ti OFFICIAL SEAL JUNE POPOVICH NOTARY PUBLIC -CALIFORNIA PRINCIPAL OFFICE IN LOS ANGELES COUNTY - My Commission Expires Mar. 25. 1987 Signattu (This area for official notarial seal 451 Title Order No. Escrow or Loan No. A-113 9 5 5 & MAIL TAX STATEMENTS AS DIRECTED ABOVE ® O U �, A R ccY Q ,. Z pQ Q0 cdc� U CT1 r � LL V Z Q QC 1 in 0 CC Uj Q = O • Q oxQ Ix Z`\�� LU � X c O o C=Lj SPACE ABOVE THIS LINE FOR RECORDER'S USE 773-233-001-0 Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS A.P.N D The undersigned grantor(s) declare(s) Documentary transfer tag is $ 7 • 7 0 �1 (X� computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: (X )q City of La 0 u i n t a and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, v CHARLES A. BOOTH AND LOIS- G. BOOTH, husband and wife hereby GRANT(S) to DESERET HOMES, LTD., a California limited partnership �-- the following described real property in the City of La Quinta m County of Riverside , State of California: Lot 22 in Block 94 of Unit No. 11, Santa Carmelita at Vale La Quinta, in the City of La Quinta, County of Riverside,.State of California, as per map recorded in Book 18, Page 75 of Maps, in the Office of the County Recorder of said county. June 30, 1986 9IS, ES A BOO H .STATEOF CALIFORNIA 1COUNTY to 'OF Los Angeles - }SS.On July 9, 1986 before me, the under• G. BOOTH signed, a Notary Public in and for said State, personally appeared CHARLES A. BOOTH AND LOIS G. BOOTH known to me to be the person -Swhose names are subscribed to the within instrument and acknowledged that 72 executed the same. WITNESS my hand and official seal. ti OFFICIAL SEAL JUNE POPOVICH NOTARY PUBLIC -CALIFORNIA PRINCIPAL OFFICE IN LOS ANGELES COUNTY - My Commission Expires Mar. 25. 1987 Signattu (This area for official notarial seal 451 Title Order No. Escrow or Loan No. A-113 9 5 5 & MAIL TAX STATEMENTS AS DIRECTED ABOVE -rk^ I r%r,rlr%l i��rr��rnti�r� 1 1 IV L.VI ILA%li VVI taWl ullVl 1 December 3, 1986 City of La Quinta Planning Department P. 0. Box 1504 78-105 Calle Estado La Quinta, CA 92253 RFCE:BvF-D DEC 8 1986 CITY OF LAu'111"_A. COMMUNITY DV AL Pb1�`T D- RE: DESERET HOMES - BUILDING APPLICATIONS (5 LOTS) Dear Sirs: In reference to our application for building permits on the following lots: LOT BLOCK 1 246 2 246 3 246 4 246 22 P�ZP 8b -01 94� please be advised that we are aware of the policy and do not intend to use any of the above residences as model homes and/or sales offices. Very tru yours, DESERF�T HOMES, LTD. Tho/Lyfdel Corpora ion, General Partner A .//Lench, II, P esident L:vl 7220 TRADE STREET . SUITE 100 . SAN DIEGO • CALIFORNIA 92121 -(619) 693-8444 M