SFD (06233)Building
Address 52-'-II5 Handaaa
Owner
T4ht 4 4 Q"
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address 43-575 Washington SL.
City Zip Tel. _ .
Bermuda Dunina 1 92,201 1 345-2646
Contractor
Address
Zip
State Lic. I City
& Classif. 4�5 Lic. # X2$2
Arch., Engr.,
Designer
Address Tel.
Cityf Zips" �r State
1r / �`�� Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I atn licensed under provisions of Chapter 9 (commencing�ith Section
7000) of Division,,3 of the Business and Professions Code, and my license is iin'full fo}ice and
effect.
SIGNATUREr - DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 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
subjects the applicant to a civil penally 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 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-
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 contractors) 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
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
❑ 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: IF, after making this Certificate of Exemption you should become
subject to the Workers' Conpansation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shalt 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
No. 06233
BUILDING: TYPE CONST.
A.P. Number
,Legal Description
Project Description
OCC: GRP.
773-232--017
S.r.D.
Sq. Ft.
Size 1609
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$91.593
PERMIT
AMOUNT
Plan Chk. Dep.
$250.00
Plan Chk. Bal.
$ 262.65
Const.
603,50
Mech.
53.50
Electrical
113.61
Plumbing
357.50
S.M.I.
6.44
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2,022.60
TOTAL $3,509,80
REMARKS 06
%1?
.-fir ti3 , .1,1;1 9
f +fit-f(�_ V ,,kyr n ZJ.Y
iS, L.t'i.ate . :i,it._ .. .. ... ..
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: Datefi/29/89 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SD. FT.
FORMS
R SE IC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SD. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE Z�
DRAINAGE PIPING
CAR P. I SQ. FT. ®
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN.
SQ FT ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
LUMBER GR.
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOXDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIREWALL
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
CERT. OCC.
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® IVA c
SEWAGE DISPOSAL
GARDEN WALL FINAL
SQ.FT.GAR ® 3Lc
HOUSE SEWER
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 GO
/fiWD PLUMBING d
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
R SE IC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. x ®Au
/
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE Z�
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.27—3
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING
1,2,.'///ZU
6AfGAR. I
t
D
b
•
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
FIREWALL
r
LATHING 3 ! Q a /'11w
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
1
Desert Sands Unified School District
CERTIFICA�'tI�5 QF PAYMENT
OF
� y 1& %'O FACILITY FEES
®� �t
�,.�' �
r L � �,ww
,C�i t"y o aXl ii n�t a DATE
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
3
This is to certify t at Ur %l,%t,
developer of c10 tqv,� ,►�, wh'' h_
located at — 19— I Cthifi�'
this District, has paid school fac ity fees imposed pursuant o the
au hori a eratep 'by Government .Code S ctiott 53080 'n th aUiou t of
covering a total of square feet ot y-) residential or
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by.your jurisdiction.
�� (Pa9
for DESERT SANDS UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
COMMONWEALTH LAND TITLE CO.
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN
BELOW MAIL TAX STATEMENT TO: �I
Name I
G.A.H. TRUST
Street
Address c/o Dr. Robert Harmon
citya 43576 Washington Blvd.
State L palm Desert, CA 92210
0
MAIL TAX STATEMENTS TO
Name
i Street SAME AS ABOVE
Address_, --
City a
State L_
TITLE ORDER N0. 149473 ESCROW ND. 10-7757
M Oh-V a$ p
LO C19
JS
LU
Ca a 91
e ISL
C
SPACE ABOVE THIS LINE FOR RECORDER'S
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX is $ 9.90
computed on full value of property conveyed, or
❑ computed on full valueless value of liens or encumbrances remaining at time of sale.
❑ unincorporated area [* city of To 011 i nta , AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
MARY ALICE HILL AND GLENN ALFRED HILL, HUSBAND AND WIFE
M
lz�' hereby GRANT(s) to
'MICHAEL -C. HEAD, TRUSTEE OF THE G.A.H. TRUST ESTABLISHED
NOVEMBER 29, 1986
the following described real property in the City of LaQuinta
County of Riverside , State of California:
Lot 17, Block 263 of SANTA CARMELITA AT VALE LA QUINTA, Unit No-. 24-, -
as per map recorded in Book 19 Pages 44-45 of Maps in the Office
of the County Recorder of Riverside County, California.
Dated November 8, 1988
MARY AL E HILL
STATE OF Ofttt eRNfA --j SS. 4_ -
COUNTY OF
On this 10
F, day of ��d in the year F A
before me, the undersigned, a Notary Public in and for said State, personally GT A ED HI
a�pp� red AkAz. tt
91-fefsonally known to me
❑ proved to me on the basis of satisfactory evidence
to be the person whose name is subscribed to this instrument, and acknowl-
edged to me that he (she or they) executed it.
L . ! l6
Signaturee—=:01
NOTARY PUBLIC IN AND FOR SAID STATE
uVia
2_ f,j�lit11tt1 %t
(This area tor.official notarial seal)
* 2�� MAIL TAX STATEMENTS AS DIRECTED ABOVE.
I
o�OMMM
011 ICE OF
AGRICULTURAL MMMISSIONER
AND
WEIGHTS & MEASURES
49-613 Ilwy 86, Suite B-12
'Coachella, CA 92236
619-3428291
DATE
DEVEWPER'S NAMEs McC�u�e
ADDRESSs3-.�?cc
E. LEON SPAUGY
)AMES 0 WALLACE
ASSISTANI r.0MWSSWAR
CLEMENT BENVENISiE
SEALER
CASE N0. �' yC.f�c�(�
�Qr �rtc c�a ttin-PS C Q
TELEPHONE: -71
Dear Developers I
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governitng the Coachella Valley. If'substitutions
do occur and they differ fran plant waterial listed, anis office must be notified
imnediately.
Thank you for protectitng and preservmig the Coachella Valley's pest -free envirorunent.
I
Agricultural ConnniS ner's OEEice
ccs Indio and Riverside Office