SFD (9527)Y
P.O. BOX 1504
Building 52-290 Mendoza 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Demetrio Colin
Mailing
Address 52_229 Jennifer Wav
City lZip ITel.
8-16I2
Contractor
Address
Zip I Tel.:
State Lic.I City
& Classif. Lic. #
Arch., Engr.,
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
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
O 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 contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
/1
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
❑ 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' 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.
i' Signature of applicant _ -Date-
Mailing
ateMailing Address
City, State, Zip
No. 9527!
a
BUILDING: TYPE CONST. OCC: GRP.
Number
Legal Description Tot 17 RIrick 101 11nit 11
Description gTPTa
Sq. Ft. No. No. Dw.
Size 1862 Stories 1 Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not include block walls or
ppol
t
L
Estimated Valuation 301,• 680.50
PERMIT
Plan Chk. Dep. 2513.06
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
.'Prisciqc- Plan
Arts in Ptxbli.
TOTAL 3950.75
REMARKS
AMOUNT
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
1ST FL. SO. FT. ® $
_
2ND FL. +� SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
,
Y
ARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
DUCT WORK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
REINF. STEEL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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.
SO. FT. RESID ® 11% c
SEWAGE DISPOSAL
SO.FT.GAR ® -%c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE JELECT.FEE
SMI FEE PLUMB. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING R AIR GOND. SOLAR
SETBACK
GROUND PLUMBING (,fl' UNDERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE L
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 APPJEOUIP.
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. (j ,
ROOFING
VENTILATION
7/ /44L Q�
`✓"� C(�� 4
v
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LA HING
MESH
INSULATION/SOUNDC� GZ
6
FINISH GRADING
FINAL INSPECTION a G3'1
�✓
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
r
GARDEN WALL FINAL
.ding
.ddress
Owner
Mailing -
Address
P.O. Box 1504 APPLICATION ONLY
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
�Ivl 4a �� nA BUILDING: TYPE CONST. ySED _OCC. GRP.
6-1 A.P. Number
3o Legal Description 10; 17
(P`C+�ie- D si+/�i'f
IV I Project Description �7
State Lic. City
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tal
c,ItyI ZI p I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
700 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. 7031.5,8usiness and Professions Code: Any city or county which ieouhes a
permit to construct, alter, improve, 'demolish, or repay any stnmcturo, pmbr to Its issuance also
the ires
Me applicant for such permit to fUe a signed statement that he Is 8censed pursuant to
the provfslorn3 of the Contractor's License Law, Chapter 9 (corrunencip with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the Dads
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the appUcant to a civil penalty of not more than Ove hundred dollars (5500).
O 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 br offered for sale. (Sec. 7044, euisness and
Professions Code: The Contractor's License Law does not appy to an owner or property who
builds or Improves thereon and who does such work himself or through his own employees,
Provided that such Improvements aro not Intended or offered for sale: 1/, however, the build
or improvement is sold within one year of completion, the owner -builder wig have the burddn
of proving that he dM not build or improve for the pumpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con
struct the project. (Sec. 70/4, 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. S. 8 P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 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
(TMs Section need not be completed If the permit is for one hundred dollars (5100) valuation
or less.)
I certify that In the performance of thg work for which this permit is Issued, I shall not
employ any pparson In any manner so as to become subject to the Workers' Compensation
Laws'o_f Callf0 nlIL
Date ---Owner
NOTfCE TO APPUCANT. If, after making this Certificate of Exemption you should become
subject to the Workers' Compensadon provlakxns of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there Is a construction lending agency for the performance of the
work for which this permit Is issued. (Sec. 3087, 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 it 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
Sq. Ft. d No. No. Dw.
Size �O J�t� Stories 1 Units
New Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep. -
Plan Chk. Bat.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS 005,;X) 40 s7-)?
04 2q qi SO
W CASH i TOTAL i 250.00
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:
Order No.
Escrow No.
Loan No.
WHEN RECORDED MAIL TO:
DEMETRIO & MARIA COLIN
52229 JENNIFER WAY
COACHELLA, CA 92236
IVIAII_ VAX STATEMENTS TO:
SPACE ABOVE THIS LINE FOR RECORDER'S USE
DOCUMENTARY TRANSFER TAX $.................:.
Computed on the consideration or value of property conveyed; OR
...... Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
Slpnature of Daclerent or goent detennlninp tax — Flrm Name
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
DAVID G. RODRIGUEZ AND TRINADAD R. RODRIGUEZ
hereby GRANT(S) to
DEMETRIO COLIN AND MARIA 0. COLIN, HUSBAND AND WIFE AS JOINT TENANT
the real property In the City of S
County of RIVERSIDE LA •QUINTA
State of California, described as
LOT 17 BLOCK 101, SANTA CARMELITA AT VALE LA .QUINTA UNIT
BY MAP ON FILE IN BOOK 18, PAGE 75 OF MAPS
CALIFORNIA. , RECORDS OF RIVERSIDE CHOWN
OUNTY,
Dated— _.--Eebruiir
STATE OF CA FORNIA . I
COUNTY OF t1 Ve j -de — I Iss,
oh_Eeb tI' a^r� 51 1990
before me, the undersigned, a Notary Public in and for said State, per,
sonal7rinidad David --R—' ---- . 1gueZ_and_
9._� t
G� DAVID G. ODRI EZ`
TRINIDAD R.'RODR GUEZ
Personally known to me (or proved to me on the basis of satisfactory I
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 a
AI
the same. V 11
hdon 1
WITNESS mZd official s
Signature
— (This area for official notarial seal)
MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 (6/82)
Order No.
Escrow No.
Loan No. fiEco:�D;rl REr?ItES7ED DY
TICOR CILE IPJSURANCE
6 WHEN RECORDED MAIL TO:
Mr. & Mrs. David Rodriquez
50650 Tyler Street
Coachella, CA 92236
MAIL TAX STATEMENTS TO:
Signature of Decibrant or Agent determining tax — Firm Name
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
CHESTER K.PHILLIPS AND STELLA 'V. PHILLIPS, Husband and Wife as joint tenants
hereby GRANT(S) to
DAVID G. RODRIGUEZ AND TRINIDAD R. RODRIGUEZ, Husband and Wife as tenants in common.
the real property in the City of La Quinta
County of Riverside State of California, described as
Lot 17 Block 101, Santa Carmel i to at Vale La Qui nta Unit #11, as shown by map on file
in Book 18, page 75 of Maps, Records of Riverside County, California.
r
Dated June 12, 1986-
C ester K. Phillips ...
STATE OF CALIFORNIA Iss.�1�y.
couNTYOF Orange I Stella V. Phillips
On Tune 28, 1986
before me, the undersigned, a Notary Public in and for said State, per-
sonally appeared
**CheGtPr K Phillips & Stella V Phillips**
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.
WITNESS my hand d icial seal.
Signature r �ii'�C!/P—r •G�
OFFICIAL SEAL
RUTH BATEMAN
`0 Notary Public -California
y . Principal Office in
Orange County
My Comm. Exp. May 20, 1987
(This area for official notarial seal)
MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 (6/82)
�
0
i w
Z
cc
to
00
cc IS
yJ
UOU
4
cc
8Ir
�
IWVnI�rce
r
.J
SPACE Afl0]!E._-T44+ -rKE--FOR
RECORDER'S USE
DOCUMENTARY TRANSFER TAX $. .......... 7.....l.a
Computed
...........................
..x
on the consideration
or value of property conveyed;
OR
...... Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
Signature of Decibrant or Agent determining tax — Firm Name
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
CHESTER K.PHILLIPS AND STELLA 'V. PHILLIPS, Husband and Wife as joint tenants
hereby GRANT(S) to
DAVID G. RODRIGUEZ AND TRINIDAD R. RODRIGUEZ, Husband and Wife as tenants in common.
the real property in the City of La Quinta
County of Riverside State of California, described as
Lot 17 Block 101, Santa Carmel i to at Vale La Qui nta Unit #11, as shown by map on file
in Book 18, page 75 of Maps, Records of Riverside County, California.
r
Dated June 12, 1986-
C ester K. Phillips ...
STATE OF CALIFORNIA Iss.�1�y.
couNTYOF Orange I Stella V. Phillips
On Tune 28, 1986
before me, the undersigned, a Notary Public in and for said State, per-
sonally appeared
**CheGtPr K Phillips & Stella V Phillips**
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.
WITNESS my hand d icial seal.
Signature r �ii'�C!/P—r •G�
OFFICIAL SEAL
RUTH BATEMAN
`0 Notary Public -California
y . Principal Office in
Orange County
My Comm. Exp. May 20, 1987
(This area for official notarial seal)
MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 (6/82)
Order No;
Escrow No
Loan No.
WHEN RECORDED MAIL TO:
DEMETRIO & MARIA COLIN
52229 JENNIFER WAY
COACHELLA, CA 92236
MAIL TAX STATEMENTS TO:
SPACE ABOVE THIS LINE FOR RECORDER'S USE
DOCUMENTARY TRANSFER TAX $ ................................................
...... Computed on the consideration or value of property conveyed; OR
...... Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
Signature of Declarant or Agent determining tax — Firm Name
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
DAVID G. RODRIGUEZ
hereby GRANT(S) to
AND TRINADAD R. RODRIGUEZ
DEMETRIO COLIN AND MARIA 0. COLIN, HUSBAND AND WIFE AS JOINT TENANTS
the real property in the City of LA QUINTA
County of RIVERSIDE
State of California, described as
LOT 17 BLOCK 101, SANTA CARMELITA AT VALE LA QUINTA UNIT #11, AS SHOWN
BY MAP ON FILE IN BOOK 18, PAGE 75 OF MAPS, RECORDS OF RIVERSIDE COUNTY,
CALIFORNIA.
STATE OF CAVFjORNIA Iss.
COUNTY OF KiverSide )
onFebruarySth��90
before me, the undersigned, a Notary Public in and for said State, per-
sonall appeared David G. Rodriguez and
Yrinidad R. Rodriquez
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.
i
DAVID G. RODS�R< I PEZ
TRINIDAD R. RODR GUEZ
f
OFFICIAL SEAL '
I ARMANDO ARREDONDO '?•
No
PuaLIC-CALIFOttN1A :.
• PRINCIPAL OFFICE
IN
RIVERSIDE COUNTY.
MY ConnmlMbn Exp. bac a. roo7
WITNESS my ha Id official s
(This area for official notarial seal)
Signature
1002 (6/82)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
07
4 a u Gv
78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
FAX (619) 564-5617
January 6, 1992
Demetrio Colin
52-229 Jennifer Way
Coachella, CA 92236
Dear Mr. Colin:
This letter is to respond,to your request for an extension for
your building permit #9527 for a single family dwelling located at
52-290 Mendoza.
The Building and Safety Department will grant a 30 day extension
of the above permit.' The permit will be extended to February 2,
1992. A permit extension may be granted by the Building Official.
only one time according to Section 303(d) of the 1988 Uniform
Building Code.
Should your permit expire after the above granted extension date,
a new permit would be required to be issued for the project to be
completed. Abatement proceedings could result should a job be
abandoned for a period exceeding 180 days after a permit has
expired.
Thank you in advance for your assistance.
Sincerely,
BUILDING AND SAFETY DEPARTMENT
T6-, 44,;&,t7.
Tom Hartung
Director of Building and Safety
TH/lc
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA. CALIFORNIA 92253
DEC 31 '91 9:22 FROf'l DIRECTORS PALM DES. PAGE.002
Di rectors
Mortgage Loan
Corporation
DI
Rsc�'CTORS
Mortgage Bankers
December 31, 1991
City of La Qui nta
La Quinta, Ca.
RE: Property located at 52--229 Jennifer Way
Co _ie lay Ca.
Seller: Demetrio M. Colin
Borrower: R11I EEW, Ismael and RAMIREZ, Luis & Martha
Zb Wh m It May Concerns
We are pzesently processing a loan on the above referenced property.
It was submitted yesterday 12/30/91 for loan approval. It. is being
reviewed by our Underwriter at our Corporate office and we will notify
you "wnediately upon loan approval, which should be by the enol of this
week If they find the loan package acceptable.
Pat Huber -
Sr. Loam prooessor
73.700 Hwy. 111, Suite 1
Palm Desert, CA 92260
(8141 1AO-..r%777
T4'T 4 ' 4aQumm
78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
FAX (619) 564-5617
December 18, 1991
Demetrio Colin
52-229 Jennifer Way
Coachella, CA 92236
RE: 52-290 Mendoza
Dear Mr. Colin:
Your building permit on the above referenced address will expire
December 31, 1991. If.you plan on building please come in prior
to December 31, 1991 and pull your permit, otherwise, your plan
check will expire and all plans, truss calcs, etc. will be
disposed of.
If you have any questions, please feel free to contact us.
Sincerely,
BUILDING AND,TSAFETY DEPARTMENT
Tom Hartung
Dire for of Building and Safety
Mark Harold
Building Inspector II
MH/lc
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA. CALIFORNIA 92253
I
tVt
�&AVrAt�
of
Tit�r of 14a Quinta
nu
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 52-290 Mendoza
Use Classification Single Family Dwelling Bldg. Permit No. 9527
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Demetrio Colin Address 52-290 Mendoza
City La Quinta, CA 92253 By. Lonnie Day
Dote: November 30, 1992
Building Official ewes
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