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SFD (002797)4 P.O. BOX 1504 No, 002797 Building 78-105 CALLE ESTADO Address 53-760 Amada F=xbza LA QUINTA, CALIFORNIA 92253 Owner Mailing luttwillibi Pio BUILDING: TYPE CONST. OCC. GRP. Address 65"935 F� HZVG7. A.P. Number 774-173-001 CityZip Tel. j 24 Desert 000. Sor. 92240 � }- $% Legal Description Contractor M.P. 0matructim Project Description mirlir.1F• falm'+i7xr AmmI1irus Address City f�MYtis Zip Tel. State Lic. & Classif. 401987 City Lic. # DW 1403 PDXE 175 Sq. Ft. No. No. Dw. Size 490 Stories Units Arch., Engr., � Designer � New IR ` Add'P Alter ❑ Repair ❑ Demolition ❑ 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. V 11 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, after, improve, demolish, or repair anystructure; 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). ❑ 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 Estimated Valuation 75tS4.QE� � 1 PERMIT AMOUNT _ Plan Chk. Dep. .J�}.if� - Plan Chk. Bal..64.11 Const. 361.W Mech. .3b.vu 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.) Electrical 74.93 Plumbing �,13•UU ❑ 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.) ❑ I am exempt under Sec. B. t>< P.C. for this reason S.M.I. u. GradinglCi.tt Driveway Enc. 2UPU;3 Date Owner Infrastructure 3.,3liiiat33 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. TOTAL CrU5S.�b 1.rtStY3.1li CERTIFICAIIE OF EXEMPTION FROM WORKERS' CbMPENSATION INSURANCE REMARKS (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, 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. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line 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.) Side Street Setback from Center Line Side Setback from Property Line Lender's Name FINAL DATE INSPECTOR A 12�" ll V P3y "Q� Issued by: Date ermit Validated by: 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 r Validation: A 7 0 4 3 12 31 b;,316 Ck City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ 2ND FL. SQ. FT. @ POR. SO. FT. @ GAR. SQ. FT. @ CAR P. 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 FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER R/ZSEWER OR SEPT -* GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK LAUNDRY TRAY AIR HANDLING UNIT CFM FOUND. REINF. 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 GROUT SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL SQ.FT.GAR @ 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL IL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR r ,I ETBACK / /'/GRIND PLUM G UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS R/ZSEWER OR SEPT -* 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. Z / ' FRAMING 7 3 FINAL INSP. D O�OOFING 7� / �/ � v/ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHI G 012,y , MESH INSULATIONISOUND 7 g 3 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL ,%f IED = r Desert Sands Unified School District y BERMUDA DUNES RANCHO MIRAGE 82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631 INDIAN WELLS H * PERT a °ALOUIN J� L.OUINTA � December 30, 1986 INDIO y� * City of La Quinta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 Re: 53-760, 53-770, 53-790 & 53-810 Mendoza, La Quinta, CA - 4 units 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. Brooks Assistant Superintendent Business vices By:. Richard M. Beck Facilities Planner JDB/vmm This certification of payment of developer fees is valid for issuance of building permits only until and including December 31, 1986. 22 Z O_ I- U W U) .6 U) V li Q 2 W f2 X Z O U W U) COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM 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 # Name (Owner, Agent, Contractor, Etc.) +Mailing Address 7 r k A Ai t � t c, th ' V Gt City State Zip Code Telephone llCIr Job Property Address �'Att ` k,f n1P t or:Communty (/ LA Legal Description„Qf y rope y. (Lot P,M, 10) �-o 2 � ,_ a. r r1 -G / r'�o� !�Ll4 P� cl, "i0,_ tr; A 4 Q 'Assessor's Parcel No. Water Agency omWell -•� Use of Per / �VE” Planning Case N tj��� Lot Size �[^^p X JJ `� y)� • t �� — w C V w. - tc. 7,F iii .� SFD, MH Site Preparation Etc.- ` o o 0 Signature of Applicant Date Ia 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date Certification of Existing S.D. System required. ❑ Yes WQCB Clearance required. ❑ Yes Z No T Soils feasibility report required. ❑ Yes DINO Detailed ❑ i boring report required. Yes 2 No— Detailed contour plot plans required. ❑ Yes 2 -No - Staff Specialist approval required. ❑ Yes 12 -No Lot Inspection Date Soils/boring report by 4 Project # Date Soils Map Pagewd/ ri Soil Type W Approved by //1 Lk Date/_2 A Type of System: " No. off Bedrooms (1) Septic Tank Soil Rate Required / E) Existing [P*New ❑ Additional ❑ Replacement (2)'Leacch�Dine sq. ft. (Bottom trench area) Sidewall allowance ft. Sq. Ft. Install�Line(s) Ft. Long, Ft. Leach bed Sq. b rock/ P-ff7 widL-wit min. inches Ft. of ttb, per running ft. rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth Applicable - N/A�"''_Overburden factor •(fir ®*6' / Max. allowable depth 7 i% This application iszl p�Qved�,dered for 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) Septic tank and lines be 50' from sewer must any wells / /- nt �;y+ '.,/ �� y, �. , (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,,/ Signature of Health Officialf(. �� � Date /1-2, 1-2, ` Y RECEIPT NO. h,l cf-—Issued by Sle Date District: ❑ Riverside a�" nd� io ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) Cl a Courtesy Service 11940 P Drive Desert Hot Springs, Ca. 92240 ESCROW INSTRUCTIONS Tele: 619-329-6438 $500.00 will be handed you upon the signing of these instructions; we will further cause to hand you $15,500.00, plus buyer's closing costs and will deliver to you any instruments which this escrow requires shall be executed by me, all of which you are Instructed to use provided that on or before January 13, 1986 you can order a policy of title Insurance with the usual title company's exceptions, with a liability in the amount of the total consideration covering Lots 21, 22, 23 and 24 ,Block 249 of Santa Carrnelita at Vale La Quinta Tk-ln as Mares Escrow Officer 4799-1 Escrotw Number Octp 6 ate Paid outside of Escrow Cash through Escrow $16,000.00 Encumbrances of record New Encumbrances PMTD & NOTE 16,000.00 Total consideration $32, 000.00 As per map recorded in book 20 • page(s) 25 of maps in the office of the County Recorder of Riverside County, State of California showing title vested In: MICHAEL A. PIO and KAREN L. PIO, husband and wife, as joint tenants.. - . _ _ _ --- .- - - - _ -&- Property & Property address: unimproved property (on Avenida Mendoza, LaQuinta, Ca.) /2nd l (Not verifled) FREE FROM ENCUMBRANCES EXCEPT: (1) General and Special taxes, not delinquent, for the fiscal yead986-87� tncludirri/g any special district levies, payments for which are Included therein and collected therewith, together with any reassessments due to non-compliance with any California State Statute. (2) The lien of supplemental taxes If any assessed pursuant to Chapter 498 of the State of California Statue of 1983. (3) Assessments and Bonds, if any, not delinguent to be ( ) paid by seller, ( ) assumed by buyer. . none (4) Any covenants, conditions, restrictions, reservations, rights, rights of way and easements of record, or in deed to file, and any EXCEPTION of water, minerals, oil, gas, and kindred substances, on or under said land, now of record, or in deed to file. (5) DEED OF TRUST to record in the amount of $ w*'- -• Execution of loan documents shall be deemed approval of the terms thereof. You are to follow the instructions of the lender through this escrow. (6) DEED(S) OF TRUST now of record, unpaid balance of principal approximately $ none the terms of which are known to the parties hereto. M PURCHASE MONEY DEED OF TRUST executed by THE VESTEE securing Note for S 16, 000.00 In favor of DORIS HELLER, a widow or order, dated during escrow with interest at --10-- per cent per annum, from date endorsed, payable at ff ttaitY Wits iat�� Los Angeles CALIFORNIA, Principal all due and payable on or before 9 months from date close of escrow. "Consummation of this escrow is contingent upon buyers obtaining a construction loan to build on subject propertys and seller agrees to subordinate the above described deed of trust to said construction loan. Said subordination is to be recorded concurrently with documents in this escrow and you are to follow instructions of parties to this escrow and the construction lender. Seller is aware that the cast} through escrow will bo a portion of the construction loan proceeds. (ADDITIONAL INSTRUCTIONS & TRUST DEED RECITAL & PROVISIONS PER SUPPLEMENT ATTACHED HERETO AND MADE A PART HEREOF) Obtain STATEMENTS indicating unpaid balances of principal and Interest on Deeds of Trust now of record, and if same should show to be more or less than the amount shown herein, or If actual amount of NEW ENCUMBRANCE proceeds to be deposited Into this escrow are more or less than amount shownhgrain, hen you are to adjust the CASH THROUGH ESCROW/PURCHASE MONEY DEED OF TRUST/TOTAL CONSIDERA. TION. not applicabye No water shares to be transferred to buyers. Bills and assessments to be paid to close of escrow based on statement from water company, if shares are transferred. The following adjustments ONLY, required In this escrow: reiVIl, ifIvAi UOW4dip��Ad lefd itAt�efn VdaMidrt/o((o� 'dRATE ataxescloS based of escron Info. owshed by seyf90ritle Impounds, If any, are to be reimbursed to the seller in cash by the buyer unless otherwise provided herein: not applicable Endorse Interest on note to accrue from date close of escrow , If note and trust deed drawn by escrow holder. If required, complete any such note as to payment and/or due date above signature of Trustor, at close of escrow. EACH PARTY SIGNING THESE INSTRUCTIONS HAS READ THE ADDITIONAL ESCROW CONDITIONS AND INSTRUCTIONS ON THE REVERSE SIDE HEREOF AND APPROVES, ACCEPTS AND AGREES TO BE BOUND THEREBY AS THOUGH THE REVERSE SIDE HEREOF APPEARED OVER THEIR SIGNATURES. ALL PARTIES SIGNING THESE INSTRUCTIONS HEREBY INDIVIDUALLY OR JOINTLY ACKNOWLEDGE RECEIPT OF A COPY OF THESE INSTRUCTIONS. MAIL TAX STATEMENTS TO: buyer at 65935 Pierson Blvd., Desert Hot Springs, Ca. 92240 Buyer's Signature Michael A. Pio Buyer s Signature Karen L. Pio Address 65935 P, rann Blvd., Desert HattSYrinas Ca 92240 Phone 329-2987 The foregoing terms, provisions, conditions and instructions, and those on the reverse side hereof are hereby approved In their entirety and concurred in by me. I will hand you necessary documents called for on my part to cause title to be shown as above, which you are Instructed to deliver when you. hold for my account the money and Instruments deliverable to me under these Instructions within the time as above provided. You are instructed to pay bonds, assessments, taxes, and any liens of record to show title as called for. Pay transfer tax as required. See separate Instructions for commission, If any. severs seller's Signature Signature Doris Heller Address 865 Comstock Avenue, A=nt 6, Los Angeles, Ca -_40024 Phone 211-278-3529 No. 1 Escrow Instructions 1181 C-1 3M 91115 CP793117