SFD (10161)�+ �. o♦r'1
Building
IJ
Address 52-295 Navarro
Pe to Knudsen
Mailing
Address IWX 52^279 - Nl avar'ro
l_
P.O. BOX 1504���. N
•78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
City zip, Tel. .
Qunta . 92253 564-a24 10
Contractor
a�xa�%/..�3is�%�3<:i'�'r ��,� :.�f.R' �Sd C'✓�/ ` r>
Address
City IZip
State Lic.
& Classif. B 619724
Cit
Lic•# 2007 1 --
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description
.SFD -
Sq. Ft. ' No.
Arch:, Engr.,
Size . Stories
Designer : • ,Spates Fabricators New ❑ Add ❑• -`Alter ❑
Address Tel. Permit does not.'.a .dude block wall: or
��435 i�irdle�.®r� 397-4122
City Tzip State41 pool
• t�3C:IC1t? i'� Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division,3�o[ the Business and Profes cons Code, and my license is in full force and
effect. L
DAA '
OWNER -BUILDER DECLARATION -
s`. I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation [1A t] `
"7 reason: (Sec., 7031.5,Business and Professions Code: Any city or county which requires a - 9. 4 :988.50
No. Dw.
Units.
Repair ❑ Demolition ❑
`. perml to construct, alter, improve, demolish,or repair any structure, prior to its issuance also
f <requlres the applicant for such permit to file a signed statement that he is licensed pursuant to '
PERMIT
• _ .. AMOUNT
Il the provisions of the Contractor's License Law, Chapter 9 (commencing with -Section 7000) o/
ca'Dlvislon 3 o/ the Business and Professions Code, or that. tie is exempt. therefrom, and the basis r.
-any
-
_
'Plan Chk. Dep.
250.00
i for• the ..alleged exemption. Any violation of Section. 7031.5 by applicant for a permit A
D.,
cis cis the applicant to a civil penalty of not more than five hundred dollars ,(S500).. • ," ',;.
"_' OJ,
'Plan Chk. Bal.
1 279.13 `_'-
as owner of the property, or my employees withwages 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
Const. -61-7.
, .
r Ir 0 %"
License Law does nota 1 to. an owner o/
PP Y ProPerh',. who . -
• builds or Improves thereoh and who does such work himself or through his own employees,
provided that such Improvements are not.intended or offered for sale. 1/, however, the building
_
Mech.
..7 �• J <"'
or Improvement is sold within one "year of • completion, the owner -builder. will have the burdenj`
' of proving that he did not build or improve.for the purpose o/ sale.) -
��-
EleCtrlCal'. -. v
- - .
Z • ., .
b I, as owner of the property, am exclusively:contracting with licensed contractors to coo-
Plumbing
166.
• ' struct the project. (Sec. 7044, -Business and Professions Code: The Contractor's License Law
Side Street Setback from Center Line
-does not apply to an owner o/ property who. builds or improves thereon, and who contracts for
'
-,
S.M.I. •• •.
9. 50
• such projects with a contractor(s) licensed pursuant to the,Contractor's License Law.) . - --6
Grading
Validated by: ,
• .O I am exempt under Sec. B: & P.C. for this reason
Validation:
.20400 -
20.00, -Driveway
Driveway Enc.
20..'00'.%,
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 .it 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 or 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 "
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
Infrastructure
2084 . 4'
TOTAL
3631.98 • 3381.9x3 .. '
REMARKS
A � a�,..Lt)•�. "'TY''�'I'•}'1. "'ti r'i �'�S .;`.)ice � 1
ZONE:
BY:
Minimum Setback Distances:` t
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
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS(ROUGH)
111111
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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
FINAL INSP. �.Z� 7�SJ�
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
VENTILATION
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 �/ '� `9�At
GROUND PLUMBING //ZQ
ERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE /I/ y% 1 %l
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS(ROUGH)
111111
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. �.Z� 7�SJ�
FRAMING A/
FINAL INSP. /
!
ROOFING /Q
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING ¢OYVN y Q(
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot, Be Duplicated (619) 347-8631 (C 0
F1
Date 111/15/911 Type of Permit I La Quinta
No. 110991 Permit #
Owner Name Pete Knudsen I.og #
No. 52295 street Navarro
city La Quinta zip 92253 Study Area 108
APN # Tract # Lot # Square Footage 11639
Type of Development 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:
x
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 11.58 1 X 1639 or $ 2,589.62 have been paid to D.S.0 S.D. for
E 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 Pete Knudsen Telephone 564-2410
Name on the check
By James E.. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
, Payment Received
Signature Check No.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
I. � s,Y�,Y
• ' ` � ism t: ��Ld i t - ` 1 r '
i
Loan Number: 020800841
Payoff Date: kc
When -recorded mail to:
Bank of the Desert
51-290 Avenida Bermudas
La Quinta, CA 92253
Reference No: Joy S. Duncan
SUBSTITUTION OF TRUSTEE !•
The undersigned, being.ihe current beneficlaryl'of"Othat certain Deed of
Trust dated February 5, 1988 and recorded'on"February le"*rl988'as,Instru-.
ment Number 42995 in Book Page of official' -records of, Riversidwi!County,`'
California in which Pete Knudsen and'Cathy Knudson `Husband and Wife,'as
Joint Tenants was the original Trustor/Grantor!'Wand"SecurltY'"Ortgage Serv-
ice a California Corporation was the'original"Trustee/Graritee•pursuant to
the terms of the Deed of Trust substitutes.ANCILLARYI'SERVICE�.CGRPORATION,
as trustee under said Deed of Trust. <� �� ,' ��,,�Y °} , 1
Date September 5, i99i
Transohlo: Savings,'Bank
eborah I. Oakiey,.Vice Preside t
STATE OF OHIO
COUNTY OF CUYAHOGA) SS
i
BEFORE ME, a Notary Public, on this'day'personallyrA�;appeared'Deborah I:
Oakley, known to me to be the person4WhoseOnameOa1: ubscribed'to the'fore-
going instrument, and acknowledge to me.xthat-Isheexecuted `thel,same `for! the
Purposes and consideration therein expressed,'14-1n the!'eapacity-ltherein ,,•
stated, and as the act'and deed of said corporatlonlya ,
+•`.�y�={ f ° 'N. •.^' bks F.��. �1*hi,G� ,.r ��v!! . ' : i {� ;
Given under my hand and seal of office,a this day ioq�P'.
September 5, 1991 +
WITNESS my
hand and official seal.
Notary ubi is ' ,
•• a .k:s�l4�
r d M
MY COMMISSION EXPIRES:
ll~f
This instrument was prepared by ftbdNkftftd
TRANSOHIO SAVINGS BANK ; . �� �►e,.:�ai�.ew��rn,is91 ,
P.O. Box 93749 ht ot• Sa,{
Cleveland,
OH 44101-5689
..j ,
r-
hi
When recorded mail to:
Pete Knudsen
52-279 Avenida Navarro
La Quints, Ca. 92253
Loan Number: 020800941
• is �,
TRANSOHIO SAVINGS BANK
PARTIAL RECONVEYANCE
The undersigned trustee under that certain Deed'of Trust, dated Febru-
ary 5, 1988, in which Pete Knudsen and.Cathy Knudsen, Husband'and Wife
Wi:
as Joint Tenants is grantor and Performance Mortgage of Coach
ley, a California Corporation is beneficiary, recorded on February 1g, ella Wife
Val -
1988, as Auditors File No. 42995 in Volume , cf.�Mortgages,'at page ,
records of Riverside County, California, havin9received under said
Deed.of Trust a written request to reconve - °
property described in said deed, which requesteWas'.aion of the real
grantor, does hereby reconvey, without warrant a Person(s) by said
titled thereto the right, title and interest now'.heldhbypsasdntrustee
in and to that portion of the real '
Trust, situated in Riverside, County,�rCalifornia,.asefollowsd In ld Deed of
LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART°HEREOF
Dated September S, 1991.
ANCILLIARY
By
ON
VWi, Pres i dent
.Anr)& Antonelli, Asset Secretary
STATE OF OHIO }
COUNTY OF CUYAHOGA }
h
On this. date S
eptember S,
be ore me,'`the undersigned Notary
and
Public In for the State of Ohio°dulynccmmissioned"and'sworn, peri -o,
sonally apppeared Dale Estrabao and'Anna`AntonelAf,''i'to me known to be:;
the Vice President and Assistant Secretar
SERVICE CORPORATION, the corporationthat:rexecuted�the�foreAoinLLlnYi}
struMent, and _ acknowledged the sa. 'd:-' a- ,� �,. .
voiuntary deed :of said corporation, for the uses®and`purposes'tct and :
mentioned, and on oath stated that they.'authorized "::t0''execute'the said
r
instrument and that the seal affixed ;;;y;s`°t he'.cot'porato sea 1. of said
corporation. ,
witness my hand'and official seal heretolaffixed ;dayand
,. ear.
written above the
Y first
NA', AA 000�� A
This instrument was prepared by
TRANSOHIO SAVINGS BANK
P.O. Box 93749
Cleveland, Ohio 44101-5749
;;.NotaFy Pu 1Id, in;}for the tate of
Ohio-:residi'%i.4.`at:'.C1eveland, Ohio
:..t. .
My Comm UISA on Exp i res:
A^`7. i. '
c.. 1
*'oft w t wti tlwrl► rift
'� os' AM
' �j".ro inK VTj 'r-, �om-Y . . Y{YY,�'�' '^GS'�t i..�7 F _ %. t a' A. f.::., ♦ <'
. _rte ` 4;F 34 r ''�' t , 1. :.'. :�.`i..0--,{0 .:r;.- c' �... , ... �•
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAILw �$�g
Received From: —Date -1,02-4Z 11
Address: q lviq ri
Account No. /— 6-7a -O •V Lot(s) + i�L%� �' Tract
Service Address a / y.� is ^ G.A. Code
.0 Service(s)J�%�
❑ Backflow(s)
❑, House Lateral(s) `
❑ DetectorCheck(s)
;0 Me erSurcharge
-Sanitation Capacity Charge S S / S 7.5,V
❑ W.S.B.F.C. .
❑ - Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account - Name
❑ Inspection Fee - Tract -
Fee -
❑ Plan Check Fees Water I Sewer -
Tract =`
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer Deposit
❑. Other
f
TOTAL $ U
Remarks:
❑Copy to:
Cash `�.1 Water Service
Check 1-V � [� 2- � - - Wr/
2
Money Cashier
Order CVWD-a3g 111/89)
`E A
C4,r
CALVIN C. KAMINSKAS : : s DAN RILEY
n
Asslslant Commissioner o { c Sealer. WelgMs &Measures
(714) 275-3000 V a ' (714) 275-3030
OFFICE OF
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291
DATE ® / s CASE NO.
DEVELOPER'S NAME: ale- IeA , -e K
ADDRESS: ,� 7 q A.- eIpj q
014 In t' C4
TELEPHONE: (6j 12) 6T6 y
s
Pq 11,qy, ro
Dear Developer:
After reviewing your landscaping plans, all plant materiai.listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions
do occur and they differ from plant material listed, this office must be notified
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agr tndio
t a Commissioner's Office
cc: and Riverside
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012,
C�
y' Tf 105 CALLS ESTADO
LA OWNTA. CALIFORNIA 02253
Contractor Owner
Address Job Address
La Quinta City License No.: Expires: _ 'Bldg. Permit No.:
This form shall be posted on the job with the Building Inspection Card and it
shall be the duty of the General Contractor or if Owner -Builder Permit, the owner
to see that all sub -contractors sign this card, giving his City of La Quints
Business License Number, Contractors License Number and a current certificate
of Workman's Compensation Insurance Certificate when he starts the job. Failure
to comply may cause Building Inspectors to stop work,'or complaints to be filed
against such contractors or owners.
CITY CONT..
SUB -CONTRACTORS NAME LIC. NO. EXPIRES LIC. NO. EXPIRE.,
1. Grade t Excavate r
2. Pipelines
3. Cement -Foundations
4• Cement Walks i Drives
5. Asphalt Paving
-6. Framing
7. Steel Structural
8. Masonry
9. Plumbing VI'llimo /'12l��nw:c
10.' Lathing
Ll. Drywall
L2. Plastering _
L3. HVAC
14. Electrical q VL*yl �qo 0-10 x950 fs
L5. Roofing
L6. Sheet Metal
L7. Floors -All Types
18. Glass - Glazing
19. Insulation/weatherstrip
20. Sewage Disposal
21. Painting/Decorating
22. Tilt
23. Cabinets -Installations
24. Ornamental Metal
25. Fences/Blockwalls
26• Landscaping
27.. Others
28.
DO NOT REMOVE THIS CARD
Before Final Building Inspection Will Be Made
This Form Must Be Completed and Filed With Title 24 Calcs and Plans
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