15532 (SFD)Building
Address i ; z.La Avt3nt Lua tir"z-va
Owner
Don and Carol Sbarra
Address
CityZip Tel.
Contractor
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Address
79-8.11 Country Club Br. Ste S8
(:ifv 7... 1 Tnt
92201 1 345-6225
State Lic. City
& Classif. 476037 Lic. # 564
Arch., Engr.,•
Designer
Address, Tel.
City;' Zip State
Cjc. #
1 LICENISEWCONT OR'S 0 CLARATIC
I hereby affirm that I am licehsed under ons p visif Clirapter 91
DOO) of Divisjon 3 of the Business and Vessions/Co A, and my
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, atter, improve, demolish, 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 or 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
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.)
p 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. NB. & 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
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3600, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
r CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff 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
alifornia.DateOwner
NOTICE TO APPLICANT: ff, 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.
WARNING: FAILURE TO SECURE 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.
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 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. y
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING: TYPE CONST.
A.P. Number €31 771-0x7
No. 15532
OCC: GRP.
Legal Description Lot 23 Tract 21120
Project Description SFD
91417
$91417+-
Sq. Ft.
Sq.
Size 4020
No.
Stories
No. Dw.
Units
New'9 Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit does
not include
block wall
or pool.
Estimated Valuation
$342,502.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
'
Plan Chk. Bal.
9_68.36
Const.
1490.00
Mech.
130.00
Electrical
262
Plumbing
217.50
S.M.I.
-14.25
Grading
20-00
Driveway Enc.
Infrastructure
6000..00
A,rts; in Publiz
PlAaAA
606.26
TOTAL
9f�'i�s9
9']3>izt}
REMARKS
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 8.
FINAL DATE INSPECJOR t
/�v
Issued by: Date r .1 Permit
0
Validated bv:
Validation: "S //
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PL
IST FL. SO. FT. ® $
UNITS
ROUGH PLUMB. BONDING
2ND FL. SO. FT.
STORAGE TANK
YARD SPKLR SYSTEM
SEWER OR S ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. p
GAS (ROUGH) METER LOOP
HEATING (FINAL)
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT.
DRAINAGE PIPING
WALL SO. FT.
FINAL NSP.
DRINKING FOUNTAIN
SQ. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
ROOFING ��/� �j 9
FLOOR DRAIN
MECHANICAL FEES
REiNARKS:
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIREPLACE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SPARK ARRESTOR
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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
INSPECTOR'S SIGNATURES/INITIALS
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 VA c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/ic
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
STRUCTUR PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK a/ ��
GROUND PLUMi UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE ih
ROUGH PLUMB. BONDING
HEATIIIG (ROUGH)
STORAGE TANK
FORMS
SEWER OR S ROUGH WIRING
DUCTWORK
ROCKSTORAGE
FOUND. REINF. (f
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL %�
GAS (FINAL) TEMP. POLE 9�
GROUT
WATER HEATER SERVICE
FINAL NSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$ _$
LUMBER GR.
FINAL INSP.
FRAMING 9�
FINAL INSP.
ROOFING ��/� �j 9
Y5
�/,/��.✓1 ✓1 ��/O/��
t
REiNARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION J� G
CERT. OCC. rr
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 7/31/95 1 Type of Permit I La Quinta
No. 113590 Permit #
Owner Name Don & Carol Sbarra Log
No. 77215 Street Avenida Arteaga
City La Quinta Zip 92253 Study Area 109
APN # I Tract # I i Lot # 0 Square Footage 14020
Type of Development I 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:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.72 x 4 020 or $ 6,914.40 have been paid to D.S.U.S.D. for
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 Cherokee Homes Tele pHon2,: ' 345-6225
Name on the check '
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Pauline Pearson
(� ( Payment Received
Signature \j�6 4,A ,a tV'- . $6,914.40 Check No. 1020
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
8,-RWROING REQUESTED BY: r \
ll'I ITY NK12NAL HILL
I AND WHEN RECORDED MAIL TO: D F
1 NAME i DONALD D. SBARRA AND 4
1.t
I STREET CAROL A. SBARRA O. U
ADDRESS
10- t )I
THIS SPACE FOR REO+BRD S USE ONLY --•� :i S ��
GRANT DEED The undersigned Grantohs) declare 1 that the DOCUMENTARY
TRANSPER TAX IS: S 227.7 County, City
ASSESSOR'S PARCEL NO: 631-771-027 *omputed on t e ull v� us o the interest o property (�..
conveyed, or
TITLE ORDER NO: 247657 cc.ttputsd on the full value less the value of liens or
encumbrances remaining thereon at the time of sale
ESCROW NO: 2-18240 OR transfer is :xempt from tax for the following reason:
FOR A VALUAELE CONSIDERATION, receipt of which is hereby acknowledged.
Grantor/Seller H. PAT ARTIS AND NANCY AP.TIS, HUSBAND AND WIFE AS JOINT TENANTS
hereby GRANT(S)to DONALD D. SBARRA AND CAROL A. SBARRA, husband and wife as Joint Tenants
Grantee/Buyer
all that real property situated in the City of L-A QUINTA
w• (name of city or unincorporated areal
1.ounty of RIVERSIDE State of California, described as:
? LOT 23 OF TRACT 21120, RECORDED IN BOOK 160, PAGES 81 THROUGH 83,
INCLUSIVE OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA, MORE
PARTICULARLY DESCRIBED IN LEGAL DESCRIPT
Sept. 2, 1994
STATE OF CALIFOR )SS
COUNTY OF 1
On Anzbefore me
personally appeared
personally known to -me for 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 in his/her/their
authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s) or the
entity upon behalf of which the person(s) acted,
executed the instrument.
*WITNESS my hand and official seal.
Signature
MAIL TAX
STATEMENTS TO: SAME AS ABOVE
NAME
CO -441•A 4194
ADDRESS
N.Iwy Pubuc•CoNfoavo
v�L4 RIVERSIDE COUNTY
My C Invrd alon Ex;1ns
NOANflIbW 2P. 1994
(This area for official notary seal)
CITY, STATE & ZIP
0
V 44
�SIDING REQUESTED BY: V \
V ITy 14AI IONAL TIILI, I
AND WHEN RECORDED MAIL TO: �m
NAME I DONALD D. SBARRA AND ,C t
CAROL A. SBARRA a r C7 V g th ~
STREET X
ADDRESS
< C?
TE
ZIP L
z.
THIS SPACE FOR R RD S* USE • ONLY �r—� �• 3
GRANT DEED The undersigned Grantofls) declare ) that the DOCUMENTARY
TRANSFER TAX IS: 227.7 County, $ City
ASSESSOR'S PARCEL NO: 631-771-027 *omputed on t Frullv�lus/bf the interest of property(^,
conveyed, cr
TITLE ORDER N0. computed on the full•va
2d7657 less the value of lions or
encumbrances remaining thereon at the time of sale
ESCROW N0: 2-18240 LIR transfer is exempt from tax for the following reason:
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Grantor/Seller H. PAT ARTIS AND NANCY ARTIS, HUSBAND AND WIFE AS JOINT TENANTS
hereby GRANTIS)to DONALD D. SBARRA AND CAROL A. SBARRA, husband and wife as Joint Tenants
Grantaelguyer
all that real property situated in the City of LA QUINTA
',I�M� A I��• N IlfUlfl.NwNN�����., •._ _
Under the provisions of Government Code 27361.7 I certify undbrid-
the penalty of purjury that the notary seal on the 'document
to which this satement is attached reads as follows:
Name of Notary U LI �,\(�tIgq
1 Date Commission Expires
jll
�
Place of Execution �1VPrSIc,\P Lt � `i
Date C - k
Signature
I IOLLITY NATIONAL 70 LL INSURANCE COtOPANY
�i
pmii wmmma C„9PW'•i�i....
bE NO. 2.47657-JDP Fidelity National Title
4" PARCEL 1:
LOT 23 OF TRACT 21120, RECORDED IN BOOK 160, PAGES 81 THROUGH 83,
INCLUSIVE OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA.
PARCEL 2:
A NON-EXCLUSIVE RIGHT AND EASEMENT FCR (A) PEDESTRIAN AND VEHICULAR
ACCESS, INGRESS AND EGRESS, (B) THE CONSTRUCTION, RECONSTRUCTION,
MAINTENANCE, REPAIR AND USE OF.ROAD, ROADWAY AND STREET; AND (C) THE
CONSTRUCTION, INSTALLATION. USE, MAINTENANCE REPAIR AND REPLACEMENT
OF, AND ACCESS OF PUBLIC 'QTILITY FACILITIES, INCLUDING SEWAGE, WATER,
ELECTRICAL, GAS, CABLE TELEVISION, TELEPHONE AND OTHER UTILITY LINES,
FACILITIES AND WORKS, CURBS AND GUTTERS OVER AND ACROSS THE "ANDEN
EASEMENT PROPERTY", AS SHOWN ON EXHIBIT "E" AND MORE PARTICULARLY SET
FORTH IN THAT CERTAIN EASEMENT AGREEMENT DATED JANUARY 12, 1987 BY
ANDEN CORPORATION, ET AL, RECORDED JANUARY 13, 1987 AS INSTRUMENT NO.
A784 OF OFFICIAL RECORDS.
30 Day
emporary
�1��'r•��'U�ill ', r.
of
Z vA
Tit�r of '14tt Quinta
oitilding rind �sr�fe#fir �iltision
30 Day
Temporary
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 77-215 Avenida Arteaga
use Classification Single Family Dwelling Bldg. Permit No. 15532
Group R-3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Don & Carol Sharra Address 44 W. Parkway
Kichita KS 67,206
'' " B Daniel P. .C.rawford Jr.
y..
Dote: March 8, 1996
Bu.ildinq Official
POST IN A OONs11000U! PLACE