9786 (SFD)P.O. BOX 1504
Building
Aririracc 53-065.Rubio LA QUINTA, CALIFORNIA 92253.
Owner
Ferry Lug®
Mailing
Address 79860 Boaueronwav
CityZip Tel.
B. Dunes I92201
Contractor
Jerry Lugo
Address
same
City lZip Tel.:
State Lic. City
& Classif. B 327390 Lic. # 1973
Arch., Engr.,
Designer
Address Tel.
City( Zip I
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that. 1, arn•Iicensed under provisions of Chapter 9 (commencing with Section
2000) of Division 3 of the Business and Professions Code, and my license is in full force and
eliffect, / ,
`SIGNATURE ./ f `-- tV -- I / •X/L/aW DATE
f / OWNER-BUIL6ER DECLARATION
I hereby affirm(that I am exempt from the Conttactor'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 or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
iDivision 3 of the Business and Professions Code, or that. he is exempttherefrom, 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 rive 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, Bulsness and
Professions Code: The Contractor's License Law does not apply 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 are not intended or offered for sale. ff, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
.!!lstruof roving that he did not build or improve for the purpose or sale.) -
I, as owner of the property, am exclusively contracting with.licensed contractors to con-
ct 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
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.)
Polj% No. Company
.Copy Is filed with the city. O Certified copy is hereby furnished..
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 9 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 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
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 -
Mail! ' ng
ateMailing Address
City, State, Zip
No.
11LDING: TYPE CONST. , OCC: GRP.
P. Number 774-042-015
Description Lot 3 B1k 177
t Description SFS
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:
Sq. Ft. 1865
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
105,853.50
PERMIT
AMOUNT
Plan Chk. Dep:
250.00
Plan Chk. Bal.
3109.46
Const.
660.50
Mech.
62.00
Electrical
133.78
Plumbing
153.00
S.M.I.
10. 60
Grading
20. 00
Driveway Enc.
20.00
Infrastructure .
2325.77
Arts in ub
x:
25.00
,t r?05`%P4;•ew Q 3Y^!'4`f
Af',l 9;.
TOTAL
--3970-.411
172D'.-11--
72D'.-11"`REMARKS
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
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL SQ. FT. ® $
UNITS
COLL. AREA
2ND FL SQ. FT.
YARD SPKLR SYSTEM
POR SO FT ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
DRINKING FOUNTAIN.
SO FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRA ING
cu. yd.
$ -plus-x$_=$
LAUNDRY TRAY
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
SQ. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1V/i c
SEWAGE DISPOSAL
FIREPLACE
SO.FT.GAR ® 3/.c
HOUSE SEWER
SPARK ARRESTOR
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR'
SETBACK (
GROUND PLUMBING j6 ¢
/ff41NBERGROUND
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 APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRA ING
cu. yd.
$ -plus-x$_=$
LUMBER GR.
FINAL INSP. /
l
FRAMING ��%�
FINAL INSP.
ROOFING&J
w
/
REMARKS:
I 0z
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING//�jVjf%
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECT N• /
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
gDESERT SANDS UNIFIED SCHOOL DISTRICT
82 879,I khway 111,
NOTICE': #, Tndio, CA X92201.
Document Cannot Be.,Duplica- e_1 v 9.
(619)347,-8631
Date
7/11%91 =r :x Type bf.Permit .L La: Uinta
r400 Permit #
n >
Owner Name Jerry Lugo :y 'a Log #
No 53065 Street Avenida Rubio:
city La•Qiiinta{- „ zip 92253 Study Area 112
, 0.
APN # 774042-U15 tact-# i _ ,r'
loot #
Square.Footage 1800
Type of Development Single'Family R,eslderice No. of unite
Comments
wy, ,
At the present time, the Desert Sands,Urnfied School,District does not collect. fees on
+- , , ,,.
garages/carports„ covered -patios!walkways;, residential , additions sunder 50.0 square feet,
detached accessory structures 61 replacement mob1 ehomes: It has been determined
the above-named owner is .exempt�froin paying school_ flies at thii` e due to the
17
following reason:
EXEMPTION NOT APPLICABLE
'
This certifies that school fac hty fees unposed pursaant to -Govern ment.Code•530.W
Y `
in the amount of 1.58 X '1 `800 or $ 2;84400,. h : have basin paid to DS.0 S.D, for
the property listedabove a id`that building permits andlor Certafi&' * u °of Occupancy for
this square footage°in this proposed.pro�ect may now be issued. a^
Y.., y_
j
Fees Paid By Jerry. Lugo,' Telephone
Name on the check
By James
Assistant Superintendent, Business.Services .
Fee collected /egempted by Shelley D.: Bennett;
Payment P►ctieied
Signature / Check No13-1-6 9
k
Collector: Attach a copy,'of county or city, n
pla'.check ah`c
ppation;fortn to district.cro^gyf for Plrweivers.
Embossed Original= Building Dept./Applicant Copy Applicaiit/Receipt,. Copy - Accounting'
_.. ' . .._... .... ., _. ... .:LS".
(j),-URHATMERICAN TITLE COMPANY
Order No.
3E-23647
Escrow No. 10-7632 _ 'A
Loan No.
1OW afi � d `9« L
WHEN RECORDED MAIL. TO:.
CV) Jerry Lugo & Isabel Lugo 4•'�""'��`.. b ��C'11��
79-860 Boqueron Way �.
Bermuda ` Dunes, CA.922011• o^�`
�d ,3
SPACE 'ABOVE THIS LINE FOR RECORDE1 USE
MAIL TAX STATEMENTS TO:
DOCUMENTARY TRANSFER TAX $ ...1.1.-0.0 .:...........................
:.: Computed ovate consideration or value of property conveyed; OR
`''Computed on'tKe consideration or valueless liens or encumbrances
" remalmng'at time of sale.:
�. Signature of+Declarant•ot,Agent determining tax - Firm Name
0RA`N"T D!E.ED
FOR A VALUABLE CONSIDERATION, receipt of.:which is hereby acknowledged,
Richard C. Hartman,,, a married man as his '.sole and. Aseperate property,
hereby GRANT(S) to
Jerry Lugo & Isabel Lugo, husband .arid wife a"s'joint tenants,
the real property in. the City of :'Ld `Quinta
County of RIVERSIDE State of California, described as
Lot 3 of, Block 177.,• 'Santa Carmel•ita', at- Vale 'La Quinta, Unit No. 18,
as per map recorded ir_ IIook 19 P,age_,".1 '30-31 of maps in the office
of the County Recorder"of, said county..,
.z
Dated May 3, 1988
STATE OF CALI FORNILk Iss.
COUNTY OF �� QpP �- 1
On m�
before me, the undersigned, a Notary Public in and for said'State, per -
.J
chard C. Harman
sonally appeared Richard L.Hartman
personally known,to me, (or proved to meson the basis of.satisfactory 0" ,,.ILIAL SEAL
LUISE-CARTER
evidence) to be the,person(s) whose name(s)is/are subscribed•to the Notary -Public-Celifoinia
within Instrument and acknowledged to me' that he%she/they executed • _- LoJS ANGELES COUNTY
ft =My+Comm Ekii. Mayas. 1990
the same.
WITNESS mVid and official seal. .
C.CJt (This area for official notarial seal)
Signature
1002 (6/82)
-MAIL TAX STATEMENTS AS_.:DIRECTED: ABOVE
® L Pr®fessoonal1 Semice Industries, Inc.
Amencan Engineering Division
June 19;..1.991.'
Account No'- 073-10,0'4.9'
tit
Jerry Lugo
7986'0. Boque;ron .Way
Bermuda Dunes, CA,92.201
SubJect In Place Dens iet . Tests '
Single Famlly 'Res•ldenee q,,,
53065 -Ga3=l-e
La Qui.nta, CaT `fo.rnia:-,
on -June 19; 159 1,, a repre-sent ative Of.'this company visited
the above• referenced- project and. performed -in place density
tests.
The results of our tes;t.ing`. indicate::that. the; embankment was
compacted to at least` 90 ; percent of maximum density at the
locations tested unl`ess..'otherw se not:ed:...
The maximum density was det-ermined' per ASTM Test Method D1557
and the field dens'ity t.est'*'s"-.•,were performed` in accordance with
ASTM D2922..'
Please call this office if you 'have -any -questions regarding
the above referenced` protect'.
Respectfully submitt,ed,.
PROFESSIONAL SERVICE INDUSTRIES, INC.
Am scan Engi eering Division
Paul oe"rst in
Divisi n anager
CC: Lugo ( ) =
PRH/klc
42-240 Green Way, Suite C 9 Rahn�Desert; --CA 92260. 91 Phone 61,9%34:1=5790 9 FAX: 619/341-5794
°1. it,
CALVIN C. KAMINSKAS. DAN RILEY
Assistant Com missioner :'' ° Sealer: Weights & Measures
a (714) 275.3030
(714) 275-3000 ' =
OFFICE OF
AGRICULTURAL COMMISSIONER
JAMES -O. WALLACE.`Commissioner
83-612 Avenue -.-45 Suite 7.
Indio,,*CA, 92201
(61.9)'214Z -829I..
DATE i0 2 / Cj' CASE NO.:
DEVELOPER'S NAIL: JA5:d C//�U6 0
ADDRESS: %' -. �Ci.Cid u/cJev a%.o (14
TELEPHONE:
Dear Developer:
After reviewing your .landscaping plans, all plant material listed is not in
violation of quarantine laws governing the = Coael ella Halley. If substitutions
do occur and they differ from plant material listed, this office trust be'notified
immediately.
Thank you for protecting'and-preseiving the Coachella Valley's pest -free environment.
A is ural Conmissioher's 'Office
cc: Indio and Riverside
1•1 /r� RECORDING REQUESTED vBY:
M J �
LIN
M
AND WHEN RECORDED MAIL TO`'-
F
Name JERRY LUGO --
Addeess 79-860 Boqueron Way
City Bermuda Dunes CA 92201
State
Zip L = .i
SPACE.'ABOVE YT.HIS LINE FOR RECORDER'S USE
FULL RECOINVEYAN:CEf.
MANHATTAN FINANCIAL CORPORATION, a California corporation, as Trustee or Successor
Trustee, or Substituted' Trustee under.,Deed of -Trust, dated ...... .t1!?tr1 ...........................................
made by --- JERRY••.LUGO AND_.ISABEL-LUGO�-••Husband 'and Wife as .Joint' Tenants------------
...•.....................................••...:..........::...:.....------•-•--............:.•......---.:.............................................. Trustor,
recorded as Instrumenton August
... .1... in Book..--------....—•., Page....-.---.---
of, Official Records in ;the office ;of the Recorderof RiVer_side :.County, California, having
received from -holder, of. the -.obligations; thereunder a ,written request to reconvey, reciting that all sums secured
by said Deed of Trust have`been.fi lly paid, and said Deed of.Trust and the not ,or notes secured thereby, having
been surrendered to,sald Trustee for capcellatioridoes: hereby:,RECONVEY without warranty, to the person or
persons, legally entitled thereto, the estate now held. by"it thereunder.
In Witness Whereof; Manhattan FlnanCla� Corporation as such Trustee, has caused its corpo-
rate name and seal to be hereby affixed by.its .PRESIDENT thereunto duly authorized.
March 5, 1990
Dated ..•.........•........•....•........................ MANHATTAN FINANCI ORPORATION, as Trustee.
(SEAL) `B j_..: vv.'vv
YDougla�� Grif i£hs
_.. STATE_QE,CALIEORNIA
COUNTY OF RIVERSIDE-17
On this......5th, March 1990.
day of;.:.. :. .. .. ,before me, the undersigned
Notary Public in and for -said County;�peisonally appeared„ Douglas: Griffiths -------------------
known to me to be, the PRESIDENT bFMANH'ATTAN FLNANCIAL CQRPORATI ON, the corporation
that executed the foregoing". instrumet.it, as: Trustee, and known; co me r'o'be ihe. person; who executed the same on behalf of
the corporation therein named, `and 'acknowledged to me thair"s`uch corporation executed the'same as Trustee.
WITNESS' my hand- and',official seal.
OFFICIAL SEAL
..'"� BEVERLY A. t OLMES Notary Pubh I and'iIor,satd County and State.
Notary Public-Callfornla _
e
RIVERSIDE COUNTY
MyCoinm "p.,Auq.,14,`.1992:
♦ORDER -NO .......................................................
ESCROWNO .......... :.............•.--.............--•.--......
RECON.: ....... _. ........... .3
-.. 6 ...................