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002739 (SFD)Building Address Mailing Address P.o. B=U218 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City Zip Tel. �t 13� 95406 ' . Contractor !Pim CnBek Dove-109mmt Address 51--525 FAS=torer Dr. Zia ouinta 1 92253 I 564-00046 State Lic. I City & Classif. 3 t 1 Lic. # "0 Arch., Engr., Designer Address I Tel CityZip 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 Contractors License Law for thefollowing reason: (Sec. 7031.5,Business and Professions Code: Any city or county .which ,requires. a permit to construct, after, 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) or Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Sectfon 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 or 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.) O 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. (Seca 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 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. 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 .�L� `% Date r %, Mailing Address City, State, Zip No. 002739 BUILDING: TYPE CONST. OCC. GRP. ' A.P. Number 774-113--009 Legal Description 16 Project Description Simlz faudlX &6111M BY: Minimum Setback Distances: Front Setback from Center Line 1453 Sq. Ft.� X22 No. No. Dw. Size Stories Units _ New l3; 4j`640 Alter ❑ Repair ❑ Demolition ❑ 200 feet of wood fence Side Setback from Property Line 50 feet of ret. Mei FINAL DATE INSPECTOR Issued by: Date 12-4-86Permit Validated by: Estimated Valuation 75,705.00 PERMIT AMOUNT Plan Chk. Dep. 250.0 Plan Chk. Bal. 59.16 Const. 41.00 Mech. 30.,40 Electrical 75.13 Plumbing 99.00 S.M.I. Grading 2n.on Driveway Enc. 20.00 Infrastructure 1,135.13 TOTAL 2..1.04..7. HARD COPY 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 12-4-86Permit Validated by: Validation: A6849 12 4 J854.71 U CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. p $ 2ND FL. SQ. FT. ® POR. SQ. FT. ® GAR. SO. FT. ® CAR P. Q. FT. WALL SQ. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET r 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 SLAB GRADE WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED STORAGE TANK LAUNDRY TRAY AIR HANDLING UNIT CFM v ER 071W 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAS (FINAL) SO.FT.GAR ® 3/ac HOUSE SEWER TEMP. POLE GAS PIPING PERMIT FEE GROUT PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE III STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLIJ'1 G UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE jLf10UGH PLUMB. /, BONDING HEATING (ROUGH) STORAGE TANK FORMS v ER 071W "K OUGH WIRING.9 S / DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. D BEAM f Z �� 6 WATER SYSTEM $ GRADING cu. yd. plus x$ _$ LUMBER GR. FIN L INSP. FRAMING` ? �% ,— I FINAL INSP. ROOFING r ; i,�y` �Qy wV-\IL roa 1 rto ti��G O ,` REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL Ot;4ATHING _3,H S MESH 01014:1-IINSULATION/SOUND 3 6 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 14%f1ED _ 0 y BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS H ' d, PALM DESERT -PLA QUINTA 'gyp ,INDIO y� Desert Sands Unified School District 82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631 December 3, 1986 7 * City of La Quinta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 Re: Lot 16, Block 190, Unit 19, Avenida Rubio, La Quinta, CA 1 unit 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 Su rintendent Business a Iices By: , Richard M. Beck .Facilities Planner c JDB/vmm * This certification of payment of developer fees is valid for issuance of building permits only until and including December 31, 1986. 2 17 X 22 PRIf, _0 ON NO. 1000H CLEARPRINT "-Ilr7 • j k (s, E E APPROV )D BY: l�RA L C SCALE: APPROVED BY: DRAWN BY DATE REVISED DRAWING NUMBER AGO TITLE COMPANY "r No. row No. :ani No. iEN RECORDED MAIL TO: Kenneth Martin F.O. BOX 11218 Santa Rosa CA 95406 MAIL TAX STATEMENTS TO: same T ®Documen , on as N� has not been compared with original. WILLIAM f.. CONERLY County .Recorder RIVERSIDE• COUNTY, CA' IFO-Nfl ' SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX $....nAne-no..cansideration ...... 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, eeceipt of which is hereby acknowledged, JAMES G. LAIER, SR.,'.who acquired title as JAMES G. LAIER,.SR., and KATHLEEN MATOVICH, as Trustees under Trust Agreement dated July -1, 1973 for James.G. Laier, Sr. hereby GRANT(S) to Kenneth C. Martin, a married man as his sole and separate property the real property in the City of County. of Riverside . State of California, described as Lot 16 of block 190 Santa Carmelita at Vale La Quinta Unit No. 19, r• as•per 3,ap.recorded in book 19, pages 33 and 34 of Maps Records of Riverside County. CE: I � S ::►itcatic'Tltlo insurance Company 14M r 9/ ED s�-ar:1m! v Dy r ghat as en dad this ..r r^-�cG3tS:n only i 1"in.aq II (o► repulsrit% an Lro._ Ei:: :_.::= d • V 1 �. jCF� :, r, :;; tho (Wo to any J I: t,iy :Y: Gi:7Cfi_..,. :,ort!n. 'A•' COMMAOF LA gqUiwTa, f UNITV DEVELOPMENT DEpT September -24, 1986. Dated _ — I STATE OF CALIFORNIA Iss. ! — COUNTY OF Riverside I On September 26, 1986 before' me, the undersigned, a Notary Public in and for said State, per- sonally appeared James G. Laier_, Sr. - N MR.14:A.`1L I _ OFFICIAL SEAL personally known to me (or proved to me on the basis of satisfactory " DAWN M. MARTIN NOWY Pk6be-C forma evidence) to be the person(s) whose name(s) is/are subscribed to the WAPOM COUNTY within instrument and acknowledged to me that'he/she/they executed Mr 0p1Mi EW J8111. 28, iggp the same. WITNESS my hand and s Signature (This area for official notarial seal) 1002 (6/82) MAIL TAX STATEMENTS AS DIRECTED ABOVE Q Z O U LU U) ' W Z O i= U LU C0 rn `1 Q W cr IX Z O 1= U W C0 '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 $37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Na@e (Owner, Agent, Contractor, Etc.) Mailing Address City State Ziip� Code Telephone c. 'Job Property Address. V3:+ M City or Community Legal Description of Property. (Lot, PM, TR) _ Assessor's Parcel No. ' Water Agency r Well / Lot Size it J 1 1 Planning Case # ESFOM C' e Preparation Etc. Sioiiature'of Ap"plicant Date 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date ii Certification of Existing S.D. System required. ❑ Yes G}l No WQCB Clearance required. ❑ Yes © No i Soils feasibility report required. ❑ Yes d No Detailed boring report required. ❑ Yes No Detailed contour plot plans required. ❑..Yes No t Staff Specialist approval required. ❑ Yes ❑ No Lot Inspection Date Soils/boring report by K�— Project # Date Soils Map Page Soil Type Approved by Date Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required ElExisting ®aNew ❑ Additional E) Replacement Wry- �" �'� "� Gals. �$ (2) Leach line sq. ft. Sidewall allowance Install Lines) Ft. Long, Leach bed Sq. " (Bottom trench area) ft. rock/ Sq. Ft. Ft. wide with mint inches Ft. of bottom' per running ft. ❑ N/A rock below drain lines p area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth Applicable / ❑ 5' ❑�6' ! `� I Max. allowable depth N/A factor 1 \\Overburden "Q1%^ v 5'�c,, t" r This application is appproved/denied 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 sewer lines must be 50' from any wells (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 Official Date c.;., RECEIPT NO. District: ❑ Riverside ❑ Qclio Distribution: WHITE—Office file DOH -SAN -122 (Rev. 6/86) Issued by t3 A V t, Date t! l` t f L ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File 61 AGRICULTURALcCOF OMMISSIONER 4080 LEMON STREET, ROOM 19 RIVERSIDE, CALIFORNIA 92501 (714) 787.2561 46-209 Oasis Street, Room 14 Indio, CA .92201 (619) 342-8291 ' Dear Developer/Landscaper: E. LEON SPAUGY C0M.M1S510'iFR JAMES O. VIAL LACE ASSISTANT COMMISSIONER Thank you for inquiring with' the Agricultural Commissioner's Off local quarantine laws. ice regarding Any diseases or insects as with the plants/landscaping material presented on your landscaping plans do not pose a threat to the Coachella Valley Citrus, Date,,Grape, Vegetable, or Field Crop industry. We therefore approve your landscaping plans. If however, any substitutions of plants/landscaping materials within your plans occurs between now and the actual planting date, you must contact this office within 48 hours before delivery into -the Coachella Valley. Also, the substituted plants/landscaping material must be held for inspection upon arrival. Any sub- stituted landscaping material found infected/infested with quarantine pests will be immediately treated or shipped out of the Coachella Valley at the discretion of the Agricultural Commissioner's Office. Under penalty of perjury, I. the undersigned will comply with the above. Authorized Agent: Name. _ `N\ Ll._- C� LSV Date Sig Permit Numbers)__,( $G 2S /2 _OV .n - �) : n Developer &„��L- �-address tGUCULTMI L CO,MISSION R.' S APPROVAL �- Date 12- A uthority cited:' Agricultural Code; Sections 6301, 6524 cc: 2 Plan Check, Indio Office, Riverside. Office 6461, 6462, 64 "Co APPROVED BY: <<✓��� c_ DATE: HAL CO ftftft