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08625 (SFD)4 P.O. BOX 1504 C � �� No. Building 78-105 CALLE ESTADO Address 54-121) Ra'hlo LA QUINTA, CALIFORNIA 92253 J �` Owner 48625 Mailing Willi= O• Wilkinson BUILDING- TYPE CONST. OCC. GRP.. Address X9fd@qX2XftySr 11716 Beverly Blas. A.P. Number City Whittiar Izip90601 Contractor Address Tela & Classif. 413223 Lic. # Arch., Engr., Designer R.G. Jan" Address x'-413 Garranso Tel. City IZip I State 91253 Lic. # LICENSED CONTRACTOR'S DECLARATION 1. hereby affirm that I am`llcensed under prbvisions of Chapter 9 (commencing with Section " 70 00) of Division 3 of the Business and Professions Code, and my license is in full force and effect. r 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, alter, 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) 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 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 or completion, the owner -builder will have the burden or proving that he did not build or improve for the purpose of sale.) 0 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. 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.) Policy 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 if 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 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 Mailing Address City, State, Zip Description Project Description Ih. Sq. Ft. No. No. Dw. Size 1?2 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. 20 00 Infrastructure ieee 1t• TOTAL I IA77 t& REMARKS 1114051V Rip .rte 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. ® $ 2ND FL. SQ. FT. ® POR. SQ. FT. ® GAR. SQ, FT, ® CAR P. SQ. 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) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE �j`7/9�Ak 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. SQ. FT. ®c BATH TUB FINAL INSP. 4 C SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. 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 /� / GROUND PLUMBING///UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ` ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE �j`7/9�Ak GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. 4 C FRAMING / �7 9� FINAL INSP. ROOFING&W, `�/y 90 /,r , // /�i/j�� A REMARKS: VENTILATION FIRE ZONE ROOFING AV FIREPLACE SPARK ARRESTOR GAR. FIREWALL - / LATHING rV44/V ///4t9- //O MESH MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL P.O. BOX 1504 APPLICATION ONLY Building �!� I 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address Ow elliiam ' n. BUILDING: TYPE CONST. OCC. GRP. ailing Address A.P. Number CityZi Legal Description ntractor l r Develop Project°Description _. _• . dress `7740 City Zip Tel . d L 4-5 L085 -• State Lic. City =` & Classif.4 ^ a 3 Lic. #i Sq. Ft. _ No., No. Dw. a{ Size Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter,❑ Repair ❑ Demolition ❑ 5dress CA ranza 5&4 a :. Ta415 City Zip State 1-11 94 5 3 Lic. # h4QENSEO CONTRACTOR'S DECLARATION I hereby affirm ice= under p at Chapter 9 (commencing with Section 7000) of Division usiness and i and my license is in full force and ec R 'DATE OWNMBUILDERDECLARATION' r"Estimated Valuation I hereby affirin that I am exempt from the Contractors License Law for the following reason: (sec. 7031.5,191siness and Professions Code: Any cry or county which requires a permit to construct, alter. L'rprove, demolish, or repair any structure, prior to its issuance also requires Me applicant for such permit to OD a signed statement that he is Licensed pursuant to -' I?ERMIT,, :- •• AMOUNT the provisions of the Contractors License law, Chapter 9 (commencing with Section 7000) of ' ' ' ' Division 3 of Me Business and Professions Code, or that. he is exempt therefrom, and the bas(f _¢;p. Me for . :- •- •'Plan •Chic Uep. '' �:' for alleged exemption. Any violation of Section 7031.5 by any applicant a permit subjects the appicant to a civil penally of nor more Man rive hundred donors (6500). plan Chk. Bal. ,:• ` O I, as owner of the property, a my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale. (Sec. 7044, Brisness and Const. Prolessbns Code: The Corrtrector's L/cense Law does not apply to an owner of property who _—. builds or Improves Meream and who dues such wont himself or through his own employees, _ Mech. provided Met such improvements are not Herded of offered for sale. r, however, the building orImprovement Is sold —04 one year or canpfetfon. Me owner -builder win have the burden Electrical of provkg Mat he did not build or brpove for Me purpose of safe.) ❑ I, as owner of the properly, am exclusively contracting with licensed contractors to con- Plumbing struct the project. (Sec. 7044, B chess and Profassions Code: The Contractor's License Law doesnot apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. such projects with a conbactor(s) licensed pursuant to the Contractor's License law.) Grading ❑ 1 am exempt under Sec R- ti P.C. for this reason Driveway Enc. Date owner In rastructure h. WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Cornpany ❑ Copy is filed with the city. ❑ Certified copy Is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be cooper is for one hundred dollars ($100) valuatlon ' or less.) .. .: I certify that in the pert the work for which this mit is issued, I shall not employ any ppeerson in any a r as to become sub t e Workeral'Compensatioa •.. Laws of Callfomla r •• Date Owner NOTICE TO APPL.ICAIYT: if, after makirg this Certificate of Exemption you should become ZONE: BY: " subiect to the Nbrkers' C i persation provislms of Me Labor Code, you must forthwith comply with such provftbms or this permit shelf be deemed revoked. Minimum Setback -Distances: - Front Setback from Center Line Rear Setback from Roar Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Clivi Code.) Side Setback from Property Line Lenders Name Lenders Address FINAL DATE INSPECTOR This Is a building permit when property 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. Issued by: Date Permit 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- mentl- lid property for inspection purposes Validated by: V applicant Dale ass Validation: rip i r�>r r, sirr DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 10/1/90 No, 10176 Owner Name William O. Wilkinson No. street See Below Type of Permit La Quinta Permit # Log # city La Quinta zip 92253 study Area 0 APN # Tract # Lot # Square Footage 112,448 Type of Development IrKingle Family Residence No. of units Comments B1 _Rdri RamirP7 F;A_190Rhin K1 _.QQO 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 11.58 1 X F1-2.4-4-8 or $ 19,667.84 have been paid to D.&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 William O. Wilkinson Telephone Name on the check By Richard M. Beck Director, Facilities Planning & Development"" Fee collected /exempted b Tt�� i kd p y Shelley D. Bennett Payment.Fe�;ved Signatures _ Cg eek No. 019694 Collector: Attach a copy of County or City plan check application form tc netict &py. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting RECORDIN ? STED BY UNION LAND. TITLE COMPANY AND WHEN RECORDED MAIL TO F_ -I Name MR & MRS WILLIAM 0. WILKINSON ETC 38344 Poppett Canyon Street Addre:s Palm Desert, Calif. 92260 City & state L J F_ Name Street Addren City & State L_ MAIL TAX STATEMENTS TO same as above NAT -30 (5-87) SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deed The undersigned grantor(s) declare(s):. Documentary transfer tax is $ ( -tY05 computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: (.) City of 1,4 QU/,tJ1'7� , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Loyd Y.Irwin and Maxine W. Irwin, trustees of the Irwin Family Trust dated March 10. 1985 hereby GRANT(S) to John L. Hart, an unmarried man as to an undivided one half interest, and William 0. Wilkinson and Barbara ,L. Wilkinson, husband' and wife as joint tenants as to an undivided one half interest, as tenants in common the following described real property in the County of Riverside , State of California: Lot 18 Block 254 Santa Carmelita At Vale, LaQuinta Unit NO 24, as per map recorded in book 19 pages 44-45 of maps, in the office of the county recorder of said county. Dated: Janiiar3L 3- 1989 STATE OF CALIFORNIA COUNTY OF O lZRM (91• }SS. On 7,-�A m ap, g.'1 '?� q g;Gl before me, the undersigned, a NotaryPublic in and fol said State, personally appeared I_FYD Y. T P, L, ; 43 41 lAE Ll'i . 17,U)) Ai personally known to me or proved to me on the basis of sat- isfactory evidence to be the person ..;� whose name r subscribed to the within instrument and acknowledged that -THEY executed the same. WITNESS my hand and official seal. s Signature LAAM Loyd Y. Iru4n trustee Maxine W. Irwin, tee KBYRON V IIOIiE�LS TARYORA a COUNTYEXP. AUG. 13, 1990 (This area, for official notarial seal) Title Order No. Escrow or Loan No. MAIL TAX STATEMENTS AS DIRECTED ABOVE COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH AG""01 ParON Nim ENVIRONMENTAL SERVICES DIVISION b . 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 specuiations as indicated on the attached check Ilat A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. ITEMS IN VERIFY SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # Agent, Contractor, Contact Person er ler eve E �C1G. Phone 345 08 Address 8 Firm ';`?atO C ero ee�ndian Ike Is l 'a a L<Y 11 Phoned 13 a a Maili Add 1 �i l� e l/ e l v IA. C , er _.. State CA Zip 'I 0601 Job Property Address 4 - IRL361 o Legal Deacript Prop. (PM, Trac' Lot) LC - t31 a54- urltk. a4- Lot Size Water Agency I Use of Permit P/P, CU, etc Other�� 7 Signature of Applicant Date CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE ❑ SUBSURFACE DISPOSAL 1238 $ 57.00 ❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00 ❑ MULTIPLE PARCELS WITHIN SAME NO PLOT PLAN) LAND DMSION Ltl' SEWER/S_PIIr. VERIFICATION - $ 17007 a. 1 st 4 Parcels (Each) 1238 $ 57.00 (Less than 1 year) .� b. Each Parcel after 4 7344 $ 24.00 ❑ PRELIMINARY ELECTIVE 7352,, $ 23.00 ❑ Rereview (2nd review same parcel) 7344 $ 24.00 , EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351, t$ 47.01 Critical Area 7346 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00~'* ' INITIAL DATE Holding Tank Agreements Completed ❑ Yesgliio�N(p"" , Certt icadon of Existing S.D. System Required ❑ Yes ,I7' Nof� ! WQCB Clearance required. (Attach Form ❑ Yes ,s No DOH SAN 007, Santa Ana Region Only) MW Soils Percolation Report Required. ❑ Yes s�Nd Special Feasibillty Boring Report Required. ❑ Yes 1 Detailed Contour Plot Plans Required (1 to 5 R interval) ❑ Yes[(+401- ' E OMter ❑ Yes "QeNo Cf Staff Specialist Lot Inspection Required ❑ Yes No E � Lot Inspection Date 1 Soils boring report by Project if Date Soils Map 'Pa e.._ Soil Type Approved by spa! No. of Systems Type qVe) No. Dwelling Units 011 (1) SePUc Tank Soil Rate Greaee/Send ❑ FoldingTek` ❑ Existing Bedrooms F1Xtur-ll_nnZ Grease IrftP ❑ New `ReplaoenierM ,/� (2) leach Line Sq. Ft Sidew4rock/�_� I L.insls) R long ft wide with Leech Bed aq. R Bottom trench area R sq. R min. inches rock below drahrlines or of bottom area per running ❑ NA — Leachlines/bed special -design fpr sop +(3) Pit Diameter No. Pits Pit Below(TD)Seepage Inlet 8�ptal Depth Other: APpllioable ❑ 5 ❑ 6 (BI) Max. Allowable Depth ____1 N/A Overburden factor No. 2 System A114 REMARKS: This application isEAPPROV M -HIED' for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated onithe accompanied p p n, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed system. •Nowconstrjtion.is-permitted.im-the-required reserved 100%.expansion-area, x (0.1Septicntank.apd4wer lines must be 50' minimum from any wells, .•(y)..+ Leach limes rmust�be..100:.mir�imurn.from.any-wells,including-expasion.,area- --(3)--.Seepage.pits.roust-be-,13§9'—`mioimum tri ,.any.w.e.eeDs,_i=lvdd�- g.eLcpar�sio C� ��Date^/ Si !`-��✓Y✓�[ tet/. 1'C.0 nature of Health Official W'1 II— . RECEIPT NO. 'Issued By Dates DISTRICT: ❑ Riverside, IQfhldioe ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe i //o c 14 PPS 44E' F02.. r_u J,,6ez.- (oi✓� �'% /fJ,nJ /� �r rY OF 1A OW Alm DOH -SAN -122 (Rev. 3190) DISTRIBUTION: WHRE - Office fiie YELLOW - Applicant PINK_ Bldg. Dept GOLDENROD - Plans/Reoords I ��►, OFFICE OF s' +� AGRICULTURAL COMMISSIONER AND WEIGHIS & MEASURES CALVIN c. KAM114SKAS 4000 LEMON STREET/A911000 Comm, , ROOM 10 ++toner JAMES O. WALLACE CLEMENT 13ENVENISIE AUftm eal Commrr+tonm nIVEnSlt)E. CALIrOnNIA 92501, 390191 t>b•ala of WIohU A Mwru•► (114) 181.2561 49613 Ilighway 86, Suite B12 Coachella, Ca. 92236 (619) 342-8291 DATE 10 A70 CASE 1O. MWELOPER' S t t 04 f nDDREss� 7-7-7 o Dear Developers After reviewing your landscaping plans, all plant material listed is not in Violation of quarantine. laws governing the Coachella Valley. If substitutions do occur attd they. differ from plant material listed, this, office utast be notified' immediately. ' Bank you for protecting and preserving the Coachella Valley's pest -free .envirotmlent. • 0' GXet- l� Agr cultural Civne 's VFflce cc, Indio and Riverside Office