11586 (BLCK)4
P.O. BOX 1504 N o . 11586
Building 78-105 CALLE ESTADO
Address yid -- t «jgUhl LA QUINTA, CALIFORNIA 92253
Owner . J��o
Dean McGuigan. BUILDING: TYPE CONST. OCC. GRP.
Mailing
Address 74--940 1; ;� A.P. Number
City Zip Tel.
Indian S$akit + i Legal Description
Contractor Project Description Lot 22 Block 264
Svnercon Defcl.onrwnt Com.
Address
74-'940 fty. 111
City Zip Tela
Indian We21. ,, 3221.(} 594-90,)Q
State Lie. City
& Classif. 3374170 Lie. # 2419 Sq. Ft. 3490 No. No. Dw.
Arch., Engr.,
Size Stories Units
Designer Dave Dietrick New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel. Permit includes block gall. PooI
City Zip State permit to be obtained Separately.
Lie. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) t.of Division 3 of the Business and Professions Code, and my license is in full force and
effec
SIGNATURE DATE
OWNER -BUILDER DECLARATION'. Estimated Valuation $208,238.70 W
I hereby affirm that I am exempt from the Contractor's license Law for the following 20$ , 238.70
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 AMOUNT
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT
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 , Plan Chk. Dep. 250.00
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).- Plan Chk. Bal.
0 1, 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 (,Oust.
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, Meeh.
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 Electrical
of 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- Plumbing
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 S.M.I. 20.90
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
❑ I am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date Owner Infrastructure2,252.52_
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.
TOTAL 2,023.42
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit Is for one hundred dollars ($100) valuation -+n ► -
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 ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear 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, Civil Code.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
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 stale 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-.
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SQ. FT.®
SQ. 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
ROUGH PLUMB. BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
HEATING (FINAL)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SQ. FT. ® c
BATH TUB
LUMBER GR.
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
j L�,iJ�
ew-
`J � ) y,
d�y,2c0
/ n ! l( f 5.1 W �9
f7
SQ.FT.GAR ® 3Yec
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
STRUCTURE ,-- PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBINGtj fl 6 UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
i
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)(M 3� METER LOOP
✓
HEATING (FINAL)
OTHER APPJEQUIP.
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.`
FRAMING fG��/?J 1✓J
FINAL INSP. a7_�i3
- Rte. ��" 4
VENTILATION
ryC110�nl�l�
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/ n ! l( f 5.1 W �9
f7
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LAW C M[ i
MESH
�y
INSULATIONISOUND Lf 40
L /
FINISH GRADING
FINAL INSPECTION �3
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
+ O, R/Y
CALVIN C. KAMINSKAS DAN RILEY
Assistant Commissioner c '
��\ ° Sealer, Weights &Measures
(714) 275-3000
\ (714) 275-3030
-SO
OFFICE OF'
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291
DATE �1 �j ��`�.: CASE NO. 'PC C
DEVELOPER'S NAME:,��C
ADDRESS: 3 oc:> t-fU_ G " c>
TELEPHONE:
1 SQt�-2 a.. �o't ✓'eS S
Dear Developer:
After reviewing your landscaping plans, all plant material 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.
Agricultural Commission Off'ce
cc: Indio and Riverside
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012
0
RECORDING REQUESTED BY
AND W CPWACOi GWtiflT��Z:.'7� ?'_••1'%7t�+EiINlE�N4 TS
h1jW, OTH
BEL
SHOWN
1�
u+ NAMR SYNERCON DEVELOPMENT CORP. INC.
NADDRE:s 7494--940 Highway 111 #429
CITY , Indian Wells, CA. 92210
STAT!
zip L
Title Order No. 537421 Escrow No. 13172
N
4M
CMI
too
02
a
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SPACE ABOVE THIS LINE FOR RECORDER'S USE
GRANT DEED
e undersigned declares that the documentary transfer tax is 8.......................
........................................................... and is
computed on the full value of the interest or property conveyed, or is
❑ computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land,
tenements or realty is -located in
❑ unincorporated area city of ......... La..Qu nt.a------------------------•---.:::-------...-------•--------------•-... and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
WILLIAM R. RILEY, AN UNMARRIED MAN
hereby GRANT(S)'to
SYNERCON DEVELOPMENT CORPORATION, INC., A CALIFORNIA CORPORATION
IN
the following described real property in the City of La Quinta
county of Riverside , state of California:
Lots 22, 23 and 24 of Block 264, Unit 24, Santa Carmelita at Vale La Quinta,
as per map recorded in Book 19, Pages 44 and 45 of Maps, in the office of
'^ the County recorder of said County
May 27, 1992
STATE OF CALIFORNIA
COUNTY OF Ri vc-r.i iP 1 SS.
On this the 27th day of r Ma
Notary Public in and for said County and State, personally appeared .
William R. Riley
personally known
to me or proved to me on the basis of satisfactory evidence to be the
person whose name is subscribed to thawithin instrument
and acknowl g t he executed the same.
Si na otary
William R. Riley
19 92, before me the undersigned, a
FOR NOTARY SEAL OR STAMP
••a•:s:s•a�::�:•:ss•::•.st.��a�aaaaa�
i OFFICIAL SEAL
CINDY MILLER
• •u. NOTARY PUEILIC—CALIFORNIA
r
O
.4-A NOTARY BOND FILED IN
Y
U
My commisslon Explres APRIL 22, 1994
OOQO
ssessasasasaaoaoeosost;ssaaoensnsooa
Assessor's Parcel No .............................................
^j
co
�z
N
4M
CMI
too
02
a
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SPACE ABOVE THIS LINE FOR RECORDER'S USE
GRANT DEED
e undersigned declares that the documentary transfer tax is 8.......................
........................................................... and is
computed on the full value of the interest or property conveyed, or is
❑ computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land,
tenements or realty is -located in
❑ unincorporated area city of ......... La..Qu nt.a------------------------•---.:::-------...-------•--------------•-... and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
WILLIAM R. RILEY, AN UNMARRIED MAN
hereby GRANT(S)'to
SYNERCON DEVELOPMENT CORPORATION, INC., A CALIFORNIA CORPORATION
IN
the following described real property in the City of La Quinta
county of Riverside , state of California:
Lots 22, 23 and 24 of Block 264, Unit 24, Santa Carmelita at Vale La Quinta,
as per map recorded in Book 19, Pages 44 and 45 of Maps, in the office of
'^ the County recorder of said County
May 27, 1992
STATE OF CALIFORNIA
COUNTY OF Ri vc-r.i iP 1 SS.
On this the 27th day of r Ma
Notary Public in and for said County and State, personally appeared .
William R. Riley
personally known
to me or proved to me on the basis of satisfactory evidence to be the
person whose name is subscribed to thawithin instrument
and acknowl g t he executed the same.
Si na otary
William R. Riley
19 92, before me the undersigned, a
FOR NOTARY SEAL OR STAMP
••a•:s:s•a�::�:•:ss•::•.st.��a�aaaaa�
i OFFICIAL SEAL
CINDY MILLER
• •u. NOTARY PUEILIC—CALIFORNIA
r
'
•
.4-A NOTARY BOND FILED IN
RIVERSIDE COUNTY
My commisslon Explres APRIL 22, 1994
ssessasasasaaoaoeosost;ssaaoensnsooa
Assessor's Parcel No .............................................
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE: IF NO PARTY SO SHOWN, HAIL AS DIRECTED ABOVE.
' Name
CAL-1/CT (Rev 2-88)
Street Address
City & State
S
PLAN
3'
CERTIFICATE OF PARCELfry
II I oj1
%s = 4
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RecordOwnerDCM M At GWA N
Address gy_gqo j{Wltl T.uj. g7_21 0
Map Prepared By DA U p bIETRICK
Address y¢-e�44 11wY fr/ .% UJ. tZ2� D
Scale 8 = 4 1 p f
Assessors Parcel Na
'774--.,135-6pZ
Recording.
City_ of La'Quinta
Mien Recorded, Return Tb: _
La Quinta Planning and j
UVEIFpment Department
P.O. Box 1504
La Quinta. CA 92253
_ - -
No Fee, 6103 Gvverrunent Code
Bgnef it of La Dainta Camunity
Development Department
EXHIBIT B
G"EUTIFICATE 04F mm'"ERGER
1/s 4 -011
/00'
1 �
40
32'4
DEPARTMENT USE ONLY ^ _
Record Owner W b11AC (%U1.4 1 This Certificate of Parcel Merger No. is
Address y L "T4a RY �X, ,A) q Z Xl o hereby approved.
Map Prepared BY Io 4u �0 �I r k -L By
Address a'4- -!9!1! 0 a i Q M- (A) —i=Title
Area/District Date
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60
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