14709 (SFD)P.O. BOX 1504
Building ' 78-495 CALLE TAMPICO
Address 51-180 AVe • Ramirez LA QUINTA, CALIFORNIA 92253
Owner St92AraSia C®rIQr�FSA1
D 14
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 773-062-008
Legal Description Lot ' 15 ' Black 72
Project Description SF8 '
No. 14709
Address 72-850 Samera toad
City Zip Tel.
Pala Desert, C1, 32260 (619)346-2-840
Contractor
Sime
Address
State Lic. 53.3670& Classif. .
Arch., Engr., ��
Designer
Address
Tel.:
City 137
Lic. # Sq. Ft. 1550. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Tel. Permit does race inclUde black walls..
City I
Zip I
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am
licensed=under provisions of Chapter 9.(commencing with Section
7000) of Divislo, 3Tt21 a BussInness and Professions Code, a drorr ydidbrise is in full force and
$1GNATUR, 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
pemrif to construct, atter. 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 (8500).
❑ 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
. 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. 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 or sale.) .
❑ I, as owner of the property, am exclusively contracting. with licensed contractors to con-
struct the project. (Sec. 7044. Business and.Proressions 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.)
Poli o. 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 (8100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any Parson in any manner so as to become subject to the Workers' Compensation
Laws of California
covered - pati
Estimated Valuation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
.Const.
Mech.
Electrical
Plumbing
S.M.I. ,
Grading
Driveway Enc.
Infrastructure
0 r `4r pool
$93r901.00
Precise P-lan
TOTAL
REMARKS
f
• S
. r
AMOUNT
x269.34 .
612.5` .
55.50
120.95
144.03
9.37
20.00
.00 .
2 tO74.52
25.60
3,336.16
Date Owner+
NOTICE TO APPLICANT: d, after making this Certificate of Exemption- you should become
ZONE:
B�� `�bi
subject to the Workers' Compensation provisions of the.. Labor Code, you must forthwith
y •�`
Minimum Distances:.
comply with such provisions or this permit shalt be deemed revoked.
Setback
MS
Front Setback from Center Line
'
A
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, -AND
Side Street Setback from Center Line .
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,
Side Setback from Property Line ,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR•.CODE, INTEREST, AND
ATTORNEY'S FEES.
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. PLURJ-i i S
IST FL. SQ. FT. $
UNITS'
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS It
.�/
SEWER R /1WK
/
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT ®
GAS (ROUGH)•
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT.
GROUT
WATER HEATER
WALL SQ. Ff.
FINAL INSP.
DRINKING FOUNTAIN
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP. ��
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE i DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL' FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR i HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
I
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.I
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ec
HOUSE SEWER
FINISH GRADING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE -
DBL
TOTAL FEES
f
I
MICRO FEE
MECH.FEE PL.CK.FEECONST.
FEE ELECT. FEE
SMI FEE _ PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS It
.�/
SEWER R /1WK
/
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)•
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL j
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR. j
FINAL INSP. ��
FRAMING�5
FINAL INSP. -
ROOFING /�
�Uvv
REMARKS:
VENTILATION
'
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND �/
FINISH GRADING
FINAL INSPECTION 3/ 9 ✓`
CERT. OCC.
I
FENCE FINAL
INSPECTOR'S SIONATURESlINITIALS
GARDEN WALL FINAL
f
DESERT SANDS UNIFIED- SCHOOL DISTRICT
82-879 .Higliway.111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619=775-3500- .
Date 2/14/95 Type of Permit La.Quin ta
No. 13301 Permit #
Log
Owner Name Sunrose Corporation.
No. 517-180 "Street Ave. "'Ramirez...
4
City La.Quinta Zi'p' 92253 Study Area 113
APN # 773-062-008 Tract#. ILot #,: 15 Square Footage JJ550
Type of Development Single Fainily :`Residence No. of units 1�
At the present time, the Desert Sands Unified, -,School District does not collect fees on
garages/carports, covered patios/walkways, 'residentialadditions 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 tls.-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 1550 or $ 2,666:0,0 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 Sunrose, ,Corporation, Telephone 346-2840
Name` on. -the', lcF eck
By Dolores A. Ballesteros' _
Superintendent = z
Fee collecte /exempted,b fllen `PatiriO F
Payment Received''
Signature Check No. 6503
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
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL ;
�° IiNi
Received From:
Address: r� '^ Date:
Account No.
,,Z�t-•1E7-- I eq El -tea+ _ (s) �� / �, •�
Service Address: i (�i� // ,. T��-cam Tract -
Lot
&A. Code
Q/ Meter(s)��
ervic e(s)
�.�
❑ Backflow(s) -e-�
❑ House Lateral(s) 1A
❑ DetectorCheck(s)
^z-
❑ Meter Surcharge
q,SanitationCapacity Charge r
r..
❑ W.S.B.F.C.--�g.��
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account - Name
❑ Inspection Fee - Tract - 1 7
Fee
❑ Plan Check Fees Water / Sewer -
Tract - '
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer Deposit
❑ Other �.
TOTAL $
Remarks: T
❑Copy to:
Cash Water Service
Check ! �_ ,
CG
Money
Order Cashier
-41
D-438(11/891
FEE -14-95 TUE.,.12_ 35- PM TUVELL SUNROSE CORP 619 346 2882
pacific Coast Cscaow Coapoaation
74-920 HIGHWAY 111 INDIAN WELLS, CA. 92210
TELEPHONE (619) 588-0344
Escrow: 15351--004
Escrow Officer: Cindy Burgin
Closing Date: 01/31/95
ESCROW STATEMENT OF:
Sun Rose Corporation
Property Address: Vacant Lot 15, Rlk 72, Ave. Ramirez, La Quinta, CA 92253
DEBITS
TOTAL CONSIDERATION
Additional Deposits
PRORATION•S :
Taxes for 12 months 0 $ 246.40
TITLE CHARGES:
Binder for $25,000.00
RECORDING CHARGE'S:
Deed
FROM TO;
01/01/95 01/31/95
$ 25,000.00 $
40.00
6.00
ESCROW CHARGES:
Escrow Fee 230.25
Drawing Deed 15.00
change of ownership 15.00
BALANCE DUE YOU (CHECK ENCLOSED) 29.85
P. 02
I "
�1 4
H;
CREDITS
f'•'
41,
25,316.25 •-'r -�
*TOTAZ,S* $ 25,336.10 $ 25,336.10:
THIS STATEMENT SHOULD BE RETAINED FOR INCOME TAX PURPOSES.
j'
+
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