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10394 (SFD)+'t3uiIding Address Owner 51"-240 Ramirez Kevin Gallavan P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 79210 Ave 42 OE2 City Zip Tel. Berr>;tuda Dune: 92201 360--5534 Contractor owner/Builder State Lic. & Classif. Arch., Engr., Designer' Address City Zip City Lic. # Tel. BUILDING: TYPE CONST A.P. Number No. 10394 OCC: GRP. Legal Description Lot 13, Block 72 Project Description SF'D LISq. Ft. Size New ❑ • I"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 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 flleea .signed statement that he islicensed pursuant to the provisions or 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). WD 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 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- 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. ti. P.C. for this reason 1 Date l 19 7 A+,Ownera:n. — e 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. 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 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. Dale Owner NOTICE TO APPLICANT: ff, 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 1609 Stories Add ❑ Alter ❑ No. Dw. Units Repair ❑ "Demolition ❑ Permit does not include any black walls or poo I r . Estimated Valuation 95,998.60 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 279.30 Const. 621.50 Mech. 49.00 Electrical 130. 18 Plumbing 160.50 S.M.I. 9.60 Grading 20.00 Driveway Enc. 20. 00 Infrastructure 2077.72 TOTAL 1 3637.80 1 3367.'�t? REMARKS kt l 0 J. is J. Rest ^t ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Centerline Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date I Permit Validated by: h K Validation. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL SO. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. I SO. FT. DRAINAGE PIPING WALL SO. FT. d FOUND. REINF. DRINKING FOUNTAIN. SO. FT ® METER LOOP URINAL ESTIMATED CONSTRUCTION VALUATION $ OTHER APPIEOUIP. WATER PIPING NOTE: Not to be used as property tax valuation TEMP. POLE FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRYTRAY 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SO. FT. RESID ® I Vi c SEWAGE DISPOSAL FIREPLACE SO.FT.GAR ® 3/ec 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 PLUMBIN ERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER-814-8699C—TAW OUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPIEOUIP. REINF. STEEL . GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. 9 GRADING LUMBER GR. FRAMING y 7 / N FINAL INSFO//1$_plus_x$_=$ ROOFING) 1; IY REMARKS: - VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LA ING a �� MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION- CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT `SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 411 NOTICE: Indio,CA ;92201 Document Cannot Be Duplicated (619)347-8631. Date 1/3/92 '' Type of Permit La',_' Uinta No. 11091 -. Permit # Log # Owner Name . Kevin Gallavan No. 51240 street •Ramirez city1a Quinta . Zip :92253 Study Area 113 "N # Tract;# z, Lot #` . Square Footage 1609 Type of Development'_ Single Family Residence No. of units Comments At -the present time, the Desert $and's,Um. fled}School District does not collect.fees on garages/carports; covered,patios/walkways,.'residential-additions under 500.square feet, detached accessory strucWf6s or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school 'fees at this time-Aue to the following reason: EXEMPTION!NOT APPLICABLE This certifies that schoof facility fees<iinposed pursuant to 'Government Code 53080. in the aniount of 158 X :1609 ar,$ 2,54222: have been paid to.D.S.U.S.D. for the property listed above and that building;permts; and/or. Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Kevin Gallavan Telephone 360.55,34 Name on the check By James E. Lively Assistant Superintendent,'Business Services Fee collected /exempted by Peg y`.Re_ves' ,- ; - Payment{_ Received Signature Check No 545 Collector. Attach a copy of'county or city:plawcheck application form to district copy -for all waivers. Embossed Original- Building DepUApplicant "Copy-`Applicant/iiece'pt Copy:_ Accounting NAME )DRESS ::iTT 6 STATE L .NAME oone•• CITY d STATE RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO, Kevin Gallavan 79210 Avenue 42 #E2 ' Bermuda Dunes; Ca.' 92201 MAIL TAX STATEMENT$. TO Same as above. $ �.. C" oU. -� SPACE ABOVE THIS LINE FOR,.RECOR4CR'S USE Docu ar y transfer omputed on. full %alue of property conveyed, or El Cornpuled on, full value less -lien -encumbrances retr=aining thereon at time 'of. al.e.. ..........................................C......:3.........., .... r Signature of. declarant or agent detcrminlnytax h unit ❑: Unincorf)orated area, City of ..(../ ................ PARCEL NO ;Grant:Deed � . . This form furhished_by Orange°Coast Title Company FOR A VALUABLE CONSIDERATION, receipt of. which is hereby acknowledged,. Lee R. Dickerson, Jr. and Carol Dickerson, husband and'wife hereby GRANT(S) to Kevin Gallavan, a single: man the folluwing described real property. in the county of Riverside , state of California P Lot 13 in Block 72- of Santa' Carmelita' at, Vale La Quinta, Unit No. 9, as shown by map on .,file. in Book 18 ` page 69 of inaps+ in the: office of the County Recorder of Riverside County.' August 28, 1991 Dated------- STATE. OF (--�*0RNIA , 1 r t t c I SS. COUNTY .OP --- -- On_L.J.-- r—I �d.�I----before me, the under signed, a Notary Public in and for said County and State. personally . appeared_ -------- C, — -- known to . me to he the person '__.whose name ` subscribed to the within instrument and acknowledged that �I.I� 1, executed the same. r;irn0� (gnat re of 'tary Name (Typed or Printed) of Notary Lee R: Dickerson, Jr. Carol :>Dickerson FOR• NOTARY SEAL OR STAMP WANDA AHLGRIMM ' !, ) • Notary Public, State of Texas •, • My Commission Expires May 12.1993 RECORDING REQUESTED BY M� AND WHEN RECORDED MAIL TO NAM[ A00R969 Kevin Gallavan. 79210 Avenue 42 #E2 ciTY a -Ca'. 92201 BTAT[I Bermuda Dunes, r MAIL TAX 9TAT[M[NT9 TO NAM[ I Same as above Aoollaaa CITY 6 STAT[ L 1 x,.., W. y':. S li P J II ► aimo SPACE ABOVE THIS LINE FOR RECORDER'S USE Uocu tltaty •transfer tax .$:...................................... 6' puted.-on full .value of I�Iroperty conveyed, or ,❑ Computed oilfull vvlue' lessliens X encumbrances remtiining thereori. at time of 'sale. _J Signature of declarant or agent determine t A - ame E) Unincorporated area City of.. ............"..:: ........ Grafi t° Deed This form furnished by Orange Coast. Title Company. FOR A VALUABLE CONSIDERATION, receipt of whi&tJs Hereby acknowledged, Dale. C. Covey hereby GRANT(S) to Kevin Gallavan, a single man the following de�.cribcd real property in the county of Riverside , state of California: .PARCEL NO -::. f Santa _ .� .. _• :�•F...-:-•,_:..:- .._..-.. Lot "13`iri `Alock '772 oCarmelit•a at Vale La Quinta, Unit No. .9, as shown by map on file in Book 18, page:69 of maps,.in,the?office of the County Recorder. of Riverside County.'' Dated August 28, 1991 STATE OF CALIFORNIA - RIVERSIDE SS. On AUGUST' 29' 19'9i` _before me, the under• signed, a Nota Public in'an'd.Tor said.County and State, personally DALE C COVEY appeared—__-_- - -------- known to me to Ile the person ---.whose name is subscribed to the within instal eat. and acknowledged t he executed the. same. Signature of Notar _- JANE MARIE BEDFORD Name (Typed'or Printed) of Notary I FOR NOTARY SEAL OR STA OFFICIAL SEAL .' JANE -MARIE BEDFORD o NOTARY PUBLIC—CALIFORNIA PRINCIPAL OFFICE IN RIVERSIDE COUNTY Ctxnmissltui Expires 16, 1993 Title Order No.— Escrow, No. MAIL TAX STATEMENTS A5. DIRECTED- ABOVE 1 RECORDING REQUESTED iBY '1 Cn Z, A, LLJ J 3 ra SPACE ABOVE THIS: LINE FOR <RECORDER'S .USE Doc etitaty=transfer tax 5.......�.....5........................ . Comjluted on full value of property conveyed, or Cornjluted on..full value ,less liens & encumhrances . remaining thereon atlime of`sale. ................................................... .......... .......� Signature of dedl rant or,agent determinin ax - h n ame Unincorporated area City of ....:........... Grant:_ Deed This form furnished by Orange Coast:Title Company:. FOR A VALUABLE CONS IDER.ATION,' receipt of which is hereby acknowledged, Jesse Shelton Dickerson hereby GRANT(S) to Kevin Gallavan, a single man the following described real property in the county of Riverside , state of California: 0. :PARCEL NO Lot 1.3 in Block 72 of Santa Carmelita,at',Vale La Quanta, Unit No. 9, as shown- by hownby map on file in Book.:18, page 69 of maps, in the office'of the County Recorder of Riverside County. Dated August 28,' 1991 ',Iesse-Shelton'-Dickerson STATE OF CALIFORNIA )) COUNTY OF KERN } ss. ___before me, the under. signed, a Notary Public to andfor'seid County 'and State,personally appeared- E_ 1 �j;L��.l.,�ON. �l_I ---- =- _=----------- . known to- me to be the person--"' _.whnse name subscribed to the within instrurpent and know lt,,edh,,at(:2��_ _executed the same. Signawre of Notary Name l yped, or rinted)',of Notary I I- FOR NOTARY SEAL OR STAMP •r OFFICIAL SEAL MARDfTH E. ROSE Notary Public-Coliforrtb A KERN COUNTY My Commission ExpItAO March 28,1994 Title Order No. Escrow 1\0. 1 MAIL TAX .STATEMENTS, AS; ,DIRECTED ABOVE AND, WHEN RECORDED :MAIL TO NAME Kevin Gallavan. ADonass 79210 .Avenue 4 - 2 #E2 CITY a Bermuda Dunes, Ca: .92201 STATE L - .MAIL TAX STATEMENTS -'To NAME ADDRESS Same as above CITY & STATE '1 Cn Z, A, LLJ J 3 ra SPACE ABOVE THIS: LINE FOR <RECORDER'S .USE Doc etitaty=transfer tax 5.......�.....5........................ . Comjluted on full value of property conveyed, or Cornjluted on..full value ,less liens & encumhrances . remaining thereon atlime of`sale. ................................................... .......... .......� Signature of dedl rant or,agent determinin ax - h n ame Unincorporated area City of ....:........... Grant:_ Deed This form furnished by Orange Coast:Title Company:. FOR A VALUABLE CONS IDER.ATION,' receipt of which is hereby acknowledged, Jesse Shelton Dickerson hereby GRANT(S) to Kevin Gallavan, a single man the following described real property in the county of Riverside , state of California: 0. :PARCEL NO Lot 1.3 in Block 72 of Santa Carmelita,at',Vale La Quanta, Unit No. 9, as shown- by hownby map on file in Book.:18, page 69 of maps, in the office'of the County Recorder of Riverside County. Dated August 28,' 1991 ',Iesse-Shelton'-Dickerson STATE OF CALIFORNIA )) COUNTY OF KERN } ss. ___before me, the under. signed, a Notary Public to andfor'seid County 'and State,personally appeared- E_ 1 �j;L��.l.,�ON. �l_I ---- =- _=----------- . known to- me to be the person--"' _.whnse name subscribed to the within instrurpent and know lt,,edh,,at(:2��_ _executed the same. Signawre of Notary Name l yped, or rinted)',of Notary I I- FOR NOTARY SEAL OR STAMP •r OFFICIAL SEAL MARDfTH E. ROSE Notary Public-Coliforrtb A KERN COUNTY My Commission ExpItAO March 28,1994 Title Order No. Escrow 1\0. 1 MAIL TAX .STATEMENTS, AS; ,DIRECTED ABOVE COUNTY 6FRIVERSIDE 1DEPARTMENT -,OFHEALTHAssessom Parcel No., ENVIRONMENTAL SERVICES. DIVISIONS' PERMIT APPLICATION`.FOR; ASUBSURFACE .:SEWAGE — SYSTEM DISPOSAL Applicant: Submit this form with four copies of aiCALIE*ploi plafjjl-2. 0SCALE) drawn "to,(o, 9 . nly spe, . C , ulati?ns,;ps indicated on the attached check list. A non-refundable aTfiling-fee.(sewbelow) isrrequired wKe'n'the'-d"ppliciiiion isjiUlirifted m Check,must,be made payable to the County of Riverside. Approval of application-sihallfiama-in valid foral �Period Q'6,exce'e'd on's-,year from:dati,6f'appr6val. - .this # 4ERIFY."I*EMS A LOG r IN SECTION FROM A NON -FEE BUILDING & SAFETY (goldenrod) APPLICATION Agent, Contractor, Contact Person Phone 'Address 'City State Zip ner Phone, ��.j Cj � Address. City. State zip q.1.101 G_ goo Job Property Address city state Zip Legal, lJosctiption Prop. (PM, Tract, Lot) 51ag AVIDAIrit, RAM,jrel- ic,., dIR I•'n Lot Size Water Ag6ncyfftll Use of Pdrmlt P/P CU, etc. Other. 6 C66, �A 441 1117 MH Site Prep, etc. N Iq I I Date _j Signature of Applicant CATEGORY REV CODE FEE.- TN CATEGORY REV CODE FEE Ee\'SUBSURFACE-DISPOSAL (per system) 1238 (!E3__00 0 SITE EVALUATION UPON REQUEST. 7349 $120.00 0 MULTIPLE PARCELS,WITkIN SAME LAND DIVISION (NO, PLOT PLAN) 0 SEWER/SEPTIC'VERIFICATION 7348 $ 58.00 a. 1st 4 Parcels (Each) 1238 $153.00 0 PRELIMINARY`ELECTIVE EVALUATION b. Each Parcel after 4 7344 $�.55.00' (Attach DOH -SAN -53) 7352 $ 69.00 • REREVIEW (2nd review same parcel) 7344 $ -55.00 0 HOLDING TANK 7351 $119.00 • SITE EVALUATION In Conjuction with Critical Area 7346 $197;000 ALTERNATIVE EXPE RIMENTAL SYSTEM 7345 $656.00 !D, GRADING PLAN REVIEW DETAILED 1238 $104.00 • SITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172.00 ! . . '. I � I - o ..REVIEW C] GRADING;PLAN REVIEWURSRY 1238 $ 55.00 0 SECOND F'ELD.V'S'T (SITE EVALUATION) 7346- $ 85.00 _0 COPIES (LAND USE) 7786-81 $ so INITIAL DATE Holding Tank Agreements Completed 0 Yes 0 No Certification of Existing S.D. System Required 0 Yes 0 No WQCB Clearance Required 0 Yes 0 No (Attach Form DOH SAN 007, Santa Ana Region Only) Soils Percolation. Report. Required 0 Yes 0 No .Special Feasibility Boring Report -Required 0 lies O.No Detailed Contour Plot Plans Required (1 to. 5 ft. Interval) 0 Yes 0 No Grading Handout Provided 0 Yes 0 No Staff, Specialist Lot Inspection Required 0 Yes 0 No Maintenance Booklet Provided. 0 Yes 0. No' Lot Inspection Date Initials C/42 / Soils Percolation Boring Report by 26-1- UC/Project # Date Soils Map Page Soli Type Approved By Date No. of Systems Type:6f Systern(s) No Dwelling Units (1) Septic Tank Soil Rate /Sand 13 Holding Tank o Replacement ,WNew - - ,O Addition M Bedroo Ixt6g Units ',G 01, lAtcp1lini TW� 0 Existing - al. -Gal. Sq. Ft. Bottom Area Total Linear Ft.L Sidewall Allowance h Bed sq. ft. rock) 9q, ft: per running ft. It. long of Bottom Area Intel Tested Depth 11 NA min. Inches rack below drainflnes.pr Proposed Bottom IWO Depth Leachllnesn)ed swlW design for slope: (3) Pit Diameter No. 016 p it, 66 ow 'Seepage,Pit Total Depth Other:- InletlBly (TD) i2 Y, Applicable N/A Overburden Factor 0 5 Max. Allowable Depth — Well Review Approvedi Signature Date Well Drilling Permit 0 Grading Plan Approved: L Signature Date REMARKS: This application Is #ARQV96/DENIEIrfo, the 'Category chocked In -SECTION 8 above, regarding the dppign of a subsurface u surface disposal system as indicate on the accompanIed'p8T`plan, using the requirements set forth in SECTION C above. A building -permit is necessary for r the installation of the abov&4esigned system. No d6natructinh Iresannut 1100%.axphrutinn arae (1) Septic tank must be 106', m1himuin.fio m any wells (2), Leach lines must be 100' minimum from any wells, Including expansion area (3) Seepage pits must be 1561.minimum from any wells, including expansion area /A_ Signature of Health Offici I Data— LJCASH WCHECK NO. 1 6 -1-( RECEIPT NO. I g Issued B Date iz 7, DISTRICT: 0 Riverside 0 Indio o 0 Hemet 0 Perris 0, Rancho Calif. O -Blythe CALVIN C. KAMINSKAS Assistant commissioner - (714) 275-3000 OFFICE OF AGRICULTURAL"CQIAMISSIONER JAMES:O WALLACE 'Commisslo�er 0-612 Avenu6A5' Suite J (619) 342=8291 DATE CASE NO. '/2 0,3"��/ / DEVELOPER'S NAME, K 2�%�11 ADDRESS: e - TELEPHONE: Wq ') 'CLCD _553 7�' S-/ _2 DAN RILEY Sealer. Weights & Measures (714) 275.3030 . Dear Developer: After reviewi:nq 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'Conmis oner's Office cc: Indio and Riverside