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04242 (SFD)04242. P.O. BOX 1504 Building 78-105 CALLE ESTADO Address �`LA:QUINTA, CALIFORNIA 92253 Owner Mailing Address 7220 Trade € t � . A-­a&A inn City Zip Tel. San Diego 92121 693-8444-1 Contractor m 1.61' nd'a 1 y, Corp. Address Saw City Izip I Tel. State Lic. City & Classif. 330551 Lic. # 859 Arch., Engr., Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I herebyy affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)-o , I 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 -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, 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 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 of sale.) O 1, 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 contractors) 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. ❑ 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 it 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 BUILDINGt TYPE CONST. OCC. GRP. A.P. Number 773-083-003 Legal Description Project Description • • • 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 I,N�S�P��ECTO�R Issued by: Date Permit Validated by: Validation: WHITE --FINANCE; PINK -:.APPLICANT; GREEN -,BUILDING; GOLDENROD'- ASSESSOR'S OFFICE, HARD COPY 7 FILE Sq. Ft. 1474 Size No. Stories No. Dw. Units New ❑ Add O Alter ❑ Repair O Demolition 0 Pdreh 251 Garage 4201 Fence 200 Estimated Valuation $77033 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. E! s Const. 367-100 Mech. 31Q ,0 Electrical 75068 Plumbing 107.00 S.M.I. 5,43 Grading 70.00 Driveway Enc. 20.00 Infrastructure 8� . TOTALpg33..�" 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 I,N�S�P��ECTO�R Issued by: Date Permit Validated by: Validation: WHITE --FINANCE; PINK -:.APPLICANT; GREEN -,BUILDING; GOLDENROD'- ASSESSOR'S OFFICE, HARD COPY 7 FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO F1 pr $ UNITS f/6LAB GRADE _ V O ROUGH PLUMB BONDING SPKLR SYSTEM 2ND FL SO FT. atYARD FORMS SE. P ANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO FT. a GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR SO. FT. or TEMP. POLE -// GROUT DRAINAGE PIPING CAR P. SO FT. it FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN WALL SO. FT. (d -$ LUMBER GR. FINAL INSP. FRAMING SO. FT. (2URINAL ROOFING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTONDISH) APPLIANCE DRYER FIREPLACE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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. SO. FT. ®c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID a 1+A c SEWAGE DISPOSAL SO.FT.GAR @ 3/4c HOUSE SEWER CERT. OCC. 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 8 AIR COND. SOLAR SETBACK /0 ' �"/-S(/ GROUND PLUMBIN jr 0 UNDERGROUND A.C. UNIT COLL. AREA f/6LAB GRADE _ V O ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SE. P ANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. 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 FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING INAL INSPECTION -7-0-8 -0-8 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL ,3 z O_ I— U w U) Do z O H U w U) U) Y Q W Ir X z O I— U W U) A COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM 773 —083-003-9 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 # Name (Owner, Agent, Contractor, Etc.) Mailing Address DESERET HOMES, LTD. 7220 TRADE ST., SUITE 100 City State Zip Code Telephone SAN DIEGO CA 92121 (619) 693-8444 Job Property Address 'City or Community Legal Description of Property. (Lot, PM, TR) 51-300 AVENIDA RAMIRE& LA QUINTA LOT 22 BLK 66 SANTA CARMELIZ T VAT.V. T.A OTTTMTA _ T TrP $1; 'Assessor's Parcel No. Water Agency'QNell DWELLING W/ Lot Size Use of Permit Planning Case q 773 4083 —003-9 CVWD ATT GARAGE SFD SFD, MH Site Preparation Etc. 50X10( DE;SE `i" HOMES, LTD. Ca/ liXj�z, K6{ee JUNE 17, 1988 Signature of Applicant VERNA LE;NCH VP Date LENDEL CORP, GEN PARTNER'The above information must be verified from Building Application ti STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date Certification of Existing S.D. System required. ❑Yes 0 N WQCB Clearance required. ❑ Yes © No t I Soils feasibility'report required. ❑ Yes ❑D No X�Ccjaj 'f'k`. aca 1 alt L.L r w " "Dl etailedLboring report regWred. ❑ Yes © No Detailed contour plot plans required. ❑ Yes No Staff Specialist approval required. ❑ Yes No —Lot Inspection Date r Soils/boring report by C' i Project # Date Soils Map Page Soil Type Approved by " Date Type of System: No. of Bedrooms (1) Septic Tank S II Rate Required; ❑ Existing ❑ New ❑ Additional ❑ Replacement \y ti C. M L• ! t a! At Gals. 1-(2 (2) Leach line sq. ft. Sidewall allowance/ Install Line(s) Ft. Long, Leach bed Sq. (Bottom trench area) ft. rock/ Sq. Ft. Ft. wide with min inches Ft. of bottom per running ft. ❑ N/A rock below drain lines area o Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth Y Applicable N/A Overburden factor ❑ 5' 0/'6'i ` ry L Max. allowable depth i• i ",.if>� t, � tai.: /• � �r'��: •, SfCL.� QV4o S ., This application is a ~ pp pproved/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 �i yly. (2) Leach lines must be 100' min. from any wells including expansion area Vmi Seepage -pits must be 150' i�f om any wells including expansion area > t t o r ��-• \ :0� fVY ^.��. Signature of Health Official _ Date RECEIPT NO. ­1 Issued by Date District: ❑ Riverside -EIndio ❑ He ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) RECORDINGAEQUEST.ED;P" TICOR TITLE .'I;lf§URANCE COMPANY. OF CALIFORNIA dECORDiNQ.RZ':JtSTED BY ♦ A ncWII TLE;I iWRAMcb n W C O AND WHEN RECORDED MAIL TO V 1W 9e Name Deseret Homes, Ltd.. 7220 Trade Street. #100 0 1 �. Street Addracc San Diego,. CA 92121 A �.: E .0 W � Swi $ L C4 Q Y g • ,., W �- a a MAIL TAX STATEMENTS TO'' cKv ,�,, a`�:, W a w f i� O a U. Name ,n:. SAME AS ABOVE Street F- .r Address ¢ a. city 8i �...' . state L - - ...SPACE ABOVE,.THIS LINE;FOR RECORDER'S USE CAT. NO. NNO0582' TO 1923.CA (2 —83) 'ndividual Qrant,Deed THIS: FORM FURNISHED BYTICOR TITLE,INSURER6 ` The undersigned' grantors) decla"re(s): Documentary transfer`tax is $ .:6..,.60. . a a (x x ) computed: on:full value of. propertyconveyed; or ( ) computed onJuil value less value of liens an&encitmbrances remaining at -time of sale. ( ) Unincorporated,area: (:xx):Cityof 'La''Q,uint;a ,and FOR A VALUABLE CONSIDERATION,. receipt of which is: hereby acknowledged, rI ANA ROSA WALKER rR M hereby GRANT(S) to DESERET: HOMES., LTD. , o a California l .mi°-t:ed partnership 1 the following described .real property in the City of L a Qu. n t a r; County of Rivers i d e , State of California: Cj Lot- 2-2—i�nBlock ,66,- it- No'. 6.•.oi'-,Santa Cariuel;ita a;t,i: Vale Ld Quittta C). in the. Courrt�yy of R versde, S ate of, California',,' as per map recorded C14C. in Book 18 Page 6:7 of;; -Maps,- in 'the Office of, the County.Recorder of said county. Dated': May ,.8 ,: ,:1.9`86 . STATE OF CALIFO[2NIA ^' _ COUNTY OF GZS AA1NE1C'-S }SS.,. On _ 779A,/ '/3,;../% � before ` me, the and rsigned, a Notary PunState, personally appearedi.g it'bS� Lr/ALX�' personallyAnown to- me,or'proved tome on the, basis?of sat= Isfactory evidence to be the person whose name subscrib55d co :'the within instrument a that S,[ nd•.acknowledged, o y OFFICIAL SEAL ' che:same.. RICHARD J. LAZARE WITNF my hand and o teal Seal. �•! NOTARY PUOLIC -CALIFORNIA PRINCIPAL OFFICE IN ANGELES COUNTY Signature ��/ LLi 6 L , LOS my Commission Ejores Mueb Z L990 (This -area f6r.official notarial seal Title Order No. 467228, ' . Escrow or Loan No. A 11; 39519 MAI L TQX STATEMENTS AS:D I R ECTED;ABOVE,, ; T4 , rcu 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 August 8, 1989 To Whom It May Concern: The structure located at 51-300 Ramirez in La Quinta was inspected by the City and the required raised pad elevations, per City Codes, were approved. Should you have any questions concerning the above, please contact the undersigned. Very truly yours, JERRY HERMAN PLANNING & DEVELOPMENT DIRECTOR Tom Hartung Building Official TH:bja cc: File BVLTRT%� UNG ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253