08958 (SFD)P.O. BOX 1504 Al 1110. 0895
Building 78-105 CALLE ESTADO
Address - $2-804 Ram$rLZ LA QUINTA, CALIFORNIA 92253
Owner I/j
T.P.H. HOLDINGS
Mailin
AddressIll SULU G
73-Et25 3�3.�h>�ay
City Zip Tel.
. pain Desert 1 92260 1 773-3125
Contractor
ress
P.O. B= 2983
Zip Tel.
State Lic: City
& Classif. 480121 B-1 Lic. # 1526
Arch., Engr.,
Designer
Address Tel.
City ( Zip( State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70 OO) 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 1 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 or 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).
O I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, andthe 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, asowner 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.) -
O 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
Owner
r
WORKERS' COMPENSATI0t4�C
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 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
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
LDING: TYPE CONST. S g_p-, OCC: GRP.:
P. Number 773=373
I Description
,ct Descriptions
Sq. Ft. No. No. Dw.
Size 1434 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
r
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep. 250.08
Plan Chk. Bal.
224 Z
Const.
Mech.
2,00
Electrical
o 17
Plumbing
7
S.M.I.
S.S11
Grading
An
Driveway Enc.
20 .00
Infrastructure
1737.91
PrPA-1v^ Plan 25,1110
TOTAL ?991,446
REMARKS
A^ttc ill A^ 14A1 f; r•!«,.94 -"t 10
ZONE: BY:
Minimum Setback Distances:
Front Setback frorr Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from ?roperty 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
FLOOR DRAIN
MECHANICAL FEES
BONDING HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE. DRYER
ROCK STORAGE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (ROUGH)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
OTHER APPJEQUIP.
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.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
ROOFING /�
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 11 Y Qp
GROUNOUM-01i�e
AW
UNDERGROUND A.C. UNIT
COLL. AREA
SLAB GRADE/
ROUGH PLUMB.
BONDING HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
FINAL INSP. . 9/ Cu. yd.
$ —plus—x$—=$
LUMBER GR.
FRAMING 11 a7 O
FINAL INSP.
ROOFING /�
^,
12W, ✓�1!
�
RE RKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 10/26/90
No10231 '
• : ,
Owner Name T.P.M. Holdings
Type of Permit I La Quinta
Permit # Y .
Lo¢ #
No. street See below
city La _Quinta zip 92253 study Area 0
APN # Tract # .. Lot #. square Footage 14290
Type of Development Single Family Residence No. of units 0
Comments 52-ROO Ramirez (Area l�l l ), 52-100 AIvargdo (Arpa l l l )antJ
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 fatality fees imposed pursuant to Government Code 53080 .
in the amount of 11.58 1 X M$ 6277820 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 Hopewell Partners, ,Ltd. Telephone 773-31255
Name on 'the check
By Richard M. Beck
Director, Facilities Planning & Development _yJ '" x "'-•��;i
- S}a^ a�4r6S t A
Fee collected /exempted by Shelley D. Bennett
Payinen_t Receive -d'. F
Signature r{� ` Chad. 'Pio. 227
Collector: Attach a copy of County or City plan check application form to DiatAict copy:
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
P. C a t
09/06/1990 15:17
FROM FOSTER,PEPPER & SHEFELMi
Order No. 102695
Exrow No. 903276 -MA
Loan No.
FIDELITY NATIONAL TITLE INS. CO.
WHEN RECORDED MAIL T0:
LANDRACE CORPORATION (Tom Pors)
c/o Foster Pepper & Shefelman
Security.Pacific Plaza, 15th Floor
777 108th Avenue N.E.
Bellevue, WA 98004
MAIL TAX STATEMENTS TO:
SAME AS ABOVE
C
r
16197733097 P.02
1�JQR FILEnEav
ro �
SPACE ABOV£ THIS LINE FOR RE
DoClNV1F.NTARY TRANsr-ER TAX �._ 2725 ._.........._._......_
.. Computed on the consideration or value of property conveyed; OR
.X.XComputed on the consideration or value less liens or encumbrances
remaining at time of sale.
Signature of Otclersrrt or dko"t, determining t♦x - Firm Name
CORPORATION GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
T.P.M. HOLDINGS
a corporation organized under the. laws of the State of Nevada
GRANTto LANDRACE CORPORATION, a Washington corporation
, does hereby
the real property in the City of La Qui rata
County of Riverside , State of California, described as
Property described on EXHIBIT "A" and EXHIBIT "B" attached hereto and by this reference
made a part hereof
• '-'Detect- - June5; 199^v_`'
STATE OF CALIRNIA !�
COUNTY OF jam\(( LJ 6,4Q, ,
on Jt= 5, 1990 before me.
the undersigned a NotarxPub+Ic k+ and for eald SWe. personalyapmr`
edand—
proved tome on the basis of satisfactory
Wide) he peraons who executed the within Instrument as
President and
on behalf
the corporation therein name4 and acknowledged to me that such cor-
poration executed the within instrument pursuant to Pot briews or a
—� resolution of i" board of directors
Vq
f
-T.P M -.-((-HOLD RS
By
THOMAS P.
MOYER President
#' J'
,
By r - Secretary
OY FICIAL SEAL
'i:�k
1. BRi�ENO
ttata>y P*iC - C211062
��
OMWA COUNTY -
MY CM"j;sion Expires Fes. 28. Im
09/06/1990 15:17 FROM FOSTER,PEPPER & SHEFELMAN TO 16197733097 P.03
216235
EXHIBIT "A"
PARCrL 1:
'Lot 8 in Block 3 of Santa Carmelita at Vale La Quinta, Unit No. 1
as per map recorded in Book 18, Pages) 46 of Maps, in the Office
of the County Recorder of Riverside County.
PARCEL 2:
Lots 5 and 6 in Block 239 of Santa Carmelita at Vale,La Quinta,
Unit No. 22 as per map recorded in Book 20, Page(s) 24 of Maps,
in the Office of the County Recorder.of Riverside County.
PARCEL 3:
h
Lot 4 in Block 4 of Santa Carmelita at Vale La Quinta, Unit No. 1
as per map recorded in Book 18, Page(s) 46 of Maps, in the Office
of the County Recorder of Riverside County.
Said land is situated in the City of La Quinta, County of Riverside,
State -of California.
09/06/1990 15:18 FROM FOSTER,PEPPER & SHEFELMAN TO 16197733097 P.04
EXHIBIT "B" 216235
PARCEL 1:
.Ltt 4 in Block 160 of Santa Carmelita at Vale La Quinta, Unit No.
16 as per map recorded in Book 18, Page(s) 99 of Maps, in the
Office of the County Recorder of Riverside County.
PARCEL 2:
Lot 9 in Block 58 of Santa Carmelita at Vale La Quinta, Unit No.
5 as per map recorded in Book 18, Page(s) 63 of Maps; in the
Office of the County Recorder of -Riverside County.
PARCEL 3:
Lot 18 in Block 2 of Santa Carmelita at Vale La Quinta, Unit No.
1 as per map recorded in Bock 18, Pages) 46, of Maps, in the
Office of the County Recorder of Riverside County.
PARCEL 4:
Lots 10 and 11 in Black 93 of Santa Carmelita at Vale La Quinta,
Unit No. 11 as per map recorded in Book 18, Page(s) 75, of Maps,
in the Office of the County Recorder of Riverside County.
PARCEL 5:
Lot 13 in Block 102 of Santa Carmelita at Vale La Quinta, Unit
No. 11 as per map recorded in Book 18, Page(s) 75, of daps, in
the Office of the County Recorder of Riverside Count-.
PARCEL 6:
Lot 23*in Block 113 of Santa Carmelita at Vale La Qu_nta, Unit
No. 12 as per map recorded in Book 18, Page(s) 79 of Maps, in the
Office of the County Recorder of Riverside County.
rs5�ri.�.3t`"c't'pµtc
PARCEL 7 : is F Y,:,-
-7 i-- �\ Y�OPF t w
Lot 11 in Block 64 of Santa Carmelita at Vale La Quinta, Unit No.
6 as per map recorded in Book 18', Pages) 67 of Maps..' in' the' -
Office of the County Recorder of Riverside County.
PARCEL 8:
Lot 14 in Block 157 of Santa Carmelita at Vale La Qu_nta, Unit
No. 16 as per map recorded in Book 18, Page(s) 99 of Maps, in the
Office of the CountyRecorder of Riverside County.
PARCEL 9:
Lot 17 in Block 66 of Santa Carmelita at Vale La Quinta,'Unit No.
6 as per map recorder in Book 18, Page(s) 67, of Maps., in the
Office of the County Recorder of Riverside County..
PARCEL 10:
Lot 17 in Block 249 of Santa Carmelita at Vale La Qu_nta, Unit
No. 23 as per map recorded in Book 20, Pages) 25, or Maps, in
the Office of the County Recorder of Riverside County.
09/06/1990 15:19 FROM FOSTER,PEPPER & SHEFELMAN TO
PARCEL 11:
16197733097 P.05
%3623$
Lot^19 in Block 84 of Santa Carmelita at Vale La Quinta, Unit No
10 as per map recorded in Book 18, Page(s)'70, of Maps, in the
.Office of the County Recorder of Riverside County.
PARCEL 12:
Lot 4 in Block 257 of Santa Carmelita at Vale La Quinta, Unit No.
24 as per map recorded in Book 19, Page(s) 44 and 45, of Maps, in
the Office of the County Recorder of Riverside Count.
"PARCEL 13:
.Lot 14 in Block 117 of Santa Carmelita at Vale La Quinta, Unit
No. 12 as per map recorded in Book 18, Page(s) 7.9 and 80, of
Maps, in the Office of the County Recorder of Riverside County..
4 PARCEt 14
ftot 24 in Block 158`,of Santa Carmelita at Vale La Quinta, Unit
No." 16 as per map recorded in Book 18, Page(s) 99, o= Maps, in
the office of the County Recorder of Riverside County.
Said land "is situated in the City of La Quinta, County of
Riverside, State of California.
c � S
RECEIPT NO.
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Ase'"GM Parcel NO.
Date
ENVIRONMENTAL. SERVICES DIVISION PeD3
DISTRICT: 0 Riverside,
PERMITAPPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
0 Blythe
Applicant: Submit this form with four copies of
f a scaled plot plan (1 -20 scale) drawn to -County speculations as Indicated on the attached check liaL.
A non-refundable filing fee (see bel6k) is required when the application Is submitted. Check must bemade payable to the County of
Riverside. Approval of this applicailonshall remain valid for a period not to exceed one year from dateofapproval.
<
VERIFY ITEMS. IN SECTION A FROM BUILDING-& SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION _OG #
Z
0
Agent, Contractor, -Contact Person
Phone Address & Firm
UJ
141
Phone Mailing Address
Des
U)
et
C
Stale
Zip
Job Property Address
Legal Description Prop. (P
Lot Size
ter Agent /VW
Use of Permit P/P, CU, etc.
Other
' w4f
CV.Dwelling
fzo Lt� //. folv e
Eelli�QM' Prep, efc. IV
. . .
o 1-7 d
Signature 01ft_0KQh
Date
CATEGORY: REV CODE FEE
CATEGORY: REV CODE FEE
SUBSURFACE DISPOSAL 1238
0 SITE EVALUATION UPON REQUEST 7349 $ 43.00
In
0 MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
LAND DMS40N
0 SEWER/SEPTIC VERIFICATION! 7348 $ 17.00
0
a. 1 at 4 Parcels (Each) 1238 $ 57.00
(Loss than 1 year)
b. Each Parcel after 4 7344 $ 24.00
0 PRELIMINARY ELECTIVE 7352 $ 23.00
UJ
0 Rereview (2nd review same parcel) 7344 $ 24.00
EVALUATION (Attach DOH SAN 53)
U)
0 Site Evaluation in Conjunction with
0 HOLDING TANK 7351 $ 47.00
Critical Area 7346 $111.00
0 ALTERNATIVE/EXPERIMENTAL 7345. $222.00
E3 Site Evaluation Lot -Loss than
SYSTEM
10,0100 Sq. Ft. 7347 $ 87.00
INITIAL DATE
Holding Tank Agreements Completed 0 Yes No.
Certification of Existing S.D. System Required 0 Yes No
WQCEI Clearance required. (Attach Form 0 Yes No
DOH SAN 007, Santa Ana Region Only)
Solis Percolation Report Required. 0 Yes No
ItNlo
Special Feasibility Boring Report Required. 0 Yes No
Detailed Contour Plot Plans Required (11 to 5 ft. interval) 0 Yes NO
Other 0 Yes NO
Staff Specladlist Lot Inspection Required 0 Yes
Lot Inspection Dole
le
Solis boring report by 14 Project #t Data
Soils Map Page Sol Type Approved by AAJ &0 Dales
Z
No. of. System
Type of Sys"s)
(1) Septic Tank
Sod Rate
Gresse/Sand
0
0 Holding Tank 0 Exiaft
Now 0 Replacement
100V Gal
'G7.'
LU
U)
q. Ft
(2) Leech LWS-
Sidewall allowance
Install Line(s). - ft. long fl with
Leach Bed sqA
7mncn area
- ft. rock/_ 9% it.
per running It.
min. below dralrdines
NA
Leachlines/bed special design for slope:
(3) Ph Diameter
No. Pits
Ph Below
Seepage Pit Toted Depth
Other.
Applicable
Inlet (BI)
(TD) /)?.-
Max. Allowable Depth
Yo
N/A X_ Overburden factor
1.9 6
No. 2 System
REMARKS:
This application i APPROVVE�D'ENIED for the category -chocked in SECTION B above, regarding the design of a'i'.b.-,rface disposal system as indicated
on the accompanied -M A, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the
Z
above -designed system. No construction is permitted in the required reserved 100% expansion area.
0
Septic tank and sewer lined, must be 50' minimum from any wells
b(2)
Leach lines must be 100' minimum from any wells, including expansion area
UJ
Seepage pits must be 150' minimum from any wells, including expansion area
U)
Signature of Health Official &Z' <<&A Date ////4,1
RECEIPT NO.
issued By AAJA
Date
Laha
DISTRICT: 0 Riverside,
0 Indio 0 Hemet 0 Perris 0 Rancho Calif.
0 Blythe
DOH -SAN -122 (Rev. 3190) -DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
4
o
• - - - .. 'fit i
1 ,'►. OFFICE OF
1
AGRICULTURAL COMMISSIONER •
AND
IN KAS
;+,• „ ;; WEIGHIS & MEASURES cnt-vIN C. KAM s
_ M~ CornmHetonix ; t
JAMES O. WAUACE 4080 LEMON StREEL ROOM 19 Cl'cMENI BENVENISIE
Aprk�Ahrvt Cort,mitttoner RIVERSIDE. CM_IFORNIA 92501 t ; ,
09010 of Wtphtl s MwSub (714) 781.2561 : `
49613 Ilightray 86, Suite B12
Coachella, Ca. 92236 ,
j ( 619) 342-8291.
DA'I`S CASS NO. pt L` O `� O < % '
1
DEVEIAPEFt'S N11Mt1 G-A-it✓0.ce ��C
11UDItESSt `73 _ (�,-z,S"
O
�Z—foo • 69-Ivava� � o ,.
.•,i Dear Developers;. rr�ll ° T.
After reviewing your l8ndscaping plans, all plant material listed is 'lot: in
t violation of quarantine -laws governing the Coachella Valley. If substitutions yl.,
'I do occur and they differ from plant material listed, this office must be notified.''
iimtediately.
.; Thank you for protecting.and preserving the.COachella Valley's pest-free'_envirorment. +:
it a
d
Agr cultural.Cctn ss er s Oif c-� e
f ' cat Indio and Riverside office
i 1
t •
i•. �•�• r _ _ ,.. tit •• .i''.
.;i1 _ - - '(.•' '. In
•��� rte• I.