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07753 (SFD)Building 53-215 RaMMZ Address Owner P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address 41-740 Trinity -Circle City Zip,Tel. 8et�da Durres 9201 1 345-9221 Contractor Address Tela State Lic.' City & Classif. Lic. # Arch., Engr., I 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 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 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 /or 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 vviolation o/ Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty o/ not more than five hundred dollars ($500). ❑ I, 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 o/ 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 o/ completion, the owner -builder will have the burd n. o/ proving that he did not. build or improve for the pur ose o/ sale.) ❑ I, as owner of the property, am exclusivelyontrecting with licensed contractor to con• slruct the project. (Sec. 7044, Business andiProfessiohs Code;,The•Cohiractor's License Law does not apply to an owner o/ property_ who tjuilds br improve"s lhereon-�and who contracts for such projects with a contractor(s) licensepursulnt to the Contractor's Llcehse Law.) f' O 1 am exempt under Sec. B. >x P. for this reason Date Owner WORKERS' C?MPENSATION DECLARATIrON I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, orta 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'COMPENSATIONINSURANCE (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 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 . No. 07-753 BUILDING: TYPE CONST. _ -DCC. GRP. A.P. Number 774-M-022 Legal Description Lot 11 Project Description Single Fara# ty DwI l irg REMARKS ZONE: BY: Minimum Setback Distances: Front Setback frortr Center Line Rear Setback from Rear Prop. Line Side Street Setbac< from Center Line Side Setback from (Property Line FINAL DATE INSPECTOR Issued by: Date 5/3/90 Permit Validated by: Validation:_ Sq. Ft.� Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation *RA A24 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. d? Const: Mech. Mno Electrical 194.45 Plumbing 4 S.M.I. q Grading Driveway Enc. ,Infrastructure TOTAL 3.320.66 3.M.66 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback frortr Center Line Rear Setback from Rear Prop. Line Side Street Setbac< from Center Line Side Setback from (Property Line FINAL DATE INSPECTOR Issued by: Date 5/3/90 Permit Validated by: Validation:_ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO, FT. ® CAR P. SO. 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 HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP. _ ROOFING GAS PIPING PERMIT FEE PERMIT FEE I �:::i 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 PLUMB1 p/.'& UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS C ANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 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. /0//1 FRAMING �, l ! FINAL INSP. _ ROOFING 7 J ED D / � REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING +014W Qj% MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF E(�U SCHOOL FACILITY FEES (( T0: City of La 'Qmiln va � nir, � DATE:: V V Department of Commu��it-� Devte�tlop eht�A�g 78-105 Calle Estado r� �NAf®?' La Quinta, CA 92253 Thisis to c r'tify that �v►� t"�-'L , developer of which is located at within this District, has paid school facitTlty fees imposed pursuant to the authority generat-ed by G vernment Co e ectio 5308 in the amou t f M'MV PCD 2J, Yin covering a total of square feet of ( ) residential or C ) industrial/commercia development and that building permits for •this footage in this development may now be issued by your jurisdiction. U`��+% forDESERT SAND UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 Order No, R88373-12 Esc ' row No. 2-10520 DW Loan No. WHEN RECORDED MAIL TO: N John H. Sobral and Brenda L. Sobral 41740 Trinity Circle Bermuda Dunes, ca. 92201 (lilmd au-) "I'll O lu UJ S SSW. 19 4C 0 ''MI U. 4 01 OA4 0 rue- 'i 0 ir W 0 Ir tL SPACE ABOVE THIS LINE FOF RE --IL TAX SIATEMENTS TO: -ORDER S_ ust DOCUMENTARY TRANSFER TAX $ ...... ?,?. same as above X . A j2 ...................... .&- Computed on the consideration or value of property conveyed; OR k.01 ...... Computed on the consideration or value less liens or -encumbrances remaining at time of sale. 2 t _;r _2( rA ent ceterinl ng tax �re of I f, are nf mm Signature of —Firm Warne GRANT DEED FOR A VALUABLE CONSIDERATION, 'receipt of which is hereby acknowledged, �ILIVOJ MARTINOV AND ELIZABETH MARTINOV, husband and wife hereby GRANT(S) to JOHN H. SOBRAL AND BRENDA L. SOBRAL, husband and wife as joint tenants the real property in the City of 724 County of Riverside State of California, described as Lot 11 in Block 220 Of Santa Carmelita at, Vale La Quinta Unit No. 21 as per map recorded in Book . 20 page 22 of Maps, Records of Riverside County, California Dated Januar ij 11, 1990 STATE OF CALIFOPNIA COUNTY OF .1 versi de 0 be I fore me, the undersigned, a Notary Public in and for'said State,'per- I sonally appeared ------ MULXVQT maRrTlyny ELIZABETH MARTINOV ILIV01 ARTINO LIZABETH MARTINOV MARY LOUSE COFFMAN personally known to me (or proved to me on the basis Of satisfactory r J 0 TA RY 'e)1j;::1;C - evidence) to be the Person qIA III RIVERSIDE Co;fi;Ty (s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/theyexecuted IVY comm. expires SEP 21, 1993 the same. WITNESS my hand and official seal. Signature (This area for official notarial seal) -MAIL 1 STATEMENTS AS DIRECTED ABOVE -1002 (6/82) • ;ti:.: .h'�.'r.F•r7'i. n;•'Y^'�r;f•.. -•;:.k. ,•.,t..�� .e. ..,�_:. .T.�r^�.3.�,. .. .i. ( A...swr. PartxrlNim COUNTY OF RIVERSIDE ENVIRONMENTAL - 77 HEALTH SERVICES DIVISION -a�+. - ba;2 OE PERMrIT.,APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Tv k u loY q Appllr�rit:'` Subinif this form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on the attached check list 10 7-t A non refundable filingfee see below is required when the application is submitted. Check must be made ( ) eq payable to the County of By • Date • 0vIX Riverside. Approval of this application shall remain valid for a period not to exceed one year from dste of approval. QQ' E O'N Q Perris ❑ Rancho Calif: `rO Blythe -•r Y ITEMS IN SECT A FROM BUILDING &SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # WHITE - Office file , YELLOW - 'Applicant t,'�PINK - Bldg. Dept - GOLDENROD - Plans/Records r Zk t or, Con Person Phone Address & Firm , Q �� 7qe, U.1 r _ P ;. -'t Mailing Addresa '"'-i`l �t U3 bPb �2 r4 -- Ga14h% 3yS=qz? .7'10 , �2. ,�: ,i ec� p City �Kti�s to zip : a�1, Job Property Address ,; ,* ,. (,( •.� ; legal Descdpt' (PM, Tract, Lot) '64k. µ 4 - .� "a'' � * Rao cel It' uoul W, Lot Size Water Agency/Well Use of Permit P/P, CU etc . '- ' ,t 1. Other T4 -4-A Z,4@K 4 •'t4 /dam .4 'r' y Dwelling, Q Site Prep, etC.`t r •s ' r fti w —Signal'u 'of Applicen r a.t r . _ _ Date CATEGORY:` ; e REVRCODE ` Et } w •µ :CATEGORY: .' t' REV CODE FEE )6 . SLIRSUI FACE DISPOSAL, -1.4. 7, _,,1238 ,n $ 57.00 , �r i ❑ ',SITE EVALUATION UPON REQUEST 7349 $ 43.00 m O MUL LE PARCELS WITHIN SAME ; * t �' -^ - (NO PLOT PLAN)` LAND DMSION _. -.. ❑ SEWER/SEPTIC VERIFICATICN - 7348 $ 17.00 Z Q a. tat 4 Parcels (Each) '�'';"` 1,238, $,57.00 : Tl k (Less than.1 year) �- ,s.- �... .i► b. Each Parcel after 4 7344' $ .24:00 1 ,', ' O 'PRELIMINARY ELECTIVE r", ' 7352 $ .23.00 W ❑ Rereview (2nd review same parcel)' 7344_ - $ 24:00 ��, �r t k DEVALUATION (Attach DOH SAN 53) r fns H- �t ❑ Site Evaluation in Conjunction with ,� �, , ,„ ;+„. : °� t�1i, r {; •, ❑, `HOLDING TANK I ,+ 7351 $ 47.00 ' Crttk�l Area =73481,$11, . 1.00 :''? . - , � , r a� �' 7;�ALTERNATIVE/EXPERIMENTP,L 7345 $222.00 ❑ Sie Evaluation Lot Less than i. +,t �. ±,� ' SYSTEM . s 10,000 Sq.- Ft. 7347 $ 87.00 y �a INITIAL- _ `” 3 DATE Holding Tank Agreements Completed%❑Yes Certification of Existing S.D. System Required l7 tYesJ ` -- No - yNo WQCB Clearance required. (Attach Form ❑ Yes._,, ' `., - V y DOH SAN 007, Santa Ana Region Only) •' .� • ' ` �' - r M1 Soils Percolation Report Required. ❑ Yes No 'z Special Feasibility Boring Report Required. ❑Yes Not i Detailed Contour Plot Plans R ( ) 1 Required t.to,51t interval ❑Yes No ' Ottter ❑ Yes No k Staff Specialist Lot Inspection A;3quired Yes No r -❑' Lot Inspection Date Soils boxing report by �f a Project # Date Soils Map Page Sol Type Approved by TQ u (y f� pate ' U No. of Systeme Type of Systems) . No. Dwelling Units (1) Septic Tank Soil RataGrea�e,,,,�. �"' O t ` ❑Holding Tank ❑ hoisting , i New ❑ Replaow wrvt Bed Fixture Units /_ / Low 2 aFt G r ((/ F (/(i(/ I �(2) Leech Line Ft Sk wall allowance � Install Line(s) ft long k wide with Bottom trench area _ftp sq. R min. inches rock below drahrlines or of bottom area running it _� ❑ NA Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pd T Depth Other. Applicable Inlet (BI) (TD) 1:2 Max. Allowable Depth 2_9 N/A Overburden factor ❑ 5 6 t ( No. 2 System REMARKS: OGf !rlhG7' Ort This application is PPROV /DENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompan• plan, using the requirements set forth in SECTION C above. A building permit is n3cessary for the installation of the Z above -designed system. No construction is permitted in the required reserved 100% expansion area.. O (1 Septic tank and sewer lines must be 50' minimum from any wells lines must be 100' minimum from any wells, including expansion area W ?Leach 4C0'J i' r4 J3) Seepage pits must be 150' minimum from any wells, including expansio area (,.d7 // 14i'd -l' Si nature of Health Official/l/l/VI fie�t ( - RECEIPT NO. Tv k u loY q Issued By • Date • DISTRICT: ❑ Riverside, ❑ Indio ❑ Hemet Q Perris ❑ Rancho Calif: `rO Blythe -•r DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file , YELLOW - 'Applicant t,'�PINK - Bldg. Dept - GOLDENROD - Plans/Records r \\ �� GRAWW Ulm w }�DEPARTMENT, OF PUS V V�9V ,.V'a, ONE (1) i.I�ea . '.t• -�' r� rr 'e t 't .. Z: FROG! DATE OF APPROVAL - SePticlank and serer"dines must be 50 R. r- i 1; Rl ; • • fin qny Wells, including expansion areas. Leach • finds must be 100 ft. minimum and y: KA NIT 1 EXPANSl AREA. MON. � 0 l ' WALL pits'mud be 150 ft: minimum from Mid. 1®' Fi ANY LSE T OR WA . :, •r ;:: •;' + ^ T Savo" _ + . •. -� � .�� �` ENT OF PUBLIC HEALTH ` RMkIDE COUNff DEP DMWN OF`ENVIR r AL HEALTH Food Establ�lman4 _!/Same Dill Trailer Park /l9B0 dal.. Tenk Sq. Ft. of Leach' 4 hle x M Pit Dviel �IU✓••• ��JUili/� JG Commsrciai Building Ooanection to Sewer p Swimming Pool l into the individual > i aO v " ✓' filo on-site. regenerating evater �8terli� d'�aioBs b€� dlscharpd �y syps4em herfa��ith Control; Board. ap!rovad vilthout ciearance frons he Wstr--r Quality+ an a oved source. Cods Water. supply sarvirg this inst�lla4is5n rust ba f Of curn4 lJatiform Plumbing +- - Aa dis s I inC Failon must cOnfcrm �3•tt r r is f�s4 aviii • nu{fify € to s dir oral aP�vaL i:,r F;3 t+> ,.. . — Purr cutti;' gildir, ., w, l?"Ina in Comas o3.4our ( I C%*d mrd for installation of the sewage Airpraysl ist3s b¢on o€�tai;d from t{els pinnal 4er Qua itY , z r oavosgl s;sttam. Pu:�ic ooeap8nc9, an 3r This is to t�r`6Y th.&t the Riv�mkla C irty Deparuant _ installation the itomfS) c�::ecS�ed Dat P, E6 1 UNC °' �,+. T � ..' ; 'r {, t}�.�a..� ,•-".^'.�, =�-'`-�;,'--s:r-,::'.� `-=..f--...:..+..� �--�•-..,r_w-ss � . � . _ —� ,w.�= •-•-;�.r:..:-.' / � M. -s�.d f.... .. g���i y' + i 11 ... i t '• a - r s---•••... I �„`.-»^.a.'r '-' ...-L :,. �*-•rar-... "'T'S `y*.. . -.+.. mss' :. �-•a-k'.^� , ��'%Tii Y' l t NL •'{t jX4 iF ' .. •.., / .• © f ' •• f..-f� - - � � i}iht+1 T s� r t'� ni {�.. ��.,M .���,/ ! r r- 1 di. � � � t Y�. 1 •• i i i ? .StV'•4•/f It:• 14'rW „a' �^ , a. a •.5, : � Sr tom, i�1PPR0VED 5 ft �i .. r'!,1{4 yf:;?ft, T ..i• } ,' -` T = .• �y � . ~ A ,� . � h�,p �, • ;loco. � ., 5, �, '. �= r' ,r. , y� GAL SEF1IC y`:}t DAT. e TAN K. L i fi� w(/r`Mr1 1 i ht}•'; $ a 1' `Kt M1 " a } t I e %T J. ''l i y"eE C, Cy�>•�. �� s S CI►I�r�. , 1 .'l. rn �j A C >x N'1 wA`S� {F.f'��:., I.' ! t CL 31,t. i F ,iM I.n � j/N.N ,*�" � r?' 4; ^ _• i t} i _ it °i , i � I Y nL SFy .r 7r ( Jc �.r,� M1 1 �}'_' t � � •�.> /••�_-LU Q �', 4' -. f J+•:r�ir , ( .� c: f`,r v t ��..! .. ('}i!!�/lQS Li ✓ ° 1 7 r"a'�t f75�} - -.y�K�f�' P, r; :4..>}: - 1°• . l t''�•WJ' r '; Qtu:',� nth h r > •' a W i�Frii" u a t �: i I '.. ,�iC :y =., t •��i.•li7 } , nt.iy{a _t ' i °7 ''+w 1 f�,.aryi (' .10 �:i •�� 4 & rlS.Gk �iYr4 Car, l- -J wrath FAG � • ,moi, ' � t '} ,/ r - ' ' • PALM J�- _ -{-_�• 'e} - , .{ Y{ - ,' i ` i, -` r !1 r. C T; FT r st + Lf.1 T a ` j � _ ' l 1••�+.•—� i.�'/�t �! tt „a t : 1 j ? ` '.i�r{iJr �,'y ., i ary` C��•i�oj. N ?'/ rt',i '�'`-CEJ G. � 1,t Ff } } �` �;f • a ' +• _ � - �, ° 1. ^ '� � �..s. '• r�Y. t t t •�G.. t. ; .. + 1 — � ' t t � � � f��f j a }6 , i -'.,r a� ,y }�i i'i -:�� ' iy f`�rif : - -I' ,i f. T ;•f'�. L ss. S' a t.1 •{J� i 2 "�- ,^.w�'' � .. _. $ o • r } 4js"1si �• � � z e:r� , ,t� i r;r� 3'•r t .; �, � 'T• ' , v R � c� , Vis' � , � ,., r•r }i' ' ��}ST ��r4 �1a�2b�''i • � .. a .1fi •;i • �5, .f ' '` tai -5-f �" - ✓ - i,..t �, - ....... - ..,- -.. .. r. ,r �l ►f 1 iL l l C i � _ h I Al _. 1MYKV Vr.Mr.1VT MUKZLMr.' 4T This Agreement,'" :Wade and entered into. this day of (or 6-e_� I 19_�_L, by- and between _To ha &)br, L hereinafter referred. to, as :''Applicant" nd the CITY OF LA QUINTA, a municipal corporation. of the :State of Califcrnia, hereinafter referred to as "CITY". WITNESSETH• " WHEREAS, the Applicant had a home constructed at in the' ity of La Quinta, . County of Riverside,,and under Building Permit No. 0'7755 ; WHEREAS, as a condition to release electrical services, to said home by the City, certain improvements must be installed; NOW, THEREFORE, IT IS HEREBY AGREED by the Applicant, in consideration of releasing electrical. services to, said home by the City of La Quinta and the subsequent issuances of a Certificate of Occupancy, that thicant will install the following improvements .5v Z ;at 6 l &=4 , 3, 4'. ` 5. in accordance with specifications required .by Chapter 9.42 of the La Quinta - Municipal. Code on/or before It being understood and agreed that. A 0 00 0 dollars in the form bf* a cashiers check has been submitted to the City. Upon authorization of the City, the money 'will be released to the Applicant upon satisfaction of this' Agreement. Upon failure to fulfill this Agreement, the money wil•1•be used for the completion of said improvements IN WITNESS WHEREOF, the- Applicant has executed this document on the day and date first above -written. Subscribed and sworn to before me this day of" OG/y Lt' -t-, , 1990. (Notary Seal) FORM.012/BJ w 1 1111111131 ' r4f OF QQ utn a .This .Certificate issued pursuant to the requirements of Section 306 of the Uniform Building'; Code certifying that at the time of issuance this structure was in with- the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 53-215 Avenida Ramirez . r. Use Classification S F D Bldg. Permit No. 07753 y , Group R3 Type Construction VN Fre Zone w Use Zone SR Owner of Buildieq John Sobral Address 41-740 Trinity Circle ' Bermuda Dunes CA 92201 City � ' _Mark .Harold r _ By Dote October 11, 1990 — Building Official -. POST IN A CONSPICUOUS PLACE -