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9944 (BLCK)4 P.O. BOX 1504 Building 78-105 CALLE ESTADO Addracc 53-801 Ramirez LA QUINTA, CALIFORNIA 92253 Owner Pamela, Silverstein Mailing Address 2177 E. Radillo Cityp Tel. Covina �'91723 8:,4/332-4 Contractor M'er'e Co-Imbruction Address . 78-650 Ave 42 #1104 City Zip Tel.: Bermuda Dunes 92201 36:0-12928 State Lic. City &Classif. B 424386 Lic.# 1901 Arch., Engr., Designer Palm Spring: Design Crow Address Tel. 4501 R. Sunny Dunes 320--1211. CityZip State Palm Springs 92264 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 )se_Business andy�Pr'fessibns Code a license is in full force and effect. i �.4 "sl,� V �� �JQr.C, "�"�e2. �D - 4 k SIGNATII E 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 cfty' or county which requires a permit to construct, alter, improve, demolish, or repair any structure,.pdoi 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. heJs 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). ❑ 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 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.oftered for sale. d, however, the building orimprovement Is sold within one year of completion, the owner -budder will have the burden of proving. that he did not build or Improve for the purpose of sale.) 0 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. & 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.) Poliv. No. Company 9kCopy 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 parson 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 r. :.r No. 9944 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774--261-017 Legal Description .Lot 5 Black 235 Description Sq. Ft -No. No. Dw. Size Stories Units New ❑ Add ❑ Alter O Repair ❑ Demolition ❑ Permit does not includes block walls or pool Estimated Valuation 100,474.60 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 'Nrts in Public: TOTAL 3788. 293.76 643.00 62.00 133.04 141.00 10.1-0 20.00 20.00 2190.60 25.03 REMARKS I jo j ?.,• LFi �`YY _. I V 1 .+YL .. aJ.'{+.-: =s f 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 INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES y IST FL. S0. 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 S0. FT. DUCT WORK DRAINAGE PIPING WALL SO. FT. GAS (ROUGH) DRINKING FOUNTAIN. SO FT ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. $ plus x$ LAUNDRY TRAY 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 ® 1 Vi c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER 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 Z j. Q/ GROUND PLUMBING//—/4/ ERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER�O1�// 00, 4 ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. ( 0 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE6� 7� ` GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING /4z It tqxL 0 FINAL INSP. ROOFING 1/7/,?-;-- f%IA's/��Z 7 v l REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE�� SPARK ARRESTOR GAR. FIREWALL LA l L MESH INSULATION/SOUND 1 FINISH GRADING FINAL INSPECTION r CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESfINR1ALS GARDEN WALL -FINAL e;. DESERT SANDS UNIFIED SCHOOL DISTRICT 82 879l ighway:111 NOTICE: `:'Indio; CA .42201 Document Cannot•Be Duplicated ,(619);347-8631 Date 10/30%91'< Type of.Permit, L&-Quinta No. 10956 , Permit # 9944 Log # Owner Name Pamela Silversterri- No.- 53801: Stree°t'° Rami` -e' z' - - City La Quirita ' zip .92253 Study Area 111 APN # Tract, # ; Zot # Square Footage 1732 Type of Development 'Single Famrly Residence �, No. of units 0 Comments At the present time, the Desert Sand'-- Unified Scl ool Di4in" ct'does not collect- fees on garages/carports, covered, patios/walkways; residential additions 4.under 50Q square feet, detached accessoryatr"uctures or repl'aceent mobilehomes: It has been determined the above named .owner is. exempt from paying school fees at °this. time due to the following reason: This certifies.thatschoolb&d ityfees imposed pursuant to GovernmeiA.Code 53080: in the amount:of, 1:58 .. X 1732 or 2;736:56 have been:pa d to, D S.U.S.D. for the property listed` above and that buil``ding permits ajd/or Certificates, of Occupancy for this square"footage in -this Pro`posed Project may nowlie. Muted Fees Paid By Panleld Silverstein Telephone , 360.2928 a Name on the"check By James E. Lively = Assistant Superintendent,.Busiiiess:Services ~` Fee collected /ezeni ted b p y.: Vickie J. Durrett Payment Received Signature Ch"eck No.80743538 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 Oq O tr• K r � `d �' W Cri frig M- ; �� mQQz`' �a F s.Ci aX ...1 r V;s SPACE ABOVE IS LI FOR RECOR 't3 USE Documentat•.y transfer tna $ 25:x -Q ................. ❑ Computedron full value of j)roperty conveyed, or ❑ Computed on full value less liens X encumbrance, 1 remaining thereon at time of sale. S....- .........:............... lgnafure of declarant .or egerit"'ileterminin'g ai—ti'" meuas,:wrN Limnrorporzi ed area 'City of ........ ....... —_J Grin Deed Thisform" furnish d b O PARCEL NO. e y range Coast. TttleCotnpany FOR A VALUABLE CONSIDERATION, rer;eiptof which' is hereby: acknowledged, Edward Weinik and Mary Weini]c, husband and wife 'as to: an undivided 1/2 interest and Ken Huddy and Joanna Huddy, husband and wife as' to an undivided 1/2 interest, all as Tenants in Common hereby GRANTS) to PAMELA SILVERSTEIN, a single woman the following described real property in the county of Riverside ,state of California: Lot 5 of Block 235 of Santa Ca.rmal i to Ai- vat A T.. 011i14—. i,,,; , in book 20 page 24 of maps in the office of the County Recorder of Riverside County, California I Dated— June 140- l A91 STATE 0F)MXI6•XiKQ[HX New Jersey SS. On___.._. Trina 14, 199 me, the under signed, a Noiary Public in and. for said County an&State, personally appeared-- Edwa rr1 Wa.i n ik .a rtd Ma�- • — — --- — - —VYIGOMMWon rl k 11; e!9 5 S s :a.r• e . to be the person__.hose name subscribed to ihe'%;hHin instrument and acknowledged that they'• . executed ;"the same. r - �i�R'V1�Lc�(� Signature of Notary Name (Typed or Printed)'`of Notary, 1 Title Order. No. F.crow No MAIL TAX STATEMENTS . AS. DIRECTED ABOVE :. FOR NOTARY SEAL OR STAMP RECORDING REQUESTED;BY ":'. AND WN[N R`CORDlD;MA1L TO NAME AooRE99 Pamela Silverstein, CITY a 2177 E• Badil,lo Street STATcL Covina, Ca.. 91724 MAIL TAX STATEMENTE:.Tp. - - NAME - ADDRESS SAME AS ABOVE CITY A STATE L I Oq O tr• K r � `d �' W Cri frig M- ; �� mQQz`' �a F s.Ci aX ...1 r V;s SPACE ABOVE IS LI FOR RECOR 't3 USE Documentat•.y transfer tna $ 25:x -Q ................. ❑ Computedron full value of j)roperty conveyed, or ❑ Computed on full value less liens X encumbrance, 1 remaining thereon at time of sale. S....- .........:............... lgnafure of declarant .or egerit"'ileterminin'g ai—ti'" meuas,:wrN Limnrorporzi ed area 'City of ........ ....... —_J Grin Deed Thisform" furnish d b O PARCEL NO. e y range Coast. TttleCotnpany FOR A VALUABLE CONSIDERATION, rer;eiptof which' is hereby: acknowledged, Edward Weinik and Mary Weini]c, husband and wife 'as to: an undivided 1/2 interest and Ken Huddy and Joanna Huddy, husband and wife as' to an undivided 1/2 interest, all as Tenants in Common hereby GRANTS) to PAMELA SILVERSTEIN, a single woman the following described real property in the county of Riverside ,state of California: Lot 5 of Block 235 of Santa Ca.rmal i to Ai- vat A T.. 011i14—. i,,,; , in book 20 page 24 of maps in the office of the County Recorder of Riverside County, California I Dated— June 140- l A91 STATE 0F)MXI6•XiKQ[HX New Jersey SS. On___.._. Trina 14, 199 me, the under signed, a Noiary Public in and. for said County an&State, personally appeared-- Edwa rr1 Wa.i n ik .a rtd Ma�- • — — --- — - —VYIGOMMWon rl k 11; e!9 5 S s :a.r• e . to be the person__.hose name subscribed to ihe'%;hHin instrument and acknowledged that they'• . executed ;"the same. r - �i�R'V1�Lc�(� Signature of Notary Name (Typed or Printed)'`of Notary, 1 Title Order. No. F.crow No MAIL TAX STATEMENTS . AS. DIRECTED ABOVE :. FOR NOTARY SEAL OR STAMP CALVIN C. KAMINSKAS w.,�.,.{ . :r r .� a DAN RILEY Assistant Commissioner o , ' ' Seater, Welghts & Measures (714) 275-3000 (714) 275-3030 M�ro:�fe • i OFFICE ;OF'. AGRICULTURAL GOMN1ryISSIONER JAMES O. WALLA 3E Commissioner,. 83-612. Avenue `45 . Sij to `,T IndioCA' 92201 (619`) 342=8291 DATE - _` 9/ CASE NO. DEVELOPER'S NAME: X�, 1: �� 1 cif' V-S\� . ADDRESS : NrA TELEPHONE:. C Dear Developer: After reviewing.your landscaping plans, -'all plant material listed is not in violation of quarantine laws governng�the;reCoachella`Valley If substitutions do occur and they differ from plant, rtlaterahfK iis,ted', th>s`..offce'must be notified immediately; "Thank you for protecting.and preserviniAhe:;Coachella Valley'_6 pest=free environment.