9710 (SFD)Building
Address 53880 Ramirez
Owner
Joseph Wil}jlliras
Mailing
Address 10501 Wilshi
City Izip
T4ht
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253 1 v
Tel.
LDING: TYPE CONST. OCC: GRP.
Number
Description
Lot 17 Block 236
9710
Contractor —a. ---- ---
Dennis Rickenberq
Project Description
SFD
Address
74624 Driftwood 04
CityZip
Tel.:
Palm Desert
92260
346-1302
State Lic.
& Classif. 453778
City
Lic. # !
Sq. Ft. 1744
No. No. Dw.
Size
Stories Units
Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
^
Lic. #
LICENSED CONTRACTORB;DECLARATION
I hereby affirm°t ah t I am licensed under provisionslbf Chapter 9 (commencing with Section
7000) of Division 3 of the Business and.Pfofesslons ode, and my license is in full force and .
effect. //'. ,27 c--r-c rv!�`�,...�..i,/�,,r•-.
SIGNATURE I I ! DATE
OWNER -BUILDER DECLARATION i J
1 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, atter, 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
' Divlsfon 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
Professlons 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.)
Estimated Valuation
02 3 4
P
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
6 • 5 0
5 n
Const.
650 . 00
Mech.
/�
Electrical
13 3 , 9 $
Plumbing
144 . 00
❑ 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.)
O I am exempt under Sec. B. & P.C. for this reason
S.M.I.
10. 40
Grading
20 00
Driveway Enc.
20.00
Date Owner
Infrastructure
2215.21
Ants in Public 25.00
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..
TOTAL
3314.09 3564:09
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
„�,Cs :c -•f -,,•, ,;-. n ,�,;
�.,, ,� e x 1 QJ
10` v ��'i`., IT � Dr A ' 1 4 M 3%4. 09
(This section need not be completed 11 the permit is for one hundred dollars (8100) valuation
or less.) f } r�
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner sofas to become subject.to•the Workers' Compensation
Laws of California. A/ r , �
Date Owner - - r . 6 r *. J -r c- a r{� -c. -�f.._ €..,-c. Z' f,.� :. f/NOTICE TO APPLICANT.. If. eafter making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must foithwflh
comply with such provisions or this permit shall be deemed revoked. { '
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
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.)
Side Setback from Property Line
Lender's Name
Lenders Address
FINAL DATE
INSPECTOR
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.
A 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.
Issued by:
Validated by:
Date Permit
-
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBI?IG,FEES ,
IST FL. SO. FT. ® $
UNITS
A.C. UNIT
2ND FL. SO. FT.
SLAB GRADE
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
SEWE
DRAINAGE PIPING
WALL SO. FT.
DUCT WORK
DRINKING FOUNTAIN.
SO FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
REINF. STEEL
FLOOR DRAIN
MECHANICAL FEES
TEMP. POLE
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
WATER HEATER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
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
'/ 0/t/'
v(/
N
/
!/
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/4c
HOUSE SEWER
FIRE ZONE ROOFING
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
Lo
GROUND PLUMBING
�1NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWE
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. �P 13 Q1
FRAMING 0
FINAL INSP.
ROOFING L
G l g 4l
v
'/ 0/t/'
v(/
N
/
!/
(,' 1,01 / {/J
!/�/
REMARKS.
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 1/V r N Q as
MESH
INSULATION/SOUND
loll s
FINISH GRADING
FINAL INSPECTION-
NSPECTION CERT. OCC.
CERT.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
A
DESERT, SANDS. UNIFIED SCHOOL DISTRICT
82 879ffik WayJli
h'
NOTICE: Indio;A:922'01
'Document Cannot ffe'DuPicated !(64% .. -' " - _"0. _--r.(619)347-8631
A
Date [6/20/91.Type ..Quinta
of Permit La
No. 110677 Permit #
Log #
Owner Nam e Joseph Williams
No. - 5.3-880 Street Aamj*rez,_
city -La! Zip 9=. §W4 Area 111
APN # Tract # Lot #. pare Footage 1744
'b",,�'13ksidence
Type of Development,.
joinkl6� 'y No. of units
Comments
At the present time, the Desert 'Sa-n .s"Unified'
sc.Vh_o_
o11l,IDistIrI ief`.d1.,o'e:s4 riot collect fees on
garages/carports, coVete4.pAtios/waliways;'resicentig-bdditi6ns under 500 square f
eet,
detached accessory' structures `or replacemeht mobi1Abm0s-:.It has bee'determined
the above-narhed owner is exempt frompaying scnool-,46i4i this time due to the
p
following reason:
EXEMPTION NOT APPLICABLE
This certifies that schoolAicility. fbes imposed p to Government Code 53080
in the amount of X-11,1j'744�. oW$..2t755.51- hive.beeK, Paid to D.S.U.S.D. for
the pr'lised a'nAand/or,IT, peity t§C6 of Occupancy for
this square footage in tM4 proposed -project ���,
Fees Paid By Joseph Daniet.Williaiiis '(360-9595) Telephone 34&1302
Name on.the*!'�h6bk
By Richard M.Beck,
Director, Facilities Planning 1&.De*.elopment
Fee collected /exempted by Shelle
y D.. Bennett
Payment Rede,,�Tj�d'
Signature 0
'Chick No. 1012'"
Collector:
0T-2'-
Collector: Attach a copY., of county orcity ,pl" check application formto distric fo
ti-�6pyz r all .waave s.
Embossed Original- Building Dept/Applicant. Dopy -ApplidmtWc6iP, t, Copy- Accounting
RECORDING REQUESTED„BY
COMMONWEALTH LAND "TiITLE:CO.
AND WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN BELOW -
MAIL TAX STATEMENT TO:
A
Name —ans ph Williams ”
street 10501 Wilshire "Blvd. "Ste." 1608
Address Los Angeles, . CA 900241. -
City 8
'Slate
MAIL TAX STATEMENTS TO" .
i Name
W.
Fe UII n
ILL
t►c alp ._:. '
qe f Q a U, U
r� J
Wale
TITLEORDERNO. 166400 ESCROW NO. 2-11.888
I SPACE ABOVE THIS LINE FOR RECORDER'S USE
GRANT;DEED„
774-162-008
THE UNDERSIGNED GRANTORS) DECLARES)
DOCUMENTARY TRANSFER TAX IS $=:' 26. 4 0
[*omprated on full value of prgper,ty`conyeyed, or
E computed.on,ffullwalue less ,value of (lens or encumbrances remaining at time of sale.
❑.unincorporated area,.,.
[Ity of La Qunta - AND
FOR A VALUABLE CONSIDERATION, receipt, of -which is hereby acknowledged,
GARDENVIEW LIMITED PARTNERSHIP, a Maryland">P'artne:r"ship
\J
hereby GRANT(§) to
\� JOSEPH DANIEL WILLIAMS,.:'a single. man
the following described real property in, the City sbf La Q ui4ita
County of Riverside ,: , State of California:
Lot 17 in Block 236 'of Santa` Carme;l.i.ta at. ValeL:a .,Quinta .Unit No. 22 as
per Map recorded in- Book 20..-, -.pages 24 ofi`Ma"ps in the`.office of the Count
Recorder of Riverside County.
Dated March 10 199,1:.
GAR �: ENV1EWa 'LIKITED--" P'ApR,T RSH P
b4 M9i <'4� -� /-
STATE OF .
�.
SS.
COUNTY OF `
On this _lam day of In.the yeara9: I,.
before me, the" undersigned, 'a Notary Public in and, :for said State, ;•; .
personally appeared
personally, nomm to me
fFi - ``1,1111111 1llll,
(or proved to me on the basis of satisfactory evidence) b be the . !
person whose. name 'subscribed to the within �`� J ......
instrument, and acknowledged to me that — executed 0 ; "...
WITNESS my hand and official seal.
�\
atur °U J n'
Sign
(,�h 0ata o(liclal notarial seal)
NOTARY PLIBLICYN AND FOR SAID STATE „ 1 111
CO -441 (REV'4/85) MAIL TAX STATEMENTS AS. DIRECTED ABOVE