13085 (SFD)Building 54-010 Ramirez
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Owner
MuMbi l , Inc.
Mailing -
Address P.O. Hox 1555
CityZip Tel.
%a Quinta, CA 92253 564-1335
Contractor
mufbil, Inc.
Address
Sam
City lZip ITel.
State Lic. B 537333 (City 2526
& Classif. Lic. #
Arch., Engr.,
Designer Greg Butler
Agdr��as_ Box 6 JTJ64-0518
City112.253
State
LA Quinta, CA. 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 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 for such permit to file a signed statement that he is licensed pursuant to
the provisions or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis
for the alleged exemption. Any violation of Secfibn 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 offered for sale. If, however, the building
or improvement is sold within one year of completion, the owneribuilder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ 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 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
O`Copy is filed with the city. ❑ Certified copy is hereby furnished.
0
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 thq work for which this permit is issued, I shall not
employ any,person In any manne`i"�so as 10 become subject to the Workers' Compensation
Law"Dates of California) Owe
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.
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 774-212-'001
Legal Description Lot 24 Block 284
Project Description SFD
Sq. Ft. No. No. Dw.
Size 1623 Stories Units
New 0- Add ❑ Alter ❑ Repair ❑ Demolition ❑
IPermit inchides stucco wall. Retaining
gall and/or pool permits to be obtained
ately.
Estimated Valuation
$98,261.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
285.70
Const.
635.00
Mech.
pa
55.50
Electrical
0
130.19
Plumbing
141.00
S.M.I.
9.90
Grading
20.00
Driveway Enc.
—0—
Infrastructure
2,116.60
Dq �
•1ft
r
TOTAL
3o643.89
31393.89 , f
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
INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
n04,
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. ®
SEWER OR SEPTIC TANK
ROUGH WIRING
POWER OUTLET -
ROOF DRAINS
GAR. SO. FT. ®
GAS (ROUGH)
METER LOOP
DRAINAGE PIPING
CAR P. SO. FT. ®
REINF. STEEL
WALL SQ. FT'.
TEMP. POLE
DRINKING FOUNTAIN.
URINAL
SQ. FT. ®
_
SERVICE
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
'j m
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL . HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE -DRYER
FRAMING '� �2 �0, 2
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROOFING �,._Z'3�3 Ld1
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
SQ. F.T. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 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
r/
GROUND PLUMBING 7-6-134P
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
Al
SEWER OR SEPTIC TANK
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
'j m
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$ '
LUMBER GR.
FINAL INSP. _ �3
FRAMING '� �2 �0, 2
FINAL INSP. —Za_y
ROOFING �,._Z'3�3 Ld1
� `Z7_iy,
h
!/
� G�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND-7 , a
FINISH GRADING
FINAL INSPECTION �QJ
V
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 619-775-3500
Date 6/22/93 1 Type of Permit I La Quinta
No. 112285 1 Permit #
Owner Name Mumbil, Inc. Log
No. 54-010 Street Avenida Ramirez
City La Quinta zip 92253 Study Area 110
APN # 774-212-001 1 Tract # I J Lot # 24 Square Footage 11623
Type of Development Single Family Residence No. of units 0
Comments
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 facility fees imposed pursuant to Government Code 53080
in the amount of 1.65 x 1623 or $ 2,677.95 have been paid to D.S.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 Mumbil, Inc. Telephone 564-1338
Name on the check
By James E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
Payment Received
Signature
Cheek No. 5681 .
ri
Collector: Attach a copy of county or city plan check application form to district copy.for all _H aivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy-' A.ccounfiing
tC)
1 AND WHEN RECORDED MAIL TO
Elaine Mumbil., Inc.
Street C/o Mary C. Marshall
Address .1 Vista del Golfo
City & Long Be,aClr, CA 90803
State L J
MAIL TAX STATEMENTS TO
F -,
Wen"
,Same as .above
SUeet
AJdress '
City & 1
E ABOVE THIS LINE FOR RECORDER'S USE
CA'r. NO. NN00582 Individual Grant Deed
Tp 1923 CA (2-83)
THIS rORM'rURNISHEO 9Y TICUR TITLE INSURERS
The undersigned grantor(s) declarc(s):
Documentary transfer tax is $ 75.90
( X) computed on full value of property conveyed, or
computed on full value less value of liens and encumbrances remaining at time of sale.
( ) Unincorporated area: ( X ) City of La Quinta , and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
11. H. BLACK and 11AZRL J. BLACK, husband and. wife
hereby GRAN'I'(S) to
14UMDXr,, INC., A California corporation
the following described real property in the City of La Quinta
County of Riverside , State of California:
Lots 3, 4, 21, 22, 23 an' 24 f Bloc284'pf Santa Carmelita at, Vale La Quinta,
Unit- No. 26, as per map recorded in B -20, page 50 of Maps, in the office of
the County Recorder of Riverside County.
Dated: December I2, 1988 / &&A'/w� _ —
- H. H. Black
sTnl"r. OF CALIFORNIA""—)
COUNTY or.'
On �' rC�- / 3 l ��' before
Inc, the undersigned, a N9�ary PPubli m and for said State, Haz . J. Blae
personally appeared /�` d e-1--1(1
personally known to n c or proved to ►nc on the basis of sat-
isfactory evidence to be the person—whose name .e%L
subscribe( to the within instrument and acknowledged '"{; �,;:k.:•',.;t:1
that executed the same.
�' � .1_.?rl iy', I''.� t.le.l ��'•' t'l:':.'.
wr'TNIiS ry hand and (ficial scat. '�� r'; � '� `�� t;.a,• .�; : •. �:-.�:• LHS<:;�!•::,,
41
Signature
P..;• f:,;......;'�i M �. ;.fid. `•'1. t?��
"Title Order No.__
('Phis area for official. notarial seal)
Escrow or Loan No. 88-1524
MAIL TAX STATEMENTS AS DIRECTED ABOVE
cc
a
4 O
30
'� � E"
Cn
M
►=' Z 1®
IL.
U >-
���
1
Mx
����u
LL
W�
�T
a�Qs
Will
3
cc
C
�J
E ABOVE THIS LINE FOR RECORDER'S USE
CA'r. NO. NN00582 Individual Grant Deed
Tp 1923 CA (2-83)
THIS rORM'rURNISHEO 9Y TICUR TITLE INSURERS
The undersigned grantor(s) declarc(s):
Documentary transfer tax is $ 75.90
( X) computed on full value of property conveyed, or
computed on full value less value of liens and encumbrances remaining at time of sale.
( ) Unincorporated area: ( X ) City of La Quinta , and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
11. H. BLACK and 11AZRL J. BLACK, husband and. wife
hereby GRAN'I'(S) to
14UMDXr,, INC., A California corporation
the following described real property in the City of La Quinta
County of Riverside , State of California:
Lots 3, 4, 21, 22, 23 an' 24 f Bloc284'pf Santa Carmelita at, Vale La Quinta,
Unit- No. 26, as per map recorded in B -20, page 50 of Maps, in the office of
the County Recorder of Riverside County.
Dated: December I2, 1988 / &&A'/w� _ —
- H. H. Black
sTnl"r. OF CALIFORNIA""—)
COUNTY or.'
On �' rC�- / 3 l ��' before
Inc, the undersigned, a N9�ary PPubli m and for said State, Haz . J. Blae
personally appeared /�` d e-1--1(1
personally known to n c or proved to ►nc on the basis of sat-
isfactory evidence to be the person—whose name .e%L
subscribe( to the within instrument and acknowledged '"{; �,;:k.:•',.;t:1
that executed the same.
�' � .1_.?rl iy', I''.� t.le.l ��'•' t'l:':.'.
wr'TNIiS ry hand and (ficial scat. '�� r'; � '� `�� t;.a,• .�; : •. �:-.�:• LHS<:;�!•::,,
41
Signature
P..;• f:,;......;'�i M �. ;.fid. `•'1. t?��
"Title Order No.__
('Phis area for official. notarial seal)
Escrow or Loan No. 88-1524
MAIL TAX STATEMENTS AS DIRECTED ABOVE
' —__—-- —r----- --- ' —
_—_�---' '—�_ ----- -------- --
v���cvvw�snox�n�r �
ovm.n��u^ 11112 4
CASH RECEIPT DETAIL
-
Received From: t J. 1A 7!s-) Date:
°"".es=
Account No. Lot
G.A. Code
Service Address
P Service(s)
o oacxom°W --��
P *vuxoLow,u/(o) -------��
ewnm,oxooN») -------�
o Meter Surcharge
Q Sanitation Capacity Charge -----��
o waa.pc.
oTemporary Construction Meter
o Turn onCharge
o oncv//onwoAcnovnt-wvmo
o Inspection Fee rmot
mo- -----��
D Plan Check Fees Water /Sewer
nao,- ------���
o Bond Payment A.D. ___'_anno--_____—_—
Annmt.
o Customer Deposit -------��
xxo,
TOTAL w
'
nomomo:
LINCOLN TRUSS 284 SO. 8TH ST. BANNING, CA, 92220
June 22,1993
Re: A.C. Load.,; on Trusses
Bill Howard
Mtwi)ii ific.
51-001 EiRaAnwer Dr,
Le Quinta, Cn, 92253
Dear Bill,
The tru.ssos for Hie Carol.Marcko job are designed to accomoduLu
the loads applied to them by the air conditioning unit and the swamp
cooler. Please be sure that the platforms that will 8uppurt the units
run across a minimum of three tru$ses for jille air conditioning unit
and two trusses for the swamp cooler. Also, gLagger the units in such
a manner as to have the two units on different trusses.
If you have any questions please feel free to call.
Sin ly,
Thomas. B. White
(909)922-2473
z 1-
n z
� D �
c .
�m
_U3
N(Pm
O�O
C)
cn O
�cmim
mea
M M 3.
r
Ohm
O �J
� b
N