05547 (SFD)4 4 Q*t
P.O. BOX 1504 .
Building' 54--100 RRIM 7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Orr Constructl= Co.
Mailing
Address 41-905 Boardwalk Ste. w
City Zip Tel.
Palm Desert 92260 619/346-0040
Contractor
Orr Development Co.
Address
same
City iZiD Tela
State Lic. I City
& Classif. 510708 Lic. #
Arch., Engr.,
Designer Paul 8ewish
Address 30-'865 Pace Lane Tel 619/347-1066
City Zip State
ladi-0 Hills 92.24€3 Lic. #
LICENSED CONTRAC�,}TOR'S DECLARATION
I hereby affirm that I pT,licensed under provisions of Chapter 9 (commencing with Section
7000)t. of Division 3 orfythe Business and PPPrr6fes6iitons, gCode, and my license iss in full forceand
9
e}fac"J /
SIGNATURE {...C/ 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, after, 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 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 cavi 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 owner-buflder 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.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent,to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy theiebf. (Sec. 3800, Labor Code.)
Policy No. Company lam' A_L�v C
❑ Copy is filed with the city. O 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: ff. 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 it work thereunder is suspended for 180 days.
1 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.
11LDING: TYPE CONST. OCC: GRP...
P. Number 774'112-006
Description
Project Description
Lot 20
SP17
05547
Sq. Ft. 1654
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
94s332•Q8
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
2 2., U
Const.
Mech.
•5 `
Electrical
Plumbing
S.M.I.
. bS
Grading
Driveway Eric.
e�t3
Infrastructure
sQ •
TOTAL
Tai. `Y'ilsPt ?• i:+�.. a3j M :.
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 3/22/89 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
//
(SLAB GRADE (S
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT. ®
FORMS
C
ER OR SE {Q
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK c'
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
EMP. POLE `
GROUT
DRAINAGE PIPING
CARP. SO. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL ' SO. FT.
=$
LUMBER GR.
FINAL INSP.
URINAL
SO FT ®
ROOFING -
ESTIMATED CONSTRUCTION VALUATION $
REMARKS
WATER PIPING
NOTE: Not to be used as property tax valuation
y
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOXDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IKITCHEN 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
INSPECTOR'SISIGNATURESIINRIALS
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
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
ETBACK �(� •
ROUND PLUMBINGSS
UNDERGROUND
A.C. UNIT
COLL. AREA
//
(SLAB GRADE (S
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
C
ER OR SE {Q
ROUGH WIRING
DUCT WORK -
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
EMP. POLE `
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus xi
=$
LUMBER GR.
FINAL INSP.
/ RAMING / —o
1
FINAL INSP.
ROOFING -
L/ ! ^ w (� L/ _ �GJ i1 ice/
X1 /y
0,� To (j ®�C
)0FIREPLACE sc�
(�
\5
O
REMARKS
VENTILATION
y
FIRE ZONE ROOFING
` - ,(rte
SPARK ARRESTOR
GAR. FIREWALL
LATHING '2
MESH
INSULATIONISOUND
FINISH GRADING
NAL INSPECTIO — xJ
CERT. OCC.
FENCE FINAL
INSPECTOR'SISIGNATURESIINRIALS
GARDEN WALL FINAL
1
Desert Sands Unified School District ?R•, - `' '
" CERTIFICATION OF PAYMENTOF
+ TO: City of La Quinta DATE: 3- d o �O•. ►
Department of Community Development 4
78-105 Calle Estado
La Quinta, CA 92253 r t, ?
This is to certify that Lv —^-es
developer of ,l/o which `•is� .4,.
located at- withine
this District, has pai school facility es imposed pursuant*;to.the"._,;.*
authoritygene atqj by G ernment Co a Section 53080inthe mount of',I
cov ring a total of square f et of (A) residential or
( ) industrial/commercial development and that building permits fort---•.
�+ this footage in this development may now'be issued by your. jurisdiction.':
i0 3&4 a6 -D)
for DESERT SA'NbS.UNIFIED SCHOOL DISTRICT;
White ' Building Department • Yellow - Facilities Planning • Pink - Accounting" • tGold.
(10) 37
- Developer.
r? e 1 42 5 �1 � ' �J ✓ O (0 P- EIV
Order No.,
Escrow No. lO-4555
Loan No.IF
. < .
888
COMMONWEALTH �}
� EALTH LAND TITLE C0..
b P4 .
Cj WHEN RECORDED MAIL TO: 8 J
N or
GEORGE W. LEE
29417 Enrose
San Pedro, CA 90732 or /
3
• SPACE ABOVE•TH IS UNE FOR RECORDER'S USE
MAIL TAX STATEMENTS TO: 2.0...9.0....
"DOCUMENTARY TRANSFER. TAX ...............:-....................
SAME AS"ABOVE X.... Computed on the contidaation or value of property conveyed. OR
•...... Computed.On the consideration or valueiesi liens or encumbrances _
remaining at time ousale.
Signature of 0e leranl or Agent Oetermlmng tee Firm Name
CORP0RAT IQN GRAN T. -D'EE"D
FOR A VALUABLE CONSIDERATION, receipt of which is hereby. acknuwledged,
WESTERN AMERICAN CONSTRUCTION CO., a California corporation
a corporation orv;inired under the .laws of. the State of California does hereby
GRANT to GEORGE W. LEE, an unmarried man
the real property in the City ul La Quints
County of Riverside., State of Calilurnia, described as
/ Lots 19 and- 20"in Block-284'of SANTA'CARMELITA AT~VALE LA QUINTA,
UNIT N0. 26, as Shown by Map on Eile in Book 20, paac SU of Maps,
in the office of the County Recorder of said County.
June 27, 1988
WF.STF.RN'AMERICAN CONSTRUCTION.CO.
Dated
L
l"
STATE OF CALIFORNIA
Riverside
COUNTY OF
On June_ 30, 1988 twlorume.
By r 1 `
- President
the undorsu)nud.n Notnry Pubic hand to! sold Stott). purson,dly.;luuuur•
lit RRY' 1:!TRIIS
Harry Burns
ad. --
_
and
persnnally known to mo for proved to me an the bases OI sahslnctory,
By
evidence) to lin the uumons who If—Culed thu within lnstiumont as
SCCfCI:lry
• President and
-
Secretary.
WOStern American Cons Lruction
_
on bnhalt (A
COmp.uly
OFFICIAL SEAL
Iho cofpinahon theta!" named, and nrkno L'(jgnd to file that such Cor•
MklEfvE L. SADLER
r)01;111(11! e,lll.utll(I I'll) with"' aI JII.11110111 IM5'ulinl IQ.lts hv•lawh Or a
NO AIM '1LIC•CALIFInNIA'.
1esolul,un (1I 119 Inlaid 0Ih1111.tt"s
N'Vrll ilek_1:01:111V '
M, C..r....f.v.r,. t... 2:. 1V117�.
WIINI.SS my, rsOhd and dl -c -al will ,
-
DAILY R E• P O R T SIRIL and TESTING
G R. A D I NG CONTROL ENGINEERS INC.
JOB LOCATION
o 0vi�+ �I
CLIENT OR OWNER
Orr (� nS� ru--c`'�,
REPORT SEQUENCE NO.
i
GENERAL LOCATION OF FILL
!�/1I""- ,W.>r
PURPOSE OF FILL OR NATURE OF STRUCTURE TO BE SUPPORTED
lzpa-c{G� w 1c1 i �+�?>>
DATE
� - f � � Y
DAY OF WEEK
�(o»o�n y
GENERAL CONTRACTOR
COY (rCl�S1)•:rn
GRADING OR EARTHWORK CONTRACTOR
%, (ci�S('1L(('v�
JOB ENGINEER
t"13
HRS. CHARGED
4115.
CONTRACTOR'S SHIFT
ki , of ,
CONTRACTOR'S SUPT. OR FORMAN
7>v IGI',
ASSISTANTS
HRS. CHARGED
SOURCE & DESCRIPTION OF FILL MATERIAL & MAXIMUM DENSITY & M/C
Wr _rvaJ' 1 p �}i>iC.
WEATHER
whit 5G
1 � �
10111 /'-/13
r
t `'7 �,
1 Qi C7 /
APPROXIMATE YARDAGE
PLACED THIS SHIFT TOTAL TO -DATE
TEST
NO.
TEST LOCATION
ELEVATION
IN
FEET
COMP.
CURVE
NO.
TEST
MOISTURE
%
TEST
DRY
DENSITY
LBS./CU. FT.
RELATIVE
COMP.
%
RETEST
NO.
NOTES
LOT
2
9,/-/zo 4w p"rt>r>f,
lof+o
I
7-7
/012
11
5'
+, - u ,-:r-�--�
11113
1
12
ro 1 /
XvIf
SUPPLEMENTARY REPORT (DESCRIBE EQUIPMENT USED FOR HAULING, SPREADING, WATERING, CONDITIONING & COMPACTING; ALSO REPORTTHICKNESS OF LIFTS, AND
AND NUMBER OF ROLLER TRIPS.)
I 1p j-eA1,JXi,T-A,rr c,,. f S�/-!2� �t,!�fN yPc%,;/
L7oil k -r 4, 0 (FC,
t> If? It of c. f
"u, ay. i le,
'�' 5 !
'71'st
'G t t�IP-f _ IFL Ile
4y
lit 4
�r.A 1-04,,� 1-'o
w-f�
JOB N0.f ji�7 �y`t J'
COPY SENT TO CLIENT
CONTINUED ON NEXT PAGE C]
PAGE / OF 1
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ADDRESSkA
.i
�•r,��1�Itv,���t l l. 3 � (� d0 .1
[)ear heveloEieri k;
AEter reviewing ygUC.:lcalldScctE)).L)t� I11�1)i, irLl l)l�llt uater.iial AS 'lot
v.ivla�tion'wE"quarant np� l i45 tloveciriliy llVe waei�ella Vataey•
do occur �tncl they'diEter .[tun:�il�llr i���ler�i.ul 1'1sleJ� tills vC[i.ce iiivsl be I�o.tlEiec�
i�nl�dlately, ,4
Lor rvtectlii �alii]- �i>,eserviny file •t:'vacllella Valley's E`est-Free envirolrhent.
Thank you p y •
ngr j, ural Caiini:ss veer s
cc Indio, apd It werside= UR Ice