09360 (SFD)F'
Building
Address 77-353 Calle Po
Owner
Address 1015 mt. 'i' hitin
City Zip
Big Bear 92314
Contractor
Address
Zip I Tel.
State ❑c.-- - ICity
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
P.O. BOX 1504 ot�N 0 .
78-105 CALLE ESTADO ,,,
LA QUINTA, CALIFORNIA 92261,
BUILDING: TYPE CO ST. OCC: GRP.
A.P. Number 774-272--024
City ]ZIP State
Lic. #
,_ LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of-Cfiapter 9 (commencing with Section
7000) of Division 3 of tl)e,9usiness and Professions Code, and my license is in full force and
,jSIGNATURE" �W-
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 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 civil penalty of not more than five hundred dollars (5500).
.❑ I, as.owner of the property, or my employees with wages as their sole compensation, will
ado 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 -builder 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 contractors) 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
® Copy is filed with the city. ❑ Certified copy is hereby furnished.
R CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one hundred dollars (3fooj 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, alter 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 i:s 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
Legal Description 'R1;-V^1e 160 ,04- 1'
Project Description
09390
Sq. Ft.
Size 1704
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Garden *gall
included
in permit
Poral to be
vermitted
seuarate_11
Estimated Valuation
99.300.20
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
283,R2
Const.
6_35 ,08
Mech.
49-00
Electrical
133 _ 14
Plumbing
S. M.I.
Grading
Driveway Enc.
20.0n
Infrastructure
2065.62
TOTAL�9(i_
REMARKS
r' 31it X ^ }iytx Xyp t4�I(''dr�:`idi�'ti 1 P3t0
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
IST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SO. FT. ®
SQ 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAtADRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/4c
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
MIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE EPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK V-17- 9'
ROUND PLUMBING/-�1-g
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE -/2- `ROUGH
PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL -/7, f%
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FINAL INSP.
FRAMING - .. q/
l
FINAL INSP.
ROOFING .-
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 11
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
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) 347-8631
Date 3/26/91 1 Type of Permit I La Quinta
No. 110499 Permit #
Log #
Owner Name Ernie & Jacky Hott
No. 77-350 street Calle Potrero
city La Quinta zip 92253 study Area 110
APN # Tract # Lot # Square Footage 11375
Type of Development Single Family Residence No. of units
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 11.58 1 X 11.375 1 or $ 2,172.50 have been paid to D.S.0 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 Dan Featheringill
Name on the check
Telephone 564-6478
By Richard M. Beck
Director, Facilities Planning & Development
Fee collected /exempted b
p y Marcia Ewart
/ / Payment Received -v
Signature �1�1 /'/0� ���f/l y
Check kb., - 013
T,
Collector: Attach a copy of county or city plan check application form to district'copyrfor All wravers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy -Accounting. = �r
Order No.
Escrow -,No.. 2585
Loan Nc'Recor ;C Of
WHEN RECORDED MAIL TO:
Mr. and Mrs. Ernest E. Hott
1015 Mt. Whitney
Big Bear City,.CA 92314
.
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SPACE ABOVE THIS LINE
FOR -RECORDER'S
USE
MAIL -TAX STATEMENTS TO:
DIJCt WENTARY TRANSFER TAX$..0.►..Q..................................
same as above X.. Computed on the consideration or value of property conveyed; OR
. ...... Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
'Signature of Declarant or Agent determining tax — Firm Name
GRANT DEED
FOR A ' VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
PAUL B..KERSTEN AND KATHRYN C. KERSTEN, husband and wife,
1
hereby GRANT(S) to
ERNEST E. HOTT AND JACKINE K. HOTT,_husband and wife -,,as joint tenants
the real property in the City of La Qui nta
Count of " . RIVERSIDE
y ,State of California, described as
. Lot.12, in Block 269, of Santa Carmel ita.at Vale La Quinta, Unit #25, as per map
recorded in Book 19, Page 51 of Maps,.records of Riverside County, California.
Dated November. 5, 1990
STATE OF CALIFORNIA jsa
COUNTY OF 1Vl'_
before me, the undersigned, a Notary Public in and for said State, per-
sonally appeared
PAU B. KERSTEN
KATHRYNA. KERSTEN
.L►j11 1fZYN �. • xi;B.ST r�.) ,
personalty known to me (or proved tome on the basis of satisfactory OFFICIAL SEAL"
A. R H JONES
evidence) to be the person(s) whose name(s) is/are subscribed to the
PUBLIC -CALIFORNIA
~ r �a RIVERSIDE COUNTY
within instrument and acknowledged to me that he)e the executed comm. expires JUN 29, .1993
wo;.nhly
these ra. `
WITNESS my hand.,pn) o#i4i6l sea
Form 3195
(This area for official notarial seal)
M.All. TAX STATEMENTS AS DIRECTED ABOVE '
°+ :;►; OFFICE OF
AGRICULTURAL COMMISSIONER
AND
�;`;;;;• WEIGHTS & MEASURES CALVIN c. KAMINSKAS
JAMES O. WALLACE 4080 LEMON SIREEf, ROOM -.19 ^s` 4C(nnin'
ApilcullmolCommbttone1 RIVERSIDE. CALIFORNIA 92501 CLEMEENT OENVEI`ENIIISiE
040001of W6101111 & Meosaof (714) 787.2561 5ooio,
83-612 Ave..45, Suite 7
Indio, CA 92201
/V/
'342-8291
D1YIE 3/� CASE W. FCC/K 0:3/�f--
DEVELOPER' 5 NAME: --Do cC c0 Coy(5 I
ADDRESS: 12—
c 2C
7ELEP1101IE:
fe -Po-4--ef,-o� LC I-C.4m—
Dear Developer:
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governing the Coachella Valley. if substitutions
do occur and they differ fran plant material listed, this office nfust be notified
immediately.
I1iank you for protecting and preserving the Coachella Valley's pest -free envirolflflent.
�. .
.Fra • .
Agr cultural Cenmissio er s Office�...
3l2 4
cc: Indio and Riverside Office ��