12145 (SFD)P.O. BOX 1504
Building 78-1.05 CALLE ESTADO
Address 79-000 !UVer Rodk ° LA QUINTA, CALIFORNIA 92253
Owner
Synerccn Development- Cur'p.
Mailing
Address 94-940 Hvly III
City. • Zip Tel.
gnd na Wells, ICA 92210.
Contractor;
S 6me
Address
City' Zip Tel.:
State Lic. 655280 ' City y 2423
& Classif. Lic. #
Arch.; Engr., -tDesigner
Address ' Tel.
City s. Zip State- -
v Lic. # .
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisioes of Chapter 9 (commencingwith Section
7000) of Division,3 of the Businessrand Professions }Code, addmy 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 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 (S500).
❑ 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
Professions Code: The Contractor's License Law does not apply to an owner of property who
bullds'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.)
O 1, 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.)
Policy No. .Company
O Copy is filed with the city. 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it 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'subjecl to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: It, 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.
I certify that I have read this application and stale 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
µ• Mailing Address
City, State, Zip
BUILDING:.TYPE CONST. OCC: GRP
A.P. Number
Legal Description .Lot' 34 Tract 25429
Project Description SFD
Sq. Ft. 2354No.
Size Stories
No:
Units Dw.
4
New ❑ Add ❑ Alter ❑ { Repair ❑ Demolition ❑
Permit includes
Pool permit
arden block - wall':''
to be obt tU d separate
Estimated valuation -; $145,106.00
PERMIT
Plan Chk. Dep. :r
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc..
Infrastructure,
A
TOTAL
REMARKS
AMOUNT
675 A '
180.
c.vovv
3,045.44
112:77
.. v
ZONE: t
BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback! rom Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date Permit
Validated by:
Validation:
13
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINrj FEES r�
1ST FL. SQ. FT. ® $
UNITS
e6LAB GRADES C
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CARP. SQ. FT.
GROUT
WATER HEATER
WALL SQ. FT. ®
FINAL INSP.
DRINKING FOUNTAIN
SQ FT ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
n
4/1�FRAMING
FLOOR DRAIN
MECHANICAL FEES
6A.1 1--W
�� v
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SQ.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 rFEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK X13
GROUND PLUMBING /
UNDERGROUND
A.C. UNIT
COLL. AREA
e6LAB GRADES C
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
,
ti�U REINF. ��/ (
-��
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
�
INAL INSP. �'!Srl l
n
4/1�FRAMING
FINAL INSP. _ �.OJ
1, RO FING'O21
6A.1 1--W
�� v
�, 7����
A/
` _7 ro 6"
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUN d/
FINISH GRADING
FINAL INSPECTIO
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 5/7/93 1 Type of Permit La Quinta
No. 112197 Permit #
Log
Owner Name Synercon Development Corp.
No. 79000 Street River Rock
.City La Quinta Zip 92253 Study Area 118
APN # Tract # Lot # 0 Square Footage 12354
Type of Development Single Family Tesidence 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 2 54 or $ 3,884.10 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 LQ Mort./Synercon Dev./David Dietrick Telephone 564-6929
Name on the check
By James E. Lively
Assistant Superintendent, Business Services`
Fee collected /exempted by Tomi Doebereiner
Payment Received
Signature &/i,( LE��_a'C � Check N0. 3406/109/613
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
.......
' . ♦• ,a 4/ J_.._.. _ S �__�,+_ � T ♦'tea ' ,,.
` RECORDING REQUESTED 19\ �;�
AND WHE14 RECORDED MAIL THIS DEED AND. UNLIESS
OTMLRWISK SHOWN ®SLOW, MAIL TAX STATEMENTS°TO:
II(STRQI3IT # 143446
NAMAMSYNERCON DEVELOPMENT CORP. -i ,' RECORDED DATE: APRIL 19,•1993 r
-
74-990 HIGHWAY 111 , .
STP19T ► STE 429
Apo III 'INDIAN WELLS, CA 92210 I ' ` 1. - CC�i f L':
t U,%
CITY,
BTXT'L _1 Gengr r'C!c�';'V �0:
5
Title Order No.....491.67:rI4Escrow NaAQ•: lb974., r This E a r oeor 9 U"
PARTNERSHIP GRANT DEED
THE UNDERSIGNED GRANTOR(s)'DECLARE(s)
I?OCUMENTARY TRANSFER TAX is S- 71 _ 50
❑ unincorporated area ® City of - LA QVI NW
Parcel No. !, .
0 computed on full value '6f property conveyed, or
0 computed on full value'iess value of liens or/ encumbrances remaining at time of sale, and_—?'
/ FORA VALUABLE CONSIDERATION, receipt 0f'which is hereby acknowledged,
S CHATEAU ESTATES, A REGISTERED MICHIGAN CO -PARTNERSHIP "
/ hereby CRANT(5) to ,
1 �
SYNERCON DEVELOPMENT CORPORATION INC. A CALIFORNIA CORPORATION
the following described real property in the CITY OF LA QUINTA f
county` f RIVERSIDE state of California: �
LOT 14 OF TRACT NO. 25429, IN THE CITY OF LA QUINTA, AS PER MAP RECORDED
IN BOOK 216, PAGES 66 THROUGH 71, INCLUSIVE OF MAPS, IN THE OFFICE OF THE +
COUNTY RECORDER OF RIVERSIDE COUNTY,` CALIFORNIA.
' 1
AL�•PURPOSE ACKNOWLEDGMENT 6.0m
CAPACITY CLAIMED BY SIGNER f,
' State of CALjEQSNTa R- .-
Q .;
rl INDIVIDUAL'S)
•
AL, -PURPOSE ACKNOWLEDGMENT WOO
r•
CAPACITY CLAIMED-SY'SIGNER�
A State 01 CALIPQRSIA
,! ❑ INDIVIDUAL(S).
County of RIVERSIDE
� CORPORATE
i
On 4-16-9� - - before me, OFFICER(S) TITLEIS)
DATE NlME. IMA 00 OR:�CER . E.a.•JAMf DoE. MpTAgT ►ust, ®AARTNER(S)
personally appeared ATTORPIEY-IN•FACT
NAME151 OF SIONERIS) ❑ TRUSTEE(S)
- ❑ personally known to me . OR - El proved 10 me on the basis of Salisfactory evidence SUBSCRIBING WITNESS _
to be the- person(s) whose name(S) Is/are- GUARDIAN10ONSERVATORr
subscribed to the within instrument and ac- ® OTHER:
knowledged 10 me that he/sheAhey executed
the same in hislherltheir authorized
mjCHELEJ.HARTSHORN t ' capacity(le5), and that by his/her/their
COMM. #967344 signatures on the instrument the person(s), _ .�-� �.
_ _ cR-'S'REPRESENTING.
NotOlY PubllC'CQ1ltQTN0 -, ,g --- orthe entityupo ilr0i"whici ttti•e�pecson{s) 'NAME OF.
a " _ ♦ r RIVERSIDE COUNTY
NAME OF PERSON(s) OR ENTITY11Ei)
Mycamm.s>�tr®6 JUN 07,1996 acted, executed the instrument, .., JOHN A. BOLL, BY JOE P:
Witness and a lit 9TNISTRELLI, HIS ATTORNEY
N FACT AS GENERAL PA
OF CHATEAU ESTATES A
NOTA4lY
�I ATTENTION NOTARY, Although the inlormslion reques 10 Wow is OPT10 A il eoutd prevent 1RUd41ant &ng0martl of this Caniticale to unsuthorit9d doouRNnt.
THIS CERTIFICATE Title or ype of Document PARTNERSHIP GRANT DEED 1
MUSTi BE ATTACHED, Numbe of Pages 1 Date of Document APRIL 9, 1993
TO THE DOCUMENT
DESCRIBED AT RIGHT: Signer(s) Other Than Named Above
L 1491 NATIONAL NOTARY ASSM1471ON - 9296 R4`MMg1 AV • P,O, E0." A - oanoga Parr. cA 11aw-711
r
#;L9ti8ti95619 «-96Z86bE619 LL:OL E6 -EZ -ti- ;LLOL je?dooalal X083X :J,9 1NBS
aal//;�7 �2��rf C'�• ��2�d
UF 94W K"M Mi
78-495 CALLE TAMPICO — LA QUINTA, -CALIFORNIA.'92253 - (619) 777-7000
FAX (619) 777-7101
February 22, 1994
Carl E. Soderberg
73-243 Willow Street
Palm Desert, CA 92260
Dear Mr. Soderberg:
Please accept this letter in response to your request to extend.Building Permit No. 121.45 at 79-
000 River Rock.
Section 303(d) of the Uniform Building Code allows the Building Official to extend a building
permit for a time not to exceed 180 day upon written request. No permit may be extended more
than once.
Your permit has been extended until June 30, 1994.
Please feel free to contact us any time we may be of assistance.
Sincerely,
BUII,DING AND SAFETY DEPARTMENT
Tom Hartung
Director of Building and Safety
kt
MAILING ADDRESS P.O. BOX 1504 LA, QUINTA, CALIFORNIA 92253
EARTH SYSTEMS CONSULTANTS S.C.
BUENA ENGINEERS DIV.
79-811 B Country Club Drive
Bermuda Dunes, CA 92201 • (619) 345-1588
Client
Client Address
Client Phone
DATE '
45- 3-61-3
JOB NO.
57- V4�' P/
PROJECT
LOCATION
CONTRACTOR
OWNER
WEATH R
TEMP. o at AM
0 at PM
PRESENT AT, SITE
DRY
DENSITY
Itis./Cu. ft.
MAXIMUM
DRY
DENSITY
%
TEST
NUMBER
Y
TEST LOCATION
��
LOT
NO,
ELEVATION
FIELD TESTING
REFERENCE CURVE,
MOISTURE
CONTENT
%
DRY
DENSITY
Itis./Cu. ft.
MAXIMUM
DRY
DENSITY
%
MAXIMUM
DRY
DENSITY
IbsJcu. ft.
OPTIMUM
MOISTURE
CONTENT
%
0, 4,
/D2 •D
r 4✓
FP
99
5r
t
1
L`
REMARKS: `� C �i�Z A)1
CLIENT REPRESENTATIVE SIGNATURE
FIELD REPORT
' y
S TECHNICIANS SIGNATURE y 0 71.433
....................s.�
of Ila 011ilda
I
111141M114 allb �afjoN..rltlit�tlill
This Certificate 'issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time
e of issuance this structure was in. compliance with the various
ordinances of the,City regulating building 'construction or use. For the following:
BUILDING ADDRESS 79-000 River Rock
Use Classification Single- Family Dwelling Bldg. Perrhit No. 12145
Group R3 —Type Construction VN Fire Zone Use Zone S
Owner of Building Ministrelli Painted Cove Address 50-445 Mountain Shadows
City La Quinta., CA 92253 By; Richard Kirkland
Date; April 18, 1995,
Building Official POST IN A CONSPICUOUS PLACE