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10674 (SFD).f 4 P.O. BOX 1504 / N o . Building78-105 CALLE ESTADO '7 /C Address 8 -735 Sagebrush. LA QUINTA, CALIFORNIA 92253 Owner Mailing Address 77383 Evening Star Circle City Zip Tel. Indic --in Wells 1 92210 1 Contractor Owner/Builder Address State Lic.I City & Classif. Lic. # Arch., Engr., Designer Address I Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) 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 Contractofs 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 rile 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 rive hundred dollars ($500). O 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 -builder will have the burden of proving that he did not build or improve for the purpose or sale.) - I, as owner of the property, am exclusively contracting with licensed contractors to con- s ruct 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 r Date r•' Owner \ t �4 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 6 Copy is filed with the city. ❑ Certified copy is hereby furnished. 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 the work for which this permit is issued, 1 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: It, after making this Certificate or Exemption you should become subject to the Workers' Compensation provisions or 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 state that the above information is correct. 1 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 10674 BUILDING: TYPE CONST. OCC. GRP. A.P. Number I Legal Description Project Description SFS Sq. Ft. No. No. Dw. Size 2770 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ y Demolition ❑ Permit includes blockyjarden wall Estimated Valuation 103,841.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 307.50 Const. 653.50 Mech. 49.00 Electrical 133.85 Plumbing 178. 50 S. M.I. 10.40 Grading 20.00 Driveway Enc. 2 0 _ 01.} Infrastructure 2223.92 {{ t; TOTAL REMARKS ( t r.! r+'—Yfr. nj^-f�•��^.'tr iii. 7 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 Pe Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING,FhF$i 1ST FL.SO. FT. ® $ UNITS A.C. UNIT 2ND FL. S0. FT. SLAB GRADE YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. ® SEPTIC TAN41t 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 ],x K WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SERVICE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM WATER SYSTEM FINAL INSP. -7161-gbe 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 SO. FT. ®c IWATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® t Vi c SEWAGE DISPOSAL FIRE ZONE ROOFING: SO.FT.GAR ® V4c HOUSE SEWER FIREPLACE 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 GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS ✓ SEPTIC TAN41t ROUGH WIRING. �12 DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) l O Q 7 l ��ll METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) _ // TEMP. POLE ],x K GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. -7161-gbe FINAL INSP c 2 3O $ GRADING cu. yd. plus x$ _$ LUMBER GR. FRAMING ROOFING 2)- LP 10 / -l�` C /6 ( L --j (Jab ctt REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING4ik MESH INSULATION/SOUND Y v 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 3/18/92 Type of Permit .I La Quinta No. 11268 Permit # Log # Owner Name Bob Grimes No. 78735 street Sagebrush City La Quint Zip 92253 Study Area APN # Tract # Lot # = square Footage 11770 Type of Development 1,9ingle 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 1.58 X 1770 or $ - 2,796.60 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 Robert/Betty Grimes Name on the check By James E. Lively Assistant Superintendent, Business Services Telephone Fee collected /exempted by Shelley D. Bennett :: = Payment Ragiv`d Signature Check No. 1040 Collector. Attach a copy of county or city plan check application form to diEitrid c*py for all waivers. Embossed Original- Building Dept./Applicant Copy- Applicant/Receipt Copy - Accounting • �., bib?.. - ... Instrument and acknowledged to me that he/she/they executed the same No 1922381 in his/her/their authorized capacity(ies), and that by his/her/their signa- Escrow No. 2451—DS ture(s). on the Instrument the person (s) or the entity upon behalf of which Loan, No. ' WHEN RECORDED MAIL TO: WITNESS h d and official I. . ,y Signature -. (This area for official notarial seal) MAIL TAX STATEMENTS AS Robert & Betty Grimes 5736 Starfish Ct. Byron, CA 94514 MAIL TAX STATEMENTS TO: SAME AS ABOVE IsPa (n .� cS12 ii✓f Q C o 00 C z �a a rr- Q SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX $ ................................•28':'05""""""" Xx. 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. LAKEgiRtligGEpeESMOV49enlo@gnining tax — Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, REVAE TEMPLIN REYNOLDS, hereby GRANT(S) to AS'JOINT TENANTS (�) the real property in the City of Co f HUSBAND AND WIFE AS JOINT TENANTS ROBERT S. REYNOLDS AND ROBERT N. GRIMES AND BETTY A. GRIMES, HUSBAND AND WIFE nj unty o Riverside LA QUINTA State of California, described as Lot 23 of Desert Club Manor Unit No. 1, as shown by Map on file in Book 22 Page 53 of Maps, Records of Riverside -County, California N: Dated Nov r 21. 199 STATE OF CALIFORNIA Iss. Robert S. Reynolds COUNTY OF Riverside } On November 21, 1991 before me,. R vae Templin Reynolds personally appeared Robert S. Reynolds and Revae Templin Reynolds , personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) whose names) is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same ;��.. •. OFFICIAL SEAL DIANE LORRAINE SCHNEIDER in his/her/their authorized capacity(ies), and that by his/her/their signa- _ ® NOTARY PUBLIC •CALIFORNIA ture(s). on the Instrument the person (s) or the entity upon behalf of which `RIVERSIDE CCUNTY Corton. ExOes Sept. 16, 1994 the person(s) acted, executed the instrument. WITNESS h d and official I. . ,y Signature -. (This area for official notarial seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002(1/9 Of 4, Y CALVIN C. KAMINSKAS : s Assistant commissioner (714) 275-3000 OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612.Avenue 9'S Suite 7 Indio, CA, 92201 (619) 342-8291. DAN RILEY Sealer, Welghls & Measures (714) 275-3030 . DATE— CASE No. DEVELOPER'S NAME: D /o �'� '''�� S ADDRESS : TELEPfHONE: (() Dear Developer: After reviewing your landscaping plans,all plant material listed.is not in violation of quarantine laws governing tte.Coachella Valley. If substitutions do occur and they differ from plant material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. Cw_e Agricultural. ColTmise"loner' s office cc: Indio and Riverside 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275.3012 P T H E C f T Y O F June 11, 1992 Mr. Bob Grimes 78-545 Sagebrush Avenue La Quinta, CA 92253 �!'t®�■ A La pinta 1982 - I . , 7rn Carat Decade Subject: Setback Adtj,u-stment: 92-122 Location: mex,, APN: 617-381-022 Dear Mr. Grimes: This letter is to report approval of your recent application for a setback adjustment, pursuant to Chapter 9.188 of the City of La Quinta Planning & Zoning Regulations. The following setback adjustment has been approved subject to conditions and in accordance with attached Exhibit A. SETBACK ADJUSTMENT: 10 -foot setback reduced to 5 -feet FOR: Air conditioning compressor within 5 -feet of rear property line. (`nMnTTTnNq 1. A minimum 5 -foot high block wall shall be constructed around the compressor. 2. The Building Department shall approve of the location for compliance with existing building code requirements. After review it was determined that: 1. This adjustment is consistent with the intent and purpose of the zoning ordinance. 2. There are special circumstances applicable to the property, including such factors as size, shape, topography, location or surroundings that justify approval of the adjustment. These special circumstances are: small- size of lot which limits available locations for compressor because of CW,�xisting swimming pool. 19 Quinto Cite of La Quinta JUNG I U r Post Office Box 1504 ® 78-105 Calle Estado 99Z La Quinta, California 92253 Phone (619) 564-2246, Fa 619) 564-5617 LTRS S . 0 8 7 / C S Design 8 ProaucnAla,; a,; Patne• CTe n; 619346.0772 3. This adjustment will not be detrimental to the health, safety, 'and general welfare of the community, or, be detrimental to property, in the v ic i.n-i t y of - the parcel for which the adjustment is requested. If you have any questions please contact the undersigned. Very truly __Y_r1_Ur� JERHERMAN PL & Nd & DEVELOPMENT DIRECTOR g Trousdell Associate' Planner GT:ccs Attachment: -Exhibit A cc: ten S ��f My D e p a� �t- =e 4'rBob -Building Grimes'' -- _ Mr 4ti` 40, LTRSS. 087/CS -2- 4 ' .. __78 73� Sf�GE t30ZU51-1 FlvE _ fib' R/� vTi�i nEs k,r (P! 3r_OCK WALL 5SL�K,... etc I IA Eou r �,lD k�L Ytv \��lj 16"N vJo��E - t n E /2Z ��N�g�t 5��� • C� 4"LF.."EARTH SYSTEM CONSULTANTS S .. C ` BUENA ENGINEERS DIV. 79-8118 try". luo.b B� "'udit,buni'a's, CA"22 901'? (619) 345-1588;1 t. 6lie'n't Nathe ..Client Add' ss Client Phone— DATE,-'- JOB NO 4, p t PROJECT DRY DENSITY MAXIMUM DRY DENSITY % MAXIMUM . DRY DENSITY• Ibsicu. tL LOCATION""""' LA G:0 i t-) -rA CONTRACTOR- OWNER WEATHER TEMP. 0 at AM �m�m 0 at Pm PRESENT AT SITE HIM FIELD A CLIENT REIPRESENTATIVE SIGNATURE :PORT TEST LOCATION DA I - DRY DENSITY MAXIMUM DRY DENSITY % MAXIMUM . DRY DENSITY• Ibsicu. tL �m�m HIM -- m -pm �mm F MMINNIN 11ONSIM --Lia: MENSIN- MINEENEISON� REMARKS: or FIELD A CLIENT REIPRESENTATIVE SIGNATURE :PORT EARTH SYSTEMS CONSULTANTS S.C.. BUENA ENGINEERS DIV. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 V . Client Name Client Address Client Phone DATE JOB NO. PROJECT:,. LOCATION ' `` �� N–rA CONTRACTOR SOS C-94 0 - OWNER WEATHER CLjF,a ?— TEMP. oat AM 0 at PM PRESENT AT SITE a FIELD ' REPORT ' F CLIENT RE6ESENTATIVE SIGNATURE TECHNICIANS SIGNATURE"" J:vll��i.�.i �4{c�t:etS•..- .. ":.. .,; ru a..',.. .. _ ..k �ri,•, �:. c .j�. r..%. �S�c .� is et?i?'sY ?c•y�3uZ3.t :5:'f :�4�{PCd.'. '. �n�; s�'�.��, . TEST LOCATION SO ROOM D Y CONTENT DENSITY % lbsiCu. tL MAXIMUM DRY DENSITY MAXIMUM• DRY DENSITY a I ® ®� � wi V,--Im / Our �- • ties Wit. �. `� �`�����i���•i•�!_I/�SwI`�"��t�t�irlfal���r�f��fii�i%�1���11L���fii i FIELD ' REPORT ' F CLIENT RE6ESENTATIVE SIGNATURE TECHNICIANS SIGNATURE"" J:vll��i.�.i �4{c�t:etS•..- .. ":.. .,; ru a..',.. .. _ ..k �ri,•, �:. c .j�. r..%. �S�c .� is et?i?'sY ?c•y�3uZ3.t :5:'f :�4�{PCd.'. '. �n�; s�'�.��, . r - - 7X PAR* (17-391 012 zztL