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05223 (SFD)P.O. BOX 1504 Building50-965 Paloma 78-105 CALLE ESTADO AddresLA QUINTA, CALIFORNIA 92253 Owner A Sr MCConstruction Address P. ®. Boa 366 City Zip Tel. La Quints 1 92253 1 564'-4832 Tela State Lic. City & Classif. 487584 Lic. # Arch., Engr., Designer Address I Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm thall am licensed under provisions of Chapter 9 (commencing with Section 70D of livision 3 of the Business and.P,rofessjons Code, and my license is in full force and effect 1 r OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reason- (Sec. 7031.5,Buawss and Professions Code: Any city or county which requires a permit to constrict, ager, improve, demolsh, or repair any structure, prior to its issuance also requires the applicant for such pernif to Me a signed statement that he is licensed pursuant to the provisions of the Conbactors 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 exerrptiba. Any vknlaticn of Section 7031.5 by 'any applicant for a permit subjects the applicant to a chO perWty of not more than five hundred dollars ($500). ❑ 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 Canbadoes 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 irprovements are not intended or offered for sale. It, however, the building or improvement is sold within are 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 appy 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. S P.C. for this reason ,r. Date Owner rwii? r w WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Workers 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. 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 f-orr,which this permit is issued, I shall not employ any person in army manner so as to a subject to the Workers' Compensation Laws of CafifomiaSJ ate Owner ';✓ NOTICE TO APPLICANT. If, after malbi g this -Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith oonpy with such provisions or Otis pewit 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.) Lenders Name Lenders Address This is abuilding permit when property filled out, signed and validated, and is subject to expiration if 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. 05223 11LDING: TYPE CONST. OCC: GRP. P. Number 769-072-034 Description Project Description S . F . T) . r.;.,,cs^';.. AF, ai.0 AA. -.n 1__4",..3 i!t 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: Datel 2 / 3 0 % 8 rPermit Validated bv: Validation: Sq. Ft. 2226 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Estimated Valuation 5121,150 PERMIT AMOUNT Plan Chk. Dep. 3tA �rt Plan Chk. Bal. IA Const. ARA, n Mech.' Electrical p ? Plumbing 127 no, S.M.I. 4a C Grading 90 AQ Driveway Enc. � 0 4 Infrastructure 7 AAA 4-P TOTAL $3,622.92 1 ',,1, REMARKS r.;.,,cs^';.. AF, ai.0 AA. -.n 1__4",..3 i!t 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: Datel 2 / 3 0 % 8 rPermit Validated bv: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES A.C. UNIT COLL. AREA DEZ / 1ST FL. SO. FT. ® $ UNITS HEATING (ROUGH) STORAGE TANK FORMS YARD SPKLR SYSTEM 2ND FL SO. FT. DUCT WORK ROCK STORAGE FOUND. REINF. MOBILEHOME SVC. BAR SINK POR SO FT ® OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® GROUT WATER HEATER SERVICE FINAL INSP. DRAINAGE PIPING CAR P. SO. FT. @ WATER SYSTEM FINAL INSP. G/ GRADING Cu. yd. $ plus x$ =$ DRINKING FOUNTAIN. WALL SO. FT. FR ING 7 � FINAL INSP. OFING � / � / r � ,r//j �_ �1� � � �+ 7�� URINAL SOFT ® ESTIMATED CONSTRUCTION VALUATION $ VENTILATION WATER PIPING NOTE: Not to be used as property tax valuation FIRE ZONE ROOFING: FLOOR DRAIN MECHANICAL FEES FIREPLACE WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER INSPECTOR'S SIGNATURESIINITIALS GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR GOND. SOLAR BACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA DEZ / ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS r SEWER OR SE W1IC I A%" 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 WATER SYSTEM FINAL INSP. G/ GRADING Cu. yd. $ plus x$ =$ LUMBER GR. FR ING 7 � FINAL INSP. OFING � / � / r � ,r//j �_ �1� � � �+ 7�� REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND 41 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF LT ^^^^OL� ES b�AV�Up tW TO: City of La Quinta DATE: / '-�3 X Department of Community Development T 78-105 Calle Estado La Quinta, CA 92253 This is to certify that C l , developer of which is located at — - / within this District, has p id school facility fees impose pursuant to the authorit generat d by overnment Co a Se tiosi 530$0 in the aQiountf�V14D covering a total of square feet o (X) r s dential or ( ) industrial/commercia development and that buildi g permits for this footage in this development may now be issued by your jurisdiction. ,5D - q&6 Pt, a, 4(05) -- 93A. q_7 White - Building Department • Yellow gq 17 Me I - n, ? for DESERT UAdDS UNIFIED SCHOOL DISTRICT Facilities Planning 0 Pink - Accounting • GWAVp er M,4-0cma-- ��-- �r r'�./".4r - 4.�-.. -'.i" `a.is - F ..:^v�'�... - _^c r+'V 1h -I.. .. .� � r' _ Y • �ti, .-..^'ir.,, .'�..-^. ..� r v -a ... .- _ RECEIPT NO. u Issued By k Cf -Date l L 2 DISTRICT: ❑ Riverside, CSYlndio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑. Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records rx� COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on the attached checklist A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. Q VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* Z 0 Agent. Contractor Pe , u t �Phone 2 y Address ��� e x 5 ` cTvn'�6Z ti U.1 Owner ,S"q P � Mailing Ad g % 3,6 CityN �� State Zip Job Property Address s I Description Pro . IP_M, T-ct, Lot) ' `�fYvB Taa�rS Lot Size star Ageno I Use of Permit P/P, CU, etc. Other 't l �GGb C V cit/ D ellin H Site Prep, etc/ Signature of Applicant Date CATEGORY: REV CODEFE CATEGORY: REV CODE FEE aue/sUBSURFACE DISPOSAL 1238 $45.00 ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 m ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) Z LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 Q a. 1 at 4 Parcels (Each) 1238 $45.00 (Less than 1 year) ti= _ b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) 1 U) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $45.00 Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 ;` $132.00- 0 Site Evaluation Lot Less than SYSTEM t �/ 10,000 Sq. Ft. 7347 $86.00 INITIAL DATE XNoy- Holding Tank Agreements Completed ❑ Yes Certlfi'1091`Existing S.D. System Required ❑ Yes0 WQCB Clearance Form required. (Attach ❑ Yes ❑¢I 0_ DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. - ❑ Yes Special Feasibility Bode? Report�uired. ❑ ,Y� R No dr Detailed Contour Plot�lans Required (1 to 5 fL interval)FO'k o # $Q I es ❑ Noo Otho► ❑Yes C3ONo ' Staff Specialist Lot Inspection Required D Yea _ Lot Inspection Date Soils boring report by Pn># Date ` Soils Map Page Soil Type Approved by Date T U No. of Systems T of Systems) Tank ❑ Existing No. Dwelling Units / Bedrooms, (1) Septic Tank Soil Rate Nirease/Sand OZ ,` �ing ❑ Replacement �• 8 � G 7N\ V e�L 1)u>c LL7 Gal N Leach Line Sq. Ft Sidewall allowance I Une(s) fL long tt wide with ( leach Bed sq, ft ` trench area • ft rodV sq. R per running fL min. in es rock below dreinlines or `of bottom arae / glfNA Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth ApPlloeble Inlet (BI) N/A Overburden factor � 8 ' �D� Max. Allowable Depth No. 2 System REMARKS:a' w This application is PA PROVED ENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated 0 on the accompanied -plot plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the 0 above -designed system. No construction is permitted in the required reserved 100% expansion area. Septic tank and sewer lines must be 50' minimum from any wells / UJ (2 Leach lines must be 100' minimum from any wells, including expansio ar 3 Seepage pits must be 150cfflinimLim from any wells1�zate-, includinansion area 010 N �-�'l fficial Signature of Health Official—U,D RECEIPT NO. u Issued By k Cf -Date l L 2 DISTRICT: ❑ Riverside, CSYlndio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑. Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records rx� MOJAVE ESCROW COMPANY ❑ 73-920 EI Paseo, Suiie 3 • Palm Deseri, CA 92260 • (619) 3414313 ❑ 1881 Commercenter East, Suite 1I1 • San Bernardino, CA 92408 • (714) 381.4481 • (714) 824-2376 Manuel Abarca etal P.O. Box 366 La Quinta Ca. 92253 Escrow 2780 April 12, 1988 In connection with the above numbered escrow, the items indicated below.are enclosed; �J% Closing Statement and check Recorded documents to which you are entitled will be mailed to you by the County Recorder and we will cause other items to be mailed to you as they are available. The original title and fire insurance policies, if any, are usually held by the first en- cumbrance holder. Paid Notes and Trust Deeds are held by the Trustee. TAX INFORMATION: Tax Assessor's Parcel Number is: Next Installment of Taxes is due on: Dec. 12,1988 County taxes on real property become delinquent as follows: First installment after December 10 and Second installment after the following April 10. If Buyer does not receive a Tax Bill one month prior to a delinquency date, a written request including the tax assessor's parcel number should be made to the County Tax Collector. When the lenders impound funds for payment of taxes they usually receive the tax bill. If the Buyer qualifies for the Homeowneror Veteran's Exemption, application must be made by a specific date and should be verified with your local Assessor's Office. We appreciate having had this opportunity to be of service to you. We look forward to --being of service in the future and ask that you look to "M.E." for your escrcw.needs. e Sinc ely, For La' e loan Escrow Officer THE FOLLOWING INFORMATION CONCERNING YOUR TRANSACTION IS COMPLETED BEIOW, IF APPLICABLE: A payment of $ Held for collection by at A payment of $- Held for collection by at Insurance Company Policy No. is due on Loan No. is due on Loan No. Agent Amount of Coverage $ Renewal Date ME -126 E: lEow SPAUGY o I Fr. R.� �� ... ut I Ir;E U► , cv nn�:ur..tn A(;MCU1L1 U1W' "(,U�1h11551UNLl >n�Irs a:u.nunc:F ULiMENJ fiF.�VENISIE I M x IGIIIS b (AUrNsUCA lil.S dtgun i��, . ►�t `���t:,_, 49-6d J Ilwy-' 11G r l3ultg.: D 12' . 61,9-342-029I CA'SC IIU. DEVEWPUR'S Id11h1Et ANr� ���� , ADDRESS� 3 . CJ '1'rLtE'IWIIE� (.101 1,.77. oaf �zs�--F CA51 CA, L1� Dear Develoireri „ After reviewilig;your landsce�li.ily.:Itlan�, 1111 l/ient nyter;i�l lis�C�suostitutiolls violation of guar lltlllp ib. s i�iive'r iliny LiA ���i.11ella V�Lley... .do occur veld the' y differ [tun 1►.1,311t, malerlal lisle`, tlils office Illusl be notif ied ilnitediately. ' or rvtectLi alit Irieserviny Lite tvacllella Valley's Fest-[ree ellviroulent. lliwk you L p y Agr u -tura Cauiissioiier s ul [ice cc ludio cold Itivetside V[Cice T4hf 4(4jQU14(r� 78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 - (619) 777-7000 FAX (619) 777-7101 September 6, 1994 To Whom It May Concern: The structure located at 50-965 Calle Paloma was built when the area was determined to be located in the "A3 Flood Zone". Since that time, the City has constructed street improvements and a storm channel in the area. Per the FIRM flood zone map, Panel 0607090010 B, revised August 19, 1991, the structure is now in the "AO Flood Zone". Please feel free to contact us should you have additional questions. Sincerely, Tom Hartung Director of Building & Safety kt T� MAILING ADDRESS - P.O., BOX 1504 LA QUINTA, CALIFORNIA 92253 t.\J Fitch Engineers Inc. February 6, 1989 A. M. Custom Homes P. 0. Box 366 La Quinta, Ca. 92253 SUBJECT: Ret of In -Place Tests- 50 965 Calle Paloma - � .. t4a"'�"fflu,1Xn4­,,, .42' Lo t Gentlemen: In accordance with your request, this report has been prepared to present the results of the in-place tests performed on the fill material at the subject site by Fitch Engineers, Inc. These tests were performed on 1/14/89 and 2/4/89. AVAILABLE PLANS To assist in determining the locations and elevations of our field density tests and to define the general extent of the site grading for this phase of work, we were provided with a grading plan by Fitch Engineers Inc. FIELD TESTING Field density tests were performed by a representative of Fitch Engineers, Inc. upon completion of site grading. The density tests were taken according to A.S.T.M. Test 1556-74 and the location and results of those tests are shown on the attached plates. The locations and elevations of the in-situ tests were determined in accordance with their importance and the accuracy and proximity of the survey control provided by Fitch Engineers Inc. representatives. Unless otherwise noted, their locations and elevations were determined by pacing and hand level methods and should be considered accurate only to the degree implied by the CIVIL ENGINEERING — PLANNING — SURVEYING — DESIGN P.O. BOX 4551 PALM DESERT, CA 92261 (619) 345-7667 A maximum dry density det.e.rminat on:, was' per;formed.' on a representa- tive sample, o'f'-the' soils . used `in the compacted '_f ills 9 according to A.S.T.Me" Test 1557-78,­Me.thod A. 4 This ..method spe1cifies that a four (4) inch diameter.cylind'rical molld of 1/30°cubic foot volume be used and: that the. soil test•ed-::be placed inJive (5) equal layers with each -laye'r comp -Acted by twenty-five -Q' ) :,b'.v',e of a 10 pound hammer with a 18. inch . drop. The re' uI is . o,t these tests as pre- sented on Plate No. 1 were used i`n' con junction. wiit'h the field density tests to'determine °the' percent of" �relat. a compaction of the compacted fill. This report covers only th.e,work performed on Our o, inions 1-/14./89 and 2/4/89. p presented. herein • Are,�based oin, o" observations and the relative compaction teats ,-'resu.1-ts.'�!. Due: to possible variations in the uniformity of compacted'f1,11s, we only warrant that our work was performed i.n accordance with the currently accepted standard's. of practice and, in such 'a 'manner ;s to have reasonable certainty that the massgrading complies .-wi:th >th'e job requirements. No other warranty, express or implied is.give;n,.,or•intended. If you should have any questions :af.ter reviewing this report, please do . no.t hesitate to con-tect` this of f1ce. This opportunity to be of professional service is sincerely appreciated. Respectfully s'lubmitted, FITCH.ENGINEERS-INC. WM- [i. FITCH R.C.E. 12571 JOB. NAME 50 965 'Calle Paloma, La Quinta, ,Ca. JOB NO, ELEVATION 'OR` _ MOISTURE DRY DEN. SOIL REL. CO.MI TEST NO. DATE LOCATION DEPT4OF.. TEST. Ib5/cu ft. TYPE ` 1 1/14/89': SEE SKETCH` -2' 6.`4 97.8 "s TT4.0 85.8-' 2 �� �� -1' 7;,5 116.6. 119.7 97.4 `. .3 . �� F.G. - 8 7: := 109.7 ? p. 119.7 91.6 4. 2/4/89 Retest 'of #1 .-2 d9,.9 106.1, 114.0 93.1 SOIL:TYP #1= 114.0`ibs. cu. ft...! 14.'0% Mo stur-e 'SOIL TYP #2= 119.7 lbs. cu. ft. @ 12.TX. Mo 'ture } Y a "iz IMP, 1z Rliv I'M M V a"g ZY DENSITY TEST 965 Calle Paloma ,50 La Quiiita' Ca (Lot 80) M BY DATE G...., Kr au e 1/14/89 2 4/89 JOB, NO. A:., NTS -, PlateNo.2 -ji COUNTRYWIDE 400 Countrywide Way Simi Valley, CA 93065-6298 (800) 669-6085 1 & V" . ohn Owen$, Jr. 5U ; '' :lmna JUNE 03, 1994 La quwa6 CA 944 JOHN E.OWENS,JR 50965 CALLE PALOMA LA QUINTA CA 92253 RE: Loan Number 8312936 Dear JOHN E OWENS,JR We have receiveda request from you to delete the flood insurance requirement on your loan. Please keep in mind that flood insurance is mandated by federal law statutes and in order to delete the requirement we must follow procedures set out by the federal government. In order to delete the mandatory flood requirement we must receive proof that your property is not in a special flood hazard area. Acceptable forms of this proof are listed below: 1). A copy of the F.E.M.A. (federal) flood map showing that your property lies outside a special flood hazard area (flood zone A). Local maps.and surveyor's maps are not acceptable. 2). A letter from a surveyor or local government official avowing that the property lies outside a -special flood hazard -area. This letter must reference the appropriate F.E.M.A. flood map and specifically state in which flood zone the property is found. 3). A certified appraisal stating that the property lies outside a special flood hazard area. The appraisal must reference the appropriate F.E.M.A. fl-ood---map and specifically state in -which flood zone the property is found._.. 4). A letter of map amendment from F.E.M.A. stating that the property is no longer in a special flood hazard area. Please remember that these are federal requirements and Countrywide. does not have the authority to change or amend these federal statutes in any way. If there are any questions please contact our office at (800)669-6607. Si erely, n %�Q-l' Renna �lceti Insurance Department _ mlrr03 Please send correspondence to: P.O. Box 10212 • Van Nuys, CA 91410-0212