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::*.This Certificate issued pursuant to the requirements of -Section 306 of the Uniform Building!
Code certifying"th at at the time of issuance this structure - was in compliance with the various
ordinances of the City regulating building construction or use. F6r the- following:
BUILDING ADDRESS
51-220 Calle
Paloma
Use Classification
Single Family
Dwelling
Bldg. Permit No. 11661
Group R3
-type Construction
VN -Fire Zone
Use Zone SR
Samuel Castro
P.O. Box 1515
Owner of Building
Address
Cit Indio,
4 CA '922 2
Lonnie Day'
By:
0V
Date.
December 16, 1993
Building
Official
.
POST IN A 00 MWIPICUOUS PLACE
Building S/. ZZO
Samuel 'Castro
Mailing
Address P.O. BOX 1515
cIndio, CA Z1922G2
Contractor
Ownex/H1.3j.lCs'er
Address
Same
City lZip
.4
P.O. BOX 1504 No. 1.1.661
78-105 CALLE ESTADO
to LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 7619®134-005
Tel. Lot 10.5 Desert Club Tract 5
39g—Sg46 Legal Description
Project Description SPI)
Tel.`
& Classif. I Lic. #
Arcn., tngr.,
Designer
Address 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 Contractor's License Law for the following
reason: (Sec. 7031.5,Buslness and Professions Code: Any city or county which requires e
permit to construct, atter, 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
sub/acts the applicant to a civil penalty of not more than five hundred dollars .($500).
>l, 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, Bulsness 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 Lew
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.)
0 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.
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, I shall not
employ any parson 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 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 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
Sq. Ft. No. No. Dw.
Size 260} Stories Units
New 0. Add ❑ Alter ❑ Repair ❑
'Demolition ❑
Permit includes all garden bock.
walls.
Retaini na wall and Dool hermits
to ho
obtained separately.
Estimated Valuation $159,533.00
PERMIT AMOUNT
Plan Chk. Dep. 250.00
Plan Chk. Bal.
460.46
Const.
849.50
Mech.
68.50
Electrical
169.74
Plumbing
174.00
S.M.I.
16.00
Grading
20.00
Driveway Enc.
Infrastructure 3,378.44
Precise pian X5.00
XT—_s In Pubix Places
148.83
TOTAL
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 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
4T FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEQUIP.
DRINKING FOUNTAIN.
L
SQ. FT.
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
i
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING �� Ol'?> fr%
!/
GARBAGE DISPOSAL
FURNACE UNITWALL FLOOR SUSPENDED
.y� (r2
3l l 1��/AVdTIi
;if'.1-si
31p 3
LAUNDRYTRAY
AIR HANDLING UNIT CFM
REMARKS:
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
i
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.
SQ. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
THING
SO.FT.GAR ® V4c
HOUSE SEWER
MESH
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 Z 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
SEWER�K
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING �� Ol'?> fr%
!/
FINAL INSP.I 2
GG-41�3
ROOFING 311V43
VENTILATION c
.y� (r2
3l l 1��/AVdTIi
;if'.1-si
31p 3
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.pUAw`r'�
FENCE FINAL
INSPECTOR'S SIG ATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED'SCHOOL DISTRICT
82-094Highway 1,1`1°
NOTICE:. Indio, CA 92201
Document Cannot Be Duplicated (619).347 8631 -
Date 12/28/92Type.ofPermit L-a-Qginta
No. 111919 Permit #
Log
owner Name Samuel Cas,tro:.s.:
Jam' /-ZZONo Street Calle,Paloma
City La Q iinta Zip ;92253 8tudy,Area 116
APN # Tract # Lot # 105 P A. Squame Footage 12600
Type of Development $>n& Family Residehce'- I No. of units
Comments
At the present time,.the Desert Sands Unified School Distriet.does.noi.collect fees. -.on
garages/ carports, covered patios/walkways, residenhal=additions under♦ 500 square feet,
detached accessory structures or replacement'mobilehomes. It has been'`determined
the above-named owner is.exempt.-from payingschooI fees at this time due to the
following reason:,
EXEMPTION N:OT APPLICABLE
This certifies that school facility fees imposed,pu suartH6 Government Code•53080.
in the amount of 1.58 x 2 60.0 or z.$ 4,108:00 have been paid to D.SU.SD for
the property listed above and that bu lding perm is and/or Certificates. of Occupancy for
Aetj.. ..
this square footage'in this proposed projectmay "Wbei issued
Fees Paid By .`Sun Valley Farms Telephone 399-8116
Name on the check
By James F Lively
Assistant. Superintendent;. Business vices,'
Fee collected /exempted by Vickie J. Durrett =
Payment Recei Ved Z
Signature
Check No. 608
Collector: Attach a.copy of county or city plan check, applicaiioin-form to-distrkt.copy_for all -waivers.
Embossed Original'- Building: Dept./Applicant Copy'- Applicant/Receipt Copy t Accounting
CALVIN C. KAMINSKAS� J " " " DAN RILEY
Assistant Commissioner t ° Sealer, Weights & Measures
(714) 275-3000 =' (714) 275-3030
pro. �s
OFFICE OF''.; �.
AGRICULTURAL COIVINIiSS1 NER
' JAMES O..WALLACE; Cbmmissioner-
83-612 Avenue":45 Suite -7
Indio, CA'; '92201 n,
( 61.9) 342-8291 "
DATE l 2 "� . /, :Z . CASE ; NOC Cj,. (Z O/ c. Z' 6�
DEVELOPER'S "NAME: ce, ✓�_ d� `•l!A ✓irk ' Vie'! i �C r
ADDRESS: 0_2r��
TELEPHONE:
e-0 40
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 'from plant material"listed; this office must be notified
imrediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agricultural "Comniss' is Office .
cc: Indio and Riverside
x
4080 LEMON STREET, ROOM 19, RIVERSIDE,, CALIFORNIA.9250.1-,- FAX (714) "275-3012
TO: CITY OF LA QUINTA DEPARTMENT,OF BUILDING AND SAFETY
This letter is to authorize Candelario.Felix to sign as an agent
for Samuel Castro on all permits issued through your department.
Please retain this statement for future reference. This
statement will remain valid until you are notified.of any changes
in writing by me..
IMP !MM'(4,6el
_ �
INDORSEMENT
ATTACHED TO CLTA POLICY 177573
ISSUED BY
COMMONWEALTH LAND TITLE INSURANCE COMPANY
PARAGRAPH 4 OF THE INSURING PROVISIONS ON THE FACE PAGE OF THE POLICY IS
DELETED AND THE FOLLOWING PROVISION IS INSERTED IN PLACE THEREOF:
"ANY LACK OF THE ORDINARY RIGHT OF AN ABUTTING OWNER FOR ACCESS TO AT
LEAST ONE PHYSICALLY OPEN STREET OR HIGHWAY IF THE LAND, IN FACT,
ABUTS UPON ONE OR MORE SUCH STREETS OR HIGHWAYS."
THIS INDORSEMENT IS MADE A PART OF SAID POLICY AND IS SUBJECT TO THE SCHEDULES,
CONDITIONS AND STIPULATIONS THEREIN, EXCEPT AS MODIFIED BY THE PROVISIONS
HEREOF.
THE TOTAL LIABILITY OF THE COMPANY UNDER SAID POLICY AND ANY INDORSEMENTS
THEREIN SHALL NOT EXCEED IN THE AGGREGATE, THE FACE AMOUNT OF SAID POLICY, AND
COSTS WHICH THE COMPANY IS OBLIGATED UNDER THE CONDITIONS AND STIPULATIONS
THEREOF TO PAY.
DATED: AUGUST 13, 1992
Countersigned
By
A 1horized Officer or Agent
JS #242
CLTA STANDARD COVERAGE POLICY — 1988
COMMONWEALTH LAND TITLE INSURANCE COMPANY
President
Attest: !/)�Q
Secretary
�t"�.wr.'�•,.xx,--�+.y...r..-r�*+Y'y,�r"-j!r�•.•'�.... .,,,p�.r ,."ria+r^c*stl"'F.,`�f'."'•'h•`�+rtrt+r^"i'E'�y�n%h"`�,,;s'7s'g�sr•�r--9•�,�y��,;Ynsrtr�„wr-K:..r.yA,t�.,{'�.`•°i'rytarjjf�,'J.+,{yi'�"Kr`+`t"�
EARTH SYSTEMS CONSULTANTS S.C.
BUENA ENGINEERS DIV.'
79-811 B Country Club Drive
Bermuda Dunes, CA 92201 •. (619) 345-1588
Client Name
Client, Address .
Client Phone
DATE,
l'22-
TEST LOCATION
JOB NO.
57-1/27X -iP/
PROJECT
LOCATION
CONTRACTOR.
MOISTURE
CONTENT
%
OWNER
WEATHER //
l .l GOi9 /
TEMP., o at AM
U at PM
PRESENT AT SITE
e, P P�
S.
TEST .
NUMBER
TEST LOCATION
LOT
NO.
ELEVATION
FIELD TESTING
REFERENCE.CU'AVE•
MOISTURE
CONTENT
%
DRY
DENSITY
lbs./Cu. ft.
MAXIMUM
DRY
DENSITY
%
MAXIMUM
DRY
DENSITY
IbsJcu. ft.
OPTIMUM
MOISTURE
CONTENT:
%
e, P P�
S.
v
y
2.,jo
c
7, 7
73 .
lo. �
/
/.
REMARKS: I
• AZT, 3 &:.s ZC 147, �0//.. sr ar c-r&e s . Ty r'vc.
r
FIELD REPORT
CLIENT REPRESENTATIVE SIGNATURE TE HNICIANS.SIGNATURE '��;