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002821 (SFD). , I .. a 1 44. Quba T4tyl P.O. BOX 1504 Buildingv 78.105 CALLE ESTADO Address 51-260 C� le Parte. LA QUINTA, CALIFORNIA 92253 Owner No. 002821 'M= �dez BUILDING: TYPE CONST. OCC. GRP. ' Mailing Address A.P. Number 769-142-11101 Lat Legal Description 17 City Zip p 92201 Indio Tel. '-- 2 Project Description �Z- Contractor8331dGfa� 4'( . :ti v ASO 003"I - -7 1Y - - � Address . 23120 KtAxia Rpad City Zip Tel." 74.4 n i X32 � f f State Lic. & Classif. 321872 City Lic. # um2569 PM 103 Sq. Ft. No. No. Dw. Size GAR, 472 Stories Units Arch.; Engr., Designer New la Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City lZip Ai /,� ^� / State Lic. # _ LICENSED CONT RACTOR'S.DECOARATION I hereby affirm thatfl a"mJicensed under provisions o(.Ohapter 9 (commencing with Section 1000) of DivI ion 3 of,tfie Business and Professions Code, and my license is in full force and effect. \f SIGNATURES i "--•-s'" -4::o DATE ii OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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 wittrSection .7000) of 'vision 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 ($500). ' - ' "-.. ❑ 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 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 contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. ti P.C. for this reason < Estimated Valuation 1 282 -00 r PERMIT AMOUNT - - A ,,,�q -- 2510Plan Chk. Dep. .00 - • � Plan Chk. Bal. Const. �%�..jj 3'" "" Mech. ZZ .s`i. "� .. Electrical.RZ Plumbing d0.9a00 _ . S.M'.I. 5*71 Grading(; ,{)0 Driveway Eric.20.00. Date Owner Infrastructure 1,219.23 WORKERS' COMPENSATION DECLARATION 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. .O Certified copy is hereby furnished. TOTAL 2,185.95 1,933.95 REMARKS 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 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, 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. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from. Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line 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 andycounty ordinances and state laws relating to building construction, and herebydauthorize representatives of .this'city to enter the above- mentioned property four i/ns peclioD•p7posestii Signature of applicant Date Mailing Address / i ' ! FINAL DATE INSPECTOR r Issued by: Date --31—rKrmit Validated by: Validation: A701.6 1Z 31 j 53555 tti City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL.SO. FT. POR. SO. FT. ® GAR. SQ. FT. p CARP. SQ. FT. WALL SQ. 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 COLL. AREA FLOOR DRAIN MECHANICAL FEES ROUGH PLUMB. 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 ROCK STORAGE 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/a c SEWAGE DISPOSAL SERVICE SO.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 PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBINGAwl UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 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 APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $plus x$ Ur C�tty�� / _$ LUMBER GR. FINAL INSP. � �/ �7 �) FRAMING .� (� / !O U FINAL INSP. ROOFING 6 V f (to N'r s� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING �' S/ O MESH I TION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Un o Desert Sands "`{zed `sc�oo�l District � y, BERMUDA DUNES;, " RANCHO-MIRAGE -� -,82-879 HIGHWAY 111 A INDIO,'CALIFORNIA.922Oi=5678 A (619) 347$631 ► INDIAN WELLS,.; to PALM'DESERT a Mar Ch. 1i9v3 19, d' LA'QUINTA 817 .JO INDIO City of ,,La Quin•ta De:par,tment, of Community DeVe`lopment 78-105 Calle, Estado P. 0. Bok 1504...,' La Quintal itk 92253 Re:. 51-260 •.Calle Paloma,' La Qu.rita, ;CA Dear Sirs: Please .accept. tli- s letter as authorization rfrom Desert San(is Uni,,fied,'School District':`for you to 'release the hold l`1 on afurther rispect ons.,r g�Lr-dL the `i`eferenced property." S ir our rchard M. 'Beck R°ac l 3-es _Planner,,, RMB/vmm ` - Y. nI Z O F— U W CO 'I Z O H U LLJ U) V Q 2 W M X Z O F_ U W C0 COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 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 specifications required on the attached check list. A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # (Owner,Agent, Contractor, Etc.) Mailing Address Name City State Zip Code Telephone 'Job Property Address NCty or•Community Legal Description of Property. (Lot, PM, TR) i el "x", 'Assessor's Parcel 'No. Water Agency or'Well. /�,f/ ' Use of Permit: 11W211''�;Planning Case N Lot Size , i SFD, MH Site Preparation Etc.—(� J f// Sjgnature of Applicant �' Date i/ 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE , Initial�Date ( / Certification of Existing S.D. System required. ❑ Yes P NN.o�`� �t�/t WQCB Clearance required. ❑ Yes 1J N.o,0- / Soils feasibility report required. ❑ Yes ® No Detailed boring report required. ❑ Yes N' Detailed contour plot plans required. ❑ Yes ,��No Staff Specialist approval required. ❑ Yes �© No Lot Inspection Date Soils/boring report by /�— Project # Date Soils Map Page rtlf� Soil Type. I S Approved by �f•� DateG��� Type of System: " New ❑ ❑ No. of Bedrooms (1) Septic Tank td(O Soil Rate Required ❑ Existing I Additional Replacement _-5 /, , : !• Gals. (2) Leach line sq. ft. Bottom Sidewall allowance Installl Lines) Ft. Long, inches -r -Leach bed Sq. Ft.o b trench area) ft. rock/ Sq. FL per running ft. O`N A Ft"wide with min. rock below drain lines tto area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit ah. Seepage Pit total depth 440 Applicable -00' factor *®$ ®6' Max. allowable depth N/A urden "•"(/ f ( :..••' �IlI..YA ,I."4..,/'.�+A «e � .�,.fi/7�i J1.— 7"—T.7 A ! (! v�✓ ,�l-..C,ly'M�'1��/hs'. This application i ppro� vedldeni6d for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit is necessary for the installation of the above -designed system. / (1) Septic tank and sewer lines must be 50' from any wells ".' (�=f'�, > (2) Leach lines must be 100' min. from any wells including expansion area U 3 Seepage its must be 150' min:, an wells includin ex ansion area' i 0 2-� jr """`moi r Signature of Health Official -- Date RECEIPT NO. (K 77w- Issued by Date T �� District: ❑ Riversidelfndio ❑ Hemet ❑ Perris ❑ ho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant INK—Bldg. Dep . GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) SRR TNG Mn1JNTALN ' ESCROW CORP. - LNDIO :BRANCH . (619) 342-4770 • 45-701 MONROE ST. SUITE G, INDIO, CA 92201 ESCROW STATEMENT OF: Escrow Officer Ro seMa ry Av ina Juan L. Hernandez FranciscaHernandez Property Address _� ECEI�F E i5/ SEP 4 1986 CITY OF LA QUINTA COMMUNITY DEVELOPMENPf41ENTDEPT ' Escrow No. 5027 Date Aug. 18, 1986 ITEMS DEBITS CREDITS Deposit 6,994.00 Outside Escrow . Consideration .13;500.00 First Trust Deed Second Trust Deed Third Trust Deed New First Trust Deed 6,750.00 New Second Trust Deed New Third Trust Deed gra. Taxes $ 21.29 Per 6 mo fr '-07 01 86 to 0:8/18/86 5.17 Insurance $ Interest on $ Interest on $ Rent $ Rent $ Rent $ a Rent $ Maintenance $ Rental Deposits $ Termite Inspection to: Fire Insurance Premium to: Commission paid to: Commission paid to: Commission paid to: s Payment of demand to: Interest on Forwarding Fee/Beneficiary Fee Prepayment charge and/or late charge Reconveyance Fee Impound Credit/ Deficit Payment of demand to: . j. 1 Interest on Forwarding Fee/Beneficiary Fee Prepayment. charge and/or late charge -Title Co. Sub Escrow Fee - Processing Payoffs. Policy of title insurance { Documentary transfer tax Recording documents 10 GO Reconveyance Fee Tax service County tax collector for taxes fiscal year Escrow Fee CORP. OjJ� 1TN a i Completing Documents Notary Fee Insurance Endorsement Fee Beneficiary and/or demand Processing Fee Loan tie-in Fee Balance: Check enclosed. herewith 44.171 TOTALS - 13,749.171 13,749.17 THIS FORM SHOULD BE RETAINED'FOR INCOME TAX PURPOSES CO.444(REV 11/85) } ' L'..Yi 3%.•wt�..': .eC:l i'"{':fie IF...y„l..}izyeN�:y, �9A. • SPRING MOUNTAIN ESCROW CORP.-- INDIO BRANCH (619) 342.=:4770 . 45-.701 MONROk `ST. SUITE G., INDIO`; CA} 9:22`0`1 ESCROW STATEMENT OF: Escrow Officer RoseMary- Avina Escrow No. 5027 Valesano Living"Trust dated,December.8, 1982- Date Aug. 18, 1986 Ralph N. Valesano, Trustee Lenore T T,Valesano, Trustee° ProperiyAddress vacant' land r' ITEMS, DEBITS i CREDITS Deposit f Outside Escrow Consideration First Trust Deed Second Trust Deed Third Trust Deed New First Trust Deed Valesano Trust 6, 7 New Second Trust Deed t New Third Trust Deed t } Taxes $ .21.2 9 Per 6 mo f r 07./01/86. t o .08/1-8/86 Insurance $ Interest on $ Interest on $ Rent $ Rent $ Rent $ Rent $ Maintenance $ Rental Deposits $ Termite Inspection to: Fire'Insurance Premium to: Commission.paid to: La Quinta Palms. -Realty 1, 35.0: H Commission paid to: c Commission paid to: Payment of demand to: Interest on Forwarding Fee/ Beneficiary Fee Prepayment charge and/or late charge Reconveyance Fee Impound Credit/ Deficit Payment of demand to: Interest on 1, Forwarding Fee/Beneficiary Fee r Prepayment chw& and/or late charge Title Co. Sub Escrow Fee.- Processing`Payoffs,. _Policy of title insurance Commoriwea-1 th'. Land Title 200.00 Documentary transfer tax 14.85 _Recording documents Reconveyance Fee Tax service County tax collector for taxes fiscal ear Escrow Fee .SPRING MOUNTAIN ESCROW; CORP,. — INDIO :BRANCH 125.00 Completing Documents 25-.00 Notary Fee + •. - Insurance Endorsement Fee ' Beneficiary and/or demand Processing Fee ' Loan tie-in Fee .v. Balance: Check enclosed herewith 5 r UZ 9 • 913 TOTALS13, 00.00 13,30U.00 THIS FORM SHOULD BE RETAINED FOR INCOME TAX PURPOSES CO -444 (REV 11 /85) i r , x , .,IL t'r•ti= ';.�i.�.i�K�r� ?•!r.r "�'•.1�J.s: !` :� a�': ....>:f'��¢i�� �'l :vl':)F7•M1u '%`Ya 'y6:;i�±,; .lt•KY ,�:,.•;)jd: '•''!F"•a;•?CAe cL�'��1;.i`r..,,:.`1ve;,,: 4P �.. �'��:yF'"CY(�'i1:••' tt•,. rye _ -t C 1 E_ly r :ti'1r. 5 �Vt"• MAT lot's .f��M�;�.t.�^ ':.::1••'',, ;�ti�'.'.;�%�.�1,..:'y�•.3. ��c. •: >;y is ,�'c .at:•.::, ••1���'�p,�•�w'•,�fk`:, ".�"..: _»; Y rY.;�,a � C Sti�•�i+:..C'�•:,', `, y, -,� ,5t 1 1� 'i` � f t " y ��` f y, '��rify'. .w,`.�`.-c ;; i ,. .'t. lls �•!': ��,.i n. :, ,,:i,r,' ':'��?: .J. �'%�,•.,`r d`,�'.5:' `",1^"'.,'�'r. ..t•. '•. :�'. 'f r.. `^. T4. c'l.�• � i, ..,.• C}. � .�r�', •: AC• ay• .f�'j = .ki'.+ iri �,_4• .'�Pt f'/; �`'�' '�,, :`n..,_ .t..{i �;� ,iii •,;�.. Ir✓� _ .(`" . � !: �; ". ',Nn, ,�1.�i9.:' ,,t.:� ..,f: .•,. °.5� ',f � l ,l q' �'� ;-�- :fit ..,,.�, c '—c , I ` ..o �' ".:' " '� .}.:: :,?" ."� t ''T1• :.j�L�: - r=yi�Si:, ys,.�'t.§'-:.�. �'t S:•�. nY Tlitf 4 4 a" P.O. BOX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 June 10, 2010 Subject: Address Correction — APN 770-174-007 To Whom It May Concern: BUILDING & SAFETY DEPARTMENT (760) 777.-7012 FAX (760) 777-7011 The Building & Safety Department is the issuer of official addresses within the City of La Quinta. Recently, we were made aware that a residential address within the city is incorrect. The address must be changed to facilitate proper and timely response of emergency services, as well as for routine deliveries. The current identifying information is: APN: 770-174-007 Legal Description: Lot 189 MB 21/61-62 Desert Club Tract Unit No. 5 Address: 51265 Calle Paloma, La Quinta, CA 92253 The APN and Legal Description. noted above are correct. The address is incorrect. Please revise your records, effective immediately, to show the following, corrected physical address: 51295 Calle Paloma, La Quinta, CA 92253 Please note the change on your records as necessary. If you have questions concerning this change, please contact me directly for confirmation by telephone at 760-777-7015, or by e-mail at gbutler _la-quinta.orq Yours truly, A4 Greg Butler Building & Safety Manager