04866 (SFD)1
4 04866
P.O.-BOX 1504
Building 78-105 CALLE ESTADO
Address _ 51-480 Juarez LA QUINTAi CALIFORNIA 92253
Owner
MailinA Es M ConstructionBUILDING: TYPE CONST. OCC. GRP.
Address, P. 0. Box. 366 "` 773-00-013& Old
A.P. Number
City Zip Tel.
La Ouinta 9225.3 ,564- S32 Legal Description
Contractor Project Description ""�•
Address
City Zip Tel.
I
State Lic.487584City
& Classif. Lic. # .. » .. Sq. Ft. 2226 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel. 2501 of 61 stucco wall
City Zip State _
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby afflrm�that I am licensed under provisions of Chapter 9 (commencing with Section 1
7000) of Division 3 of the Business and Profe_ssiops Code, and my license is in full force and
effect.A
./' t Z. f : r" r
NATURE •DATE i
i~
OWNER-BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following t�
reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a $121:676
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 PERMIT AMOUNT
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 Secticn 7031.5 by 'any applicant for a permit Plan Chk. Dep. Y 11V i
subjects the applicant to a civil penalty or not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. v
do the work, and the structure is not Intended or offered for sale. (Sec. 7044, Buisness and r
Professions Code: The Contractor's License Law does not apply to an owner of property who Const. !iU
builds or improves thereon and who does such work himself or through his own employees, Mech.
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 Electrical
of proving that he did not build or improve for the purpose of sale.) 1
O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law u� I
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I.
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason Grading
Driveway Enc.
Date Owner Infrastructure 1#321.U4-
WO R KERS'
#321.U4-
WORKERS' COMPENSATION DECLARATION
�.,.- -.�
I hereby affirm that I have a certificate of conserjt to self=Insure, or a certificate of
Worker's Compensation Insurance, or a certified oop)rtherfior. (Sec. 3800, Labor Code.) i
Policy No.Company�V
❑ Copy is filed with the city. O Certified copy is_hereby furnished.
TOTAL � 1 0 t3 34 . 0 a
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE �l'•[a=p tt C�S}t,��� 1yF1 OW
UU..
(This section need not be completed if the permit is for one hundred dollars (8100) valuation 'i*33.T7��1JIP 431 i3WA2-'4)!" F}c+f.,A. Aa .10
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 subject to the Workers' Compensation I
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must to
rth me Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY 1
Side Street Setback from Center Line
I hereby affirm that there is a construction lending agency for the performance of the t
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 FINAL DATEIIN3S/PEC�ciTtRGti
expiration it work thereunder is suspended for 180 days. .a. S) 7 u
I certify that I have read this application and state that the above information Is correct. Issued by: Date Permit
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. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO Fl (p S
UNITS
SLAB GRADE
tROUGHPLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. a
FORMS
OR SEPTI
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT Qt
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR SO. FT. 0
TEMP. POLE
GROUT
DRAINAGE PIPING
CARP. SO FT. 9
FINAL INSP.
WALL SO FT. R
WATER SYSTEM
DRINKING FOUNTAIN
GRADING
cu. yd.
s plus x$
=S
URINAL
SO. FT. 0
FRAMING
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE, Not to be used as property tax valuation
REMARKS:
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTONDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
SPARK ARRESTOR
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
INSULATIONISOUND 7—
SO. FT. a c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID C 1'A c
SEWAGE DISPOSAL
SO.FT.GAR rg 3i4c
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 8 AIR COND. SOLAR
SETBACK
D PLUMBIN
? UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
tROUGHPLUMB
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
OR SEPTI
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
GRADING
cu. yd.
s plus x$
=S
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING— O — j'
J AfD 7Z --
R.t-
,
tjsr.
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR.
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND 7—
FINISH GRADING
/
l F NAL INSPECTIONS is
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
;�7���. SCHOOL FACILITY FEES
NT TO: City of La y in6 ����,� �NNOT DATE:
Department of Com munity�,,Development
78-105 Calle Estado
La Quinta, CA 92253
This is to certify tha 44NV ,
developer of / which is
located at — within
this District, has paid school f cility fees imposed pursuant to the
au ority generated by Government Code Se tion 53080 i .the am unt of,`D
$ I ( !
covering a total of , square feet of U Pt:i"ntial'or
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
for DESERT S S -UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
0 007
M
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No.
ENVIRONMENTAL HEALTH SERVICES — G y3 —® 13
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
O Agent, Contra • or tact Pe On (Q Phone Address & Phon�! O a
�v
WOwnerAm /G c Phone A Mailing Address OF
0) l
City Uf �� to Zip2Z Job Properly Address E.✓/QA Descri tan Pro PM, T Lot �� NoIE
.I L 5-/- ft) ��, j 5
Lot Size ter Agenc Use of Pe it P/P CU, etc. L A LVal AM9 Y Other
Vw()Q Q
I welli He Prep, etc. �A>
E
DATE
Holding Tenk`Agreements Completed_ ❑Yes L7" Id� r�/L- ���00
Certification of Existing S.D. System Required❑Yes ET No
WQCB Clearance required. (Attach Form ❑ Yes Nfc]' o
DOH SAN 067, Santa Ana Region Only)
Socia Percolation Report Required. ❑ Yes fJ Id��,/
Special Feasibility Boring Report Required. ❑Yes l�7
Detailed Contour Plot Plans Required (1 to 5 R interval) ❑ Yes y
❑ Yes II
Staff Specialist Lot Inspection Required ❑ Yes 0 No
Lot Inspection Date
of Applicant
Project* Date
Date
Soils Map Page / Soil
Type ewe,Approved by /�/� 11-IS'_'f9'
F CATEGORY: c;
REV CODE
FE --
Date
CATEGORY:
REV CODE
FEE
Type of Systems)
�❑�ing Tank
'SUBSURFACE DISPOSAL
1238
$45.00
❑
SITE EVALUATION UPON REQUEST
. .
7349
$42.00
yy
13 MULTIPLE PARCELS WITHIN SAME
❑ Replacement
g�M -2k.T �7f1 /Li' 1.
���
NO PLOT PLAN.
M
2
LAND DIVISION
❑
SEWER/SEPTIC VERIFICATION
7348
$11.00
Q
a. 1 at 4 Parcels (Each)
1238
$45.00
Leach Bed sq. R
area
(Less than 1 year)
U.
b. Each Parcel after 4
7344
$16.00
❑
PRELIMINARY ELECTIVE
7352
$45.00
W
❑ Rereview (2nd review same parcel)
7344
$16.00
r
EVALUATION (Attach DOH SAN 53)
'
CO)
❑ Site Evaluation in Conjunction with
I , I .
❑
HOLDING TANK
7351
$45,00
Critical Area
7346
$86.00
❑
ALTERNATIVE/EXPERIMENTAL
7345
$132.00
❑ Site Evaluation Lot Less than
REMARKS:
SYSTEM
10,000 Sq. Ft.
7347
$86.00
DATE
Holding Tenk`Agreements Completed_ ❑Yes L7" Id� r�/L- ���00
Certification of Existing S.D. System Required❑Yes ET No
WQCB Clearance required. (Attach Form ❑ Yes Nfc]' o
DOH SAN 067, Santa Ana Region Only)
Socia Percolation Report Required. ❑ Yes fJ Id��,/
Special Feasibility Boring Report Required. ❑Yes l�7
Detailed Contour Plot Plans Required (1 to 5 R interval) ❑ Yes y
❑ Yes II
Staff Specialist Lot Inspection Required ❑ Yes 0 No
Lot Inspection Date
No 7-r
rr:e
M
PP rca i . r category cher ed, in -SECTION B above, r arding the sign o a subsurface disposal system as i i ted
17` on the acro panied 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'peririitted in .the required reserved 10096 expansion area.
(1 Septic tank and sewer lines must be 50' minimum from any wells /0//�,�,?o dui. /-v:ct �,� '
U Leach lines must be• 100' minimum from any wells, including expansionfir
(3 .
-Seepage pits must be 150' minimum from qny wells, including expansion area
Signature of Health Official �'V• C •,O. -/ d/ O
.
4.
RECEIPT NO. -Issued By
DISTRICT:; , ❑' . Riverside, :Indio ❑ Hemet ❑. Perris ❑ 'Rancho' Calif'. Calif, Blythe
DOH SAN 122 (Rev: 5/88) DISTRIBUTION. WHITE Office file YELLOW -Applicant PINK - Bldg. Dept , ,. GOLDENROD • Plans/Records
Solis boring report by
Project* Date
Soils Map Page / Soil
Type ewe,Approved by /�/� 11-IS'_'f9'
Date
U
Z
No. of Systema
Type of Systems)
�❑�ing Tank
❑ Existing
No. Dwelling Units('/ %
Bedrooms �h7ne
(1) Septic Tank
Soil Rate
rease/Sand
04a", InWp
O
yy
roew
❑ Replacement
g�M -2k.T �7f1 /Li' 1.
���
3
U
I.0
M%Leach Line Sq. Ft
trench area
Sidewail allowance
R rock/ sq• ft•
Install Llrta(s)
min. inches -m -&-below
R long a wide with
drelnlines or
Leach Bed sq. R
area
per running R
L9�NA
Leachlines/bed special design for slope:
Applicably
(3) Pit Diameter
No. Pita
Pit Below
Inlet (BI)
Seepage P'�Trpepth
p�
r
Max. Allowable Depth
'
N/A Overburden factors
No. 2 System
REMARKS:
No 7-r
rr:e
M
PP rca i . r category cher ed, in -SECTION B above, r arding the sign o a subsurface disposal system as i i ted
17` on the acro panied 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'peririitted in .the required reserved 10096 expansion area.
(1 Septic tank and sewer lines must be 50' minimum from any wells /0//�,�,?o dui. /-v:ct �,� '
U Leach lines must be• 100' minimum from any wells, including expansionfir
(3 .
-Seepage pits must be 150' minimum from qny wells, including expansion area
Signature of Health Official �'V• C •,O. -/ d/ O
.
4.
RECEIPT NO. -Issued By
DISTRICT:; , ❑' . Riverside, :Indio ❑ Hemet ❑. Perris ❑ 'Rancho' Calif'. Calif, Blythe
DOH SAN 122 (Rev: 5/88) DISTRIBUTION. WHITE Office file YELLOW -Applicant PINK - Bldg. Dept , ,. GOLDENROD • Plans/Records
AFTER RECORDING MAIL T0: �
A & P1 PARTNERSHIP
P.O. BOX 366
LA QUINTA, CA. 92253
� ca,
U
O
� 8
STATEMENT OF PARTNERSHIP
s
20
CQ
V w
N
THE UNDERSIGNED, consisting. of all of the partners of A & M
Partnership, a General Partnership created under the laws of the
State of California on or about February 4, 1985, hereby make
this certificate under and pursuant -to Section 15010.5 of the
California Corporation Code, to wit:
1. The name of the partnership is: A & M Partnership,
a General Partnership
2.• The names of the partners are Rick E. Morris and
Manuel Abarca,
3. The persons named in Paragraph 2•of this certificate
are all of the partners of the partnership.
IT WITNESS WHEREOF, the parties hereto have hereunto set
their halds the date and year set forth in the respective
acknowl gement and verification of this certificate.
Rick E. Morris
Manuel Abarca
STATE OF CALIFORNIA
COUNTY OF RIVERSIDE
On this 24th day of_ February 1988, before me, the undersigned, a
Notary Public, in and for said State, personally appeared Rick E.
Morris and Manuel Abarca, proved to me on the basis of
satisfactory evidence to be the persons whose names are
subscribed to the within instrument, and acknowledgede to me that
they executed it.
WITNESS MY HAND AND OFFICIAL SEAL.
OFFICIAL :FAL
IRENE E. RING
PRINCIPAL OFFICE IN
- RIVERSIDE COUNTY
My Commission Exp. Sept 14, 1990
V
- S
1i Order No. 88-14541-21 t
Estrow No. 10-956 cc0
Loan No. 8 g
• W1
Record Requested By nAC
LLc r`A& M CONSTRUCTION OBARCON DEVELOPMENTNP., 0. Box 366Ci..La Quinta, Ca. 92253cc
VE THIS LINE FOR RECORDER'S USE
MAIL TAX STATEMENTS TO:
DOCUMENTARY TRANSFER TAX $.... ..................55-A0........
...X)Computed on the consideration or value of property conveyed; OR
same as above Computed on the consideration or value leas lietu or encumbrances
" - 1nQ at N%is of sari ti �r .:
Signature of Declarant or Agent determining tax — Firm Name
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
C� PR EQUITIES LTD., a California Limited Partnership
hereby GRANT(S) to
7:
\ A & M CONSTRUCTION, a General Partnership as to an undivided 50% interest and BARCON
DEVELOPMENT, a California Limited Partnership,'as to an undivided 50$ interest as Tenants
the real property in the City of i_q Qu: w`t a in Common.
County, of Riverside State of California, described as
Lots 12 and 13,,Block 47, Unit No. 4, of Santa Carmelita,at Vale La Quinta as per
map recorded in book 18, page 62 of Maps, Records of Riverside County, California
and; -
Lots 14 and 15, Block 49, Unit No. 4 of Santa Carmelita at Vale La Quinta as per map
recorded in book 18, page 62 of Maps, Record's of Riverside County, California.
. i
• s
t
STATE OF CALIFORNIA 1
COUNTY OF Orange >. SS.
• ` c
z
On July 11, 1988 before me, -the undersigned,
d0
a Notary Public in and for said County and State, personally appeared
Steven R. Peacock, General Parte r
v g
W z
_ PR.tit- s j td, personally knows to me
(or proved to me on the basis of satisfactory evidence) to be the -general
Z W
I z
partner(s) of the. limited partnership that executed the within instru-
meet, and acknowledged to me that such
, ;' OFFICIAL SEAL
same. partnership executed the
�" MA12:�HA J LAtHROP
o NOTARY
Z d _
, PUBLIC - CALIFORNIA
ui o'
,' ORANGE COtrNTy
o 75 J
Signature
Marsha J. Lahr orj
v m
Name (Typed of Printed)
"
A
Notary Public in and I'or paid CoCouniY�nd State,,
t ii9Ci 1 Sd A61 L'vi .
". — FOR NOTARY SEAL OR STAMP
of I ICE Of
AGRICULI URAL COMMISSIONER
AND
WEIG1 I VS b. MEASURES
49-613 Ilwy 86, Suite I1-12
-Conchel.ln, CA 92236
619-342-8'l91
E. LEON 511AUGY
co••nnS;ur..En
)AMES 0 WALLACE
ASSISTANT 1;1)`•T••u5510'IEP
CLEMENTBE`VENIS1E
St-AtEn
DNFE /Q — % — YY CASE 10. /? 4?9,ffl S iQ O %A -
DEVELOPER'S PU1h1E:
ADDMSS r P Q om«---3e
TELLPI 101C it:?? 2
Iq
Dear Developer:
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws goverlting Lite Coachella Valley. If substitutions
do occur and they differ fruit plant M-aterial listed, this office must be notified
burr-diately.
Thank you for protecting and preserving the Coachella Valley's pest -free enviroitimnt.
W _ _
agricultural Camtiss' ner's UCEice
ccs Indio and Riverside office
0