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08622 (SFD)r Building Addressi_Ran Owner Mailing 3 r saw t Address City Zip Contractor Wr, n$nr haer+�s 1 rttrrn Address ` City Zlp •414 Q �� P.O. BOX 1504 N o . 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253f�� BUILDING: TYPE CONST. OCC: GRP.; Tel. dime valla 92210 State Lic. tuict� & Classif. Arch., Engr., Designer Y . Address I Tel. w City P Zi State Qredan€>� �39ATs� Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that Iam 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. _ _-.q tkf lx- A/ DATE J OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031. S,Buslness and Pro/essions 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 with Section 7000) Div Division 3 o/ 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 o/ 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 o/ 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.) O 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. & 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. 0 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 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 Certifica!e 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 1 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 £8822 P. Number w '* Description i Project Description _8V Sq. Ft. No. No. Dw. ' Size 1522 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: PERMIT AMOUNT Plan Chk. Dep. " 150.00 Plan Chk. Bal. 245-43 Const. 572.00 Mech. 5. Electrical 126,49 Plumbing 163, S.M.I. 5-95 Grading 20.00 Driveway Enc. 20.00 Infrastructure 1868.12 ?reel" plan TOTAL 3077.41., REMARKS j�`•�q� „ {,y 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 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ. FT. ® CAR P. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic HOUSE SEWER VENTILATION 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 SETBACKIdl G D GIgX UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE % ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK FOUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING FINAL INSP. ROOFING / 9 f REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHINGf o MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL :d DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 10/1/90 No, 10176 Owner Name William O. Wilkinson Type of Permit I La uinta Permit ii Log # No. street See Below City La Quints Zip 92253 Study Area APN # I I Tract N 1 Lot N Square Footage 112,448 Type of Development I Single Family Residence INo. of units Comments -ri1-94.ri Ramirp7 AA -19.0 R„1kin 59_9R0 1V onrinv,n 9;9_UAn Noir JZtQQn 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 ofFl—.5-8--1 X 112.448 1 or$ 19,667.84 have been paid to D.&U.&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 William O. Wilkinson Telephone Name on the check :3 Richard M. Beck Director, Facilities Planning & Development Fee collected /exempted by Shelley D. Bennett Signature ANYi Pair ent,F.ecf:iNed Creck No. 019694 Collector: Attach a copy of County or City plan check application form to Dicti:ct copy. Embossed Original- Building DeptJApplicant Copy - Applicant/Receipt Copy - Accounting Cn X Ln Name r Street Address City & state L_ r Name Street Address City & State L_ ,,e 0 -7-. RECORDING REQUESTED BY UNION LAND TITLE COMPANY AND WHEN REGORDED MAIL TO MR WILLIAM 0. WILKINSON' NAT -30 (5-87) MAIL TAX STATEMENTS TO same as above J t ~ 2C 1n.a a�IE8 J JI SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deed The undersigned grantor(s) declare )�, J z Docupentary transfer tax is $ , a (L ( ) computed on full value of property conveyed, or ( ) computed on full value less value of lien, and el) cumbrances remaining at time of sale. ( ) _Unincorporated area: ( City of !�J , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Robert E. Haas and Mercedes J. Haas hereby GRANT(S) to William 0. Wilkinson and Barbara L. Wilkinson, husband and wife as joint tenants as to an undivided one-half interest and John L. Hart, an unmarried man as to an undivided one-half interest, as tenants in common the following described real property in the County of Riverside , State of California: Lot 19 Block 32 Santa Carmelita at Vale LaQuinta, Unit No 2, as per map recorded in book 18 page 55 of maps, in the office of the county recorder of said county. Dated: February 7. 1989 ' Robert E. Haas STATE OF CALIF NIA COUNTY OF LC9 i.?�sw�s.Gi�aJ� >SS. On�. /p before me, the undersigned, __1�gtRy, b 'c in and said State, Merc des J. Haas personally appcare�d �{I`��/ J C- ,/J_ personally known to me or proved�/td me on the basis of sat- isfactory evidence to be the person � whose name S subscrib d to the within instrument and acknowledged tha executed the same. WITNE my hand and official seal. Signature (. Title Order (This area for official notarial seal) Escrow or Loan No. MAIL TAX STATEMENTS AS DIRECTED ABOVE f ". ": <:• OFFICIAL SEAL JOANNE C. BEMIS 41a� y ' NOTARY PUBLIC•CALIFORNIA SAN BERNARDINO COUNTY My Commission Expires Mar. 6, 1992 (This area for official notarial seal) Escrow or Loan No. MAIL TAX STATEMENTS AS DIRECTED ABOVE RECEIPT NO. 67 Issued By( A�eDate DISTRICT: ❑ Riverside, ❑ Hemet O Perris ❑ Rancho Calif.,' ❑ Blythe / r DOH -SAN -122 (Rev. 3/90) DISTRIBUTION: WHITE . Office file YELLOW • Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Ae"iOf P11111,011111 Film E V�VIRONMENTAL 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 speculations as indicated on the attached check IIsL 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 # t Contrarctor, Con Person ' ` er ►ere o e Znc, Phone Ad res & Firm 345b0 T71 C aro eeTnd` ae ► 15 n \ W l 1 o L. Hart, Phorie8(� Mailing Add ress LU State Zip 13Stale J rope rty dress c,ae� Legal Description •. (PM, Tract, Lot) L t3 3a -u its Lot Size,to Use of Perrn\P/P, CU, etc. c Gt t,. fjL i. Other �/ j� ^ 5 O /� ' v vM ' V.Ki� 0 Dwelli H e raP, etc. Signature of Applicant Date CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE l3)�SUBSURFACE DISPOSAL/SITE EVALUATION UPON REQUEST 7349 $ 43.00 07 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $ 17.00 O 0 a. 1 at 4 Parcels (Each) 1238 $ 57.00 (Less than 1 year) b. Each Parcel after 4 7344 $ 24.00 ❑ PRELIMINARY ELECTIVE 7352 $ 23.00 W ❑ Rereview (2nd review same parcel) 7344 $ 24.00 EVALUATION (Attach DOH SAN 53) U) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $ 47.00 .-Critical Area 7348 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ Site Evaluation Lot Less ithan SYSTEM 'O,000 Sqr F..t:;: ; , f�, . -.��, �,: -'7347 $ 87.00 DATE Holding Tank Agreements Completed❑Yes PJ��No'� — �e - 0 Certification of Existing S.D. System Required ❑ Yes ITNoi0e' WOCB Clearance required. (Attach Form ❑ Yes R No DOH SAN 007, Santa Ana Region Only) I� Soils Percolation Report Required. ❑Yes -///��� Special Feasibility Boring Report Required. ❑ Yes 00 Detailed Contour Plot Plans Required (1 to 5 it interval) ❑ Yes lid 'fid i ❑ Yes Staff Specialist Lot Inspection Required ❑ Yes No Lot Inspection Date Soils boring report by r - #/� Date �U•. c Soils Map` Page 'I' Soli Type ��� Approved by P�*`�" pffie-1�— Z No. of Syatenrs T of System(s) No. Dwelling Unite f (1) Septk: Tank Soil Rate feese/Sand O ng Tank ❑ Existing 9. Now ❑ Replacement Bedrooms, P _J_ .r 'm. (N: x 'P _"" Gal U) Q Leach Line Sq. FL Sidewall allowance Irretel Line(s) R long ff wide with Bed eq. fl trench area �•- h ft rock/ sq. R per running K min. irx'Idd, dralnl'mes or o1 bottom a►ee ! . Leachlines/bed special design for slope: Applicable 3) Pit Diameter j No. Pits Pk Below Inlet (BI) �D) Seepa� H Tgtal�ptti p! �j N/A Overburden factor' 6' (�(/ Max. Albw�bl@ �epth `f (J No. 2 System REMARKS: �. This hpplicat' ;APPROVED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanp using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the Z 0 above -designed system. No construction is permitted in the required reserved 10096 exp"ion area. i Septic tank and sewer lines must be 50' minimum from any wells %Q '� � F^►^F,Y'R.+'� Leach lines must be 100' minimum from any wells, including expans' rar��atW Seepage must 150' minimum from including pitsany wells, expans' n aQ�� AWDateSignature of Health Officia W /C a -�a - 9 ►_ RECEIPT NO. 67 Issued By( A�eDate DISTRICT: ❑ Riverside, ❑ Hemet O Perris ❑ Rancho Calif.,' ❑ Blythe / r DOH -SAN -122 (Rev. 3/90) DISTRIBUTION: WHITE . Office file YELLOW • Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records in 'e� °� '�►,� OFFICE OF s AGRICULTURAL COMMISSIONER AND �.�,�z;; WEIGHTS & MEASURES CALVIN C. KAMINSKAS 4000 LEMON S1REE1ROOM 10 Militant COmmlt710net . JAMES O. WALLACE CLEMENT 6ENVENISIE Aufle-Arot Commlt)lonel RIVERSIDE, CALIFORNIA 92501, Seote, OBealot d welohh a Meame► (7 14) 767.2561 49613 Ilighway 86, . Suite 812 ; Coachella, Ca. 92236 ) C� (619) 342-8291 DA'T'E ! 0// / C? CASE NO. -C` D Dl;VEWPER' S `NIWIEt l�'1 ev c_; e ��v fo , • • �� •� ADURESS t' 7-7-7 D 'lELEpi IONS t (��(�i) 3(4 Dear Developert 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! ' immediately. lbank you for protecting and preserving the Coachella Valley's pest-free.environment. C.��`-�-�Go� lC t•�r Agricultural Can ss one "s Office e 'i: