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06610 (SFD)4 P.O. BOX 1504 No. 06610 Buildin� 78-105 CALLE ESTADO Address 52-045 .Juarez LA QUINTA, CALIFORNIA 92253 Owner ~ SAuthv"t - Lwin 'Homes. Inc. BUILDING:. TYPE CONST. Mailing OCC: GRP. Address P. 0. Box 1353 733--203-014 71A.P. Number CityZip Tel. - La Qainta 92253 . 58.4-0698 Legal Description Contractour'$udat SFD Project Description OwnM s Address - State Lic. City 8h Classif. I Lic. # Arch., Engr., Designer Address Tel. t , City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section ,e7000) of Division 3 of the Business and Professions Code, and my license is in full force and _SIGNATURE DATE 1 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 Gide: Any city or county which requires a permit to construct, after, improve, demolish. or repair any structure, prior to its issuance also requires the appbcant for such permit to We a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of DrdW n 3 of the Buusiam 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 appicant to a avft penalty of not more than five hundred doiars ($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, Suisness and Professions Code: The Contractor's License Law does not apply to an owner of property who bends or improves thereon and who does such work himself or through his own employees, provided that such xm arovements are not intended or offered for safe. If, however, the building of kWrovement is sold within one year of completion, the owner -builder wi8 have the burden of proving that he did not build or ffwrove for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec. 7044, &tsihess and Professions Code: The Contractors 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.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date t' Owner r -'t fY !! },%p• 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 ff the pemhit is for one hundred dollars (5100) 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.- ff, after making this Certificate of Exernphon you should become subject to the 'Workers' Compensation provisions of the Labor Code, you must forthwith croupy with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this pernifis issued. (Sec. 3097, 00 Code.) Lender's Name Lenders 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. 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 Sq. Ft. Size 1564 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation X91 148 PERMIT AMOUNT Plan Chk. Dep. $254.00 Plan Chk. Bal. 262.65 Const. 603.50 Mech. 53.50 Electrical 113.61 Plumbing 157.54 S.M.I. 6.44 Grading 20.00 Driveway Enc. 20.00 Infrastructure 2.011.68 TOTAL S3,498.88 REMARKS..w n r.+eA R'-"+ a.1 ttir. r�Cr t 4--;aJ_ryt1 i 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 10/31/89 Issued by: Date Permit Validated by: Validation: SZ - 0 C-/ (- -.1 , ,, CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH P MB. BONDING YARD SPKLR SYSTEM 2ND FL SO. FT. FORMS SEPTIC TANK ROUGH WIRING MOB]LEHOME SVC. BAR SINK POR. SO. FT. @ GAS (ROUGH) f 90 T METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) 6 / !JO u� G TEMP. POLE /� DRAINAGE PIPING CARP. SO. FT. GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN SOFT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FRAMING 'IAAo ry !! FLOOR DRAIN MECHANICAL FEES - / !`// 11< !G,/v�/ 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 I IKITCHEN 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+/. c SEWAGE DISPOSAL INSULATIONISOUND A SO.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING 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 MBING UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE ROUGH P MB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) f 90 T METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) 6 / !JO u� G TEMP. POLE /� GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus xS =$ LUMBER GR. FINAL INSP. / w FRAMING 'IAAo ry !! FINAL INSP ROOFING / ftt ��'f - / !`// 11< !G,/v�/ /R .7n LH / _ 6f Q REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING* WN MESH INSULATIONISOUND A FINISH GRADING FINAL INSPECTION �a CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Building 2 Address Owner 4 P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 j v� b ii/o ye <i < Address City Zip Tel i---• ...U-wNrlL����iL/�frli Address City Zip Tel.. State Lic. - City & Classif. I Lic. # Arch., Engr., I Designer Address I Tel City IZip I State I 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 Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, atter, improve, demolish, or repair any structure, prior to 8s Issuance also requires the applicant for such permit to We a signedstatement that he islicensed 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Aer—las 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date O Z Owner r WORKERS' COMPENSATION DECLARATION - I hereby affirm that 1 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 herebyfurnished. --- CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (E100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not =any person in any manner so as do become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: H, 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, Ciel 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 BUILDING DIVISION JILDING: TYPE CONST. OCC. GRP. P. Number -223 — 2o � – O/ Y !gal Description to ! . 3 oject Description Sq. Ft. / Size 6 New ❑ No. Stories No. Dw. Units Add ❑ Alter ❑ Repair ❑ -Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. 2 O , - -,D – - --- – - Plan Chk. Bal. 7-t`1Z.6 S Const. p <a Mech. 3 O Electrical o Plumbing r 7 0 S.M.I.` Grading 2- . 0e) Driveway Enc. 2.0 e110 Infrastructure ' " It Mir Gra L/!v--i > : o 0 . 3yg8= TOTAL `L 7 S . D O REMARKS r ., '2'n iv l At 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. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SNyit SYSTEM 2ND FL. SQ. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. S0. FT. GROUT WATER HEATER WALL SO. FT. ® FINAL INSP. DRINKING FOUNTAIN SQ. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING IKITCHEN 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 LATHING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ec HOUSE SEWER FINISH GRADING 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 PLUMBING 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 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 FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL RECORDING REQUESTED BY t AND WHEN RECORDED MAIL TO: t 1 Name SOUTHWEST LIVING HOMES street P.O. BOX 1353 Address LA QUINTA, CA. 92253 State L (' �I MAIL TAX STATEMENTS TO: 1 Name SAME AS ABOVE Street , Address City & State r LSPACE ABOVE THIS LINE FOR RECORDER'S USE �.r Grant Dee A.P.N. 773-203-014 The undersigned grantor(s) declare(s): Documentary transfer tax is $ not applicable ( ) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( �) Unincorporated area: ( ) City of LA QUINTA —and k FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, I ELIZABETH M. HEISTAND hereby GRANT(S) to SOUTHWEST LIVING HOMES ,INC. a California Corporation thelfollowing described real property in the County Of RIVERSIDE State of California: l' LOT 3 BLK 6 UNIT 1 SANTA CARMELITA AT VALE LA QUINTA AS RECORDED IN MAP !, BOOK 18 PAGE 46 of MAPS RECORDS OF RIVERSIDE COUNTY RECORDER. Dated: i STATE OF CALIFOR��N��IAA,, ! SS. COUNTY OF Olr ce ) On I' BEe J961 before me,:�YfR'&%'/ /y eLW­SGk% a Notary Public in and for said State, personally appeared EfJ�9 X /C 22216 h I , (known to me) (,Qs E to MP n ,hP hoc{,z v .,._......:.,_ to he the person ! whose name �S subscribed to the r within instrument and acknowledged that S/HE executed the same. t. r WITNESS my h nd and official seal. Sigr%oture t� f Name (Typed or Primed) Title Order No. ZABETH M. HIESTAND OFFICIAL SEAL SHIRLEY M PETERSON to NOTARY PUBLIC - CALIFORNIA ORPiNGE C'OU'NTY My comm. expires DEC 11, 1992 (This area for official notarial seal) Escrow or Loan No. UL -4 t MAIL TAX STATEMENTS AS DIRECTED ABOVE. .Ll�d'.,.�Se, e��`r St��zr �v{�.,'S �Xt11W!.,..-,."ui.'.c���'1".^���Y.'•a51:+r[E".a..`�.TAi't�'�.�r� �.I"�- ...i�:.,�. Q Z O U LU U) 03 Z O H U LU U). U Z O U W U) Z 0 U W COUNTY OF RIVERSIDE ENVIRONMENTAL Aas...m Parcel Nm 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 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. VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # i n Agent, Coni orgContact Person Phone Address & Firm V Owner / Phone Mail Address. City State � �Z+ip L ZS� Job Property A/d�dress � Legal Description Prop. ff(PM, Tract, Lot) ' / Ile,�. / So2 /1✓..J✓eC;�Cf 6'T / b �In;' ! U'fC GG oz, A'4 Lot Size mate ndy/Well Use of Permit P/P, CU, etc. Other Dwelli , MH Site Prep, etc. ¢ .ss f4l ' nature of Applicant paw CATEGORY: REV CODE FEE CATEGORY: REV CODE - FEE Cy' SUBSURFACE DISPOSAL 1238 $ 57.00 ❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348' $ 17.00 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 ❑ Rereview (2nd review same parcel) 7344 $ 24.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $ 47.00 Critical Area 7346 $111.00, ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ She Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00 INITIAL DATE Holding Tank Agreements Completed ❑ Yesop //01// fU i y- Certification of Existing S.D. System Required ❑ Yes &, /NN��o''�' WOCB Clearance required. (Attach Form ❑ Yes GP No DOH SAN 007, Santa Ana Region Only) Solis Percolation Report Required. ❑Yes L No Special Feasibility Boring Report Required. ❑ Yes Detailed Contour Plot Plans Required (1 to 5 R interval) ❑ Yes tNo Other ❑ Yes Staff Specialist Lot Inspection Required ❑ Yes Lot Inspection Date Soils boring report by Project # pate / M Soils Map Page Sol Type " Approved by pate (J ^- l V k / No. of Systems Type of Systems) No. Dwelling Un is (1) (1) Septic Tank Soil Rate Grease/Sand ❑ H91ding Tank ❑ Existing r 3s ° RepfeoertatxM Bedrooms Fixtore*hJnitar Intop � � o ►,, . 4114 IL / Gal � i�/'A pN �2) Leach Line Sq. Ft trench Sidewall allowance Install Lxre(s) ft long fr wide with h Bed sq. f . qm area — tL rock/ sq. R min. vicheskfw:drai�nllg """ of bottom area, per running ft ds'�1A Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth (TD) t Applicable • r Inletaft& (BI) jC°�%IS^w.• N/A Overburden factor f� 8 Max. Allo. ee Depth i ri 0 No. 2 System REMARKS %�f.�. `�� 1Fi . �..t,,��.,i_.. /L.1.`??�. >� f 0(� v �i,Y.�G'i-r-�...-G-�, r2..•..c.c: �`o.� .,,� � r f� :� .���'/ _rw ..�,ti.�t sly-/ ..ti,.. h . �-�� �'-s•c.� v� This application i 'P�'OVE6n.EGfor the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompank ing the requirements set forth in SECTION C above. A building ;permit is necessary for the installation of the above -designed system. No construction is permitted in the required reserved 100% expansion area.' 1) Septic tank and sewer lines must be 50' minimum from any wells 4 / 0 2 Leach lines must be 100' minimum from any wells, including expansiovn arra Q�),,j Seepage pits must be 150�1' minimum from any wells, including expansion area q / G "" C�/, / 11 Signature of Health Official /�+ v./ Et^�� . Dale RECEIPT NO. 6 2 f Issued By Date i Ga V 4y DISTRICT: ❑ Riverside, Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records 0 OF VI / \vim JAMES O. WALLACE Agricultural Commismoner Director of Weights & Meosures OFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES 4080 LEMON STREET, ROOM 19 RIVERSIDE, CALIFORNIA 92501 (714) 787-2561 CALVIN C. KAMINSKAS Assistant Commissioner CLEMENT BENVENISTE Sealer 49613 Highway 86, Suite B12 Coachella, Ca. 92236 I � ( 619) 342-8291 DATE d �Y / CASE NO.0 i n�Gj DEVELOPER'S NAME: ADDRESS: �d. 134. _ 11 11�,nfs t�1 � z �S3 TELEPHONE: 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 immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. ,4z_'&dL'- is al Carmissioner's Office cc: Indio and Riverside Office