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06820 (SFD)tIGl�H,rGV P.O. BOX 1504 Building 78-105 CALLE ESTADO Address .52-245 J +z LA QUINTA, CALIFORNIA 92253 Owner Richard Gridex Mailing Address City Zip I Contractor f 'P _ A. 1lftx City 1471 gild State Lic. & Classif. 535977 Tel. No. 06820 BUILDING: TYPE CONST. - OCC: GRP. A.P. Number 173-242-014 Legal Description Project Description 3FID Lic. # Sq. Ft. 1417 No. Size . `Stories Designer Address Tel. City( Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 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 effecI. SIGNATURE DATE OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following reason: (Sec. 7031.5,8hrsimess and Protessions Code: Any city or county which requires a permit to construct. after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to fide a signed statement that he is licensed pursuant to the provsfons of the Conbartor's License law, Chapter 9 (commencing with Section 7000) of Division 3 of the &uimess and Professions Code, or that..he is exempt therefrom, and the bass for the afteged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a ani penally of not more than five hundred dollars .($500). ❑ 1, 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 contrarlorrs) icerhsed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec e. & 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 ampleted 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 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 Exemption you should become subject to the Workers' Compensation provisions of the labor Code, you must forthwith comply with such pvovsions 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, Civr7 Code.) Lenders 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 No. Dw. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $78,769 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. y 14.45 Const. 545.00 Mech. 47.€3ti A Electrical 106.50 Plumbing 154.50 S.M.I. 5.53 Grading 30.00 Driveway Enc. 20.W Infrastructure 1,734.00 TOTAL $2,772.98 1 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 1/11/90 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL SQ. FT. DUCT WORK ROCK STORAGE FOUND. REINF. U MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® REINF. STEEL / a GAS (FINAL) 3 QO TEMP. POLE c GAR. SO. FT. ® POWER OUTLET ROOF DRAINS WATER HEATER SERVICE FINAL INSP. DRAINAGE PIPING CAR P. SQ. FT. WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$ WALL SQ. FT. ® LUMBER GR. DRINKING FOUNTAIN SO FT ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE Not to be used as property tax valuation 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 KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SQ. FT. ®c I WATER HEATER MAX HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL FINAL INSPECTION SO.FT.GAR ® V4c HOUSE SEWER CERT. OCC. 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 i ;/ Q� IN ` OUND PLUMBING 4/Zf`p' UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS EPTIC T NK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. U GAS (ROUGH) 3 ,�35 METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL / a GAS (FINAL) 3 QO TEMP. POLE c GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FINAL INSP. O FRAMING��� lI0 FINAL INSP. ROOFING A,r / o I REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL /J LATHING 2 lO MESH INSULATION/SOUND �/Q FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES t(�1 TO: City of La Quinta DATE: �p Department of Community Development 78-105 Calle Estado _ La Quinta, CA 92253 N �, � THIS DOC �N� CAN N OT BE DUPLICATED, This is to certify that to, developer ofwhich is located at• , within this District, has paid schoolfacility f es imposed pursua to the authority generated by C4overnment Code Secti n 53080 in t e amount HA covering a total of square feet of( ) residential or ( ) industrial/commercial development and that buil ing permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS -UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 RECORDING REQUESTED BY -CHICAGO TITLE ANO WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN BELOW rJ SAIL TAX STATEMENT 10: 0,me Richard N. Grider Nancy E. Grider ass Name Street Address same as above City & State ,,,,¢¢ TITLE ORDER NO. E 9 25320-21 ESCROWN0. 3831—JC SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX is $ 20.35 %] computed on full value of property conveyed, or O computed on full value less value of liens or encumbrances remaining at time of sale. • unincorporated area SI city of La Quinta AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Elizabeth J. Jaworski, as trustee under Trust Agreement dated November 2,--1981 - hereby GRANT(s) to Richard N. Grider and Nancy E. Grider, husband and wife as joint tenants the following described real property in the City of La Quinta County of Ri.ve.rside State of California: Lot 3 in Block 7 of SANTA CARMELITA AT' shown by Map on -file in Book 18 Page 46 County, California. [APN #773-242-0141 Dated Oct. 11, 1989 STATE OF O°AtttPORN I A t+ 2 COUNTY OF i.r t Ld ff-' j SS. On this day of —,in the year 19— before me, the undersigned, a Notary Public in and for said State, personally appeared ELIC -K--:11311- �DZAllpyk j personally known to me (or proved to me on the basis of satisfactory evidence) to be the person_ whose name subscribed to the within instrument, and acknowledged to me that_ he_ executed it. WITNESS my hand and official seal. Si nature 9 NOTARY PUBLIC R SAID STATE VALE LA QUINTA, UNIT NO. 1, as of Maps, Records of Riverside TRUST AGREEMENT DATED NOVEMBER 2,-1981 l'-0, " B t7' Eliz th J.a r ki, trustee AV- +�? t FICIAL SEAL TAMMY S. SMITH . OTARY PU:LIC STATE OF ARIZONA ° LtAfim COUNTY a thy Comm. Expirr:; PAay 14, 1992 (This area for official notarial seal( J ac Sv o` " J U � W Q EC; > a ,- � YYiicc SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX is $ 20.35 %] computed on full value of property conveyed, or O computed on full value less value of liens or encumbrances remaining at time of sale. • unincorporated area SI city of La Quinta AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Elizabeth J. Jaworski, as trustee under Trust Agreement dated November 2,--1981 - hereby GRANT(s) to Richard N. Grider and Nancy E. Grider, husband and wife as joint tenants the following described real property in the City of La Quinta County of Ri.ve.rside State of California: Lot 3 in Block 7 of SANTA CARMELITA AT' shown by Map on -file in Book 18 Page 46 County, California. [APN #773-242-0141 Dated Oct. 11, 1989 STATE OF O°AtttPORN I A t+ 2 COUNTY OF i.r t Ld ff-' j SS. On this day of —,in the year 19— before me, the undersigned, a Notary Public in and for said State, personally appeared ELIC -K--:11311- �DZAllpyk j personally known to me (or proved to me on the basis of satisfactory evidence) to be the person_ whose name subscribed to the within instrument, and acknowledged to me that_ he_ executed it. WITNESS my hand and official seal. Si nature 9 NOTARY PUBLIC R SAID STATE VALE LA QUINTA, UNIT NO. 1, as of Maps, Records of Riverside TRUST AGREEMENT DATED NOVEMBER 2,-1981 l'-0, " B t7' Eliz th J.a r ki, trustee AV- +�? t FICIAL SEAL TAMMY S. SMITH . OTARY PU:LIC STATE OF ARIZONA ° LtAfim COUNTY a thy Comm. 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(Molaq ees) eel Bully elgepuryej-uou V "MI 1K1Oy0 P040OUS O4I UO peleo!pui se suo!lelnoeds AlunoO of uMeip (epos OZ- l) Ueld fold peleos e p se!doo ino; 4NM woo; s!4I i!wgnS 1UB011ddV W31SAS iVSOdSIa 30VM3S 3owunsem V M0:J NOI1VonddV 1JW»3d /� NOISIAIa S331AL13S H1lV3H _ld1N3WN0alAN3 3aISa3Ala :10 AlNflOa VN ",ow emn„f,r 07 M 9 O z AE 107 M _0 O z W U) M n 9 O z 0 �.. -�� y--�i�!.�-�'�,de?�"�'.'E��,,,,�.'?+�"��'.•�""_e-+Iw''+'3�'�*'`�"�'�7k�i�1�:'t4^f�-�`�`'�r��.�r-+.�'�b.�z-�:'�k"'!+f`a��ii4.�er�,•�a�-' Of it, OFFICE OF s "s AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES CALVIN C. KAMINSKAS JAMES O. WALLACE 4080 LEMON STREET, ROOM W Assistant Commissioner Agricultural Commissioner RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISTE Director of Weights a Measures (714) 787-2561 Sealer 49613 Highway 86, Suite B12 Coachella, Ca. 92236 (619) 342-8291 DATE " Z 9 O CASE NO. DEVELOPER'S NAME: ` ADDRESS: / 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. A§riculturar Commission s Office cc: Indio and Riverside Office +!fP+`SIA/I�"M'�"�y�'75..4i��r�M���'�1'" "Sr�Y��"i.'c'r"�'��'A f2.f"�•Jf'-'1w .1. Buena Engineers, Inc. g c ~� 79-811 Country Club Drive, Suite 4 Bermuda Dunes, CA 92201 • (619) 345-1588 / 328-9:131 Client Name t.K Client Addres Client Phone i DATE / — l07 - JOB NO. PROJECT ELEVATION LOCATION }} ! • l_J REFERENCE CURVE CONTRACTOR OWNER WEATHER rt r- x' TEMP. o at AM °at. PM PRESENT AT SITE "?plam TEST NUMBER TEST LOCATION- LO#T NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY IbsJCu. ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY Ibs./cu. ft. OPTIMUM MOISTURE CONTENT "?plam l % 5 p f• v • J 5 � Q s J c _ V,4 (, P41- o v ' REMARKS: FT /� , __ r'-jn cJ ini`� /.3 -r- r- T f?i % _ I •) , C 4 Tr_� li L'.S t— / r1 -i /9 Y• CLIENT REPRESENTATIVE SIGNATURE FIELD REPORT I Vi ET CHNICIANS SIGNATURE _0951I... 7