003767 (SFD)4
P.O. BOX 1504 N o .Buildin?
Addrress 54-500 Evenida Juarez LA QUINOTA, CALIFORNIA 92253 49AM � HINE�
ply ADEQUATELY SIZED
Owner
Mailing
Address p. n. nox 1379
City lZip ITel.
W
Contractor I
cary RtaynoldB
Address
P. O. Ban 807
City lZip Tel. -
State Lic.I City
& Classif. ,.•.., rw Lic. #
Arch., Engr.,
Designer
Address I Tel.
City (Zip (State I
Lic. #
LICENSED CONTRACT-OR'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
DOWNER -BUILDER DECLARATION ('
I hereby affirm that I am exempt from the Contractor's 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 its issuance also
requires the applicant for such permit to file a signed any
that he is licensed 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).
❑ 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
orimprovement 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.)
0 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. (Se& -3800, Labor Code.)
Policy No. Company I
0- Copy is filed with the city. ❑ 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 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
Ihereby 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 it 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
HARD COPY
IS REQUIRED ON THE JOB -SITE DURING
BUILDING: TYPE CON(P�IASES OF �E7CR0'TWI0Nt1
A.P. Number 774-'174--010-3
Legal Description
Project Description Sinale Fami.1Y Dwelling
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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 4/4/88Permit
Validated by:
Validation:
Sq. Ft. 1320
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$70,288
PERMIT
AMOUNT
Plan Chk. Dep.
S250.00
Plan Chk. Bal.
$ 50.42
Const.
346.0 U
Mech.
3 v . V!
Electrical
i 1. 50
Plumbing
105.01)
S.M.I.
4294
Grading
20.00
Driveway Enc.
20.04
Infrastructure
1,543.20
TOTAL
t-7,446.86 / r? le '.
REMARKS
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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
Issued by: Date 4/4/88Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO, FT. ®
CARP. SO. FT.
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
I.ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROUGH WIRING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROCK STORAGE
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL j
WATER SYSTEM
SO.FT.GAR ® 3/ac
HOUSE SEWER
GRADING
cu. yd.
$
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
CSETBACK 10-5-�4C�F4ROUND
PLUMBI /,�- &V4
UNDERGROUND
A.C. UNIT
COLL. AREA
16LAB GRADE U '� -�
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EPTIC T
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
+
FINAL INSP .?j�
GRADING
cu. yd.
$
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING
/ ��// `//�J/
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REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
�I'
LATHING o` OWN
MESH
INSULATION/SOUND / ,7
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
Order No. 143506
Escrow No. 10-4344
Loan No.
MI LAND T.ITLF UQ.
T,` WHEN RECORDED MAIL TO:
in
WESTERN AMERICAN CONSTRUCTION CO.
P. 0. Box 1379
La Quinta, CA 92253
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SPACE ABOVE THIS LINE FOR RECORDER'S USE
MAIL TAX STATEMENTS TO:
SAME AS ABOVE DOCUMENTARY TRANSFER TAX$.....$...2_� ................................
XX• Computed on the consideration or value of property conveyed; OR
...... Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
Signature of Declarant or gent determining tax — Firm Name
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
JOSEPH CALLES AND VERA CALLES, husband and wife
hereby GRANT(S) to
WESTERN AMERICAN CONSTRUCTION CO., A California Corporation
the real property in the City of La Quinta,
County of Riverside State of California, described as
Lot 20 in Block 271 of SANTA CARMELITA'AT VALE LA QUINTA, UNIT NO. 25, as per map recorded
in Book 19, Pages 50 and 51 of Maps, in the Office of the County Recorder of said County.
A
Dated December 7, 1987
I
STATE OF CALIFORNIA )as.
COUNTY OF�08_ :'. ng leg i
On December 25, 1987
before me, the undersigned, a Notary Public in and for said State, per-
sonally appeared_ OBgph Callee a]'nd
Vera Calles
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
• within instrument and acknowledged to me that he/she/they executed
the same.
k];I
J�7S 'PH CALL S
(� /.�'_ l �1.�(� •sem
VERA CALLES
- tA'Y'EfJ'l'+L:RG49t"�•'!"Q•Y�PS4N.in nS .rR1r�iT
4B.
O?�ICII;L SERL 1
LUMM r hiliiirl% h
yoraav PUFI AC•CALWOMM0.
1.05 A!f1;El..;a C flu""I'1Y
14Y C0n"". EVP. `itiv. 2, ig'1,^, ,
WITNESS my hand and official seal. a
(This area for official notarial seal)
Signature .' '_')6k ,:�CLL�
1002 (6/82)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
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COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 771Y DO1�
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 $40 is required when the application is submitted. Check must be made payable to the County of Riverside.
r
Building Department Application Log #
Name (Owner. -Agent Contractor. Etc.) v
• Marling dress
llve's ,r.�-.RNs G�
Yd
City
U fN� 1
State.
Zip Code
722 3
Telephone
3 - 2G 7/
'Job Progeny Address'L
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v1
gal Descnpuon of Properly. (Lot. P' TR)
`�
�0 8x,
Q �,
a��'-Y4 acGGuvJ�1
'Assessor's Parcel No
Water A enI `
/V/
Use of Permn1/ G� 8a -ng Case #
Lot Size
r/7 IT/ 1 (/
oo•�
�S`.0
Preparation
S
o��J,E—
SFD..MH Site Etc. .
Signature of Applicant Date
'The above information must be verified from Building Application
STAFF USE'—'DO NOT WRITE BELOW THIS LINE
Initial Date
3- Is'
Certification of Existing S.D. System required. E]Yes -0p
��Wd�
WOCB Clearance required. ❑ Yes
Soils feasibility report required. ❑ Yes ►
9�U�101
Special feasibility boring report required. ❑ Yes
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Detailed contour plot plans required. ❑ Yes NQ`
Staff Specialist approval required. ❑ Yes No Lot Inspection Date
Soils/boring report by Project # Date
G
Soils Map Page Soil Type(d Approved by Date' '/b
Type of System: U
No. of Bedrooms
(1) Septic Tank `"'
Soil Rate Required
❑ Existing _ New ❑ Additional El Replacement
��Gals.
(2) Leach line sq. ft,
Sidewall allowance
ft. Ft.
Install Line(s) Ft. Long,
inches
Lach bed Sq.
(BbRom trench area))
rock/ Sq.
Ft W de. it�v`h min.
Ft. o be om
• i�
�,
per running ft. 9`, -N/A
rock below drain lines #'~
area
Leach lines/bed spec af) design for slope:
(3) Pit Diameter
No. Pits
Pit BI
Seepage Pit total depth nfzF
Applicable ° � t -
(
/ (�
Max. allowable depth
N/A verburden factor
t�u O
�rZQ/.CP
4
7
This application ida roved ,yid for the design of a subsurface'disposal system as indicated on the accompanied plot plan using the requirements
necessary for the installation of the above -designed system.
set forth in Section B above. A building peri is
AA
(1) Septic tank and sewer lines must be 50' from any wells,/. � .�� rtr 4~
0
( Leach lines must be 100' min. from any wells including expa�nsl • area G�
03SSeepage pits must be. 150' min, from any well inc uding expansion area
.L J
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Signature ofHealth Ofl�crei / L (JQ , Date
RECEIPT NO._ 3347 Issued by A411l --` _T Date
District: ❑ Riverside ndio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
Distribution: WHITE—Office file . YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File
DOH SAN 122 (Rev 8/87)
01/ICE OF
AGRICUL"I URAL CO."AMISSIONER
AN u
WEIGHTS b. MEASURES
49-613 Ilwy 86, Suite B-12
'Coachella, CA 92236
619-342-8291
E. LEON SPAUGY
co•a.ns;lo�.En
LAMES O wALVNCE
ASSIS;Avf COM..MISSfUNEP.
CLENIEN1 BE`VENISiE
SCALER
DATE .3 —/ 6 - /. 9 88 cAsE NO. R S I R S G 3/ 6 C -
DEVELOPER'S NAME: WS �+•G
ADDRESS: o Ba,c 1372
TELEPHONE: : t d/9 3Y3- zi� 7/
.�- y -deo
Dear Developer:
After reviewing your landscapiuig plalis, all plant material listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions
do occur and they differ fran plant material listed, this office must be notified
itnnedia tely .
Thank you for protecting and preserving the Coachella Valley's pest -free enviroment.
iej.�W12AA_
Agricultural Caunis i ner's Office
cc: Indio and Riverside Office
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Dear Developer/Landscaper:
OFFICE OF
AGRICULTURAL COMMISSIONER
AND
WEIGHTS & MEASURES
4080 LEMON STREET, ROOM 19
RIVERSIDE. CALIFORNIA 92501
(714) 787.2561
E. LEON SPAUGY
COMMISSIONER
JAMES O. WALLACE
ASSISTANT COMMISSIONER
CLEMENT BENVENISTE
SEALER
Prior to delivery to the Coachella Valley, the following plants/ landscaping material
should be "free from" the insects/diseases listed. Plants, landscaping material,
appliances, insects and diseases, other than those listed, are also applicable to quar-
antine laws and regulations.
Citrus Nursery Stock/Citrus Plants; free from Red, Yellow, and Purple Scale, Tristeza
Complex, Woolly Whitefly , and Comstock Mealybug.
Euonymus species; free frau Red, Yellow, and Purple Scale and Comstock Mealybug.
Grape (Vinifera); insects and diseases.
Olive trees; Olive knot and Red, Yellow, and Purple Scale.
Palm trees, genus Phoenix; Prohibited. Please contact Agricultural Commissioner's Office.
Psidium (Guava); Woolly Whitefly.
Soil, plants and landscaping material with roots contaminated with Ozonium Root Rot;
Prohibited. Please contact Agricultural Commissioner's Office.
Hydrilla, viable forms and appliances associated with; Prohibited. Please contact
Agricultural Commissioner's Office.
Certain plants/landscaping material from Tulare County and portions of Kern County; Pro-
hibited. Please contact Agricultural Commissioner's Office.
Your cooperation is greatly appreciated. If you have any questions on laws and regulations
governing the Coachella Valley, please do not hesitate to call our office. The telephone
number for our district office in the Coachella Valley is (619) 342-8291.
Yours truly,
E n Spaugy
Agricultural Commissioner
ELS/3h
7/15/87 I