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003753 (SFD)Building Address Owner Td3<l14�14YT1 �►mari.'-aln �nTtr->,t'rha Mailing Address 13�X 1379 City Zip Tel. T.^ fU1J.ntA 9225- 564 -- Contractor Gary i *molds Address State Lic. I City & Classif. 444157 Lic. # Arch., Engr., Designer Address Tel. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 26'7 City Zip State 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 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, 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) 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). ❑ 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 of property who builds or improves thereon and who does such work himself or through his ownemployees, provided that such Improvements are not in or offered /or 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 1, 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 owner WORKERS' COMPENSATION DECLARATION l 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. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed i1 the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject' to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant— Date Mailing Address City, State, Zip HARD COPY No. €03753 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 774-265-026-017 ,Legal Description - Project, Description Sin rl e IlPawi lv Dwallincr REMARKS 10 CA:•11 ?. 01 AL 1 tU 4.�:i ZONE: BY: Minimum Setback Distances: Sq. Ft. 1600 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Plan check and Frecixe Plan fee has l+nr t% nxJ A f^r 411'1i m s1?A> ^Rq h%y trairiafer from 54-825 Juarez permit.- ermii.t.Estimated Date 3f2$/88Permit Validated by: Validation: EstimatedValuation $84.4800 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 4 40.62 Const. 62.50 Mech. Electrical Plumbing S.M.I. _ . IQ Grading Driveway Enc. Infrastructure 932-00 TOTAL:'r`3�' r' REMARKS 10 CA:•11 ?. 01 AL 1 tU 4.�:i ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE -INSPECTOR Issued by: Date 3f2$/88Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINf}F-.�ES . IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ, FT. ® CARP. SQ. FT. WALL SQ. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET 3 YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation SLAB GRADE /7 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED J/II FOUND. REINF. 7/Uv LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3/ac HOUSE SEWER ROOFING 7 D t GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE __jPLUMB. FEE STRUCTURE PLUMB}NG ELECTRICAL HEATING & AIR COND. SOLAR l SETBACK l/ `!- O JJJ GROUND PLUMBINY UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE /7 !!! UGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE J/II FOUND. REINF. 7/Uv UGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL C " GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. Z� GRADING cu. yd. plus x$ _$ LUMBER GR. � FRAMINGY. f{� !/ ROOFING 7 D t REMARKS:'. VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING ±I% � �! MESH q INSULATIONISOUND (/ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL -d i I Order No. !! Escrow No.. 10-4320 Loan No. I WHEN RECORDED MAIL TO: ESTERN AMERICAN CONSTRUCTION CO. i 5-656 Via Serena Indian Wells, CA 92210 MAIL TAX STATEMENTS TO: SAME AS ABOVE 0 a EWIS MIFT.I ' -,zC F. M IE O 8P •", S �- LU NOTARY PUBLIC - CALIFORNIA PRINCIPAL OFFICE IN cc d = Z al U x� a v O m to O ® T 1z LL U F' � O O .V °a c� c- cin? 13 b 13b U1 ¢~ ,- OLLJ t0 V� V e W o Q Q bQQ m CL� ,s V Q a C:) ¢ r, o v Cr LU SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX $.....37 :95 ............................. X... 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 Agent determining tax — Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ROBERT W. MINTIE and ROSEMARIE S. MINTIE, his wife, as Joint Tenants, as to an undivided one-third interest; JAMES LEWIS MINTIE C and ELIZABETH F. MINTIE, his wife, as Joint Tenants, as to an undivided one-third interest, and KEVIN JAMES MINTIE, a single man, as to an undivided one-third interest hereby GRANT(S) to WESTERN AMERICAN CONSTRUCTION CO., a California corporation the real property in the City of La Quinta County of Riverside Dated , State of California, described as (Book ARCEL of 4 and the Northerly 25 feet of Lot 5, Block 275�4f .,,SANTA CARMELITA AT VALE LA QUINTA, UNIT 25, as per map recorded in 19, pages 50 and 51 of Maps, in the office of theountyoRecorder f- said County, PARCEL="2,:—L-ot6-an,d•-t,l Se outherly 25 feet of Lot 5, Block 275 of SANTA CARMELITA AT VALE LA QUINTA, UNIT 25, as per map recorded in Book 19, pages 50 and 51 of Maps, in the office of the County Recorder of said County. October 30, 1987 I STATE OF CALIFORNIA, )ss. COUNTY OF Lake ) On November 11, 1987 before me, the undersigned, a Notary Public in and for said State, per- sonally appeared JAMES LEWIS 'MINTIE AND ELIZABETH F. MINTIE 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 hey ecuted W.' MINTIE IE S..,MINTIE i the same. WITNESS y hand and official seal. Signature ' (This area for official notarial seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 (6/82) a EWIS MIFT.I ' -,zC F. M IE AMES MI TI •", OFFICIAL SEAL JANIS L GEIS NOTARY PUBLIC - CALIFORNIA PRINCIPAL OFFICE IN LAKE COUNTY Coeaniubs Eep July 21, G&M the same. WITNESS y hand and official seal. Signature ' (This area for official notarial seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 (6/82) M_ z O U W M z O U LU U) r COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION ���-� G� 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. ✓'l Building Department Application Log # Name (Owner. Agent. Contractor. El`c.) f d��, Mn2oX.1329 City �u �; State Zip Code 9a� .� 3 Telephone zS 6 4/ 7 �i/�" 'Job Properly Address -�- s- c f P-2 'Gt or. Community �% 'Legal Description of Properly. (Lot. PM. TR) ('& S !/Cif r� c/r� \l Lil^�2 (,e w , 'Assessor's Parcel No Water Agenc WEII�'%%�'� /�/� //��,.,.��� ((,,JJ `J r .�� Use of Permit!/',, I) 0a, J,(W,_,�6 t0201ng Case # Lot Sze -77Y .2 0/6 SFD. MH Site Preparation Etc. _ r o _ r 1__41X, Signature of Applicant Dale 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial �1 Date �+ Certification Existing S.D. System ❑ 4O</-_ of required. Yes WOCB Clearance required. El Yes �o�-�, _r Soils feasibility report required. 4 , ❑ Yes /2 No/, Special feasibility boring report required. ❑ Yes 'E No Detailed contour plot plans required. ED Yes SIJ No ! --No Staff Specialist approval required. El Yes 12 Lot Inspection Date Soils/boring report by / :' / Project # Date Soils Map Page Soil Type(W(— Approved by L 1C J/ �._ ac Date 2, A' Type of System: V ❑ Existing ©'New ❑ Additional ❑ Replacement No. of Bedrooms � 3o"I-a 39471 /� (1)'Septi3OTank rano Gals. Soil Rate Required ' �/��� / I, i (2) Leach line sq. ft. Sidewall allowance Install Line(s)—Ft. Long, y: Leach bed Sq. r ,Ft (Bottoom,trench area) ft. rock/ Sq. Ft. Ft. e, ith min. inches o bottom �: per running ft. ❑1,N%A rock below drain lines area °. r Leach lines/bed-special design for slope: (3) Pit Diameter ,/ No. Pits Pit BI Seepage Pit total depth 'e-, D Applicable N/A factor ® 6' /6 Max. allowable depth + G burden /l�i� 61 _gv� r cmc la . 1. a {�42tl ter% �1Y.v�' ,�P© �.e3 moi✓# t'�.4 r "R A1 % . 'Gc / ':%!". Jr This application is-aapeprooved'Ienied.for the design of a subs race disposal systema indicate on Ke accompante plot plan using the requirements set forth in Section B above. A building permitnecessar/ for the tnstallat on of the above -designed system. AINs • (1) Septic tank and sewer lines must A 50' from any wells �D ka,,T.nf . lG�c:� .p �f Leach lines must be 100' min. from any wells including expansion area (3'2 Seepage pits must sbe.1'50' min. from any wells including expansion area -,J/ /�`' �-ri� t�-i! �. S-- u//���'z-c. a••G (C Signature of Health Official ., _ i? '✓ /J / „ �A f a Ole RECEIPT NO. 3 Issued by SFK /` � Dated G District: ❑ Riverside E1Ind ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH SAN 122 (Rev 8187) +'f� � 1 sty. ` r " •t .. •- .Y _ _ � .,"� : S Z "r COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM — — r. Applicant: Submit this form with four copies of a scaled plot plan (1-20 kale) drawn to County specifications required on the attached check list. — �� A non-refundable filing fee of $40 is required when the applicatiois Submitted. Check must be made payable to the County of Riverside. lr 60 Building Department Application Log # Name (Owner. Agent. Contractor. Etc.) mialdresssMtllry� P /3-75 Gly Stale Zip Code Telephone A, �,,, 225'' 3 - 2 L� 'Job Property Address �' y Oornruvmrmty 'Legal Description of Properly. (Lot. PM. TR) ' Assesso Parcel No - Water Agenc %1M1tEMl• l��;QQpI, • Q„ , „ « Use of Permit /�'' arming Case M Lot Size t 7,S -A/00 W1e�Z&__DX SFD. MH Site Preparation Etc. 51co 7 —0nr 1 , Signalure OI AppApplicant�•Date 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE ,BELOW •THIS. LINE ` Initial Date Certification of Existing S.D. System required. e El_ Yes �-Ner, -19-EF WQCB Clearance required. El Yes . 0 off/ Soils feasibility report required. ❑ Yes ,_3 Special feasibility boring report required. ❑ Yes LJ No Detailed contour plot plans required. ❑ Yes ihlo Staff Specialist approval required. ❑ Yes (�7, o y Lot Inspection Date s Soils/boring report by n Project # Date Soils Map Page Soil Type.(,!�& Approved by Type of System: �V No. of Bedrooms (1), Septic Tank �Soil Rate Required ❑ ExistingL'New ❑ Additional ❑ Replacemen Gals. (2) each line sq. tt. (Botto.. trench area) Sidewall allowance ft. rock/ Sq. Ft., Install I Line(s) Ft. Long, Ft. th min. inches Leach bed Sq. Ft. of'6o% per running ft. (�/A rock below drain lines area Leach lines/bed-special design for slope, (3) Pit Diameter ( No. Pits Pit BI Seepage Pit total depth%7y"' Applicable 6' ~ /� Max. allowable depth U Overburden factor r 76 el A,� L lea", CL�.oLo-d_ This a�p ton Is o rased or the esign oo *s surface Rpoa ys m as Indicated on the accompanied plot pian using the requirements set forth i - Section B above. A building is necessary for the installation of the above -designed system. permit Va•� Septic tank and sewer lines must be 50' from any wells Nl o -� Rf w. a-c-,wyA- ._ ... Leach lines must be 100' min. fromany wells including expa sio area. _C_/ 63Seepage pits must be 150' in. from any wells i cluding expansion areae,/�o 74 9 SignaWre o1 Health OHival ' / i�y�' Daf, e�_ � ' RECEIPT NO._� 7 Issued by '.i�� . Date District: ❑ Riverside Indio ❑ Hemet❑. Perris ❑ Rancho Calif. . Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH SAN 122 (Rev 8/87) ;Z5 - ON., DATE 3 - /6 "ke DEVELOPER'S-NAME- 'ADDRESS: EVELOPER'S NAME: 'ADDRESS: TELEPHONE: Dear Developer: 01 Fir E OF E. LEON SPAUGY AGRICULTURAL COMMISSIONER COMM15:10`ER AN1I1� LAMES 0 WALLACE AN V A55:StA.Nt rgW>uS510%EP WEIGHTS CS b.. MEASURES CLEMENT BE`VEhISTE SEALER 49-613 Ilwy 86, Suite B-12 Coachella, CA 92236 619-342-8291 CASE N0. -r 0 D 1379 e 9 2.2. f 3 t4! i 3Y3- 247/ .s.,. J4 4",W..t,Q7) 4 41.x.. , 44 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 frau plant material listed, this office must be notified imriediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. W Agricultural CoiTi ss er's Office cc: Indio and Riverside Office r