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003561 (SFD)OvV, P.O. BOX 1504 No. .003561 Buildingr + r 78-105 CALLE ESTADO 53„, Address 955 11avarrid LA,QUINTA, CALIFORNIA. 92253 Owner +. Richard W. Gric3er MailingBUILDING: TYPE CONST.- OCC: GRP.- . � ” Address 10751 Laconia Drive A.P..Number 774 -174 -022 - City Zip Tel. vi31a Park— -92667 71.4-639-8576 Legal Description Contractor Project Description'tx F'a;�itT• �krs�.i.rltx Rlchakd V. Crider Address. . Ste . City . Zip Tel:. State Lic. City & Classif: Lic. # Sq. Ft: No. No. Dw. Arch.; Engr.,. . Size * ' - Stories.. '41, Units •- Designer. New ❑ Add ❑ Alter ❑. Repair ❑ Demolition ❑ . Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION a 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- BuaDER'DECLARATION Estimated Valuation 1 hereby affirm that I am exempt from the Contractor's License Law for the following - •- reason: (Sec. 703 1.5, Business and Professions Code: Any,city or county which requires a � R,7 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'. PERMIT 'AMOUNT 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'thebasis - ... ^0 for the alleged exemption. Any violation of Section 7031:5 by 'any applicant for a permit Plan Chk':,Dep.. -$250 .00 subjects the applicant to a civil penalty of not more than five hundred dollars ($500): Plan Chk- Bal. ❑ 1, as owner of the properly, or my employees with wages as their sole compensation, will 64.76 Y do the work, and the structure isnot intended or offered for sale.,(Sec. 7044, Buisness andConst... V Professions Code: The Contractor's License Law does not apply, to an owner of property who builds or improve thereon and who does such work himself or through his own employees, - ���Pl.A *- provided that such improvements_are..not intended or offered for sale. If, however; the.building Mech. J 37!!AR or improvement is sold within one year of completion,. the -owner-builder will have the burden Electrical - of.proving that he did not build Sol or improve for the purpose or sale.) - s y�. 0 O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 105 00 struct the projeot. (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 ' S.M.I. 6.20 -such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - Grading 20.00 f7 I.am exempt under Sec. B: & P.C. for this reason. Driveway Enc. 20.00 Date owner Infrastructure 1.y 961 .22 WORKERS' COMPENSATION DECLARATION 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 ' E). Copy,is filed with the city. , ❑ Certified copy is hereby furnished.. TOTAL .�, s 9 41.105.4 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (8100) valuation or less.) - ... .. I certify that in the performance of thg work for which this permit is issued, I shall not„f�± • employ any person in any manner so as to become subject to the Workers' Compensation ,cr Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become -ONE: - BY: 'subject to' the Workers' Compensation provisions of the Labor Code, you must forthwith ZONE:— Setback Distances: comply with such provisions or this'permit shall be deemed revoked. ` Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from.?roperty Line Lender's Name lender's Address ' This is a building permit when properly filled out; signed •and validated; and is subject to FINAL DATE INSPECTOR.' expiration if work thereunder is suspended for 180 days: I certify that I have read rthis application and state that the above information incorrect. Issued byi. DatePermit I'agree; to comply 'with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of thiscity. to' -enter the above.. mentioned property for inspection purposes. Validated by: Signature.of applicant Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES 1 NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS "a SLAB GRADE / 2ND FL. SQ. FT. ® BONDING YARDS KLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ, FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. ® GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. ® OTHER APP.IEQUIP. DRINKING FOUNTAIN SO. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER HEATER SERVICE A/I WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM GRADING cu. yd. $ plus x$ _$ FLOOR DRAIN MECHANICAL FEES // I'Z(6OOFIyG`ce 2j� VENTILATION C FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL of LATHING MESH INSULATION/SOUND4ZZ,7 FINISH GRADING 'W1 -FINAL INSPECTIONZ r2yr�/� / V4< WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(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. SQ. FT. ®c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 PLUMBING3 UNDERGROUND A.C. UNIT COLL. AREA "a SLAB GRADE / ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK ?. FORMS SEWER OR SEPTIC TANK ROU I G DUCT WORK ROCK STORAGE FOUND. REINF. % Q GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE A/I BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. A42��] FRAMING '3 �jQ IN/L- '1dS. // I'Z(6OOFIyG`ce 2j� VENTILATION C FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL of LATHING MESH INSULATION/SOUND4ZZ,7 FINISH GRADING 'W1 -FINAL INSPECTIONZ r2yr�/� / V4< REMARKS: OCC. FENCE FINAL SIGNA GARDEN WALL FINAL / \1 Desert Sands Unified School District CERTIFICATION OF PAYMENT, OF SCHOOL FACILITY FEES RJA� TO: City of La Quinta • DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 NOTICE: THIS DOCUMENT CANNOT BE'DUPLICATED.- This is to ce r_t.if th t , developer of , which is located ,et within this District, has paid school facility fees imposed puruant to the' auth rity �eneratd by Government C de Se tion. S 080 in, t amount of s ( ) w --) covering a total of square feet of ( re idential or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. for ERT SANDS-UNIFt6D SCHOOL DISTRICT White Building Department • Yellow - Facilities Planning • Pink - Accounting Oi Gold - Developer !, K . (10) 37 N FIDELITY NAHUNAL 1-I I Lt t -N5. W. Recording Requested By AND WHEN RECORDED MAIL THIS.DEED AND TAY( STATEMENT TO: (® F. Richard N. Grider 0 Nancy E. Grider 10751 Laconia Driva Villa Park, California.92267 J ASSESSOR'S PARCEL NO. ESCROW NO. 2540 TITLE ORDER NO. 82832 SPACE ABOVE THIS LINE FOR RECORIDER'S USE GRANT DEED „ The undersigned grantor(s). declare(s): Documentary transfer- tax .is $ ff, $o computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at timeof sale. ( ) Unincorporated area: (., X ) City of ( A Q LA );N at✓ _- and By this instrument dated November 10, 1987 , for a valuable consideration, EDMUND C.,DILLON AND. FRANCES M. DILLON, TRUSTEES OF DILLON FAMILY TRUST DATED 4/3/1985 hereby GRANTS to RICHARD N. GRIDER AND NANCY E. GRIDER, HUSBAND AND WIFE AS JOINT.TENkNTS the following described real property in the State of California, County of Riverside Lot 10 of Block 250 of Santa Carmelita at Vale La Quinta Unit No. 23 as per map r.e.cor.ded in- Book .20 page 2.5 of •maps. in 'th-e—off„i_re-- of the Crnlnty Reno- -ler, .of Sairl County. STATE OF CALIFORNIA ) SS. CCNU NTY OF 0 r a n q e' . a. On 'Nov. 17 . 19 8.7 before me, the Edmond C . Dillon Trus��te//E++,�` undersigned, a Notary Public in and for said County and State, personally appeared Edmund C.' Dillon Fr nces'M: Millon Trustee Frances M. Dillon personally known to me (or proved to me on the basis of satisfactory + (Wvt0'J%1. 8F.AI. are • • evidence) to be the person(s) whose name(s) subscribed • SCOTT A. CHRISTIAN to the within instrument and acknowled ed that t `•i e y s NOTARY PUBLIC—CALIFORNIA 9 ORANGE COUNTY # executed the same. # My Comm. 6p. April 19, 1"1 � Signature 21.9050 8/83 O _ a �E L: plr {J W Q x y LC. Y �•u >' w'-4. C U. _5 Cr f 08 V :al,: Wo�_� 4� W U.�\ m S `J ASSESSOR'S PARCEL NO. ESCROW NO. 2540 TITLE ORDER NO. 82832 SPACE ABOVE THIS LINE FOR RECORIDER'S USE GRANT DEED „ The undersigned grantor(s). declare(s): Documentary transfer- tax .is $ ff, $o computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at timeof sale. ( ) Unincorporated area: (., X ) City of ( A Q LA );N at✓ _- and By this instrument dated November 10, 1987 , for a valuable consideration, EDMUND C.,DILLON AND. FRANCES M. DILLON, TRUSTEES OF DILLON FAMILY TRUST DATED 4/3/1985 hereby GRANTS to RICHARD N. GRIDER AND NANCY E. GRIDER, HUSBAND AND WIFE AS JOINT.TENkNTS the following described real property in the State of California, County of Riverside Lot 10 of Block 250 of Santa Carmelita at Vale La Quinta Unit No. 23 as per map r.e.cor.ded in- Book .20 page 2.5 of •maps. in 'th-e—off„i_re-- of the Crnlnty Reno- -ler, .of Sairl County. STATE OF CALIFORNIA ) SS. CCNU NTY OF 0 r a n q e' . a. On 'Nov. 17 . 19 8.7 before me, the Edmond C . Dillon Trus��te//E++,�` undersigned, a Notary Public in and for said County and State, personally appeared Edmund C.' Dillon Fr nces'M: Millon Trustee Frances M. Dillon personally known to me (or proved to me on the basis of satisfactory + (Wvt0'J%1. 8F.AI. are • • evidence) to be the person(s) whose name(s) subscribed • SCOTT A. CHRISTIAN to the within instrument and acknowled ed that t `•i e y s NOTARY PUBLIC—CALIFORNIA 9 ORANGE COUNTY # executed the same. # My Comm. 6p. April 19, 1"1 � Signature 21.9050 8/83 Building '? r- / Address � 3 / 0 Owner %1t S 7-A A < Mailing Address �O City Zip /A --/'D U r ec 1( 11 ++ t. 0- 7 ?(Q -7?(Q Al 1► Pim Y2�, I State Lic. & Classif. Arch., Engr., Designer P.O. BOX 1504 APPM�ATION ONLY - 07&105 CALLE-ESTADO LA QUINTA, CALIFORNIA 92253 F J 7Il 0 Tel. o� S Tel. City Lic. # Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm U1at I am licensed under provisions of Chapter 9 (commencing with Section 70D0) of Divisio 3 of the Business and(Professions Code, and my license 's, sop -full force and effect. Q �1 � y? SIGNATtl��'� /�/` "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] 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 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.) I.I 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.) I'] 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I h Aeby affirm that I have a certificate of consent to self -insure, or a certificate of Workis , ompensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Polic No Company o 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 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 BUILDING DIVISION BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Project Description Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ ;timated Valuation PERMIT AMOUNT , t Plan Chk. Dep. Plan Chk. Bal Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL d 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 fron Property Line FINAL DATE ItiSPECTOR Issued by: Date Permit 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. @ CAR P. SO. FT. @ WALL SO. FT. @ SO. 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 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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. SO. FT. @ c BATH TUB BOND BEAM 3 / II SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1'A c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR @ 3/.c HOUSE SEWER FRAMING FINAL INSP. 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 1-'y 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. REI -11 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM 3 / II L� 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION �G1 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL