9691 (SFD)1. T4tyl 4 �wa�rw
Building
Address 53-825 Navarro
Owner
William Baker
Mailing
Address r,1-610 Rubio
City Zip
La Quints I
92253
Contractor
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Tel.
564-2787
State Lic.I City
& Classif. Lic. #
..,
Designer_..�
Address Tel.
City I
Zip I 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 to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile 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 Cade, 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
sub ects the applicant to a civil penalty of not more than rive hundred dollars.($500).
as owner of the property, or my employees with wages as their sole compensation, will
o 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 foi
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
I hereby* affirm that I have a certificate of consent tb self -insure or a certificate. of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800Labor Code.)
P011010 - --company - , s c `-f 1, . .T c n �__
ACopy 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) vatuatlon
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., 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 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
Malling Address
City, State, Zip
C/C
No. 9691
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number^��{+
Legal Description
Project Description SFS?
Sq. Ft. No. No. Dw.
Size 1714 Stories Units
New ❑ Add ❑ Alter'P,43!Repalr ® Demolition,, ❑t'
Persist does not include block wall or
pool
stimated Valuation
100, 0188 . 70
PERMIT
AMOUNT
Plan CKO Dep. "
250A0
Plan Chk. Bal.
2 4 3_ A R
Const.
64-3.00
Mech.
92-00
Electrical
t
_ Q14
Plumbing
1.41-00
S.M.I.
(). 10
Grading
0 10
Driveway Enc.
20.00
Infrastructure .
2159.44
ri- A in rsiihl '
2 'i ii fit
TOTAL
3755.93
3505«93
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
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PjLUMBING FEES
IST FL. SO. FT. ® $
2ND FL. SO. FT. ®
FOR. SO. FT. ®
GAR. SO. FT. ®
CAR P. S0. 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
7 ilfk
FLOOR DRAIN
MECHANICAL FEES
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
GAS (ROUGH)
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
WATER HEATER
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1V4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
$1
GRADING
cu. yd.
plus -x$_=$
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 11
/
GROUND PLUMBING -7 5 /
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 4
7 ilfk
ROUGH PLUMB.
BONDING
I HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
I DUCT WORK
ROCK STORAGE
FOUND. REINF. `
GAS (ROUGH)
METER LOOP
I HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE t#j
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$1
GRADING
cu. yd.
plus -x$_=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
/l�/ZQ/
!O/�/�/�
A5
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
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA :92201
Document Cannot Be Duplicated (619) 347-8631 .
Date 6/13/91 1, Type of Permit La Quinta
No. 10661 Permit #
Log #
Owner Name William Baker
No. 53-825 street Navarro
city La Quinta ' zip 92253 study Area 111
APN # Tract # Lot # Square Footage. 1714
Type of Development Single Family Residence No.'of units
Comments
At the present time, the Desert Sands Unified School District does not collect fees on
garages/carports, covered patios/walkways, residential. additions under 500 square feet,
detached accessory structures or replacement mobilehomes. It has been determined
the above-named owner is exempt from paying school fees at this timE due to the
following reason:
EXEMPTION NOT APPLICABLE
t
This certifies that school facility fees -imposed pursuant to Government Code 53080
in the amount of 1.58 X 1714 or $ 2,708.12 have been -paid to D.S.0 S.D. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By William Baker Telephone 5642787
Name on the check
By Richard M. Beck
Director, Facilities Planning &Development
Af �'
Fee collected /exempted by Shelley D. Bennett
t
Payment ReceivEAc . t��;'�
Signature v Cieck tjo -254
F •�i �.'-'..
� C
Collector: Attach a copy of county or city plan check application form to district c py,.foi ali waivers..
Embossed Original- Building Dept./Applicant Copy 7 Applicant/Receipt Copy - Accountink"
(� ro'.;i X-11ti,'5GAN TITLE INSURANCE COMPANY d
AND WHEN RECORDED MAIL TO Q
F
Name _•�
Wi11iaM R. Baker
cmN
Street 52-448 Ave. Navarro , ; _; „
Address JLL
La Quinta, CA 92253 a ..� <�� = O,
City a LL
o
CY
State L
at
p..- ..
MAIL TAX STATEMENTS TO
Name
Street SANTE AS ABOVE
Address
City & .'
State L J J
SPACE ABOVE THIS LINE FO3 RECORDER'S USE
CAT. NO. Individual Grant Deed
TO 1923 CAA (2— (2-13 83))
THIS FORM FURNISHED BY'TICOR TITLE INSURERS -
FFOR
he undersigned grantor(s) declare(s): 7%t{--/ 791-
ocumentary transfer tax is $ 23.10
O tycomputed on full value of properconveyed; or
computed on full value less value of liens and encumbrances remaining at time -of sale.
Unincorporated area: (XX ) City of La Ouintaand
A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
/I JACK A, FRANKLIN, A UNMARRIED MAN AS HIS SOLE PROPERTY
�1
hereby GRANT(S) to
WILLIAM R: BAKER , A MARRIED MAN AS HIS SOLE AND SEPARATE PROPERTY
nn� the following described real property in the city of LA QUINTA
`"�' County of RIVERSIDE , State of California:
LOT 4 BLOCK 250, SAN-.eA CARMELlTA Rf VALE; LA QUINTA, UNIT NO. 23, AS SHOWN BY MAY
OF FILE.IN BOOK 20 PAGE 25 OF MAP, RECORDS OF RIVERSIDE COUNTY, STATE OF CALIFORNIA
Dated: 8 — 17 - 90 •
STATE OF CALIFORNI7 A4 CK A. FRANKLIN
COUNTY OSOt.YI `ti Die 1 S DO S. — On U '% / g 2 Q before
me, the unders' ed, a (�otar Public in and for s d State,
personally appeared J .0, 0 . Q �r� ��t: h
`-pe7rsonally known tome or proved to me on the basis of sat
isfactory evidence to be the person_ whose name t 5 1
sub scribed, to the within instrument and acknowledged MELA91E L. SCHNEIDER
that -0 eexecuted the same. NOTAR' PUBLIC
WITNESS my hand and official seal., , SAN LUIS OBISPO COUNTY
CALIFORNIA
My Commission Expires on DECEMBER 10, 1993
Signature/•,vt/
(This area for official notarial seal)
Title Order No.
Escrow or Loan No.
- MAIL TAX STATEMENTS AS DIRECTED ABOVE