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15217 (SFD)Building Address 50-714 Owner still 4 P.O. BOX 1504 78-495 CALLE TAMPICO Ni ;resp LA QUINTA, CALIFORNIA 92253 mailing Address 241 La Paz City Zip Tel. Palm Deseret 92260 346-1473 Contractor Rancho Capistrano Dev. Corp. Address 79-687 Country Club Dr. 0201 City Zip Tel.: Bermuda Dunes 1 92201. 345-'7755 State Lic. & Classif. 597925 Arch., Engr., Designer CYP Address 37992 Mitchell South City Zip Irvine I 92714 LICENSED CONTRACTOR'S City Lic. # 19,60 Tel. ( 714 ) 6610-0970 State Lic. # I hereby affirm that -l -am licensed under Drpvisions of hapjer 9 (commencing with Secti 7000) of Division,3 of thwBusiri`eo�W� Wand Professions e; ,,���Ty-license is.Iiforce n full forc.a /I —4 •r -'Thereby affirm that I am exempt from.the Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions 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 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 rive 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 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 knprove 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) jlcensed 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 to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. 0 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: N, 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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. 15217 , ' BUILDING: TYPE CONST. V14 OCC: GRP. R3 A.P. Number 769-610-016 Legal Description) of 66 Tract 24890-4 Project Description 5P'D Sq. Ft. 5.198 Size No. No. Dw. Stories Units New',M Add ❑ Alter O Repair ❑ Demolition ❑ Permit .does not include block wall or nool Estimated Valuation $426,556.00 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. $1223.46 Const. $1784.00 Mech. $ 164.00 Electrical 290.59 Plumbing $357.00 S.M.I. $ 42.66 Grading $ •20.00 Driveway Enc. 00 Infrastructure $6000.00 . Arts - in Public Places $ 816.35 TOTAL $10.953.10 $10,703.10 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line ' Rear Setback fro Rear Prop. Line Side Street Setback from Center Line Side Setba9 from,Property1Line- FINAL [ Issued t ValidatE Validati CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES ti IST FL. SO. FT. $ UNITS COLL. AREA 2ND FL. SO. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. DUCT WORK DRAINAGE PIPING WALL SO. FT. GAS (ROUGH) DRINKING FOUNTAIN. SO. FT. ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT VVALL FLOOR SUSPENDED GRADING cu. yd. plus x$ LAUNDRYTRAY AIR HANDLING UNIT CFM FINAL INSP. _ 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAR. FIREWALL 41 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 C -SETBACK / ? .[®` GROUND PLUMBINJ�/-&? UNDERGROUND A.C. UNIT COLL. AREA B GRADE br �� -� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWS OR S ROUGH WIRING DUCT WORK ROCK STORAGE OUND. REIN GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPIEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ . _$ LUMBER GR. FINAL INSP. _ FRAMING FINAL INSP. ROOFING /V -t Of �'� [/O" O�"-r'/ ©eA�111 REMARKS: VENTILATION�' FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL 41 THING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL ` DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 - Date 7/5/95 1 Type of Permit I La Quinta No. 113537 Permit # Log Owner Name Mr. Hill No. --24 Street L city La Quinta Zip 92253 Study Area 108 APN # Tract # 24890-4 Lot* 66 Square Footage 1 Type of Development I Single Family Residence No. of units 0 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: Under Mitigation Agreement. This certifies that school facility fees imposed pursuant to Mitigation Agreement in the amount of 628.00 X 0 or $ 628.00 have been paid to D.S.U.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. r Fees Paid By Rancho Capistrano Dev. Corp. Telephone 345-7755 Name on the check By Dolores A. Ballesteros �- Superintendent _' r Fee collected /exempted by Pauline Pearson Payment ,.Received Signature P1 c ,Ln D 2t A1 A A )n/vt r{'T' r _ citecC No. 1633 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant - Copy- Applicant/Receipt Copy - Accounting R E-irst American -Fitle Insura "nce }Co parry AIRWAY HOMES" Order No,. 1875666 escrow No: 1-9900 Loan No. WHEN RECORDED MAIL TO: MR. ROBERT M. HILL 241 LA PAZ PALM DESERT, CA 92260 MAIL TAX STATEMENTS TO: SAMEAS ABOVE UJJi:.�1U RECEIVED FOR RECORD AT 2:00 O'CLOCK FEB 0 2-1995_ DOS, Tm truer Tax R.00a h 011ldd P-00 FRANK K AMMgN .a Rrw.a.11ax.rr.crtlir. Riv. Co. Ae06fd(�Ir_ Reoortdar Fees SPACE ABOVE THIS LINE FOR RECORDS ' DOCUMENTARY TRANSFER TAX $ ....Cr U ..... ...........\�l 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. THE UNDERSIGNED GRANTOR Signature of Declarant or Agent determining tax —Finn Name GRANT DEED DEED FOR A VALUABLE CONSIDERATION; receipt of which is hereby acknowledged, J.M. PETERS COMPANY, INC., A DELAWARE CORPORATION, FORMERLY A NEVADA CORPORATION hereby GRANT(S) to ROBERT MARSHALL HILL, Trustee of The Robert Marshall Hill Trust dated January 14, 1991 the real property in the City of LA QUINTA County of RIVERSIDE State of California, described as SEE EXHIBIT "A" ATTACHED HERETO (TRACT NO. 24890-4) ASSESSORS PARCEL NUMBER: ?G9-(�/6 ll6 -9 J.M. PETERS COMP INC., Dated. DECEMBER 9, 1994 A DEL"RE CORPO ON, STATE OF CALIFORNIA }ss. COUNTY OF' On t r cta before me, G personally appeared personally known to me (or proved, to me on the basis of satisfactory evidence) lobe the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hisr'her/their authorized capacity(ies), and that by his/her/their signa- lure(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. VJITt•:FSS my ha d and official seal. Y BY: BY: W SCWMIDT 0�0• E9PT06i Pubft - CetttomlaFiAtdGE Sent S. tA9itn ExP• . P . (This Area for Official notarial sea:- 1 - I •r. i sY TA i _ I OF LA QU�N i b BUI G & 8AFETY.OEPARTMENT Nor 777-7012 i INSPECTION REQUE � 77741153 vvF aU< T a Owner Hill I; Contractor Rancho Capistrano' D`,c orT� Permit Number 15 217 POST ON JOB .IN CONSPICUOUS PLACE 4 INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 50-755 Nis�er SFD=Permit does not inc,lLide bloce wall or pool TYPE OF INSPECTION DATE INS.. FOUNDATION & SETBACK FOOTING STEEL MAIN GROUND SYSTEM I GROUND PLUMBING !�- PRE-GUNITE .. DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN.SIGNED I CONCRETE SLAB-.,-.: JOISTS & GIRDERS .. ' ELECTRICAL GROUND WORK k DO NOT POUR.CO CRETE UNTIL ALL ABOVE HAS BEEN SIGNED , ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS.TEST HEATING & VENT - A/C ` FIREPLACE ` ROOF BOND BEAM. 01 fO.K. TO WRAP 49 i GROUT ❑ 4' ❑ 8' I FRAMING INSULATION j PRE -ROOF f -- - COVER NO. WORK UNTIL ABOVE H BEEN IGNE DRYWALL INTERIOR'. EXTERIOR LATH POOL PRE PLASTER' POOL FENCE & GATE ( SEWER SEPTIC TANK G FINALS ELECTRICAL, PLUMBING I FINAL GAS TEST I HEATING - A/C HOUSE NUMBERS JOB COMPLETED TEMP POWER - ABOVE APPROVALS DO NOT INCLUDE RIGHT TO _.._.. ...... .—..-n _e•. --nl in%/ of Ili n11.1�`_