08943 (SFD)t
P.O. BOX 1504 --No.
Building 78-105 CALLE ESTADO Fj
Address 77"835 WIC =I= LA QUINTA, CALIFORNIA 92253
D= ftathez3,>agU
Mailing
Address P.O. Box 1012
City lZip ITel.
Contractor
Address
Zip
State Li'd`s""""I City
& Classif. — Lic. #
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am.licensed under provisions of Chapter 9 (commencing with Section
7000)�of DDivviisioh 3 of th'e Business as Prtifessions Code, and my license is in full force and
effecw!
= 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 anystructure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions or the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
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 or 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 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 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
Ihereby 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 If the permit is for one hundred dollars ($100) valuation
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., It, 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 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
ateMailing Address
City, State, Zip
BUILDING: TYPE CONST. OCC: GRP.:
A.P. Number 77,x-274,413
Legal Description Tnt 1* V=2 Week 296
Project Description Simla TdMAIV Rolm
A
s
REMARKS q L �y /�
YY " .4 1.9 IkS. .••'.r •+»•.I+r
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
Issued by:
Validated by:
Validation:
INSPECTOR
Date Permit
Sq. Ft.
Size 3176
No.
Stories i
No. Dw.
Units
Newil Add ❑
I Alter ❑
Repair ❑
Demolition ❑
HOT,
Sao-,
�9S^l
Estimated Valuation
SL66.959.85
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
485.g
Const.
874.30
Mech.
99.50
Electrical
IR9,58
Plumbing
162.00
S.M.I.
11.69
Grading
20,00
Driveway Enc.
20.00
Infrastructure
I%Pww4
--a
i Y•Yi�l�.
V11167.40
TOTAL
REMARKS q L �y /�
YY " .4 1.9 IkS. .••'.r •+»•.I+r
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
Issued by:
Validated by:
Validation:
INSPECTOR
Date Permit
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE 0 (�
2ND FL. SO. FT.
c
YARD SPKLR SYSTEM
POR. SD. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT. ®
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SO FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING / 90 A*
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
REMARKS:
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 ® 1114 c
SEWAGE DISPOSAL
SO.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 GOND. SOLAR
SETBACK /O �O 9 A
GROUND PLUMBI ORIXAV'oUNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 0 (�
ROUGH PLUM
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER 41"ROUGH
WIRING
DUCTWORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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. ,�a� 9/
FRAMING / 90 A*
FINAL INSP.
ROOFING 1113 00
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHIN N /;//7
MESH
INSULATION/SOUND a O
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
.�i •� �� � I�. �� yip
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a�
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1111
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This Certificate issued`-pursuant to the'requireifierits of Section 306 of the UnifdfM Building:,
H
! 1 !
'
Code certifying that af'the time of issuance this structure was in complidke wlth the vorious
,
ordinances of the City-regulating building construction or use. For the fohowig:
j
r
BUILDING ADDRtE§S 77-835 Ca11e--Chi11on
?
I
I
Use Classification SFD Bldg. Permit Wo: 0 8943
!
Group R3 Type Construction VN Are Zone Use Zone SR''
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it
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Owner of Building Dan FeatherinQ�ll Address _P. O. Box 1012
1i
city La Quinta; CA -92253:, ,
By,. Mark Harold
+�
D64: 3/22/91
Building Official
ST IN •A 00N#?ItiMU9 PLACE—
M`
Net N/Nc
a i.
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 9/21/90 1 Type of Permit I La Quinta
No. 110162 Permit #
Log #
Owner Name Dan Featheringill
No. 77835 street Calle Chillon
city La Quinta zip 92253 Study Area 110
APN # 774-224-013 Tract #
Lot #
Square Footage
13176
Type of Development
I
No. of units
0
Single Family Residence
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
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.58 X 3176 or $ 5,018.08 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.
Fees Paid By Dan Featherineill
Name on the check
Telephone
By John D. Brooks
Associate superintendent, Business Services
Fee collected /exempted by Shelley D. Bennett
Payment�ceive��',:?
Signature Ph4
y� Check --'A6._'5'630
Collector: Attach a copy of County or City plan check application form to Districtcopy;
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
OFFICE OF
A.
AGRICULTURAL COMMISSIONER
AND
WEIGHTS & MEASURES
CALVIN C. KAMINswAs
JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Assistant Commissioner .
Apriculhrrol Commissioner RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISTE.
fArectof of Welphlf & Measures Seater
• (114) 781-2561
49613 highway 86, Suite B12
Coachella, Ca. 92236
(619) 342-8291
DATE g " y` 9� CASE No. PC0F/q L
DEVELOPER'S NAME: Po ,aC O CO ti : f �4,t ✓
ADDRESS: r /0 /Z
L A 722 .5`_ 3
TELEPHONE: `/ 7?'
77 8 3 -5-
Dear Developer:
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 fran plant material listed, this office must be notified''
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agricultural Canni.ssioner' Office
cc:
Indio and Riverside Office
' •
''.tyf. :�
Received From:
Address:
Account No.
Service Address
eter(s) _.
Service(s)_
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
N2 '30726
❑ Backflow(s)
❑ House Lateral(s)
❑ DetectorCheck(s)
❑ Meter Surcharge
XSanitation Capacity Charge
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account - Name
❑ Inspection Fee - Tract -
Fee -
❑ Plan Check Fees Water I Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer Deposit
❑ Other
TOTAL
Remarks:
❑Copy to:
Cash
Check
WaterServlce
Money
.;.
Cashier
Order
t a s_ • ,
CVWD-438 (11188)
An WWI 11EI ; ■ml. TM K" ittrross 0�T1�ititw � WW
OIL TAI STATEMENT T!
Name, Dan Featheringill
seri Featheringill
s"°"
Ana•ess P.O. Box 1012
c,, a La Quinta
_state Ca 9.2253
NMAIC TAX STATEMENTS TO
• rNarm Joyceco Services Inc.,
OSlreet 43645 Monterey Ave #A
fj= Palm Desert
clly a Ca 92260
State
T1ttENK11" C516570 F&C"frfle 4202 -JC
od a
C3 o '
19 it� 7 0
'S
MiAdf ABiSVE TRIES" EOADEA81i.SE r
4.
GRANT DEED
Y
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX is S 49.50
6 computed on full value of property conveyed, or
❑ computed on full value less value of liens or encumbrances remaining at time of sale.
❑ unincorporated area -
r] city of La Quinta AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
MUMBIL INC., a California Corporation
hereby GRANT(s) to
Joyceco Services, Inc., A California Corporation
the following described real property in the City of La Quinta .
County of Riverside , State of California:
Lot 1 and the North 30 feet of Lot 2 of Block 2941'Santa Carmelita at
Vale La Quinta Unit No. 27 as shown by map on file in Book 19 page 82 of
Maps, Records of Riverside County, California. APN # 774-224-013
/ t
MUMBIL INC., A CALIFORNIA CORP
ORATION
1 r
Dated May 7, 1990 (IJWLAILd_idles.
STATE OF CALIFORNIA BY:--
COUNTY OF RIVERSIDE ss.
21 MAY �90
On this day DI __ , in theyear T9
before me. the undersigned. a Not Public in and for said State.
personalty appeared MARY C . MARSHALL
. personally known to me
for proved to me on the basis of satisfactory evidence) to be the
(person_ whose name I S subscribed to the within
/instrument. and acknowledged to me that-S-he_executed it.
WITNESS my hand and official seal
Signature
NOTARY PUBLIC IN AND FOR SAID STATE
nhe SM for 01116CS9 notrrirf self
CO -"I IREV 4/85) MAIL TAX STATEMENTS AS DIRECTED ABOVE.
l
I
0
9
UL -122
STATE OF CALIFORNIA - j (Ackww1ledgemml)
County of 9
"kae ) ss- 20G795
9
-�k day of YYV0A J
On this f in the year lgao, before me.
a Notary Public in and for the said covAty and State, residing ftrein, duty commissioned and sworn; personalty
_�� r1A C
appearedV YY
personally known to me (or proved to me on the basis of satisfactory evidence) to be the petm
INDIVIDUAL)
Whose name Is subscribed to this Instrument. and acknowledged
that he (she or they) executed it.
CORPORATION)
Who executed the within Instrument as pFeqkk*4-and
-. secretary, on behalf of the corporation therein named, and
acknowledged to me that such corporation execulmll the within
instrument pursuant to its articles and by-laws and a resolution of
PARTNERSHIP)
its Board of Directom, ,voirlviit
(0
A
nership, and ackn6iirfedged to hnii ttiid 11116 oli�sf I"F 6Z
IN WITNESS WHEREOF I have hereunto
set my hand and affixed my official wall. in arid for said County avid State.
th" and year fi w em,
CUM,
E. ON
poM G
N&MF5'Public in and or said Countymdt
tate ofCalitomia
ItUX-CarcoMA
rie r r",
My commission expires: C7
L
to::
irp 11W. COVED
MAY 171990
BY: DIXIE ESCROW 'Jt4W
C"I
. PALM DESERT"'
,e