07563 (SFD)Building
-
Address
Owner
Ge"
Mailing -
Address e-2 -sn
TAt
4
P.O. BOX 1504
Cortez Law LA QUINTACCALIFORNIA 92253
Tadros
Zip
/90
CityZip Tela
.a . �L 7 6
: Stat 'Lic. City
B Classif.Lic. #
Arch.; Engr.,
Designer
Address Tel.
cityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chep-er 9 (commencing with Section
7000) of Dlv�jslon 3 of the Puniness and Profesglons Codand my licenses In full force and
effect: � , ,a,�;'��:i�.-.1=:d:�: '.'.•! r .✓� �..s,..-.._ . f ., .ii�e.:1 "9
OWNER -BUILDER DECLARATIOW"
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7091.5.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 Ill@ a signed statement that he Is licensed pursuant to
the provisions of the Contractor's LlcensaQaw, 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 aDeged exemption. Any vmlatlon of Section 7031.5 by -'any applicant for a permit
subjects.tne sppficant to a 6h41 pen&ft I not more than live hundred dollars (5500).
❑.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, Bulaness 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. fl, however, the building i
or Improvement Is sold within one year of completion, the owner -builder will have the burden
'o
f proving. that he did not build or improve for the purpose of sale.)
❑ 1, as.owner of the property, am;exclusively contracting with licensed contractors -to con-
,struct the project. (Sec. 7044, Business and Professions Code: The Cdntractor's Llcense Law`_
_-
does'not apply to an owner of property who builds or Improves thereon, and who contracts for
such,pro/ects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. 8 P.C. forthis reason ''• - --
Date Owner
f
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 9800, Labor Code.)
Policy No company
❑ Copy is filed with the city. ❑ Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not, be completed It the permit Is for one hundred dollars ($ 100) valuation
or lase.)
I certify that in the performance of the work for which this permit Is issued, 1 shall not
employ any pparson in any manner so as to beeome.subject to the Workers' Compensation
laws of California.
Date_ ,Owner
NOTICE TO APPLICANT: H, .after making this Certificate of Exemption you should become
suNect 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,Cods.)
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 thereunderis 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
Meiling Address
City, State, Zip
No. 475*•3
JILDING:- TYPE CONST. OCC: GRP. -
P. Number 619-101-013
Legal Description
Project Description Single Family Dwelling
Sq. Ft, 3370 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Ho pool or toll
Grading. 20.09
Driveway Enc.. 2000
Infrastructure 059.97
TOTAL 5 96.36 $5,91"
REMARKS + :t.s ryti_ ,_e3A 40
'5Y46..60
Estimated Valuation
$180 ,441
PERMIT
AMOUNT
Plan Chk. Dep.
2510.00
Plan Chk. Bal.
510.09
Const,
923.50
Meth.
53.50
Electrical
17.63
Plumbing
16940
S:eea.
12.67
Grading. 20.09
Driveway Enc.. 2000
Infrastructure 059.97
TOTAL 5 96.36 $5,91"
REMARKS + :t.s ryti_ ,_e3A 40
'5Y46..60
Validation:
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 4 17 '906rmit
Validated by:
Validation:
CONSTRUCTION ESTIMATE I NO. I ELECTRICAL FEES I NO. I PLUMBING
1ST FL. SO. FT. a E
UNITS
UNDERGROUND
YARD SPKLR SYSTEM
2ND FL SO. FT.
COLL. AREA
SLAB GRADE 0 / Ee
POR. SO. FT. a
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. a
POWER OUTLET
ROOF DRAINS
STORAGE TANK
FORMS
DRAINAGE PIPING
CAR P. I SO. FT.
ROUGH WIRING.
SO. FT. ®
WALL 11
DUCT WORK
DRINKING FOUNTAIN.
-
SO. FT a
GAS (ROUGH) 3l f�l
`
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
OTHER APPJEOUIP..
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOXDISH)
APPLIANCE DRYER
GROUT
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SERVICE
LAUNDRY TRAY
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. a c
BATH TUB
FINAL INSP. 31 _ t 02
SO. FT. a c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID a I'A c
SEWAGE DISPOSAL
SO.FT.GAR a %c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB, FEE
STRUCTURE PLUMBING/ ELECTRICAL HEATING S AIR COND. SOLAR
SETBACK 4-
GROUND PLUMB NG
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 0 / Ee
ROUGH PLUMB. 00"BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
d-IEWER OR SEPTIC TANKI p
O
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) 3l f�l
`
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 xS
=$
LUMBER GR.
A
FINAL INSP. 3 �1
FRAMING /� C Lb
`
FINAL INSP. 31 _ t 02
ROOFING Lonp
H
w cl / bo uv
` l �( [ VY x
�AII /J (d'�
REMARKS:
VENTILATION
FIRE ZONE ROOFING;
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
RING JOLT
MESH
INSULATION/SOUND !� A
FINISH GRADING
FINAL INSPECTION-3���j 9i G
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMKNT
01
0.90"AALITY FEES
DATE
This is to ce t'fy'that
M
developer of , which is
located at - within
this District, has paid school facoflity fees imposed piTrsuanC to the
auto .' y ,g r:a by o ernment Code Se tip 1 5308 ' n the low
of
$ r
covering a total of squ e e o ( ) residential or
( ) industrial/'commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
p*-�D Q&/� 0 - /."5 U04
for DESERT SA DS UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning 0 Pink - Accounting • Gold Developer
(10)-37
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF�,����jj
SCH I�Itaih%'V FEES
T ���f ��k��� DATE
partmIl ommunity Development
78-105 Calle Estado
La .Quinta, CA 92.253
L1'�i1_I_.►=lF'f�ri.
this District, has paid school facility fees
au gen rat 6 Gov .r ment Code S c i
$
(Ladt
(mD�
MD(Leff
p 10 Which is
within
imposed pursuant to the
it 5)080 i.nt thefagloWt of _
cov ring a total o ��?n square feet of (X
' ) resfJSeHtibl or S'r�^
( ) industrial/commercial development and that building permits for I N11"
this footage in this development may now be issued by your jurisdiction.
0.ol;°3 b
for DESERT SAND UNIFIED SCHOOL DISTRICT
White -Building Department • Yellow -Facilities Planning s Pink - Accounting • Gold - Developer
(10)-37
RECORDING RE4UESTED By
FIQELITY NATIONAL TITLE INS. CO.
1A MAIL TAX STATEMENT TO0 2 °� c 1.
a Q
Q
O 03
3uj d)
R C) I _ zt
Y W w v
'w
O o �t d' .o
WHEN RECOROE'D MAIL TO V' "� g j r3 c
I� o ¢ 0-
f. U '
N,m.Mr. and Mrs. George A. Ta'dros Q
82-707 Via Milano
Indio, California 92201 w o
n l
REC.ORQERS USE ONLY
ORC)ER,NO. 8;1989
EscRow No. 5940 GRANT DEED
The iA'Nrsigned grantor(s). declare(s)
Documentary transfer tax is'$ '34 - 1'Q
l:
Computed on full value of property conveyed,. or
( ? Computed .on full value less value of Iiens:apd encumbrances remaining at tirnp of sale.
( I' Unincorporated area lx 1 City of. La Quinta
Tax Parcel, No,
JAN CERVENKA, a single woman_
FOR A V=ALUABLE GONSIDERATIgN,, HEREBY GRANT TO
� 1
GEORGE A.'T-MmMS' _an;&A LEN S. TADROS, husband and wife as joint tenants
i, the {eal property in the County of Riverside State of California; described as:
Lot. 13 of'`$aC-,t 2667 as per map "recorded 'in .Book 50 pages 64 and 65 of
�j Maps in tlf &If.ic'e of the County Recorder of said Cour y.
Dated: August 14, 1997
(Individual Acknowledgment)
t4 4
STATE OF CALIFORNIA
County of L. A.
On this 28 day of Au g'ul S 1 , "in't4i year 19 . , Ia fore roe,, the undersigned, a.Notary Public in and for
said County and State, personally appeared
Tan r r v n is a h,pn :nu
personally known Eo me (or proved to me on the basis, of satisfactory evidence) to be the person 1 whose name
subscribed to this instrument and acknowledged that she executFd it,
`" ^ AnYFFj61AC SEAL B %
1 rr1.
WITNESS my hand and offi4' Ileal. l �ITA''E. CURTIif
NOTARY PUBLIC CALIMNNIA
�► PRNCIPAI. OFFICE IN
LOS ANGELES COUNTY f
Notary Pu lie in and: for said County and Statc: Mr Commusloa E}p. lune 1. 1988
f2lT`14 E. ,-CURIT(,N (Notary Seal)
MAIL TAX STATEMENT AS DIRECTED ABOVE
CU -37
r .
FROM:
APPLICATION
DATE:
4
COACHELLA VALLEY FRINGE -TOED LIZARD
SECTION 1OA-MITIGATION FORM
APPLICATION.FOR
GRADING OR BUILDING
PERMIT NUMBER
ASSESSOR'S PARCEL NO(S).
ADDRESS
CITY OF.LA QUINTA
n0540ASH 16TA08 ?8-9 179.75 i0
61 -iP6- —/0/ = v!3
�oS (Name of Developer) has applied for a
building/ grading permit affecting •2 99 acres.
This proposal will require the payment of $
($600.00 X ,2996 acres)..
By.
S" it-rr
AL-svc.
Title
We have received mitigation in the amount of $ /:-9.75-
($600.00
5-($600.00 X 99(o acres) in the form of cash on�L28z90
from zW0 S
'BJ/FORM.006
By:
Title
mYWptp
n IVINM A
rry �
;F
This . C&M.cate "I'm
Code certifying" IN
ordih"ances of the
dw
-4
".;i
IBUIL AWIOLESV�- 7.96 0 5-,'- C6i*i--'ii.�--%,t,&n'e ql�
Use Cloftifloafion P+srmit No 075,
'-,
Group!., R3 00 coftff VN, Use ZOO
1 707 Mi ian'8,�
Owr4r of bulldihq
r z4
City -'Indid ItA slli6l
V
ar-6h
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