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11903 (SFD)Building Address 52-040 Cortez Owner uAM P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Synercon. D velopment Corp, Inc. Mailing Address 94-940 Hwy 111, .Ste. 429 City lZip Tel. Indian wells, i,.A 3221.0 564-6929 Contractor S!ynefc'0171 Development Address. Same City Zip Tela State Lic. 65528 I City 24 15 . Y & Classif. Lic. # --Arch., Engr., Designer Address Tel City Zip 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 ofathe Business and Professions Code, an my license is in full force and effect. s 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 construct, alter, improve, demolish, or repair any structure, j 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). O 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 Coder 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 t, 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, ora certified copy thereof. (Sec. 3800, Labor Code.)` Policy No/ Company f ❑vpy 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 (5100) 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 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 sof this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 11903 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description SF Sq. Ft.37 No. No. Dw. Size Stories Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include aluauon ;�U l r 485. 00 PERMIT Plan Chk. Dep. '. . Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL r AMOUNT 480084 558.50 62.00 120.03 144.00 V.2® 20.00 1,793.88 REMARKS 3.187.37 !'w�K'„ fi�3.. 6 t% �.•:, t •a 11w7__^n_. 07 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. PLUMBING FEES IST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE C7 ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SO. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SO, FT, ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. I SO. FT. ® GAS (FINAL) TEMP. POLE 30 WALL SO. FT. DRINKING FOUNTAIN GROUT WATER HEATER URINAL SO. FT. ® FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation GRADING cu. yd. $ plus x$ FLOOR DRAIN MECHANICAL FEES FINAL INSP. 3 WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION 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. 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 INSULATIONISOUND 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 PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE C7 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS IF LVSEW EReQR SFPTI[ rnwc ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) �Z9 yr2� ✓ METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE 30 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. 3 FRAMING q. 2 a FINAL INSP. ROOFING 9r{ Lv II J! _ `/�Jq.3� �/"�L!/ Zi/l ` REMARKS: OL VENTILATION 'Afc' �tK FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LA ING MESH INSULATIONISOUND FINISH GR FINAL INSPECTION CER . 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 3/5/93 1 Type of Permit JLa Quinta No. 112060 1 Permit # Owner Name Synercon Development Corp., Inc. Log No. 52040 Street Avenida Cortez city La Quinta Zip 92253 Study Area 113 APN # I Tract # I J Lot # 0 Square Footage 11375 Type of Development I Single Family Residence INo. 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 This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.58 x 1 75 or $ 2,172.50 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 General Escrow Telephone Name on the check By James E. Lively Assistant Superintendent, Business Services 44= "r 1 Fee collected /exempted by Vickie J. Durrett A.J Payment Received /���i`M' " IJV V Signature bheck NA..119367 Collector. Attach a copy of county or city plan check application form to district copy fdx all, waivers. Embossed Original- Building Dept./Applicant " Copy- Applicant/Receipt Copy - Accounting RECORDING REQU95TED 8'.� AND WHEN RECORDED MAIL THIS DEED AND. UNLESS OTMERW16E 9MOWN BELOW, MAIL TAX STATEMENTS TOj N.Mtr—SYNERCON DEVELOPMENT . 7 ST�ecr 74-940 HIGHWAY 111 #429 App�Laa INDIAN WELLS, CA..;:.192210 CITY, ATTNr NARK ABRAMb 6YAIF J Title Order No19710Z5........ Escrow No .... 10-16923 PER GENERAL ESCROW CO. RECORDED FEBRUARY 19. 1993 INSTRUMENT i 63649 This apace for Recorder's use PARTNERSHIP GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) DOCUMENTARY TRANSFER TAX is t 23.3 O ❑ unincorporated area ❑ City of Parcel No. _— Q computed on full value of property conveyed, or ❑ computed on full value leas value of liens or encumbrances remaining at time of sale, and FOR A VALUABLE CONSIDERATION, receipt of which is hereuy acknowledged, MAJETIC HOMES NORTH PARTNERSHIP, A CALIFORNIA GENERAL PARTNERSHIP hereby GRANT(S) to SYNERCON DEVELOPMENT CORPORATION, A CALIFORNIA CORPORATION the following described real property in the CITY OF LA QUINTA county of RIVERSIDE , state of California; LOT 20 IN BLOCK 38 OF UNIT NO. 3 OF SANTA CAR ELITA AT VALE LA QUINTA, AS SHOWN By MAP ON FILE IN BOOR 18 PASS 59 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA. MAJESTIC HOMES NORTH GREPARTTN�ERSHIP, 'PHE ffff LTRUN ArO&T'DATED, JANUARY 31, 1992 Dated FEBRUARY 17, 1993 41, STATE OF CALIFORNIASS BYe J*H#Yl1>3VH8FAW 1I6.TR SMIFORNIA CORP. _ COUNTY OF_ -- On s before me, the undersigned, a Notary Public in and for said County y and State, personally appeared known to me to be —of.the partners of the partnembip that executed the within instrument,, and acknowledged to me that such partnership executed the same. Signature I Name (Typed or Printed) Notary Public in and for said County and State (Space above for 011licial notarial oval) MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY 80 SHOWN, MAIL AS DIRECTED ABOVE Name Street Address City lk state I•AI00 6:75 (.P6 Z #;L9b9V996L9 +-96Z9LbE6L9 .�50:OL : £6—£Z -Z ILLOL .10td000lal X083X :,19 INH Installation Certificate: Residential CF -613 Use of this form to satisfy the requirements of the Administrative Code Is optional, but the Information must be provided and posted. Site Address Permit- Number An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. i HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined tlydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Con ifled Actual Distribution Duct or Heating Load Heating Type (furnace, Manuf. Make & Efficiency Type and Piping Before Over- Equipment heat pump,etc.) Model Number AFUE etc. Location R -Value Sizing Btuh Capacity Btuh Vy lKawl, jEr2gr l - 5 Jj ®C► RPTlDo ia_s� 14€Pi'spymp CEC Certff led ' Cooling Equip. Compressor Unit Actual Distribution Duct or Type (air cond., Manuf. Make & Efflclency Type and Plping heat pump, etc.) Model Number {SEER)2�2 Location R - Value The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Energy Ency Standards, and are two of the cntena used for equipment sizing and selection. Signature WATER HEATING SYSTEMS Water Heating CEC Certified System Type Manuf. Make & (storaoe cas. etc.) Model Number HVAC Subontractdr (Co. Name) or General Contractor or Owner i Energy' External Rated' Tank Factor or Tank Input (kW Capacity Recovery Standby' Insulation or Btuh) (gallonsl Eff Iclency Loss % R- alue ,1k oitn For small gas storage (rated inputs 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75.000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. i For Instantaneous electric water heaters, list Rated Input. ; FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of'Cert'rfied Faucets and Showerheads, pursuant to Title 24, Part 6, Subchapter 2, Section 111. ��$ G ' Signature V Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner Revised January -1992 r1 - Client Client I- Client I. $ EARTH SYSTEMS CONSULTANTS S.C. BUENA ENGINEERS DIV. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 9 (619) 345-1588 w DATE TEST LOCATION JOB NO. 3 // 2 - FIELD TESTING REFERENCE CURVE PROJECT DRY DENSITY lbs./Cu. ft. 52 &L/6 Co? r 7 - LOCATION Z A 'Al TAI CONTRACTOR '7-i OWNER WEATHER TEMP. 0 at AM 0 at PM PRESENT AT SITE TEST NUMBER TEST LOCATION f-11— LOT 150. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY lbs./Cu. ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY lbsJcu. ft. OPTIMUM MOISTURE CONTENT % 412 '7-i 17 r7 U 5:) -0V6 J-8 VA ( n11'1 ILL11 5 1� &A� .. .... LJ A 6A t,-jT Lr,-# s -Y/S1/NG Y se7/A/GREMARKS: � L Llr n�� � , . REMARKS: t A�,gAoz'z 0 19z) , 7f 5.75 4( 15� Ad //t/ ,11.51116 A A-11) V.r- 7, 0 ,Y4 7 Al 7 PrSi-1 5 'eA B; 11-r CLIENT REPRESENTATIVE Sl '_7RE FIELD REPORT 1,/ TECHNICIANS SIGNATURE im? V79