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08778 (SFD)44 P.O. BOX 1504 N o . 08778 Building 78-105 CALLE ESTADO Address r„[..wA 4irb amcln LA QUINTA, CALIFORNIA 92253 , Owner s .. . Ken StE:mer BUILDING: TYPE CONST.. OCC: GRP. Mailing Address A.P. Number 773-i33-016 Lot 4 City Zip Tel. Rancho Mirage 92270 343-20.151. Legal Description Contractor. Project Description - 1Z" Address City w ." Zip Tel.: State Lic.:,- City & Classif.' v• Lic. # Sq. Ft. No.' No. Dw. Size .337 ''Stories Units Arch., Engr,, Designer New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ 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 70 130) of Division 3 of the Business and Professions Code, and my license is in full force and effect. • SIGNATURE DATE OWNER -BUILDER DECLARATION Ihereby affirm that Vern exempt from the Contractor's License law for the following reason: (Sec. 7031.5,Susiness'and Professions Code: Any.,City or county which requiresa permit to construct, alter, 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 Me provlsions'�of the. Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 9 of the Business and Professions Code, or that .heis 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). i ❑ 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,-.sirch 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.) 0 1, 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 or property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. & P.C. IT this reason r Date k' Owner + � � K 4�►�. o% y et. r t✓ CT'�— 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 ❑ Copy 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 forone 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 ;timated Valuation PERMIT,— Plan.Chk. Dep. Plan Chk: Bal. Const. Mech. Electrical Plumbing. S.M.I. Grading Driveway Enc. Infrastructure TOTAL • 7C AMOUNT s';' l A ; i °1i n } n CIVIA r'S IBJ ' 'fY Rti'yT.>i � ) .1 1 TSS.. .6 -.. .K,. i '�•v � wc. . NOTICE TO APPLICANT: If, - after making this Certificate of Exemption youshould become ZONE: ' BY: ' subject to the Workers' Compensation provisions of. the Labor Code, you must forthwith Setback Distances: ' comply with such provisions or this permit -shall be deemed revoked.' Minimum ' Front.Setback from Center Line Rear Setback from Rear Prop. Line " CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building permit when propeily 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. Issued by: Date Permit 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. Validated by: Signature of applicant Date' Mailing Address Validation: City, State, Zip `, C F' t,t .. y. 1f . - .� - _.e4 '4� .-. ... � +. h..l..'��' :'�-+ _ �• a ^-.� r � .�f" . , �-u.a .+ar. - ....?. �, •• CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE �� YARD SPKLR`SYSTEM 2ND FL. SQ. FT. BONDING POR. $Q, FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ DUCTWORK DRAINAGE PIPING WALL SQ. FT. DRINKING FOUNTAIN. SQ FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ REINF. STEEL WATER PIPING NOTE: Not to be used as property tax valuation TEMP. POLE FLOOR DRAIN MECHANICAL FEES GROUT WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED WATER SYSTEM FINAL INSP. LAUNDRY TRAY AIR HANDLING UNIT CFM GRADING cu. yd. $ plus x$ KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER SPARK ARRESTOR GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE 77 ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK !` 4/!� GROUND PLUMB©� UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �� 9 �d r ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWE ROUGH WIRING DUCTWORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) Q( ( / METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. Q/ GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING 6 9v ROOFING " LI �� `O V I Fr 1 G_ p 0 REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING±P& / 9� MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION / CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Building Address Owner c' Malting Address City -1-�fkaS�11 Contractor 4 P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 e BUILDING: TYPE CONST. r OCC. GGRP. A.P. Number (� 7 T Zip Tel. U IS lLegal Description G n_ /.' -n Project Description v) I 17 City Izip I Tel. State Lic.I City & Classif. Lic. # Arch., Engr., Designer��� Address Tel. CityI Zip I State I 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 Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, atter, 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 five hundred dollars (5500). O 1, 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, Bulsness 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.) O 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 contractors) 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 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. ❑ 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 I aws of California. Date Owner NOTICE TO APPLICANT: ff, 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 Mailing Address City, State, Zip Sq. Ft.' Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. UU Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. astructure 127) TOTAL 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: DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date. 11/2190 No. 110242 Owner Name Type of Permit Ken Stemmer No. 51-595 street Velasco city La Quinta zip 92253 La Quinta Permit # Log # Study Area 113 APN # 773-133-016 Tract # I Lot # ® Square Footage 11337 Type of Development 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: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53M in the amount of 1.58 X 11.337 or $ 2,112.46 have been paid to D.&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 Dave Evans/Ken Stemmer Name on the check Telephone 341-2015 By Richard M. Beck Director, Facilities Planning & Development ted b '� n �L` Fee collected /exempted }r� p y Shelley D. Bennett , „ Payment�teceived W - " ! .jr Signature "s Check.; NO. 003 Collector: Attach a copy of County or City plan check application torin;tc,District cgpY4; 7 Copy - Applicant/Receipt t Co P) cc�atin.- .na "Embossed Original- Building e t./APPlicant Ac RECORDING REQUESTED BY U H y tU TITLE CO. AND WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN BELOW MAIL TAX STATEMENT TO: Name DAVE EVANS Street 51-345' AVENIDA ALVARADO Address LA QUINTA; CA 92253 City & State Name Street SAME AS ABOVE Address City 8 State 'TITLE ORDER No. 314 5 61- 6 2 ESCROW NO. 4537 -CH Q 8 C a V p g C c z–� LU SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED. THE UNDERSIGNED.GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ -, ❑ 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 ❑ city of AND l; FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged; NORMA PERU EVANS,,'WIFE OF.GRANTEE hereby GRANT(s) to DAVE 'VANS, A MAkRIED MAN AS KIS SOLE ANO SEPARATE PROPERTY the following described real property in the' CITY OF LA QUINT A County of - --RIVERSIDE I . , State of California: LOT 4 IN BLOCK 52 OF SANTA'CARMELITA AT VALE LA QUINTA, UNIT NO 5 AS PER MAP ON FILE IN BOOK 18, PAGE 63 OF MAPS, RIVERSIDE COUNTY. Dated AUGUST 31 , ,1.990 . STATE OF CALIFORNIA COUNTY OF RIVERSIDE ss. .On this 31 S T day of A l I G l l S T in the year 19 _9.D_ , before me, the undersigned, a Notary Public in and for said State, personally appeared ^ N 0 R M A P F RJ I F V A N S me (or proved to me on the basis of satisfactory evidence) to be the person whose name T IS subscribed to the within instrument, and acknowledged to me that he — executed it. WITNESS my hand and official seal Signature CO -441 (REV 4/85) 909A PERU E ANS r--• O CIAL SEAL JOYCE A. COOPER a t B NOTARY PUBLIC–CAUFOR" I PRINCIPAL OFFICE IN ; 1 '•i�° RIVEASIOf COUNTY p S o. 1�� Sept.rn19� 2�Mr1 NOTARY PUBLIC IN AND FOR SAID STATE .MAIL TAX STATEMENTS AS DIRECTED ABOVE. (This area for official notarial seal) •i November 1, 1990 ' 'City of Palm Desert -Palm Desert, CA ''92260• sl To Whom It` May; Concern: This is, to acknowledge that Kenneth Stemmer and Dave Evans are partners in building the .home on Lot 4 in Block 52 on Santa Carmelita at Vale La Quinta, Unit No. 5 as per, map on file in Book 18, page 63 of Maps,` Riverside County. ,Sincerely, Dave Evans DE:pc - ` r t i