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06626 (SFD)Building 51-755 VelaSCO Owner lamml 3. Coronet Mailing Address 52-233 Cal - a M-Amarti>n City Zip ITel. Co8chella 1 92236 Zip State Lic. City & Classif. I Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 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 r SIGNATURE - DATE OWNER -BUILDER DECLARATION ' I hereby affirm that 1 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 rile 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 civilpenalty 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 Code: The Contractor's License Law does not apply to an owner of property who 1buft 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 or completion, the owner -builder will have the burden of proving that he did not build or irnprove 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 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. 8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is. filed with the city. ❑ Certified copy is hereby fumished. 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: fl, after making this Certificate or Exemption you should become sub)ect to the workers' Compensation provisions of the Labor Code, you must forthwith comply wfth 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.) Lenders Name Lenders Address This is abuilding permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that 1 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. 06626 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 773-17'—U41-1 Legal Description Project. Description 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 11/7/89Permit Validated by: Validation: Sq. Ft. Size 1429 No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $79,186 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. 222.66 Const. 549.54 Mech. 53,50 Electrical 108.11 Plumbing 157.50 S.M.I. 55.60 Grading 0-0C) Driveway Enc. 20.00 Infrastructure 1 735�8g -7 r TOTAL 93.1,42.75 1 J /.N 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 11/7/89Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ! ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEPTIC A fir ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO- FT. ® GAS (ROUGH) /!j !� METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® GROUT DRAINAGE PIPING CAR P. SO. FT. @ FINAL INSP. WALL SO. Ff. WATER SYSTEM DRINKING FOUNTAIN. GRADING cu. yd. plus x$ _$ LUMBER GR. URINAL SO FT ® FINAL INSP. F-V1A0 / ROOFING 4� ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation VENTILATION FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAR. FIREWALL GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ILAUNDRYTRAY 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% c SEWAGE DISPOSAL SO.FT.GAR ® V4c 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 COND. SOLAR SETBACK /3W& GROUND PLUMBING wFIGROUND A.C. UNIT COLL. AREA SLAB GRADE ! ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEPTIC A fir ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) /!j !� 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. gl6 fo FRAMING FINAL INSP. F-V1A0 / ROOFING 4� p REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING� MESH INSULATIONISOUND 3 6 9p FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES Aforioe. TO: City of /QgiP-taC Departmenh (�f Cor� unitly�QEvelo�ment 78-105 Calle Est4ada�rLotY � A�I0T La Quinta, CA 92253 DATE: This is to �c 'rtwify that SJO/ ,t / • (� YUCC7&-X- � developer of 1"d'Vl1 which is located at 7 1 — within this District, has paid school facility fees imposed pursuant to the au horit gene a d by overnment o e Sec iott 5 080, Qi the amount of $ (,I )"' covering a total of square feet of (, ) resi ential or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. D. for DESERT SA DS UNIFIED SCHOOL DISTRICT ing Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 M�"i.ltxi;Tau By 0Itr��diVlNE�jt`�� CANo �fiLE CO. , LIZ 3 � COR ~I�..T° 1) tr4a -W juj er 41 ANOWNtN RlCORbtb MAIL TO s .J CO�Ismael Coronel in pCO52233 CamachoSt.-•��.. ' < '+x'•I. o1TY Coachella, CA 92236 sTATa x LZ jj i iv TKSPACE ABOVE THIS LINE !t•Attt RCC?RO�R- HAfL X OVA Yo 'S use T-• .N�trr#•. ,., 1 = ..mac,• �_:. � _--. « s , T I c ,.' r��5c ymentitry. transfer to,..9..8 ..3 S same as above- " "_ `+ 1M'Comliu W on full {slue Of prnFrertyttortixye , or AbpRtal 0 Computer{ oil full V"Itle less li ens l'.Ilf' t - '•s y'r'"� .aw' •t . _. 1lmhranceK C� Tr � s.....•.+ � � _L1! D7A7S � , - . • �• `� ��•. s' � "5 v�"•� • fittWtli:.Ot t• Or !YitlR �,�� i •..,rr_.: •s:...w.._ .. ._. - . • �� ;:" *..I ., .�...,........ 1'nT�ES.1l'L'4'FSCR,...IIdC.. Signature of derlarant or agent determining las hrtn Jtatne t {] llninretporated•nrca City of ...La ,.... Quints. y, PARCtiL NO _ Grant Deed -T-- r& FOR NOTARY SEAL. OR STAMP 1 known .to me to he the person_._._ whose name=.., ' subscribed to the within insGument and acknowledged that �tiit�e,,_executed the same. it: ` Name J,� Title Order r - ilk g - rviNottiry Ltnature � �- /milt, /Ptd ped or Printid) of,Notary „ ;� •1•.DCfQN i�Q. MAIL TAX STATEMENTS AS DIRECTED ABOVE F OFFICIAL SEAL NANCY L. TANANA NQEAry, i ublic--Cal cmii LOS ANGELES COUNTY MY Cdritpt..E*. Apr. 1. 1991 , I 0 ' }t I This form funlheil by Or`�a Coast Title Company itY ' '. �• ' 1 �'�acrr. f .•�� i `�.ai;ia=r4�w Ti,w ,. t '' . ` 4 + y•y��r,, V E OR V .' VALUABLE GON of whi At � � a tSJJ)ERATJON, rerrrctpt• hick; as Kerr by;atknowledged, ,t Ett 20BR `e r' '1i,•_ w 3 � i :��i.r'i' + �;t!kYtl'1'1"f:'�.c.-i�.,'{i/'�'% s�� �,:r/�m}C"e�) l �ty�' /'. @. i} � .- j� +M' a: �; �� i sf r � >c`.''a= ��'i "s., •i�fi'4ip � nN-a- ,iFt4 •t L 7 x,r` - 1�..,jr•; • '� :�!'r"��'',�ti�=1St''1?�4�rrc`i� �,. . �"'�tt + ;..,�a.C�l?+t ��� Zr.} V .�.,� t .�. i Ii .s. * �r �. i"- �:o'V JrFr I'� ��1, err:, y Try�+ •ire �`. �j�., ,. �.. u �, -'`� '` :. <� .'r*• �-0�;' _.,t-: , , :t�4�}'t:. r�, hereby GRANT(S) J �S) -to ' . , ISMAEL B. 'CORONEL Art'.Unmarr,ied Man and GERARDA ,B: CORONEb,1An I. sUi2nrarried �t�omafi, Brother` and, Sister ,as Joint Tenants' the following deccrib4 real -property in the city of Ia,,Quinta county of Riverside state of California: t , : ...+ »Lot: 1 in Block 61, :un.it !#5. Sa�ntatCarniolita at vale ria Qtrin'•� -Page-63 as rnrJJmery rnr,•o��r.� n ook 18, of maps -In the office of the county rccorder of `sasc# cowrie . 'xj'1_ .� r.�4,�t f+,}. S • } i 'tc,R , .y�;i%r,'} :wn rh,,, :. ,�+^ x�f T .r�. •.• �'f' •' ,. ^. df�.yg_xi r t ..� �� �_ .•r•, y ' r'• ` cky.�:�•r��4G+ �.ris °y . t�•,j. =r_, r, ^f. - Ftp / i ti+„ .i`t-, . `' "!� ' ` , r,�' � r , t t� ..ri? f �.. a � ZK .r Z• s.'r s�"il .� :� rr '� `Uatetl Le Robb ns I} ►t r STATE: OF CAIJFURNTA _ yr' Before. me, the under. �•� ....._�'__., _�,.. signed, a No ary Puhli n and fnr-staaid County and $tate, personally " appeared_ d l _ FOR NOTARY SEAL. OR STAMP 1 known .to me to he the person_._._ whose name=.., ' subscribed to the within insGument and acknowledged that �tiit�e,,_executed the same. it: ` Name J,� Title Order r - ilk g - rviNottiry Ltnature � �- /milt, /Ptd ped or Printid) of,Notary „ ;� •1•.DCfQN i�Q. MAIL TAX STATEMENTS AS DIRECTED ABOVE F OFFICIAL SEAL NANCY L. TANANA NQEAry, i ublic--Cal cmii LOS ANGELES COUNTY MY Cdritpt..E*. Apr. 1. 1991 , I 0 ' }t I VT. [�. C'�fi �J, .�-f.r �� ..4�,�ry �n'4t• fi`+ft M%'�'►t. it"M ✓.'s"'N� va ��'Y. � .ten `.��y''1'4�t 'Z ,C" �1 t `' 9 - .fol . ? • I 'r4' �4 Li:: y"sem K � I ,•�s. RECEIPT NO Issued By �Date DISTRICT: . ❑ Riverside, r> Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe i DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records /r.vea, COUNTY OF RIVERSIDE ENVIRONMENTAL A"evOn P'fO'I NO' HEALTH SERVICES DIVISION. PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM,' Applicant:. Submit this form with four copies of a scaledplot plan (1-20 scale) drawn to County speculations as indicated on the attached check list A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. Q VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG r �r Z Z - Agent or, Contact Pers/on Phone // Address & Firm v' U LU Owner., if /'-Phone f Mailing Address 232 A e--1 o /city State /•,• // 647Z1.?Ce Zip Job Property Address `� Lege) Descripti Prop. (PM, Tract, Lot) /,/�7C�C �. SJF Inge l fLNt+%fir U�(cdLd G1 t!ji Jr4 �i Jnr ' Lot Size stet Agency IY f7 Use of Permit P/P, CU, etc�c,? Ll u,p,,,) x Other j -Z/ jl f 146 i S'0 �/�� �� ��J.��z�...9 Prep, / 1 00 � . Dwellin H Site etc. } :Signature / of Applicant Date' CATEGORY: REV CODE FEES CATEGORY: REV CODE FEE SUBSURFACE DISPOSAL 1238 $ 57.00 ❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00 m '❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348• $ 17.00 Z 0 a- 1 st 4 Parcels (Each) 1238 $ 57.00 (Less than 1 year) f— b. Each Parcel after 4 7344 $ 24.00 ❑ PRELIMINARY ELECTIVE 7352 $ 23.00 W ❑ Rereview (2nd review same parcel) 7344 $ 24.00 EVALUATION (Attach DOH SAN 53) ❑ She Evaluation in Conjunction with ❑ HOLDING TANK 7351 $ 47.00 Critical Area 7346 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 O Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00 INITIAL/)(DA Holding Tank Agreements Completed ❑ Yes Z �N��f J Certification of Existing S.D. System Required ❑ Yes Ef 1 WOCB Clearance required. (Attach Form ❑Yes 10 No DOH SAN 007, Santa Ana Region Only) (! Solis Percolation Report Required. ❑ Yes No t r'. Specal'Feasibilhy Boring Report Required. ❑ Yes Ol�N''e Detailed' Contour Plot Plans Required (1 to 5 R interval) ❑ Yes I"No, Other ❑ Yes O'NNo" Staff Speciallst'Lot Inspection Required ❑ Yes 171"'No Lot lnspJw Date Soils boring report by RD ad Date � �t Soils Map Page J /'7f Soil Type i-• Q' Approved by.i^'- U , Date Z�' No. of Systems Type of Syetem(s) No. Dwelling Units' (I 1 (1) Septic Tank Soil Rate NGreaee/Sand °'is ❑Holding Tank ❑'Existing 9 New ❑ R Bedrooms, �iy';.Clfsfls ' 6/am f � 2 a, l3�reea9lntcp /i1t�.% i Gal :t%%40.04 Gal UJ U) 2Leech LiF (•) eecne Sq. L (2) allowance i N[.. e with IrtBtelL.__ Lines) ft long t< wide wth .c r4 Leach Bed eq. fL Bottom trench area— ft rock/ sq. R per running fl ft t min. inches'' rack abebtN dreinlines Or okbottom area — i Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total�pp.e�th (TD) Other. Applicable '4 r�, Inlet (BI) t N/A &"" Overburden facto - Max. AlbDepth \ No. 2 Systemf' REMARKS:iZ'.sr/� � � v v �'"T� )' /" �3'�:.��� ✓tea%lam n���..u' This application is"APPROVED' _HIED for,the category checked in SECTION B above, regarding the design of a subsurface disposal system as'indicated 0 on the, accompan"�R5t plan, using the requirements set forth in SECTION C above. A building permit is necessary for **the installation of the -designed "is Z above system. No construction permitted in the `required reserved 100% expansion' area. •tank ~, r 1) _,Septic and sewer lines • must be 50' minimum from `any, wells (1J/,p i (� LU (2+ . Leach lines musbeti00' minimum from any wells, including expansion area J` (3) "Seepage pits musykbe.J1�1„50' minimum from any including expansion area /(% a I /wells, Signature of Health'Official..n /r Date- f !O� RECEIPT NO Issued By �Date DISTRICT: . ❑ Riverside, r> Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe i DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records /r.vea, Order No.'t �'~L Escrow No. ' 89-2198 DT Loan No. UNON LAND TITLE COMPANY . .. WHEN RECORDED MAIL TO: NSHIRLEY STEPHAN ' L7 P.O. BOX 804 LA QUINTA', CA 92253 " r�r11 1 e lt� vn mO •; CD i IL us . c d ao�" Y1 . . I MAIL TAX STATEMENTS T0: .�.� 4A ••••••• _ DOCUMENTARY TRANSFER TAX $....... •. ................ XXComputed on the consideration or value of property conveyed; OR SAME AS ABOVE •..... Computed on the consideration or valueless liens o`r encumbrances + remaining at time of sale. e i! FORESITE ESCROW BY - Signature of Declarant or Agent determining tax Firm Name — ' __ _.. _—..._...-' - --•--' ` - . - . — . -,- .. r ...� Vii'{�:p.=,r:. r - I GRANT DEED ' FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, " JACK -WILDER WILEY hereby GRANT(S) to ' SHIRLEY STEPHAN, an unmarried woman the real property in the City of ,L1� �611,VF4 State of California; described as County of RIVERSIDE _ LOT 1, BLOCK 111, OF SANTA CARMELITA AT VALE LA.QUINTA, UNIT NO. 12, AS. PER MAP, THEREOF RECORDED IN THE OFFICE OF THE COUNTY RECORDER.OF RIVERSIDE COUNTY, -PAGE IS 79-80 IN BOOK 18 .OF MAPS.' , I, -"`»...+r'-'.'t,..-�"'T.�.••.+, _� ' _ . -. n - • • L- _':[�-�•_ •. j� "•,w Vii•.^+ � �-.-.-.. _ .. .a ,i - •-.-"-...•4! - .... � r+ --w • � I I Dated June 2 1989 ACK +WILDER 'WILEY STATE•OF CALL ORN )ss, , :;nlINTY OF_an. Wernardino I 2 9 s9 before me, the undersigned, a Notary Public in and for said State, per JACK WILDER WILEY _ --- sonally appeared -,. personally known to me (or proved me on the basis of satisfactory i OFFICGAI. SEAM t WRNFIR & LESaT evidence) to be the person} whose name(s) is/ subscribed to the �1ARY pggW _pgpA within -instrument and acknowledged to me that helhWy execute6 o - .. :. 09 CMM. EfplaAa,, UZt the. same. _ .... WITNESS my ha and official seal. /,•� + �''°• " i (This aroa for official notr..Ho seal) Signature --- -- — --: N 1002 (6/82) ibAAUL. zea^` '-STATEMENTS AS DIRECTED ABOVE.