06885 (SFD)nTA
r �
i. P.O. BOX 1504 " a N o . 06885. 8'5'
Building 78-105 CALLE ESTADO • '
Address 52-685, VelwcA LA QUINTA, CALIFORNIA 92253 ,
Owner
A'ss` mt.it4 PA BUILDING: TYPE CONST. . :.00C: GRP.
Mailing. _
Address 4"71 ClintOu .f7 A:P. Number 773-294-021
CityZip Tel.
$x�dgo 32201 1, 347-0260 Legal Description
Contractor. Project. Description SFD
�3'Address - -
/
City- x4 Zip Tel.:
3� t
,'`State Lic. City
& Classif_; Lic. # Sq. Ft. No. No. Dw.
Size 1S30 Stories: Units
Arch - Engr.,
Designer New ❑ ' Add ❑ _ Alter 0 Repair.0 Demolition'D
'Address r' Tel.
Zip State
'City
• . Lic. # .
LICENSED CONTRACTOR'S DECLARATION
• I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70D0) of Division 3 of the Business and Professions code,, and my license is in full force and
effect.
_SIGNATURE DATE •'
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractors License Law for the following $85,726
reason -..,(Sec. 7031.5,13ushess 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 app6carnt for such permit to rile a signed statement that he is, licensed pursuant to .PERMIT - AMOUNT
the provisions of the Contractors License taw, 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 Plan Chk. Dep.�.f1
' subjects the applicant to a cw9 penally of not more than rove hundred dollars ($500)
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.243-10
do the work, and the structure is not intended or offered for sale. (Seca 7044, Buisness and Const. 37jjAe �fl
e Professions, Code: . The Contractors License Law does not apply to an owner of property who
,builds or inproves thereon and who does such work himself or through his own employees,. '
provided that' such improvements are not intended oroffered for sale. If, however, the building - Mech. - 53.50
or improvement is sold within one year of completion, the owner -budder wig have the burden Electrical*,,,, Yj2 �D7
of proving that he did rot build or 'reprove for the purpose of sale.) � � �• 't \ e .,
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 1571.50struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law _ _
does not appy to an owner of property who builds or improves thereon, and who contracts for S.M.I. 6.02. _ such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec_ w• 8 P.C. for this reason Grading 20..00
s Driveway Enc. 20.00
Date Ovrnet Infrastructure 1,890. 6.0
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.) .
Policy No "' Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. ,w- -�
TOTAL ..
$3, 330, dB3 .s�...,% r•�1 jr
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE REMARKS ,t " ' r• :_V,
(This section need not be completed If the permit is for one Hundred dollars (5100) valuation - 3.'il x ' tr f::•�t ii � �1-��fl +. � •w`i�i=:i�„� V'7r
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 }
e Owner
_ NOTICE TO APPLICAW. ff, after making this Certificate of Exemption you should become
...—
ZONE:'
BY: '
subject to the Workers' Compensation provisions of the Labor Code,. you must forthwith
comply with such Provisions orthispermitsnallbedeemed revoked.
'6 '
Minimum Setback Distances: ,
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center. Line
1 hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Cin? Code.) , _
Side Setback from Property Line -,
Lenders Name
Lenders Address
FINAL DATE
INSPECTOR
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.
= ISSued.by:
117%30
Date Permit, -
1 agree to comply with all city and county -ordinances and'state laws relating Ao building
4
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes.
Validated by:
Signature of applicant —Date,-
ateMailing
MailingAddress
Validation:
' City,. State, Zip.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE y lh 7 AV
YARD SPKLR SYSTEM
2ND FL SO. FT.
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK /
POR. SO. Fr.
ROUGH WIRING
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
GAS (ROUGH)
METER LOOP
DRAINAGE PIPING
CARP. SO. FT. ®
REINF. STEEL
GAS (FINAL)
MP. POLE
DRINKING FOUNTAIN.
WALL SO. FT.
GROUT
WATER HEATER
SERVICE
URINAL
SO. FT. @
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
$
FLOOR DRAIN
MECHANICAL FEES
LUMBER GR.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
VENTILATION
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
GAR. FIREWALL
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ic
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�� f/� /1,4LUMBINC��
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE y lh 7 AV
ROUGH PLUMB.
411 494
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
- SE IC T N
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF./�v `O4
'
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
MP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING �v Q�
FINAL INSP. /
ROOFING ' �o
Q� /*
Q
L
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND 8 /9Q
FINISH GRADING
FINAL INSPECTION /
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURE311NITIALS
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
SCHOOL FACILITY FEES
TO: City of -M Qu"7&a DATE:
Department�o:faot�tn :tr' ty Development
78-105 CalletE�t��o
La Quinta, CA 9225�'i'V4, Q4
This
a'fl /U
This is to certify that (L T E &,A -
developer
developer of ch is
located at 5- 4 within
this District, has paid school facility fees imposed pursuant to the
authorit /genQerat d by Government Cod e tion 3080 'n th amount of )
$ys2elP �L� ( .I.(% 1�M1
cov ring a total of /n,7 square feet of ( ) resi ential ori �V
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
�&u u, D , 60A/xj-,(+
for DESERT SA S•UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning 0 Pink - Accounting • Gold - Developer
(10)-37
N
E .
RECORDING REQUESTED BY Q
Ac
.1.1 -.-.. `.. :•1— R..l ii.i b.7l i7v V1 •. .} !7 -
AND WHEN RECORDED MAIL TO: l J(VCJ )
J 0
a, 4dc
.'r
Name Agustin Paz ui
Q o
Addess 44071 Clinton Space .J-7 0. ~ a
city& Indio, Ca. 92240 -' c'
State
MAIL TAX STATEMENTS TO:
Name _ ..
_...scree..__ _ Same as above
Address
City 8 --- _
State - - _.—_ ..-
SPACE A80VE THIS LINE FOR RECORDER'S USE
Grant
A.P.N. y
The undersigned grantor(s) declare(s):
Documentary transfer tax is $
(y) computed on full value of property conveyed, or
( ).computed on full value less value of liens and encumbrances.remaining at time of
( ) Unincorporated area: (� ) City of __�'I, � , ' )Lsale.
FOR A VALUABLE CONSIDERATION, receipt of which -is hereby acknowledged,'
Evette C. Calvillo, a married woman
hereby GRANT(S) to
Agustin Paz and Eva Paz, husband and wife as joint tenants
t eO r'y"ty,,:?>'~r�'�ir,{ ,., r�..Ki.-;a�`'"`.y'r ,r-• _
owing escri e` real ro t
p per y In the
County of Riverside , State of California:
sand
Lot 8 of Block 151 of Santa Carmeli.ta at Vale La'Quinta, Unit No. 16,
County of Riverside, State of in the
California, as per map recorded in Book 18,a e
99 of Maps, in the office of the County Recorder of said County, p g:
Dated: October 3, 1989 �ve
Ette C. Calvillo
STATE OF CALIFJORNIA i
COU Y OF 4Z_k.e1_ SS.
On y.. /9P2
before me,,Q.7/T �/C°C r
in and for said State, pe onally a peared a Notary Public
l -PF T7F C�;
(known to me) (or
whose name _ /S subscribed to the
within instrument and acknowledged, that
executed the same.
WITNESS my h and official se
Signature
Title Order No.
Name (Typed or Printed)
OFFICIAL SEAL
LOUIS A AAATTEUCCI
NOTARY PUBLIC - CALIFORNIA
SAN MATEO COUNTY
My comm. expires NMR '22, 1993
17tria area for offidal notarial seal)
Escrow or Loan No.
UL -4 MAIL TAX STATEMENTS AS DIRECTED ABOVE.
Of
v OFFICE OF-
AGRICULTURAL
FAGRICULTURAL COMMISSIONER
AND
WEIGHTS & MEASURES
CALVIN C. KAMINSKAS
JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 -Assistant Commissioner
Agricultural Commissioner RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISTE
Director of Weights & Measures Sealer
(714) 787-2561 .
49613 Highway 86, 'Suite B12
Coachella, Ca. 92236
(619) 342-8291
DATE rJ �. �9� CASE NO..
DEVELOPER'S NAME: A of w N C k J it RA\
ADDRESS:
TELEPHONE: (619) 3.`7 6 `�
c� �� b� 3 - �q � - oma. � :-�7 • .
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 from plant material listed, this office must be notified
immediately.
Thank you for-protecting and preserving the Coachella Valley's pest-free environment.-
Agr' tural Commissioner's.Of ice ,
cc: Indio and Riverside Office ,
i-.I. I 1 2'!
kn't
4P
L
OP
(out
o
ut tn a Ln"
This Certificate'issued pursuant to the requiriements of Section 306 of the Uniform Building!
Code certifying that at the time of issuance this structure was in compliance with the various
_- ordinances of the City regulating building, construction or use. For the following.
BUILDING ADDRESS 52-685..?Ave. ; Velasco
Use Clatsificotion Single Family
Dwelling
Bldg. Perinit No. 6885
Group R3 Type Construction
VN Fire Zone,
use zone SR
Agustin Paz.
44-071, Clinton 37-
Owner of Building
Address*
4�
Indio, CA .92201 •
City
Lonnie Day
By
Date -
December 19, 1990
p
Building Official
iW
MST M A'WW*MU 0 FLAW