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09065 (SFD)Building Addresst.,' Owner Earl Smil Mailing Address 1C City Cont State Lic: & Classif. . Arch., Engr., Designer J Address 78-105 CALLE OX 504: n � I No. € 9065 345 ,Velasco LA QUINTA, CALIFORNIA 92253 ° BUILDING: •TYPE CONST. OCC. GRP. 95'' Skee A.P. Number 774-08-4-016 Zip Tel. 923361714/355-0S]L(S Legal Description Project Description•.F'.i3. 1der Zip Tel: City Lic. # Sq. Ft. No. No. Dw. Size 7Q : Stories Units ASS h Honf reda New ❑ Add ❑ Alter ❑ Repair. ❑ Demolition ❑ Tel. 6'731H�*.�.1•ooK K'Qnrana - 1114 zs 0 i; - J 134 U CityZip State Saxe b6r�dinl 3233rd Lic. # o 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 Estimated Valuation, I hereby affirm that I am exempt from the Contractor's License Caw for the following q 'Code: �yt� ' reason: (Sec.- 7031.5,Business and Professions Any city or county which requires a .;•;permit to construct, alter improve, demolish, or repair any structure, prior to its issuance also iiiilf96,612.40 - ; 5 ;.requires the applicant forsuch permit to file a signed statement that he is licensed pursuant to . PERMIT AMOUNT y the provisions of the Contractor's License Law, Chapter 9 (commencing with: Section 7000) of - .e -'Division 3 or the Business and Professions Code, or thathe is exempt therefrom, and the basis- 'exemption. • for the alleged Any violation of Section 703115 by 'any applicant for a permit Plan Chk. Dep. 250.00 •subjects the applicant to a'givil penalty of nobmore than five hundred dollars ($500). Plan Chk. Bal. owner of the property, or my employees with wages as their sole compensation, will MCas he work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Of1St. - Pro essions Code: The Contractor's License Law does not apply to an owner of property who 4 � ' builds or improves thereon and,who does such work himself or through his own employees,Mech. provided that such improvements are not intended or offered for sale. If, however, the building 111 or improvement is sold within one year or completion, the owner -builder will have the burden Electrical •'' . 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- Plumbing 1 n 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 S.M.1. A ' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)' Grading - O 1 am exempt under Sec. B. & P.C. for this reason A, 20 -no ' „ A Driveway Enc. 213 kl- Date Owner Infrastructure' n va rr� WORKERS' COMPENSATION DECLARATION i, y 44". I hereby affirm''that I have a certificate of consent to self•insure,'or a certificate of t . Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800,'Labor Code.) ' Policy No7 Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 3581.43 1 .3333.43 CERTIFICATE'OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) - certify that in the performance of thg work for which this permit is issued, I shall not- "i ., employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. 3�1V a. i77ekd�l�Ffi.:`3 #41e y; � a?A?Owner- X&.te_I_..: TICE TO APPLICANT: If,"after making thisCerfdicatef'ol.*Exemption you should become 'ZONE:BY: Lbf I to the Workers' Compensation provisions of the Labor Code, you must forthwith cor�r ply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: - Front Setback from Center Line Rear Setback from Rear. Prop. Line ' ' CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line Ihereby 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,Llne - Lender's Name Lender's Address FINAL DATE INSPECTOR 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. 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 �� t )~,`y��.T,4��, z re`.Kr'"� , `S.._ f..z_.*t+4 r, ji S^_y V ��� 1 ,�'a � • 1 t#� 6 - � - - .1^[ _ •_+...__ -='-- ._ ' CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL. S0. FT. ROUGH PLU B. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. DUCTWORK DRAINAGE PIPING WALL S0. FT. GAS (ROUGH) DRINKING FOUNTAIN. SO. FT. ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. $ plus x$ LAUNDRYTRAY 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 ® 1+/. c SEWAGE DISPOSAL FIREPLACE SO.FT.GAR ® 3/ac 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 �� 9� OUND PLUMBIN /D 9/ UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 7 ROUGH PLU B. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWERK ROUGH WIRING DUCTWORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) 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. /z FRAMING -8— FINAL INSP. ROOFING IOi,L Lf •�• 9� /r1` � {/fir iC/��/!�� /I�is_ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING -7— MESH INSULATION/SOUND -�j-7 FINISH GRADING ' FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Building Address ✓✓✓ T4hf 4 ulcu P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner Mailin EARL Snrl.z rf J Address /6 0z 9'S B�9R BE'E City Zip Tel. 7/`% FonJTA(V A i s 331 355- 0-sr/6 Contractor r-- I — 1 State Lic.LITy I & Classif. Lic. # Arch., Engr., 04 Designer H7� 705EOPH MONrlegi E-MtoGK{O . .v�)WA 1�t 587-. 370 CityZip ( State S,q�l P, ,Ogovvo q 06 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 Contractor's License Law for the following reason: (Sec. 7031.5,eusiiess 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 fife 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 Vsub)efjs the appica nt to a civilpenally of not more than five hundred dollars (E500). '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 such improvements are not intended or offered for sale. It, 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 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.) O 1 am exempt under Sec. B. & P.C. for this reason 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. O 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 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 be a subject to the Workers' Compensation Laws of California. C Dater'_:A9–yo owner NOTICE TO APPLICANT: If, alter makng 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 firs permit shaft 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 property 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 �JJ pu ses. Signature of applicanDate/;-2-- �Q_ LP Mailing Address City, State, ZiPQ4r�[ZimL FINANCE LDING: TYPE CONST. // ------GCC. GRP Number Description t Description Sq. Ft./ No. No. Dw. Size / Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. frastructur c� TOTAL `� REMARKS ZONE: BY: Minimum Setback Distances: Front Setback fibm Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line FINAL DATE Side Setback from Property Line 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 12/20/90 1 Type of Permit I La Quinta No. 10344 Permit # Owner Name Earl Smith Log # No. 53-345 street Velasco city La Quinta zip 92253 Study Area APN # 774-084-016 Tract # I J Lot # Square Footage 11710 Type of Development Single Family Residence No. 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 puzsu mt; to Government Code 53080 in the amount of 1.58 X 1710 or $ 2,701.80 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 Earl Smith Telephone (714)355-0516 Name on the check By Richard M. Beck )I; -i Director, Facilities Planning & Development Fee collected /exempted by Shelley D. Bennett_ y Payment Signature y; ChaWtio.343 �•- , r Collector: Attach a copy of County or City plan check application form to Digin i&b &py.,- Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy -Accoun` ng to R€C,ORDING REQUESTED BY [CCOROWG REQUESTED IM ZK;pR TITLE IMURAN" AND WHEN RECORDED MAIL TO t!+ (- Name MR. & MRS. EARL H. SMITH Street 16295 Barbie Address Fontana, CA 92336 City & State L J 1 F_ Name .Street -. Address City & State L MAIL TAX STATEMENTS TO ABOVE ADDRESS CAT. NO. NNO0582 TO 1923 CA (2-83) 7 SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS The undersigned grantor(s) declare(s): J z Documentary transfer tax is $ 12.65 a a ( ) computed on full value of property conveyed, or (xx ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( xx) City of La ouinta , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby. acknowledged, WILLIAM R. RILEY, an unmarried man hereby GRANT(S) to EARL H. SMITH AND PAMELA L. SMITH, husband and wife, as Joint Tenants the following described real property in tie City Riverside I County of ,State of California: Lot 5, Block 226 of Santa Carmelita at Vale, La Quinta Unit #21, as per map recorded in Book 20, Page 22 of Maps,. -.-,Ln the office of the county.recorder of.said county. • Dated: September 27, 1990 STATE OF CALIFORNIA COUNTY OF Riverside }SS. On J go before me, the undersigned, a Notary Public in and for said State, personally appeared William R. Riley personally known to me or proved to me on the basis of sat- isfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged that Ivo executed the same. WITNESS my hand and official seal./I.7 6 r r WILLIAM R.' RILEY OFFICIAL NOTARY SEAL FRANCES BRIDGES .v •' Notary Public — California RIVERSIDE COUNTY My Comm. Expires AUG 19.1994 (This area for official notarial seal) Title Order No. Escrow or Loan No. MAIL TAX STATEMENTS AS DIRECTED ABOVE p 0' ' Y IC V _ 1� M m L � O GAG$ CC 0_j z O �` 4J a�-g�r p. 3' V Au r � - SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS The undersigned grantor(s) declare(s): J z Documentary transfer tax is $ 12.65 a a ( ) computed on full value of property conveyed, or (xx ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( xx) City of La ouinta , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby. acknowledged, WILLIAM R. RILEY, an unmarried man hereby GRANT(S) to EARL H. SMITH AND PAMELA L. SMITH, husband and wife, as Joint Tenants the following described real property in tie City Riverside I County of ,State of California: Lot 5, Block 226 of Santa Carmelita at Vale, La Quinta Unit #21, as per map recorded in Book 20, Page 22 of Maps,. -.-,Ln the office of the county.recorder of.said county. • Dated: September 27, 1990 STATE OF CALIFORNIA COUNTY OF Riverside }SS. On J go before me, the undersigned, a Notary Public in and for said State, personally appeared William R. Riley personally known to me or proved to me on the basis of sat- isfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged that Ivo executed the same. WITNESS my hand and official seal./I.7 6 r r WILLIAM R.' RILEY OFFICIAL NOTARY SEAL FRANCES BRIDGES .v •' Notary Public — California RIVERSIDE COUNTY My Comm. Expires AUG 19.1994 (This area for official notarial seal) Title Order No. Escrow or Loan No. MAIL TAX STATEMENTS AS DIRECTED ABOVE RECOR IIN REQUESTED BY WELLS FAR REALTY SERVICES, INC. ANO WNEN RECORDED MA11 TO Name La Quinta Estates, Ltd. Street 8380 Melrose Ave. Suite 302 Address LosAngeles, Ca. 90069 City a State I Name Street Address City 6 State I MAIL TAX STATEMENTS TO Above o -- o 41 uI 7� Io u Q O Cp ,.. - w W 1D tl� U1 7 ,y I G l oWC m8 SPACE ABOVE THIS LINE FPP, RECORDER'S USE Documentary transfer tax 8..... 0 ............................... ® Computed on full value of property conveyed, or ❑ Computed on full value less liens.& encumbrances e aining thereo at time of sale. yin `ells ergo Realty Set � s, lac. Si ature of declarant r agent determining ax • firm name Unincorporated area City of .................................. Corporation Grant Deed THIS FORM FURNISHED BY GRAYCO LAND ESCROW LTD. FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, WELLS FARGO REALTY SERVICES, INC., a California Corporation, as Trustee, who acquired title as GRAYCO LAND ESCROW, LTD., a CALIFORNIA CORPORATION, AS.TRUSTEE. a corporation organized under the laws of the state of California hereby GRANTS to Charles L. Richards and Ann M. Richards, husband and wife, as joint tenants the followi tr tlescribt�d real property in the unincorporated area-,,qf the County of �3iverslde , State of California: -)I Lot 5, Block 226, Unit 21, Santa Carmelita at Vale La Quinta, as shown by map on I file in. Book 20, Page 22 of Maps, Riverside County Rem rds. SUBJECT TO: (1.) Taxes for the fiscal year 1971 19 72 and subsequent. .-(2.)•-Covenants,-conditions, reservations, -easements, restrictions, rights, rights of way, and all matters appearing of record. In Witness Whereof, said corporation has caused its corporate name and seal to be affixed hereto and this instru. ment to be executed by its Vice President and Assistant Secretary thereunto duly authorized. Wells Fargo Realty Services, c., Dated: December 6, 1976 a California Coroor tee_ .ry STATE OF CALIFORNIA By i.RC SS. COUNTb LOS pNOF On before me, the under- By sig d, a NNotary 1li� 1Sc in a d for said State. personally appeared " orfP J. Howeff known to me to be the Vice President, and Betty M. Georgino _ known to me to be Assistant " ' Secretary of the Corporation that executed the within Instrument, known, to me to be the persons who executed the within Instrument on behalf of the .Corporation therein named, and acknowledged to me that such Corporation executed the within Instru ment pursuant to its by-laws or a resolution of its board of directors. WITNESS ��l nd official seal. Signature Name (Typed or Printed) Vice ` President S1sLanr j Secretary r amzunttu;;;uu,ln+:^uu, a!:innuni;,.;,mann,.�wCfin:•.n�::^:fn'±tr.�n,nmunnmmn i. NO"iARY COUNly (VIY t_:,1 ;-; sit;:l c;; ;sus Aug.;, 97i3 yyyy,Wu11:::1.:1 W.bn1a14,nllaa:Htlrn,nln,ayn�pai,,,,,,...p1110N:It31,Ylnla,nlnl,nl (This arra for official nuturial Nall TRUST NO. Tl ()l ACCOUNT N0. MAIL TAX STATEMENTS AS DIRECTED ABOVE 3--l' v