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03907 (SFD)Building Address Owner •' Mailing Address City La : Contractc -Address 1 ,� . ... 0 P.O. BOX 1504 78-105 CALLE ESTADO 553-09-3 V431a ,4i u „ ,. LA QUINTA, CALIFORNIA,92253 'T W. 'Stab BUILDING: -TYPE CONST. OCC. GRP. 79-940 Sorse; hoe y" . » .. , .> A:P: Number-.- ., , 774-165-008, - Zip , ; Tel. 92253 __505- alDescription Project Description S.P.D. Zip State Lic. I City & 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 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, Business 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 ff'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 thealleged exemption. Any violation of . Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (8500). 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 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'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 l am exempt under Sec.B. & P.C. for thiserLeason. Date Owner k"w.•w'++" n�+' .'-:�''err':'s•'4�'a"',r WORKERS' COMPENSATION 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 REMARKS WORKERS'COMPENSATIONINSURANCE (This section need not be completed it the permit Is for one hundred dollars ($100) valuation Sq. Ft. Size 1250 No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 3, Laws of California. y Date Owner NOTICE TO APPLICANT: If,,raRer making this CbWlicate'of Exemption you should become ZONE: - BY: subject to the Workers' cCompensation provisions of the Labor Code, you must forthwith -. ? Minimum Setback Distances:” comply with such provisions or this permit shall be deemed revoked. ' Front Setbackfrrom'Centerr�Cine _49-4W ^h ^ Rear Setback from Rear Prop. Line Estimated Valuation�� 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.) - PERMIT — ' .Lender's Name AMOUNT... i, Plan Chk. Dep. ►{ , Q� . This is a building permit when properly filled out, signed and validated, and is subject to�ey Plan Chk. Bal. expiration it work thereunder is suspended for 180 days ,. 38 0 00- 1•+': Const." Issued by: Date Permit " I agree to comply with all city and county ordinances and state laws relating to building Mech. construction, and hereby authorize, representatives -of this city to enter the above- 36.00 Electrical Validated by: -. 69.75 Plumbing Mailing Address 103"00 r' S.M.I. ; 4.59 Grading WHITE FINANCE PINK APPLICANT GREEN - BUILDING, 20 #00 Driveway Enc. ..rn,..r.-..v< -; ,'•.�-:,i`- _. ,.-.. .s�_.,1�... ,. x14. _. _-5...�.h?•: a.__`:.1-_....-.... _. �. _. ' 20.00 s' Infrastructure •: 1 a 469 * 00 ,,• =' . t TOTAL $2 x'341:34 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATIONINSURANCE (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 become„subject, to the Workers' Compensation 3, Laws of California. Date Owner NOTICE TO APPLICANT: If,,raRer making this CbWlicate'of Exemption you should become ZONE: - BY: subject to the Workers' cCompensation provisions of the Labor Code, you must forthwith -. ? Minimum Setback Distances:” comply with such provisions or this permit shall be deemed revoked. ' Front Setbackfrrom'Centerr�Cine _49-4W ^h ^ 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 properly filled out, signed and validated, and is subject to�ey 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 - Dale , Mailing Address Validation: City,_State, Zip ; J. WHITE FINANCE PINK APPLICANT GREEN - BUILDING, GOLDENROD ASSESSOR'S OFFICE HARD COPY - FILE + r ...i,�i .fi,S.. ,S,":�� ". ,� .:�bh. �-. n".,L :ft.. :V .iix':�4'�".r.. ;i: ♦ t cp�_r ..,3 a. '.f n:.s•�`'•:3. ..rn,..r.-..v< -; ,'•.�-:,i`- _. ,.-.. .s�_.,1�... ,. x14. _. _-5...�.h?•: a.__`:.1-_....-.... _. �. _. ' CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMB16Z FEES ISI FL SO FT (p 1 UNITS SLAB GRADE S D ROUGH PLUMB BONDING SPKLR SYSTEM 2ND FL SO FT. 4tYARD FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO FT. a GAS (ROUGH) METER LOOP HEATING (FINAL) OUTLET ROOF DRAINS GAR SO. FT. 0POWER TEMP. POLE GROUT DRAINAGE PIPING CAR P. SO FT. is FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN WALL SO. FT. (d =E LUMBER GR. FINAL INSP. URINAL SO. FT. rd ROOFING �i ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTONDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID 8 1Y. c SEWAGE DISPOSAL FINAL INSPECTION SO.FT.GAR (g 3/:c HOUSE SEWER CERT. OCC. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE WCH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR SETBACK GROUND/' BING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE S D ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus xE =E LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING �i ((.. -3-G�v 53 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES 'ILA TO: City of La Quinta DATE: -� z-zy Department of Community Development 78-105 Calle Estado La Quinta, CA 92253NOTICE: V -11S DOCUMENT CANNOT BE DUPLICAT ED. This is to certif that developer of which is located at ,3 .c��e— 4 if a within this District, has paid school facili y fees imposed pu suant to the authority generated by overnment Code Section 530 in the amount of $ SOD ( r �. ,..4110 ,'',ot) covering a tota/�2 ny square feet of ( residential or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS•UNI IED SCHOOL DISTRICT White Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer ��� (10)-37 o ; 'yoF TF�� 78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 FAX (619) 564-5617 i January 29,'1990 To Whom It May Concern: The address at Assessor Parcel Number 774-165-008, which was formerly •53-898 Velasco has been changed to�y53-890'.Avenida; Velasco in the City of La Quinta. Should their be any questions,'.please contact the undersigned.• Very truly yours, ! JERRY HERMAN PLANNING & DEVELOPMENT DIRECTOR ............. , Tom Hartung u' Building .Official TH:bja ' cc: File BJ/LTRTH.019 MAILING ADDRESS P.O. BOX 1504 LA QUINTA, CALIFORNIA 92253 RECORDING REQUESTED BY AND WHEN RECORDED MAIL -TO „ne Joe W. Stemmer, Sr. reef 79-940 horsehoe Idress La Quinta, CA 92253 ty & ale L MAIL TAX STATEMENTS TO F_ ime Same as above Idress I & ate L CAT. NO. NNO0582 TO 1923 CA (2-83) J NO COR FILED SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS Me undersigned grantor(s) declare(s): Documentary transfer tax is $ 8.25 Ia (xx ) . computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( xx) City of La Quinta , and 0 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, BERNARD F.-SKERBA and MARJORIE E. SKERBA, husband and wife hereby GRANT(S) to ,70E W. STEMMER, SR., an unmarried man the following described real property in the City of La Quinta County of I Riverside , State of California: :1X1'C 7, Block 2.35', Santa Carjaelitu at Valu La Qulll -a, 1711 -ft 22, as pfor rn:]pi — recorded in Book 20, page 24 of Maps in the office of the County Recorder. :of Riverside County, California. Dated: 'February "1, 1988 STATE OF CALIFORNIA 'COUNTY OF Orange }SS•. On February 4 , 19 88 before me, the undersigned, a Notary Public in and for said State, personally appeared Bernard F. Skerba and Marjorie E. Skerba personally known to me or proved to me on the basis of sat- isfactory'evidence to be the persons whose name appears subscribe4 to the within instrument and acknowledged. that tneYexecuted the same. W ITN ESS my hand and official seal. Signature y Bernard F. Skerba )/JJ Marjorilh E. Skerba e o o-� 000-eoo-o-sa�+o ee o -0-0o e-o-000.eo-o 0 OFFICIAL SEAT. ° •� BARBARA A A. NA.NRA Notary Public Cahfonu;l ^�- n PlincgY,l Qlhr•r In My Comm Exp. Jan .4. 149! ♦6& .m .oma,...'. r4o.aaov•; �..,.. ..a�. (This area for official notarial seal') Title Ordcr No. Escrow or Loan No. 88-553 MAIL TAX STATEMENTS AS DIRECTED ABOVE ''i7`ry�y•~� r•i�rf `k�s.''`�.�erkir 4 �ivv 4� .'` r�r f:: l.'n.rY !� "xt •�y+ Ri :r'e,r.t :�.f>:` vi�irD'k COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES' DIVISION SEWAGE DISPOSAL SYSTEM 177 PERMIT APPLICATION FOR A SUBSURFACE Applicant: Submit this form with foul copies of a scaled plot plan (1.20 scale) drawn to County specifications required on the attached check list. A non-refundable filing fee of $40 is required when the application is submitted. Check must be rn 6e payable to the County of Riverside. Building Department Application Logi#. Name (Owner. Agent. Contractor. Etc.) - Mailing Address G S, ny r- State Zip Code Telephone 'Job Prolieny Address / f �'G yrorl, Gomm'uhtty 1 AIZA 'legal Description of Pro y (Lot.ePM: TR)(,ARy►el_�f 6 ��CC uoet1 (/aapV .X t�Jj//t�t 'Assessor's Parcel No„` Water Age r7y,d' Weil- Qiirii�U l' ✓ /- i' �y ,�g//f/�jj ('�, j' / of Perm i 4 I4 / .L dWt v L Pia^ thd'Case # lot Size 7 .I�'Ki -- �i1 - r� //�fA •`l w �'1w} l c^ L' MH Preparalion Etc •� i" .! so )(1a (� Jr % 1, ,14 SFD. Site f� �1--:-�-�„rr/�t,� 47/Yir�"'r�4[.t'n`..o.+ ".f••�"" .e ��� ! F � (I � • Signature of Applicant Date t 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE " I,IIniitial/'/; Date i f• ' l �00 Certification of Existing S.D. System required. ❑ Yes O" NQS 1i +�1/(r. / �, ❑ WOCB Clearance required. I; Yes f1 Soils feasibility report required. ❑ Yes 2N.1111 J Special feasibility boring report required. ❑ Yes No" / I Detailed contour plot plans required. ❑ Yes ©"No 1 Staff Specialist approval required. 7 ❑ Yes ©No Lot Inspection Date Soils/boririg report by Project # '""� 'Date pp Soils Map Page f.� Soil Type (r Approved by r� «�,"" f 4 Date �1' j `7"n 0 (� Type of System:' - , � No. of Bedrooms '•. (1) Septic Tank /Ta Sohl( Rate Required Existing ©'New Additional Replacement 1:1 Existing f0Gals. (2)•L'each line sq. ft. � -tr Sidewall allowance ft. 'rock/f� �Sq. Ft. Instalk- Line(s) Ft. Long, wide inches Leach bed Sq. Ft. o'botto� (Bottor'1i nch areva) • j running ft. ( N/A with min. • rock below drain lines area per Leach lines%bed-special design for slope: Applicable (3) Pit Diameter A +M-'6' No. Pits Pit BI Seepage Pit total depth r yr N/A Iff Overburden factor Max. allowable depth 1 �.+� ^'t �� k�' ./Jr;7-•. /'��i�,.F' %! ,�_st.� Y.Ir`?"� .f��'� �iA�'�F:� �i"�C � . This application i�pp�rovled/• -nied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set,forth in Section B above. A building permit is necessary for the installation' of the above -designed system. A O41) Septic tank and sewer lines must be 50' from any wells 11 0k- J�� --t-&"4toO1 Y4-4trc,-^4 5�, , c's, ul��X•�, { (2) Leach lines must be 100' min. from any wells including expansion area Seepage must be 150' min. from including (3� pits any wells expansion ^area rj .J��� i[�/1 / 'd/!7/ 1� A � A �- C/(.i'. /t /Z� fl�-� n - �/ / !1 r� y. 4� SIVA Sgnawre of Hearth DfliCral ti Date i v4v RECEIPT NO._ 3118'9 Issued by -�K Date District: ElRiverside 01nd ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH SAN 122 (Rev 8187)