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10001 (SFD)Building Address 54595. Velasco Owner Majestic Mailing Address P. 0. Box 75 City La Quints zio92253 Contractor W. R. Rosters Address 67720 Peineta City zip Cat City 92234 State Lic. & Classif. B 291728 T4 at 78-105P.O. BOX 1504 ESTADO L t `No. 10001 00d1 LA QUINTA, CALIFORNIA 92253 a� J BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774--283'015--5 569-6014 iLegal Description 322-8083 Lic. # 1954 Arch., Engr., Designer Address Tel. City Zip State Lic. # --,.LICENSED CONTRACTOR'S DECLARATION _1 hereby affirm thr at I am�licen ed.under provisions of Chapter 9 (commencing with Section OWN ER -BU ILDEWDECLARATION I hereby affirm that I am exempt from the Cohl,Lactor's 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 civil penalty of not more than five 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. (Seca 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 or safe.) ❑ 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 contractor(s) 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 Z _/ >- fIf - OCopy 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 (8100) 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 Laws of California. Date Owner NOTICE TO APPLICANT: If, 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 Project Description Lot 5 Block 304 Unit 28 Pk 19 $PD Sq. Ft. 1655 No. No. Dw. Size. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block wall, patio or pool Estimated Valuation 96155.70 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 279.59 Const. 626. _00 Mech. 55.50 Electrical 131.51 Plumbing 141.00 S.M.I. 9.70 Grading 20.00 Driveway Enc. 20.00 Infrastructure 2125.25 TOTAL65tf.55 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 t Permit Validated by: Mailing Address Validati City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL S0. FT. POR. SO. FT. ® GAR. SO. FT. ® CARP. S0. FT. WALL S0. FT. SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS// WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE / 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 ® 11/a c SEWAGE DISPOSAL REMARKS: SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE i 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 �7 10A G-4ROUND PLUMBING ON UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 2 f/ Q1121 -A -Al ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS// S Y ►IK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. 9/��/lr/ �/ !!!! GAS (ROUGH) METER L60P HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE / GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP./L2 AA G GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING / 0 �� 9� FINAL INSP. ROOFING �� q j ©/Z REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL f LATHIN64tVAI MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION- /Az(h it CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 9/12/91 1 Type of Permit I La Quinta No. 10860 Permit # Log # Owner Name Majestic No. 54595 street Velasco city La Quinta zip 92253 Study Area 110 APN # 774-283-015-5 Tract # Lot # Square Footage 11655 Type of Development I Single Family Residence INo. of units Comments Fees paid with two separate checks as check originally drawn on incorrect amount_ Check # 92516 - $2,549_64, and check # 92,195 - $74.26 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 53080 in the amount of 1.58 X 1655 or $ 2,614.90 have been paid to D.S.0 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 General Escrow C o. Telephone 568Z= Name on the check By James E. Lively ry- Assistant Superintendent, Business Services Fee collected /ezeKathleen Emmerlin `, Payment Received:'✓`'- �•.- 1v9 Sty Signature Che k4`N6.92395/92518 Collector: Att ch a copy of county or city p eck application form to district copy for 'all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting RECORDING REQUESTED BY CHICAGO TITLE AND WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN BELOW MAIL TAX STATEMENT TO: TITLE ORDERNO.9021412-21 ESCROWN04638-IR "°e Rob rt- P. Branch Ceessel P P. 0. Box 76 M yaLaQuinta 00 ""Ca. 92253 e MAIL TAX S .arnRobert P. Branch StreetP .0. Box 76 Address La Qu i n t a cltysCa. 92253 State TITLE ORDERNO.9021412-21 ESCROWN04638-IR SPACE ABOVE THIS LINE FOR RECORDER'S USE 1'1¢-3g3- o IS- S GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ 27.50 computed on full value of property conveyed, or O computed on full value less value of liens or encumbrances remaining at time of sale. O unincorporated area © city of La Quinta , AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged Pete W. Hendren and Melba L. Hendren, Husband and rife as Joint Tenants hereby GRANT(s) to Alice Tinton; an immarri ed woman as to an I..Indi vaned. 1 /2 i nteres =end Q..oherl. p Branch, an unmarried man as to an undivided 1%2 interest. the following described real property in the County of Riverside State of California: Lot 5 in Block 304 of Unit No. 28, Santa Carmelita At Vale LaQuinta as per map recorded in Book 19, Pages 59 and 60, of Maps in the office of the County Recorder of Riverside County. Dated Sept. 24, 1990 STATE OF CALIFRf W �• COUNTY OF �`g i er1 `\P SS. On this y day of n C \ bby- in the year 19 _� , before me, the undef Ningd, a Notary Public in and for said State, personal) appeared \A e ck r'2 n, \,e/\rel ct , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person's whose nameS' PrP subscribed to the within instrument, and acknowledged to me that hem executed it. WITNESS my hand and official seal. �J Signatu e NOTARY PUBLIC INA O SAID STATE ('n.AA1 ror_v +ioa� Pete W. Hendren Melba L. Hendren 0FFf{,i1A1 SEAL it+FNt: F. Rt�Q NOTARY PUBLIC — CALIFORNIA PRINCIPAL OFFICE IN RIVERSIDE COUNTY MY Commftfflon EA it OCT 1, 1984 (This area for official notarial seal) �Q c. r N W. IL s o � id a �5 W SPACE ABOVE THIS LINE FOR RECORDER'S USE 1'1¢-3g3- o IS- S GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ 27.50 computed on full value of property conveyed, or O computed on full value less value of liens or encumbrances remaining at time of sale. O unincorporated area © city of La Quinta , AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged Pete W. Hendren and Melba L. Hendren, Husband and rife as Joint Tenants hereby GRANT(s) to Alice Tinton; an immarri ed woman as to an I..Indi vaned. 1 /2 i nteres =end Q..oherl. p Branch, an unmarried man as to an undivided 1%2 interest. the following described real property in the County of Riverside State of California: Lot 5 in Block 304 of Unit No. 28, Santa Carmelita At Vale LaQuinta as per map recorded in Book 19, Pages 59 and 60, of Maps in the office of the County Recorder of Riverside County. Dated Sept. 24, 1990 STATE OF CALIFRf W �• COUNTY OF �`g i er1 `\P SS. On this y day of n C \ bby- in the year 19 _� , before me, the undef Ningd, a Notary Public in and for said State, personal) appeared \A e ck r'2 n, \,e/\rel ct , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person's whose nameS' PrP subscribed to the within instrument, and acknowledged to me that hem executed it. WITNESS my hand and official seal. �J Signatu e NOTARY PUBLIC INA O SAID STATE ('n.AA1 ror_v +ioa� Pete W. Hendren Melba L. Hendren 0FFf{,i1A1 SEAL it+FNt: F. Rt�Q NOTARY PUBLIC — CALIFORNIA PRINCIPAL OFFICE IN RIVERSIDE COUNTY MY Commftfflon EA it OCT 1, 1984 (This area for official notarial seal) COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL Received From: Address: Account No. U LAO -4: (J Lot(s) % �C / Service Address XMeter(s) �/Z_ �Service(s) ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s). ❑ Meter Surcharge P�Sanitation Capacity Charge �f ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water 1 Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other Remarks: Tract TOTAL US. :3535.7' ❑ Copy to: a - Water Service Cash Check Money O .) ,:.P�' Cashier. -✓� ! (.f Order CVWD7438(11189) CALVIN C. KAMINSKAS Assistant Commissioner (714) 275.3000 DAN RILEY Sealer, Weights & Measures (714) 275.3030 . OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite 7 Indio, CA 92201 (619) 342-8291 DATE _ i% _ / / CASE NO. PC J S O / 9/ A- DEVELOPER'S NAME: ADDRESS: TELEPHONE: ��5°IS Ll'elasc0 Lc, (�Ih L_A -A S -31y 30q' w. 2,F 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. X9 /j, ��l Agr, tura Commissioner's Office cc: Indio and Riverside' 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012 r OF This Certificate issued pursuant to the requirements of Section'306 of the -Uniform BbIldih§ Code certifying that at the time of itsijahc6- this structure was in compliance ,with the various ordinances of the City regulating -building construction or use. For the following:,,,, BUILDING'54-595 AVENIDA VELASCO v SINGLE"FAMILY DWELLING Use Classification Bldg. Permit No. R3 N Use ion, % SR Group Typi.6dristru'ction V Mrs Zone Owner of Building MAJESTIC' -CHI TRUST Address P: 0. BOX 76 LA QUINTA, ACA ;rl.'9 2 2 5 3 City By; LONNIE DAY Dote: JANUARY".. . 23, 1992 Building Official POST Ill A CONS"CUOUS PLACE