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14125 (SFD)Building Address Owner T4hf 4 4 a" P.O. BOX 1504 54-378 Shoal Creek 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address 77-545 Gane Las Brisas City Zip Tel. Pala Desert 92211 345-5252 Contractor , Par Development Ad_Jr4y70 Highway 111 #3 City Zip Tela Palm Desert 92254 340-5269 State Lic. City & Classif. 681590 Lic. # OR Arch., Engr., - Designer Ochoa and Associates AIV 21 Highway 111 Tel. 773-6605 City Zip State Palm Desert 92260 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 1000) of Division 3 of the Business and Professi9gs Cpde,,,and my license,e=is imfull force and effect. XSI NATURE ./ 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 struc.ure, prior to its issuance also requires the applicant for such permit to 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 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 ($500). (3I,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 or 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 wili have the burden of proving that he did not build or improve 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. & 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 WoW'Cpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) PolCompany 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 ($100) valuation or less.) I certify that in the performance of thg work for which this permit is ssued, 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 slate laws re ating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant— Dale Mailing Address City, State, Zip No. 14125 JILDING: TYPE CONST. �'J VN OCC ..GGRP. R3 P. Number I - 0 —E/ !gal Description Lot 1 Tract 2 762 Project Description ZONE: BY: IIJ ` 1 i\! Minimum Setback Distances: t 111� 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 Permit Validated by: Validation: Sq. Ft. No. Size 3457 Stories No. Dw. Units New1O Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit includes 160 if of cxarden black wall. ` Estimated Valuation$29M 0. 256.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 838.05 Const. 1315.00 Mech. _ 100.00 Electrical 243.76 Plumbing 247.50 S.M.I. 29.23 Grading 20.00 Driveway Enc. Infrastructure 6000,00 Ar" in Public° Places 480.64 r TOTAL $9,524.18 T_9._27-4.19 REMARKS f\ ZONE: BY: IIJ ` 1 i\! Minimum Setback Distances: t 111� 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE r r' BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SD. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS t GAR. SO. FT. ® TEMP. POLE ' GROUT DRAINAGE PIPING CAR P. SO. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SO. FT. r LUMBER GR. .a- _ cyxsu� -•° x��, <. ca -. - . _ . URINAL = SQ. FT. @ ROOFING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIREPLACE 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 SQ. FT. ® c WATER • HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/a c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER CERT. OCC. 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 GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA, SLAB GRADE 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 APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE ' GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd.' $ -Plus-X$-=$ r LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 9/28/94 1 Type of Permit La Quinta No. 113093 Permit # Owner. Name Jack Knox and Juan Ribas Log No. 77-545 Street Calle Las Brisas City La Quinta Zip 92253 Study Area 106 APN # I Tract # Lot # 0 Square Footage 13457 Type of Development I Single Family Residence No. of units 0 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 pursuant to Government Code 53080 in- the amount of 1.65 Ix 3 457 or $ 5,704.05 have been paid to D.S.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 J. Knox ' Telephon_e - 19-3.45 252 Name- on the check By Dolores A. Ballesteros L Superintendent Fee collected /exempted by Mitch Moldenhauer �4���11 Payment Received Signature Check No. 107 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting RECORDING R M�VbPifvuslted i 1. H.ICAGO TITLE Co AND WHEN RECORDED MAIL THIS DEED AND. UNLESS OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO: ' NAME1 John T. Knox STREET Juan G. Ribas Acomass 77545 CalleLas Brisas So LOCITY. OE I. 1Palm Desert, Ca. 92211 J Title Order No.5613Q1.714 Escrow No.. .433.1.......... This space for Recorder's use PARTNERSHIP GRANT -DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) 88.00 DOCUMENTARY TRANSFER TAX 's S C]unincorporated area [N Cit of La Quinta Parcel No. E computed on full value of property conveyed, or ❑ computed on full value less value of liens or encumbrances remaining at time of. sale, and FOR A VALUABLE CONSIDERATION, receipt of which is hereuy acknowledged, SUNRISE DESERT PARTNERS, a California Limited Partnership, organized under the laws of the State of California hereby GRANT(S) to JOHN T. KNOX, a single man and JUAN G. RIBAS, a single man as joint tenants the following described real property in the City of La Quinta county of Riverside state of California: Lot 1 of Tract No. 27762 as per map.recorded in Book 245 Pages 55 through'57. inclusive of Maps, in the office of the -County Recorder of said county. See Exhibit 'W' attached Also known as: 54-378 Shoal Creek, La Quinta, Ca.92253 _._ Dated September 3. 1993 STATE OF CALIFORNIA 1 COUNTY OF— J} SS. On _ before me, the undersigned, a Notary Public in end for said County and State, personally appeared known to me to be of the partners of the partnership that executed the within instrument, and acknowledged to me that such partnership executed the same.. Signature a SUNRISE DESERT PARTNERS, a California Limited Partnership BY: SUNRISE CORPORATION, a California corporation, Gener tner Phillip K. S 'th, Jr. Executive -Vice' President Name (Typed or Printed)\� Notary Public in and for said County and State (Space above for official notarial seal) ®o MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE O ANY .. ..,,_, p Ux W UM U m O CQ U LL d� N C W aLU Go Q. ie UJ d UU � 3 U LU 6a'G This space for Recorder's use PARTNERSHIP GRANT -DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) 88.00 DOCUMENTARY TRANSFER TAX 's S C]unincorporated area [N Cit of La Quinta Parcel No. E computed on full value of property conveyed, or ❑ computed on full value less value of liens or encumbrances remaining at time of. sale, and FOR A VALUABLE CONSIDERATION, receipt of which is hereuy acknowledged, SUNRISE DESERT PARTNERS, a California Limited Partnership, organized under the laws of the State of California hereby GRANT(S) to JOHN T. KNOX, a single man and JUAN G. RIBAS, a single man as joint tenants the following described real property in the City of La Quinta county of Riverside state of California: Lot 1 of Tract No. 27762 as per map.recorded in Book 245 Pages 55 through'57. inclusive of Maps, in the office of the -County Recorder of said county. See Exhibit 'W' attached Also known as: 54-378 Shoal Creek, La Quinta, Ca.92253 _._ Dated September 3. 1993 STATE OF CALIFORNIA 1 COUNTY OF— J} SS. On _ before me, the undersigned, a Notary Public in end for said County and State, personally appeared known to me to be of the partners of the partnership that executed the within instrument, and acknowledged to me that such partnership executed the same.. Signature a SUNRISE DESERT PARTNERS, a California Limited Partnership BY: SUNRISE CORPORATION, a California corporation, Gener tner Phillip K. S 'th, Jr. Executive -Vice' President Name (Typed or Printed)\� Notary Public in and for said County and State (Space above for official notarial seal) ®o MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE '�'�v�v�v�V'iV�V�V�V�V�`I�`I�V�`I�V.�V�V�V�`'�`�'�`1'�'I►� I> ;{ PARTNERSHIP r r }� r '•tet �{CHICAGOTITLE INSURANCE Y'� r '.t CHICAGO TITLE INSURANCE}t r r r r ' COMPANY r r -c :{ .t ;{ Staple t= r r r -c ,t 04 =t �t r }- r r •t -s �t r r •t WESTERN REGIONAL'" r r •t %t 3255 WILSHIRE 13OULEVARD r i{ LOS ANGELES. CALIFORNIA 90010 r (213) 380-3940 .tt VENTURA :. y,• it RIVERSIDE�.`r r it SAN • •884-044!8" }� �{RIVERSIDE • .. • }� >SAN �i DIEGO 232-8921 r �{ ORANGE COUNTY r •�i,Y;�Y�,i��Y.,Y,,YAYAYAYAY,�Y,.,YAYAYAYAY YAYAY,�,Y YAYAr r •V� �I�h� XrV�V�Y�I�V�V�`I�Y�V�I �( �{ �t �{ PARTNERSHIP r r �i .t GRANT }+ r �'{ =t ':{ �•{ '-c >� CHICAGO TITLE INSURANCE}t r r r r COMPANY •t Staple r -c ,t 04 =t �t r }- r r •t -s �t r r •t CERTIFICATE OF &CKNOWLEOGEMENTT-` r •t %t r i{ WESTERN REGIONAL•" r �t3255 WILSHIRE BOULEVARDt� .tt •. CALIFORNIA r it • ' • r it VENTURA :. r �{RIVERSIDE (714) 784-2464?� y Z o SAN • 0•• r ORANGE COUNTY m c/) :tSAN DIEGO r �t it �t z-4 -gym }` r +A•AY Y YAYAYAYAYAYAY,.YAYAYAYAYAYAY YAYAYAY YAYA`/ < �C=Dn v It �t %t }� r �S Y %t �{ •{ r� r r =t Staple -c ,t 04 =t �t r }- r r �s CERTIFICATE OF &CKNOWLEOGEMENTT-` _ i{ r .tt -• • .• r it • ' • r it r +XiAYAYAYAYAYAY YAYAY YAYAYAVAY Y Y Y YAY Y Y y w Staple Staple CERTIFICATE OF &CKNOWLEOGEMENTT-` _ r0 < m O n (n w Z y 2 N m d Z O Z o 7 O� C D m m c/) o c 3 n 7 7•m m �`, d N z-4 -gym co < �C=Dn v O o ;c O T D7 >3 7m F m E 5 5 - C/1 CL Q O m� m m m 1 m5 w nm3 'rt nrt CL o n2 m ZC�T D 0 weC yW alDoc CL m m aro o m o m CD w c v m m a vro n? ly • �O W M N m y 0 2 0 O g 0 3 3 3 ,� d F+. g^ m n m m O a m4/ O D S 7 d } N r M N S C T 7? m m 3 m a m m c v H m V G< Er -, O O a C =r mN O m JJf 7 S X O � m ( OLO m ..rr I A m d O ss 0 CD 5r co a: Z. F O 0 n<° � 02 2 �. 0) Vl -"r tai. T C S—: D r "36a>o OY,n6T> r a ,p7 QnCm' � < � p v N �^ C 359260 SAID LAND IS SUBJECT TO THE DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS FOR P.G.A. WEST RESIDENTIAL PROJECT, RIVERSIDE COUNTY,.CALIFORNIA, RECORDED JANUARY 22, 1986 AS,INSTRUMENT NO. 15570, OFFICIAL RECORDS OF THE COUNTY RECORDER OF SAID COUNTY, AND ANY AMENDMENTS OR SUPPLEMENTS.THERETO ("THE DECLARATION"), AND THE DECLARATION AND ANY AMENDMENTS OR SUPPLEMENTS"THERETO ARE •INCORPORATED HEREIN AND MADE -A PART HEREOF BY THIS REFERENCE. ALSO EXCEPT AND RESERVING TOITHE GRANTOR ALL OIL AND GAS, HYDROCARBON AND OTHER +" MINERAL RIGHTS BELOW 500.00 FEET BENEATH THE SURFACE OF SAID.LAND, WITHOUT RIGHT OF SURFACE ENTRY. r _fir i a • �. it ' I 1 • 11 STRUCTURAL AND CIVIL ENGINEERING DENISE R. POELTLER, INC. 79-301 Country Club Drive • Suite 202 • Bermuda, Dunes, California 92201 9 December 1994 I Mr. Kirk Kirkland Building Department City of ....La Quinta 78495 Calle Tampico y M La Quinta, CA 92253 ; Subject: STRUCTURAL FRAMING INSPECTION KNOX-RIBAS Shoal Creek ,"'_PGA West ! Dear Mr. Kirkland: r j I have inspected the 'structural framing and laterali elements and found them to be in conformance with the approved plans. Respectfully submitted, i iDenise R. Poeltler R.C.E. 3344.6 { DRP/lm. CC: PAR DEVELOPMENT, Mr. Richard Pruter PIRV" 74-170 Highway 111, Suite 3 Palm Desert, CA 92260 No. 33446 Exp. 6-30-98 N � 9r C IV 11_ P?�� OF FCAL%FC 1 1 i i i TEL. (619) 772-3966 FAX (619) 772-3986 �, �co G STRUCTURAL AND CIVIL ENGINEERING DENISE R. POEMER, INC. 79-301 Country Club Drtve • Suite 202 • Bermuda Dunes, California 92201 _30 EXpLApATION_ Op'_ SITE.. INSPECTION A. The site visits will be performed to observe only general conformance with the project construction documents. B. The site visits will be a visual.observation only. C. Each and every structural element and component indicated on the construction documents will not be observed. D. Dimension locations of structural elements will not be verified. .E. in the event certain sequences or procedures are necessary to perform the construction in accordance with the structural design criteria, the Engineer of Record may identify such condition. F. THE .FLYING BUTTRESS will be available to' assist in interpreting the structural construction documents. This would include assistance to the general contractor, the subcontractors, *he deputy building inspector, the local governing authority inspector, etc. A written report to memorialize each site visit will be submitted to the Architect and to the Owner. The report will include: I -t- ` I+y o F LCA QwKJ a. The date and' time of the visit. b. The weathericonditions present during the visit, particularly if adverse conditions are present. C. The individuals present during the -visit. - d. he visit. - d. The exact location observed, i.e. reference the north -south' and east -west column grid lines in the area observed. e. Specific conditions observed. f. Specific conditions that were resolved or discussed during the ivisit. g. The reason for the visit, i.e. whether the visit was Per the contract, or to resolve a construction error or omission, or to resolve an error or omission within thejconstruction documents, or to resolve a potential problem from occurring, etc. h. `Field conditions that require future investigation and resolution. i. Corrective action, if any, Will be forwarded to the general contractor. TEL. (619) 772-3966 FAX {619).772-3986