06123 (SFD)414 a
�`��
P.O. BOX 1504 N o . 06123
Building. 7&105 CALLE ESTADO
Address 51-775 VaUe jo LA QUINTA, CALIFORNIA 92253
Owner
Do -US Srxi>ru '
Mailing BUILDING: TYPE CONST. OCC: GRP.,
Address 67-365 (unit A.P. Number 773-171-003
City Zip Tel.
Cathedral City 92234 325-0154 Legal Description
Contractor
. Project Description
Address
City Zip Tela
State Lic. City
& Classif. Lic. # Sq. Ft. a1i35 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑. Repair ❑ Demolition ❑
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
Estimated Valuation
Estimated
I hereby affirm that I am exempt from the Contractors 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 to rile a signedstatementthat he is licensed pursuant to
PERMIT
AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
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.
subjects the applicant to a civil penalty of not more than rive hundred dollars (5500).
❑ I,
Plan Chk. Bal.
`p,
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
Const.
•1.
549.50
Professions Code: The Contractor's License Law does not apply to an owner of property who
•
builds or enproves thereon and who does such work himself or through his own employees.
Mech.
4�.t;7E1�n
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
Electrical
9j
of proving that he did not build or improve for the purpose of sale.)
•'^�
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
166.50
Strutt 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.I.•4
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
20.(M0
I am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
20.00
/
Date '7/7 ?4f"" Owner 4-"_'
Infrastructure
1„792. 55
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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 issued, I shall not
employ any person in any manner so a�ecome subject to the Workers' Compensation
Laws of California.
Date . owner
NOTICE TO APPLICANT. lf, alter 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.)
Lenders Name
Lenders Address
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 1 have read this application and state that the above informationis 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
Mailing Address
City, State, Zip
TOTAL $3,113.04
REMARKS
a."1
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
7/25/89
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL AREA
SLAB GRADE /QI
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL SQ. FT. ®
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
r� OUND. REINF. �Q
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT. ®
GROUT
WATER HEATER
DRINKING FOUNTAIN
WALL SQ. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
URINAL
SQ. FT. @
GRADING
CU. yd.
plus xS
=S
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
��q alt bE
r4•ee f
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTOXDISH)
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIREPLACE
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.FT.GAR ® 314c
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
IIIIWSETBACK /D •
G IJIQ MBI
UNDERGROUND
A.C. UNIT
COLL AREA
SLAB GRADE /QI
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
? oy PTIC TAN/)4.,O�
ROUGH WIRING
DUCT WORK
ROCK STORAGE
r� OUND. REINF. �Q
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 xS
=S
LUMBER GR.
FINAL
FINAL INSP. ` 8
FRAMING /v -
FINAL INSP.
ROOFING
��q alt bE
r4•ee f
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUN o -
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
1
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
SCHOOL FACILITY FEES k14131
THIS WCUMENT CANNOT
TO: City of a Qt'�ir£�a'd+�Ta �, DATE: qi:4 V
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
This is to certify that IBJ ,
developer of , which is
located at — , within
this District, has paid school facility f s imposed pursuant to the
au ority geMat d by G vernment C d Sec t'on 53080 'n the amount of� p�
OO ��
cov ring a total of 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 SAND UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
i (10)-37
IiECORDING REQUESTED BY
AND.WHEN RECORDED MAIL THIS DEED AND, UNLESS
OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO.
Mr. & Mrs. E. Calvin Clary
S T I r rT Post Office Box 2285
�ADCIRUSS
Palm Springs, Ca 92263
t-IT.Y.
STAT
Z,PL
Till, Order No ............................. Escrow No.......:..:................ i
Name (Typed or Printed)
Notary Public in and for said County and ate FOR NOTARY SEAL OR STAM
MAIL TAX STATEMENTS TO PARTY SHOWN ON F1 LLOWING LINE.; IF NO PARTY SO SHOWN, MAIL AS I
Name Street Address City & St
ii
ABOVE
Ur,,
ant Deed
THE UNDERSIGNED GRANTOR(s) DECLARE&
DOCUMENTARY. I rRA:NSFER
TAX is $ 1 1 . 00
4
0 —unincorpc' rated area 1�3 City of - VA QUINTA
Parcel No.
o
W
C
value of Property coW4efeld, or
Q
0
is
4
UJ.
FOR A VALUABLE CONSID ERATION,
z
cc
CC
0
9) 1 ;
0
0-j
hereby GRANT(S) to
LL
0
Lr z;
husband nd wife, as. joint tenant
W
-, —C
LU
9
-j
ir
the following described real property in the C LTY
>
county of-Ri vers ide
state of California:
w
Cr
0
Lot 1, Block 59 of Santa Carmel;
ta Vale La Quinta, Unit No. 5,
as shown per Map on file in Boo,, 18, Page 63 cif Maps, Records
�
This space
for.Recorder's
use
Name (Typed or Printed)
Notary Public in and for said County and ate FOR NOTARY SEAL OR STAM
MAIL TAX STATEMENTS TO PARTY SHOWN ON F1 LLOWING LINE.; IF NO PARTY SO SHOWN, MAIL AS I
Name Street Address City & St
ii
ABOVE
Ur,,
ant Deed
THE UNDERSIGNED GRANTOR(s) DECLARE&
DOCUMENTARY. I rRA:NSFER
TAX is $ 1 1 . 00
0 —unincorpc' rated area 1�3 City of - VA QUINTA
Parcel No.
* computed on ful
value of Property coW4efeld, or
* computed on ft 11
value less value of l4ens or encumbrance's remaining ning at time of sale, and
FOR A VALUABLE CONSID ERATION,
i ".T
receipt of which is .h`ereby acknov4pdged,
ERNEST J. BALES,
hereby GRANT(S) to
E. CALVIN CLARK and GEORGIA M. :LARK,
husband nd wife, as. joint tenant
the following described real property in the C LTY
OF LA QUIkA
county of-Ri vers ide
state of California:
Lot 1, Block 59 of Santa Carmel;
ta Vale La Quinta, Unit No. 5,
as shown per Map on file in Boo,, 18, Page 63 cif Maps, Records
�
Of Riverside County, CaTiforniat
2 --9--•- — _r..
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February 16, 1988
Dated_
---ST-ATE C-F:CkAL4.FORNI�
.
RIVE SIDE
�-VqE`Sf J, BALES.f.
SS.
CO UNTY OF j
On thisTeErdary
ay of
1988
in the year
before me, the undersigned, a
otary Public in
and for said County and State personally appeared
Ernest J. -IBales
personally known to me (of weved-teine-on-tiie-bas! I
1
d"deAr.c) to be the person
s. * Ir., OFFICIAL SEAL
whose name
subscribed to the within,
nstrument and ESTHER T. MARTINEZ I.:
acknowledged that hp
NOTARY PUBLIC—CALIFORNIA so
executed the a NOTARY BOND FILED IN'
sarne.41
RIVERSIDE COUNTY
AaMy Commission Expires January 24, 1989
Signmroz
� rrsss**srrrrrrreaeee�ees►tees tea
4ESth/er T. Martinez
Name (Typed or Printed)
Notary Public in and for said County and ate FOR NOTARY SEAL OR STAM
MAIL TAX STATEMENTS TO PARTY SHOWN ON F1 LLOWING LINE.; IF NO PARTY SO SHOWN, MAIL AS I
Name Street Address City & St
ii
ABOVE
6
'�`"i
PRECISE P L A NS ciTY'OF LA QUINTA
_ z 78-105 CoIls Estado
P.O. BOX 1504
SUPPLE MENTA L
La Culnta,CA.92253
y OF Nt . .
. •.(619) 564--2245 .
PLANNING DIVISION),-
CASE
IVISION ,-CASE NO. P:
JOB ADDRESS:
PRECISE PLAN'°SUPPLEMENTAL
SINGLE-FAMILY HOUSE
• Rec' d By
Review'd,By
INSTRUCTIONS: Complete this supplemental questionnaire and submit.it
. with�the Building Permit Application. You must provide
,any additional information as requested by this form.
Failure to do so will".delay processing of the
t +
application.
1. This single-family house is intended for: Applicant's Residence_;.
Owner's Residence Sale X Rental
If intended for Sale, has this house been.presold? Yes No x
(If` Yes, include a copy of signed sales agreement; -include deed
.or-escrow•instructions.as-proof of ownership or transfer to.,.
undersigned.)
Y
2. Has the Applicant or Owner :received or applied for approvalsAof
other single-family houses in_ the •City since January -1, 1983?
`Yes . No x
If Yes, give the total number, and the"case numbers.and addresses-
(may
ddresses(may be attached). Total
If Yes, specify -the number of houses which are; Complete Under
Construction ; Sold - (NOTE:,The City may reguire•additional
information .verifying sale (s') . )
Signature of Applicant �a:� aA kl Date APRIL 11', 1988
AUTHORITY FOR THIS APPLICATION IS HEREBY GIVEN:, n
Signature of Property Owner( s15.
(Written Authority May Be Attached)
Daae APRIL 11, 1988
Signature of Property Owner
Date
'k ��, o;� Of FACE OF E. LEON SPAUGY
QCOMMlS-IONEP
? , s AGRICULTURAL COMMISSIONER
J )- LAMES 0 WALLACE
� 1 O - AN ASS:STANT (I)MMISSIONEP, -
v ' r^ CLEMENT BE`VE`�ISTE'
WEIGHTS E MEASURES SEALER
49-613 Ilwy 86, Suite B-12
���,_y_�.•'� Coachella, CA 92236
< q r v, 4,1
89 619-342-8.291
DATE CASE NO.. YFlX S O x/198
DEVELOPER'S NAME`
ADDRESS: V-71 % � .� ,
i. Al
2 26 2
TELEPI (ONE : c � ly )+ 3 2-3- 1700 9
Dear Developer -
e"
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 fran plant Fnaterial listed, this office must be notified
imr>ediately.
Thank you for.protecting and preserving the Coachella Valley's pest -free environment.
-
Agricultural-Canniss ' o er' s Of- f ice
1
cc: Indio and Riverside Office
_ • t