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11423 (SFD)Building 52r-455 Vallejo Owner ' eaford 4 P.O. BOX 1504 �'X' N o . 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 65118 San Jacinto Lane 420 City Zip Tel. DHS 92240 567--3845 Contractor Tpafo ,&Construction Bay Sands Address City Zip Tel.: 329-7226 State Lic.ll�! r1� City &Classif. hh�na7 7 - / Lic.# s Arch., Engr., Designer Terry Roach AddressTel. 6558 Arapahoe 4 360-1114 City Zip State I.W. 92210, Lic.# 477924—B 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 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). roas owner of the property, or my employees with wages as their sole compensation, will 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-bullder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ I, asowner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractors License L'aw does not apply to an owner of property who builds or improves lhereon�, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec.sa' B B -PC for this rreatosA Date WORKERS' COMPENSATIONJDECLARATION 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 ❑ Copy 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 (810) valuation or less.) I certify that in the performance of the work for,whicthis permit is issued,jl shall not employ any person in any manner so as'to,become=subje tto the Workers' Compensation Laws of California. J /I Dale Owner ., - „�+ -�� NOTICE TO APPLICANT:/(11;!_dlfer�makih'g this ,CeFtiflcete of ExemptZit you should become subject to the Workers'Compensa(flon provisions of the /Labor Code, you,_must forthwith comply with such provisions or this permit shall be deemed revoked. F 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 if 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 Mailing Address City, State, Zip 11423 BUILDING: TYPE CONST. \ OCC: GRP. A.PrNumber, 773`262`"022 Legal' Description Lot 11 Block 82 ' Description SFD 7 Sq. Ft.1700 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block walls or Estimated Valuation 100' 967.30 PERMIT AMOUNT Plan Chk. Dep. 258.00 Plan Chk. Bal. 6-43.00 Const. 292.20 Mech. 55.50 Electrical 133.30 Plumbing 143.00 S.M.I. 18.10 Grading 20.00 Driveway Enc. .00 Infrastructure 2181.93 Arts in Public 25.00 TOTAL , 3 5 8 2. 0 3 --- 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL SQ. FT. ROUGH PLUMB. YARD SPKLR SYSTEM FOR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. ® DUCT WORK DRAINAGE PIPING WALL SQ. FT. GAS (ROUGH) DRINKING FOUNTAIN. SQ 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.COOL 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE JELECT.FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. ,'A SOLAR' SETBACK GROUND PLUMBIN(f UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMSjq 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 10,10 l;P GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING ( d�L� FINAL INSP. ROOFING /LO ^' / `J1yJ/ /'/�lAf r l • l ��� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL HING lad 3Q Ace MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL 71 Owner Mailin Address City ,.___-•_.. Zipc el. - _Contractwa Address _ y J4_ State L-ic. & Classif: -2 • F UILDING: TYPE CONST. Q-OCC:•G7RP.---�-/— - .P. Number>�./o l // 9gal Description�_�. ��"? ro'ject Description4��A�'" • Arcn.,xngr __ Designee{ -.A, f"�-� . New AddressL40_ . 411 S(vo .�C.ity zi.pState Lic. # • LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section e 'I )ffect. of Division 3 of the Business and Professions Code, and my license is in full force and �.. • SIGNATitRE DATE OWNER -BUILDER DECLARATION _ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,13usiness and Professions Code: Any city or county which requires a --- .permit `- ,permit to construct, after, Improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed statement that he is Licensed pursuant to the provWws or 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 fire hundred dollars ($500). 0 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, Bulsness and Professions Code: The Contractor's License Lew 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. g, however, the building or improvement Is sold within one year of completion, the owner -builder will have the burden of proving that he dM 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 of 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 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 ❑ Copy Is filed with the city. D 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 thQ work for which this permit is issued, 1 shall not employ any parson in any manner so as to become subject to the Workers' Compensation laws of California. Date Owner NOTICE TO APPLICANT: ff. 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.) 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 - -Mailing Address City, State, Zip FINANCE -Storles-N�-- -Units Add ❑ Alter ❑ Repair ❑ -Demolition ❑ � :r ;��• y P.O. BOX15oa w` ' " APPLICATION O��.LY Suildirig -- -' " _ 78-105 CALLE ESTADO AMOUNT Plan Chk. Dep. Address "'"' " ° ----LA QUINTA, CALIFORNIA 92253 � u Owner Mailin Address City ,.___-•_.. Zipc el. - _Contractwa Address _ y J4_ State L-ic. & Classif: -2 • F UILDING: TYPE CONST. Q-OCC:•G7RP.---�-/— - .P. Number>�./o l // 9gal Description�_�. ��"? ro'ject Description4��A�'" • Arcn.,xngr __ Designee{ -.A, f"�-� . New AddressL40_ . 411 S(vo .�C.ity zi.pState Lic. # • LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section e 'I )ffect. of Division 3 of the Business and Professions Code, and my license is in full force and �.. • SIGNATitRE DATE OWNER -BUILDER DECLARATION _ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,13usiness and Professions Code: Any city or county which requires a --- .permit `- ,permit to construct, after, Improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed statement that he is Licensed pursuant to the provWws or 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 fire hundred dollars ($500). 0 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, Bulsness and Professions Code: The Contractor's License Lew 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. g, however, the building or improvement Is sold within one year of completion, the owner -builder will have the burden of proving that he dM 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 of 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 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 ❑ Copy Is filed with the city. D 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 thQ work for which this permit is issued, 1 shall not employ any parson in any manner so as to become subject to the Workers' Compensation laws of California. Date Owner NOTICE TO APPLICANT: ff. 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.) 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 - -Mailing Address City, State, Zip FINANCE -Storles-N�-- -Units Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Estimated Valuatio gZ_-_•----_ _ _____. _._..._ .._ . PERMIT AMOUNT Plan Chk. Dep. . S Plan Chk.. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. - Infrastructure TOTAL 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 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 10/6/92 Type of Permit I La Quinta No. 111762 Permit # Log # Owner Name Bob Teaford No. 52465 street Vallejo city La Quinta zip 92253 Study Area 111 APN # I Tract # I Lot ,# Square Footage 11700 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 pursuant to Government Code 53080 in the amount of 11.58 1 X 1700 or $ 2,686.00 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 Bob Teaford • Telephone 329-7226 Name on the check ! By James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by(�Vickie , J. Durrett (' Signature `� -J �d , o �� "'_t ' � .'�;- cep• o , . e.: moi; tom'. Payment'-ReceiiFed f% I t Check-- No. 1175 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 SID" TITLE •w ithk4t:'E AND WHEN RECORDED MAIL THIS DEED AND. UNLESS OTHER- WISE SH:.NN BELOW. MAIL TAX STATEMENTS TO:, NAME Robert Teaford Aooeess 1900 E. McCallum Way, Ste B-4 CITY a Palm Springs, Ca. 92262 STATE ZIP lI ) Title Order No. Escrow No. 10-13590 GRANT DEED r : nyr ED V O w UV W z.s N =. L V Q C W V Qi al C uj 0D CqN tx � SPACE ABOVE THIS LINE FOR RE GRANT DEED r : nyr ED The . undersigned declares that the documentary transfer tax -is 8....: • - r -•-•— .:............. .f.'.. y............--:...... and is [j computed on the full value of the interest or property conveyed, or is computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land, tenements or realty is located in unincorporated area city of .......... �, ................:.... and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, GERALD KATZMAN, an unmarried man, and SARA BRENNER, an unmarried woman hereby GRANT(S) to ROBERT TEAFORD, a married man'as his Sole and Separate property the following described real property in the county of Riverside , state of California: Op Lots 9, 10 and 11 in Block 82 of Santa Carmelita at Vale La Quinta, Unit 10, as per map recorded in Book 18, Pa.cie 70 of Maps, in the offi.c- of tlin County NRecorder of said.County. v r Dated November 27, 1990 / •%C -C- 1 Gerald Katzman Sara Brenner STATE OF CALIFORNIA fJ„ S SS. COUNTY OF l�•r On this the day of �IJU --- 19-2p before me the undersigned, a Notary Public in and for said County and State, personally appeared LR% S personally known to me or proved to me on the basis of satisfactory evidence to be the person whose name subscribed to the within instrument and ack wI dged that. exec d the s e. Signature o otary FOR NOTARY SEAL OR STAMP Assessor's Parcel No ............................................. MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABO\'E Name CAL-1/CT (Rev 2-88) Street Address City & State O w UV N =. L V Q C C Ir 3 E The . undersigned declares that the documentary transfer tax -is 8....: • - r -•-•— .:............. .f.'.. y............--:...... and is [j computed on the full value of the interest or property conveyed, or is computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land, tenements or realty is located in unincorporated area city of .......... �, ................:.... and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, GERALD KATZMAN, an unmarried man, and SARA BRENNER, an unmarried woman hereby GRANT(S) to ROBERT TEAFORD, a married man'as his Sole and Separate property the following described real property in the county of Riverside , state of California: Op Lots 9, 10 and 11 in Block 82 of Santa Carmelita at Vale La Quinta, Unit 10, as per map recorded in Book 18, Pa.cie 70 of Maps, in the offi.c- of tlin County NRecorder of said.County. v r Dated November 27, 1990 / •%C -C- 1 Gerald Katzman Sara Brenner STATE OF CALIFORNIA fJ„ S SS. COUNTY OF l�•r On this the day of �IJU --- 19-2p before me the undersigned, a Notary Public in and for said County and State, personally appeared LR% S personally known to me or proved to me on the basis of satisfactory evidence to be the person whose name subscribed to the within instrument and ack wI dged that. exec d the s e. Signature o otary FOR NOTARY SEAL OR STAMP Assessor's Parcel No ............................................. MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABO\'E Name CAL-1/CT (Rev 2-88) Street Address City & State -`=4ue,.,� •i: a.�i;';, "�,ss:r }r-Ct:4k E'_ -?%:. s.i^ t�� •� �ro•,i '•�i-. ..'.rd-.G� z-�. �y�' ..-�� h,--:kr�«'a •� a COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL _ , Received Fro `m: cr �G ne, r' c` '� �f� l ( `q- Date' q j' (zjU Address: l�� f f 8 SQ n a L t rn Lane f OPf'r- r 1 #z f SD r G Account No.( CC) Lot(,) Tract -L •r ;, Service Address' `"' a 1 l P : t 4 . G.A. Code i. Qeervice(s) . + ❑ Backflow(s) •I 's=• �: i ^a'•�v. '• ��s - ,•r N ❑ House Lateral(s) ❑ DetectorCheck(s) ❑ Meter Surcharge ' LI.-66n-itation Capacity Charge ❑ W.S.B.F.C. ❑ Temporary Construction Meter ' ❑Tum on Charge) �.., ❑ Uncollected Account - Name z Tract - D Inspection Fee - Fee - I ❑ Plan Check Fees Water I Sewer - ` !. s `� s ' 8 Tract - F ❑ Bond Payment - A.D. - Bond Assmt. s •t': ❑ Customer Deposit i ❑ Other TOTAL ` " . +a Remarks: , . ! < ,f•' �( n F i . +• • � yam • ❑Copy to: s . 'F Cash ' . ,' F� i a ��� SKl? ,Water Service 9' Check h 3 MoneyCashier .'. Order r ggr _ .., _ _ t'_ - .,ry. « yR3F.s';7' o -i .. fix_ fW-.. � � rr' � t _ � f 3"M`_ � _. .;+. Y_.. �".•3 •y':•'!'r���, '��{'� '