002823 (SFD)44 a".
s21 P.O. BOX 1504
Building 53 3 Averd& Valli 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner J'OIS BimVic
Mailing
Address P.O. Blu 1128
CityZip T
el.
- . Tia Quima 92253 564-33103
Contractor
Address .
City -
State Lic.
& Classif.
Arch., Engr.,
.Designer
Address
IZip I Tel:
Sam
Lic. #
el.
No. 002823
BUILDING: TYPE,CONST. OCC: GRP.
A.P. Number
Legal Description rA+.- 1 and 2
Project Description Q f=jly &MLUM
Sq. Ft. GM 466 No. No. Dw.
Size Stories Units
New ❑Z Add ❑ Alter ❑ Repair ❑ Demolition ❑
City Zip State
_ - Lic. #
LICENSED, CONTRACTOR'S DECLARATION..
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section V
70 OO) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. .
SIGNATURE DATE
OWNER -BUILDER DECLARATION Estimated ValUatlOn
I hereby affirm that I am exempt from the Contractor's License Law for the following $2�i,123,00
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
- PERMIT
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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will
'
.Plan. Chk. Dep.
Plan Chk. Bal.
Const.
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
Mech. .
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
Electrical
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.) - --
Plumbing
p. 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 t
S.M.I.
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
r A �
Grading
Driveway Enc.
is /
Date 'a Owner +'
Infrastructure
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
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
REMARKS,
or ess.)
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
Lender7s 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 abplfe information is correct.
1 agree to comply with all city arld county ordinances and stafiiFlaws relating to building
construction, and hereby authorize representatives sof this city to enter the above-'
mentioned property for inspection]3purposes.
Signature of applican A Date 17 •S1���
Mailing Addressr
City, State, Zip I
HARD COPY
R
AMOUNT
33. q
79.,�3x
5*78
a tJ!-f
20.00
20.00
1,240.80
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 12-30—Wermit
Validated by:
Validation: a
A 7 0 3 8 12 31 195549 CK
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CARP. SO. FT.
WALL SQ. FT.
SQ. 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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
jOL /� '^ 2� ^ ��
/— /J „`
SQ.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
VENTILATION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE JPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLnING ELECTRICAL HEATING & AIR COND. SOLAR
BACK 5/20/07
GROUND PL MBIN I7 �7
UNDERGROUND
A.C. UNIT
COLL. AREA
LAB GRADE
ROUGH PLUMB.
BONDING
HJEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
UND. REINF. r; 7/,
ATO
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 x$
_$
LUMBER GR.
qqqq
FINAL INSP. 2
FRAMING
FINAL INSP.
��
�J
17
jOL /� '^ 2� ^ ��
/— /J „`
�A� 41 3_ f
0
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
&THING
MESH
NSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
IED
o
C
w BERMUDA DUNES r
RANCHO MIRAGE
r INDIAN WELLS H
d, PALM DESERT a 4
%P LA QUINTA
10 INDIO y0
Desert Sands Unified School District
82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631
December 30, 1986
* City of La Quinta
Department of Community Development
78-105 Calle Estado
La Quihta, CA 92253
Re: 5.3-500 Ave. Vallejo, La Quinta, CA - 1 unit
Gentlemen:
The developer of the above referenced project has
mitigated its impacts on our overcrowded schools by
payment of the amount of $628 per unit. This amount is
to be applied to the cost of additional district
educational facilities made necessary by such new
development.
Sincerely,
John D. Brooks
Assistant S rintendent
Business a ices
By:
Facilities Planner
JDB/vmm
* This certification of payment of developer fees is valid
for issuance of building.permits only until and including
December 31, 1986.
S.
Sala jo / J� /�
Escrow Instructions CjE+C rye/%e/YU/ C7cSC/`PC!% illi,
Jackie Phillips 44-900 San Pablo Ave., Suite 4
Escrow Officer Palm Desert, CA 92260
(619) 568-3627
We have handed to La Quinta Palm Realty the sum.of $250.00 for
deposit herein and will further cause to have handed escrow
holder an additional amount of $7,250.00 plus closing costs, in
the form of a cashiers check just prior to the closing of this
escrow.
and will deliver to you any instruments which this escrow requires shall be executed by me, all of which you are
instructed -to use provided on or before February 14 , 1987 you hold a policy of title insurance
with the'usual title company's exceptions, with a liability equal to the total considerations herein covering
Lot 6, Block 284, Santa Carmelita at Vale La Quinta, Unit.26
1Q -111S
Escrow Number
niociomhar 15, 1986
Date
Paid outside of Escrow
Cash through Escrow 7,500 00
Encumbrances of record
New Encumbrances
Total Consideration . 7,500 00
As per map recorded in •book 120 page(s) 50 of maps in the office of the County Recorder of Riverside County, Calit.
(Memo: Property Address: Vacant Lot - refer to legal description above ) except any oil or mineral reservation of record
showing title vested in: GARY S. AKERS and LINDA P. AKERS, husband and wife, as Joint Tenants
Free from encumbrances except: 2nd half
(1) General and Special taxes for the fiscal year 19 86 , 19 87 which are not delinquent as of close of escrow
(2) The lien of supplemental taxes, If any, assessed pursant to Chapter 498, Statutes of 1983, of the State of California
(3) Covenants, conditions, restrictions, rose rvalions,rig hIs, rights of way and easements of record, If any
INSTRUCTIONS:
(A) This escrow is subject to the buyers approval of a copy of the preliminary title report
and C.C.&R.'s within seven (7) days from buyers receipt of same. No written disapproval to
escrow holder within said time period shall be deemed buyers approval as to this condition.
All parties signing this agreement hereby acknowledge receipt of a copy of these instructions.
Prorate taxes based on latest available tax bill as of Close of Escrow Prorate insurance handed you as of N/A
or buyer will hand you new insurance at his option. Prorate Homeowner's Association dues as of N/A
Prorate interest on loans of record as of N/A Prorate rents and adjust deposits as of N/A
based on rent statements handed you. Any rents in arrears are to be disregarded in your prorations.
Credit seller and debit buyer the amount of impounds, if any, as disclosed by beneficiary statement from the holder of the loan of record.
I/Wo nnroo to nav escrow fees and charges as charged.
EACH PARTY SIGNING THESE INSTRUCTIONS HAS READ THE ADDITIONAL ESCROW CONDITIONS AND INSTRUCTIONS ON THE
REVERSE SIDE HEREOF AND APPROVES, ACCEPTS AND AGREES TO BE BOUND THEREBY AS THOUGH THE REVERSE SIDE HEREOF
APPEARED OVER THEIR SIGNATURES.
.m
J
LL
Buyer's Signature yo,
Buyer's Signature
Gary S. Akers Linda P. Akers
Address Phone
The foregoing terms, provisions, conditions and instructions, and those on the reverse side hereof are hereby approved and accepted in their entirety and concurred
in by me. I will hand you necessary documents called for on my part to cause title to be shown as above, which you are authorized to deliver when you hold or have
caused to be applied funds set forth above within the time as above provided. Pay your escrow charges, my recording fees, charges for evidence of title as called br
whether or not this escrow is consummated, except those the buyer agreed to pay. You are hereby authorized to pay bonds, assessments, taxes, and any liens -of
record, including prepayment penalties, if any, to show title as called for. Pay Documentary Transfer Tax on deed as required.
Pay commission as follows $ to
$ to
Seller's Signature
D. Keith Johnson
Seller's Signature
Address Phone