9431 (SFD).. :It �
. • P.O. BOX 1504 N o . 9431
Building 78-105 CALLE ESTADO C .
Address 53-845 Vallejo LA QUINTA, CALIFORNIA 92253
Owner��
David P. Fisher BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address P. D. Box 1772 77.4'-162-029°-'4
A.P. Number. _
City Zip Tel.
La Quinta 92253 564-2539
Contractor
David Fisher Construction
Address
53-650 Diaz
City Zip Tel.:
La Gi=.pinta 92253 564--2539
State Lic. City
& Classif. 334932 B1 Lic. # 1809
Arch., Engr.,
Designer Robert Bird
Address Tel.
54-085 Rami.ez 564-3683
City Zip State
La Quints' 92253 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
effecI. .
_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, atter, 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 ($500).
O 1, 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 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 safe. 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 of sale.) '
O 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.)
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
O Copy is filed with the city. O 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 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. '
1 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
o•
Description Block 236 Lot 22 MIB 20/24
;t Description SFD
Sq. Ft.
Size 2009
New ❑ Add ❑
r'3JA
No.
Stories
No. Dw.
Alter ❑ Repair ❑ 'Demolition D
r
I
11.8,267.64
PERMIT
AMOUNT
Plan Chk. Dep.
Plan. Chk. Bal.
345.61
Const.
9 a s-04
Mech.
62.00
Electrical
148.27
Plumbing
153.00
S.M.I.
8.33
Grading
20.00
Driveway Enc.
20.00
Infrastructure IZ6L
71 2521,42
I,rts in Public
45.67
TOTAL 4 2.82-3-4
!i n_A2_Z4 .
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:
1t;WiW
CONSTRUCTION ESTIMATE
NO. ` ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
A.C. UNIT
2ND FL. SQ. FT.
SLAB GRADE
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK '
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. ®
SEWER OR SEPTIC TANK
DRAINAGE PIPING
WALL SQ. FT.
DUCT WORK
DRINKING FOUNTAIN.
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
REINF. STEEL
FLOOR DRAIN
MECHANICAL FEES
TEMP. POLE d . y/
i
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER HEATER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
LAUNDRY TRAY
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® IV4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUM BI �3 ?�
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) 2� /J/
7
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE d . y/
i
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
=$
LUMBER GR.
FINAL INSP.?/f A
f
FRAMING /2 Q(Q
FINAL,/,
INAL INSP. �/P/
ROOFING
/��yD _ -
/ i//'�/
l
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
4
MESH
tww
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTI •1/` `/
[ v/k
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
DocumenteCannot Be Duplicated (619) 347-8631
M
Date 5/30/91 Type of Permit I La Quinta
No. 110626 J Permit #
Log #
Owner Name David P. Fisher
No. 53-845 Street Vallejo
city La Quinta zip 92253 Study area 111
APN # 774-162-029-4 Tract # Lot # Square Footage 2009
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 Fl. -58-1 X ®or$ 3,174.22. 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 David Fisher Construction Telephone 564-2539
Name on the check
By Richard M. Beck
t
Director, Facilities Planning & Development' _ > ' °`,.'
Fee collected /exempted by Shelley D. Bennett --
Payment Deceive d-,T,;t `
im
Si ature Check Na _ S-1 0
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 REQI
.•lSTED B'
,iEconomo ��Y`.
�cm1 Trr1A LL�
- Q
AND WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN BELOW � v
�.C. MAIL TAX STATEMENT TO:
Nana David P. Fisher et ex '61 m
144 Vista Shelter Cove N. 94 J6Z, o
Street 1`
Addax: Whitehorn, Ca. 95489city IG o yah il
byp u+ Z G
45
Slate o yj oc N666
,# MAIL TAX STATEMENTS TO
> rr
•.�� r L
Nam
Y.i
Na • _
Street same as above address
Address-
TITLEORDER NO. .. C-519533 ,Escaoweo. 4414—JC SPACE ABOVE THIS LINE FOR RECORDER'S USE
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S) `
DOCUMENTARY TRANSFER TAX IS.$ 22.55'
❑computed on -full value of property conveyed, or
1 apomputed onfullvalue less value of liens or encumbrances remaining at time of sale.
❑ unincorporated area
CJcityof La Quinta AND
ti
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
_--aj• William R. Riley,•an unmarried man r.
N -
.
rr ,, hereby GRANT(s) to
V David -P. Fisher and Priscilla A. Fisher husband and wife as joint'
tenants
the following described real property in they Lr�t
County of Riverside Cit of Stat o a i ornia:
t 'The South half of'Lot 6 and Lot 70,. Block 236 of SANTA CARMELITA AT VALE • -
LA QUINTA, Unit No. 22, -as per -map recorded in Book 20, page 24 of Maps"
in the office of t e County Recorder of',Riverside County, California.
Dated June 4, 1990
William R. Riley
STATE OF CALIFOF}(A j� ss.
COUNTY OF
in"the year 19
On this f)C �dy
of Y - — -
before me, the undersigned, a otary Public in and Zor said State,
pe ally appeared a ��
(or proved to me on the basis of satisfactory evidence) to be the—
OFFICIAL S
person whose name subscribed to the within JOYCE A, COOPER
instrument, and acknowledged to me that — he _ executed it. FNOT
_ _ ARY PusUC_C° OW"
I _ PRQWAL OFFICE N . 1
WITNESS my hand and official seal.'
RIYFASIOE COUNTY
1'
1 y,Z.W..bnEap" Sept 1. 1992 1
{ nature
• �PUW—C
(TMs arae lar offldal notarial eeeq - NOTAR�..TATE
Co -441 (REV 4/85) MAIL TAX STATEMENTS AS DIRECTED ABOVE. -
: tYtAV'i:ate»i tip Y ]- +_.^h C r+ ,,F x .r't. r Y .'t ,+:,v �.• :Sry �s 'r: h.asi':r .o.��. _i
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL ;: ,
Received From: X4 Y /) Vj
Ja " (d L_,C / U /
d �d�
94
Address: P /
f�U�
Account No. 10 & 0
40� • Lot9' s) � 1.51 0 7
Service Address S-3—"eq J a
n
R-reter(s)
.r
6Y5ervice(s)
❑ Backflow(s)
❑ House Lateral(s)
❑ DetectorCheck(s)
❑ Meter Surcharge
W-SanitationCapacity Charge
e0
3
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account -Name
❑ Inspection Fee - Tract -
Fee -
❑ Plan Check Fees Water / Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer Deposit
❑ Other
Remarks:
❑Copy to:
Cash
Check
Money
Order ?H
G.A. Code
TOTAL
s
z; Water Service<'
�r�,•'", Cashier
t •, CVWD-438 (11189)
"4 t'..*.►: OFFICE OF
_ AGRICULTURAL COMMISSIONER
') AND
WEIGHTS &MEASURES CALVIN C. KAMINSKAS
JAMES O. WALLACE 4000 LEMON STREET, ROOM 19 Amhlord CO-111100"nr
/lpdcullurotCommh1lonm RIVERSIDE. CALIFORNIA 92501 CLEMENT DENVENISIE
Sealer
DUector of Weights A measurof (114) 707-2561
83-612 Ave..45; Suite 7
Indio, CA 92201
(619) 342-8291 �pq
D11'IE 3 Z 9 CASE NO. %� / \ S 3 6 ! /
MVEWPER' S N1 M,__ i 6e:md !P:."
ADDRESS: 13 k SD
9 z i t3
IELEPI IONE: (6
shy -2 s'3?
M
QAA�"
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 nnast.be;notified
immediately.
lbank you `for protecting and preserving the. Coachella Valley's" pest -tree envirolullent.
�1gr _cultural'Canmissioner 06 Aoffice
n �
cct Indio and Riverside Office