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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