06410 (SFD)Building
Address :54-300 Vallejo
Owner -
New Cka-mratioWffluilders
Address P. 0. Rox 241
City Zip
fi
M 71paprtt 921
Contractor
sme
Address
City Zip
State Lic.
.& Classif. .352211
Arch., Engr.,
Designer
Address
- P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 06410
BUILDING: TYPECONST.r OCC: GRP..
A.P. Number 774-245-403
Legal Description
Project Description S
il
I el..
City
Lic. # 1230 sq.,Ft. 1$100 No. No. Dw.
Size "Stories Units
New ❑ Add O Alter ❑ Repair ❑ -Demolition D
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;ind Professions Code, and my license is in full force and
effect:` h V V
SIGNATURE DATE
OWNER -BUILDER DECLARATION '
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,131usiness and Professions Code: Any city or county which requires a
permit to construct, after, urprove, demolish, or repair any structure, prior to its issuancealso
requires the.apprmant for such permit to Re 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 cinif penalty of not more than five hundred dollars ($500).
O 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, Bufsness and
Professions Code: The Contractors 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 aro not untended or offered for sale. ff. 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 inprove for the purpose of sale.)
O I, as owner of (iie 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 buikfs or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec_ a_ S 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
Workers Compensation Insurance, ora certified copy thereof. (Sec. 3800• Labor Code.)
Policy No. Company
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM '
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff 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: ff, after making this Certificate of Exemption you should, become
subject to the Workers' C.ar9mvrsation provisions of the Labor Code, you must forthwith
comply with such provislms Of 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, Cin? Code.)
Lenders Name
Lenders Address
This is a building permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
-
I car ity 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'
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
Estimated Valuation
$91,262
Issued by:
PERMIT
Validated by:
AMOUNT
Plan Chk. Dep.
$250.00
Plan Chk. Bal.
Const.
4.
Mech.
.67
Electrical
112.90
Plumbing
164.51
S.M.I.
6.44
Grading
7-0 il00
Driveway Enc.
24.44
Infrastructure
2,01571L -15
TOTAL
0*424.71
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
PE -AT R
Issued by:
Permit
Date—Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADES �1
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
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
HEATING (FINAL)
OTHER APPIEOUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT. ®
GROUT
WATER HEATER
SERVICE
DRINKING FOUNTAIN
WALL SO. FT. ®
BOND BEAM
WATER SYSTEM
URINAL
SQ. FT.
-$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP. a' < ��
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
Ar -
I WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ic
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
SETBACK
PLUAW
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADES �1
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
go
SE R OR
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPIEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE !� QQI r&
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
-$
LUMBER GR.
FINAL INSP. a' < ��
FRAMING 2 y Q�
FINAL INSP.
ROOFING/)UA,
/n//////,t
'PR ' 1"om/
��%i , G
Ar -
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND O
FINISH GRADING
FINAL INSPECTION -% F/
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
• SCHOOL FNCA,4, FEES
C,UA
�}n
TO: City of La Q_uio()G �®e DATE:
Depa,rrtm�n� v ''� Development
WL;�d& Ca�l�e t°aao
Quint CA 92253
This is to eo f that
developer of which is /
located at within
this District, as paid school faci ity fees imposed pursuant to the
th r' y genera t b Go rnment Code e tiost 3080 i the amount o
( ) '
covering a total ofsqu a feet of ( ) residential r rl�
( ) industrial/commercial development and that build g permits for //15D
this footage in this development may now be issued by your jurisdiction.
t$aPvo,,D-
for DESERT S NDS UNIFIED SCHOOL DISTRICT
� 01, f
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
O&WO TITLE COMP d
Orde6•JJo.
Escrowo.0��3
Loan.No. `
WHEN RECORDED MAIL TO:
New yen ena#ion Bu i. dei z, Inc.
P.0. Box 2409
l a . De sett, -' CA - 92261
MAIL TAX STATEMENTS TO:
bQllle as a�0ue
co W Ilk 11K
G�� CVS
CI
312 4
SPACE ABOVE THIS LINE FOR RECORDS USE
DOCUMENTARY TRANSFER TAX $..� �Z;,20.. .:......................
...X Computed on the consideration or value of property conveyed; OR
...... Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
� 1.
Signature of Declarant or Agentdetennlning tax — Flrm.Name_
r GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
MEYER Cf/20S. -and 7HF-12ESA Cf/20S, 14.69an l and IhA
hereby GRANTS) to
;.. N& GENER,47ION BUILDERS, INC., A CALIT-0/2NIA..00R 0RA7ION
the real property in the City of (C%f �/)U/r7
County of i2wpA,yi State of California, described as
.Lots 17, .98.,- 19,._20,"'Z9, -andj7_7�.in-/3iock .290 o/. Sc1n&,CaAm b:ia, cit_ Vale La Quin_.ta, _
UrzU #26 a,3pea mal? /recoAded in took 20, page 50 o,,,-fap.s, /2eco�rcls o, /2iye idz CourLty,
C"o/u a.
ty YL ;
Dated `TzgAuariy 23, 9989
f r STATE OF CA LI RNJA Is&
COUNTY OF i�l I/ 0/11 �D )
o'' on 3, 9
j. •� before me, the undersigned, a Notary Public in and for said State, per-
sonally appeare
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose names are su !bed to the
I within Instrument an knowledged to a that he e/ ey executed
the same. % /�
(fie ez F�ico.� _
The m.6a £/ico.6.
RECEIVE MAR 3 0 198P
,w OFFICIAL SEAL
L LAlNE FLOAN
�•�NOIARY.PUBLIC—CALPFORMA
PRA-CIPAL OFFICE IN
RNERSIDE COUNTY
'My COmmIsslon Expires Oct. 23. 1991
(This area for official notarial seal) '
1002 (6/82)
TAX STATEMENTS AS DIRECTED ABOVE