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003168 (SFD)P.O. BOX 1504 No. Building 78-105 CALLE ESTADO 003168 Address s4'7i V&.ejf� LA QUINTA, CALIFORNIA 92253 Owner RLek Jobneen Constr ct BUILDING: TYPE CONST. OCC. -.GRP.- Mailing Address P. 8. R= 329 A. P: Number 774»282-010 City Zip Tel. 3,.8 ;(11>Zc'3_ - 9M-3. _564!.-2228, Legal Description Contractor Project Description T3>'+,on4lw Address City Zip ` ' Tela State Lic. City 1850 & Classif.. �,Lic. #'' Sq. Ft. No. No. Dw. ._ . Size Sapp �,t. Stories Units .,Arch.,, Engr.; .... - Designer New S, Add ❑ Alter.❑ Repair ❑ Demolition ❑ Address Tel. PermIt includ88 146' $ of -V bigh wood City Zip State yP.!€c'.. Lic. # LICENSED CONTRACTOR'S DECLARATION r� I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section x 7000).of Division 3 of the Business and Professions Code, and my license is in full force and effect. " /-'+".� . SIGNATURE DATE OWNER. -BUILDER DECLARATION Estimated Valuation 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 AMOUNT 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 Plan Chk. Dep.. Qd� subjects the applicant to a civil penalty oPnot more than five hundred dollars ($500). - - ❑ I, as owner of the property,.or my employees with wages as their sole.compensation;;will Plan Chk. Bal. .q 61 � 1 n - do the work, and the structure is not intended or -offered for sale. -(Sec. 7044, Buisness and CiOrISt. 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, Mech. - u provided that' such improvements are not. intended, or offered for sale. If, however, the building j or improvement is sold within one year of completion, the owner -builder will' have the burden Electrical o f proving that he did not build or improve.for the purpose of sale.) - -� O 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing��(� Strutt 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 S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ....0 I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date 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. I. .Company ❑ Copy is filed with the city. ❑ Certified copy is hereby. furnished. TOTAL CERTIFICATE OF EXEMPTION FROM - REMARKS. - 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 the work for which this permit is issued, i shall not v 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 ZONE: BY ­ subject _ -subject to'the 'Workers' Compensation provisions of the 'Labor Code, you must forthwith ..MIrlllilUrn Setback Distances: comply with such provisions or this permit shall be deemed revoked. - - Front Setback.from Center Line Rear Setback from.Rear Prop. Line — CONSTRUCTION LENDING AGENCY Side Street Setback from Center'.Line 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.) Side Setback from -Property Line Lender's Name Lenders Address FINAL.DATE INSPECTOR 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 She above information is correct. Issued by: Date A197/97 Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. p $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO, FT. ® CARP. SO. FT. p WALL SO. FT. SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK I ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/aC IHOUSE SEWER FRAMING �7 FINAL INSP. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE M1ECH.FE PPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR Q/L zl�- :� I06LAB 3ETBACK GROUND PLUMBING: 17 UNDERGROUND A.C. UNIT COLL. AREA GRADE -�'� ROUGH PLUMB. �ONDING �1j '� HEATING (ROUGH) STORAGE TANK &,r_FORMS - 5 - / SEWER 6R 3 PTIC- j ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. 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. FINAL INSP. r / FRAMING �7 FINAL INSP. ' I Y/ROOFING - G �/ �y `ice A�/ 2` ` `L t ^� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL r/� THING 6` 2` 6 ' MESH INSULATIONISOUND v FINISH GRADING FINAL INSPECTION CERT. OCC. - FENCE FINAL INSPECTOR'S SIGNATURESANITIALS, GARDEN WALL FINAL L1 ESt,:j-tilrti INSTRUCTlutis '30 MU'rUAL ESCRUW SL1<v1.GLS Dia(u WESTERN MUTUAL ESCROW SERVICES MAY 14,1987 Office 74-133 EL PASEO SUITE H, PALM DESERT, CA 92260 Escrow No. PHONE: 619-340-6979 ESCROW OFFICER: NANCY MARSHALL 2318 For the consideration hereinafter stated the undersigned buyer is acquiring the land herein set forth from )`Q` 1 MARIE WAGNER, AN UNMARRIED WOMAN I LV Title to be vested in uy — ` �� V a RICK E. JOHNSON & LAURIE S. JOHNSON, HUSBAND AND WIFE AS JOINT TENANTS E cco oo Real Property in the State of California, County of RIVERSIDE City of LA QUINTA Lots 15 and 16 of Block 305 of Unit No. 28 of Santa Carmelita at Vale La Quinta as per map recorded in Book 19 pages 59-60 of ?paps in the office of the County Recorder of Said County. You will record any instruments called for in this escrow when you can obtain Policy of Title Insurance on said property with liability limited to the total sales price showing title vested as above, Subject Only to: 1. All general and special real and personal property taxes for the fiscal year 1987-88. 2. Covenants, conditions, restrictions, easements, rights and rights of way of record. INSTRUCTIONS: (A) The close of escrow is subject to the seller acquiring Court Approval to convey subject property to buyer herein. (B) Seller Escrow Fee and Title Fee Not to exceed $500.00 - $250.00 per each lot - Buyer to pay any differance owed. (C) The close of escrow is subject to the buyers approval of the preliminary title report within 5 days of receipt of same from escrow holder. Silence shall be deemed approval. MEMO: BETWEEN BUYER AND SELLER ONLY WHICH ESCROW HOLDER HAS NO DUTY OR PERFORMANCE: Seller is aware that buyer herein is a California Real Estate Licensee. CONSIDERATION Paid Outside of Escrow To Deposit to be made Deposit to be made First Trust Deed Second Trust Deed Total Sales Price $ 14,000.00 $ $ $ $ 14,000.00 PRORATIONS AND ADJUSTMENTS to be made on basis of 30 day month on items marked "X" below as of CLOSE OF ESCROW TAXES 19 86 -19 87 (II amount unavailable for current year, base Ippon 2nd half of last fiscal year). INSURANCE on basis of premiums shown on policies handed you. INTEREST on Trust Deed Note RENTS on the basis of rental statement IMPOUNDS to be replaced by the buyer GENERAL IN,STRUB�TIONS: Time is of the essence of this agreement. If, for any reason, this escrow cannot be closed by AAUUGGUUSSTT i1�4+ 11y9 you shall. nevertheless close it as soon as possible thereafter unless.notice of cancellation is given by either party. Any notice of cancellation affecting this escrow, for whatever reason and whenever given, may be given only in writing, delivered to you in duplicate. On receipt of such notice you shall within three days mail one copy to the other party. Unless written objection thereto from such other party shall be received by you within ten days after such mailing, you are authorized to comply with any instructions in such notice and to cancel the escrow upon payment of your cancellation charges. In the event written objection is received within the time stated or in the event conflicting claims are made upon you in this escrow, you may refuse to take any further action hereunder or you may interplead the parties in any court of competent jurisdiction, in which case you shall be entitled to your costs including reasonable attorney's fees, incurred therein. If you become a party to any civil action by reason of this` escrow, you shall be entitled to recover your attorney's fees and costs, as may be allowed by the court. You are hereby authorized to deposit any funds or documents handed you under these escrow instructions, or cause the same to be deposited, with any sub -escrow agent, subject to your order at or prior to close of escrow, in the event such deposit shall be necessary or convenient for the consummation of this escrow. From the buyer's funds, you are authorized to pay, upon presentation, invoices for new or additional insurance. Seller warrants that premiums on existing insurance have been paid. Prepare the Deed providing for the Tax Bills being forwarded to the buyers at C.i'Address Of prGP'• 'ty. 1XX P.;1_ BD 'i2Q __La. rh,inra_ rA Q9)r;4 I agree to deposit funds and deliver documents as called for herein and parr buyer's usual chargos BUYER JOHNSONRICK E. Address P.O. BOX 329, La Quinta, CA 92253 LAURIE S. JOHNSON Phone (Res.) Phone (Bus.) S64-2228 The undersigned SELLERS hereby approve the above instructions in their entirety, specifically including the incorporation of the printed general instructions, and will hand you deed for said property to be used when you hold for myh:i account the total sales price as above set forth less any amount paid outside of escrow and less the unpaid balance of any encumbr` nce listed above. Commission, if any, to be paid Broker is provided in separate instructions. From funds held for!my/our account pay You are authorized to pay any other encumbrances necessary to place title in condition called fbr an I/we will hand you any funds or instruments required for such purpose. I agree to pay seller's usual charges. .DAWNIS BRADSHAW EXECUTOR OF THE ESTATE OF MARIE WAGNER SELLER BY: Address P.O. Box 985, Todi, CA 95241 Phone (Res.)209-334-250p1 Phone (Bus.) .�- 21,9W1 &W !J a W / t , r .. - � • _�,. _ r ~,a, - - ' c:-.._.,..� .- � .. i � - ,-.. " � +-moi. ••^�-...' --. � ..... - �Alkk 2 47 Z O U W t ,41 m Z O U W rn U) Y Q W Cr U Z O l= U W U) W RECEIPT NO. �"� Issued by `r_ Date n 9-7 District: ❑ Riverside Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—.Bldg. Dept. -GOLDENROD —Pending File DOH -SAN -122 (Rev. 6/86) COUNTY OF RIVERSIDE, ENVIRONMENTAL -HEALTH SERVICES DIVISION p PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEMA —Cl D/O I. Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County specifications required on the attached check list. A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) Mailn� Address City State Zip Code _ Telephone 'Job Property Address City o C„ Legal Description of Property. (Lot, PM, TR) 'Assessor's Parcel No. :• Water Agencyeor�,Well �'""'�"'"""'� ^�y•tt��y/ nn % Use of Permit• aDlid ,.lAw.- %P!f elplanning Case # Lot Size SF D, MH Site Preparation Etc. Signature of Applicant Date 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE initial' Date Certification of Existing S.D. System required. ❑ Yes N" ,D o'""—' WQCB Clearance required. ❑ Yes ❑� A Soils feastbilit report'required ❑ Yes �❑ e y r .i alIV port Be ailed boring report required'. -.. g ❑Yes I�d, �No Detailed contour plot plans required. ❑ Yes +.Staff Specialist approval required. �❑ YesNo Lot Inspection Date Soils/boring report by _- Project #: Date Soils Map Page ` f �? Soil TypeApproved by Date w /i Type•of System: b �•., . No. of Bedrooms (1) Septic Tank •y Soil Rate Required a ❑ Existing ®`New-."40'Additional ❑ Replacementt �'1 �d��+( / . r Gals. rJ' � ✓� � (2) Leach ` line sq. ft. ww Sid we a�`allowance Install Line(s) Ft. Long, v Leach bed Sq. (Botto trrn tench area) ft. rock/ Sq. Ft. FtideViitthmin. inches Ft. of'bottom� per running ft. ©-WA rock below drain line -s---, area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth Applicable 'f Overburden factor / Max. allowable depth -V4 r �N/A ) ,.,Tri ... .ri,.r �''?) / : ?#/ This application is app ed'h enied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Sectio'r�r"B�abt�A building permit is necessary for the installation of the above -designed system. I Al (1 Septic tank and sewer lines must bet50' fr.rom any wells'l,�� �'� t , <�� r. 't LfS� C-� 2) Leach lines must be 100' min. from any wells including -expansion" area~` - (3 Seepage pits must be 150' min. from any wells includingp expansion area -fir /0�-!-/c. SignaHealth Official / Date W RECEIPT NO. �"� Issued by `r_ Date n 9-7 District: ❑ Riverside Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—.Bldg. Dept. -GOLDENROD —Pending File DOH -SAN -122 (Rev. 6/86) zy, -y-v -J�D