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9603 (SFD)4 P.O. BOX 1504 N o . 9603 `., Buildingw 7&105 CALLE ESTADO . Address 51-280 Calle Jacumba LA QUINTA, CALIFORNIA 92253 Owner Richard Swalve Address City " Zip Tel. 1714/ Contractor Swalve Cons{r1_icti©r Address Zip Tel.: State Lic. City & Classif. 355655 B1 Lic. # 1784 Arch., Engr., Designer Rancho Cyn. Labe 'Design Address Tel. P. 0. Box 4621 714/244-21003 City Zip State C n Lake 92334E Lic. # r -N LICENSED CONTRACTOR'S DECLARATION I hereby affirm that Fam licensed under;provisions of Chapte , 9 (commehcin`g with Section Df)0) of Division 3 oaf the Business and Profession1.s Code;. and;.my license is in full force and 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, after, 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 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 rive hundred dollars.(S500). • — ❑ 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, Buisne'sand 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 sale. If, however, the building or improvement is sold within one year of compiedon, the owner•bullder.will have the burden of,proving that he did not build or Improve for the purpose of sale.) ❑ 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.) ❑ 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 ❑j6opy is filed with the city. ❑Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed /1 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 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' 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. I certify that 1 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 BUILDING: TYPE CONST. 'OCC: GRP. A.P. Number.: 769-116-002 Legal Description Project Description Ft. No. No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Pcnnik does not include block walls or pool 77,915.00 PERMIT AMOUNT Plan CW Dep. 2543. Plan Chk. Bal.221A3 Const. 540.50 Mech. 55 50 Electrical 1 Plumbing S.M.I. 'Grading Driveway Eric. Infrastructure 1714.84 Precise Plan 25.00 TOTAL 3140.56 28943.56 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 l Permit .0 Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. PQR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. 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.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRYTRAY 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL � / �/a ?(Y !%/n SO.FT.GAR ® 3/.c HOUSE SEWER REMARKS: 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 PLyMBING ELECTRICAL HEATING & AIR COND. SOLAR' SETBACK01( OUNO PLUMBING tQ ( It L NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEQLI R. SEPTIC TANK 7A GH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL IN �0 GAS FRAMING 1 %� Lo ` FINAL INSP. ^� ROOFING �„( v t [ G(/) � / �/a ?(Y !%/n REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LAYTHING l (2-019— 2- 0 1QMESH MESH INSULATIONISOUND ! ! y FINISH GRADING FINAL INSPECTION Z CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 9/23/91 Type of Permit I La Quinta No. 110877 Permit # Owner Name Richard Swalve Log # No. street See Below City La Quinta zip Ca Study Area 110 APN # 769-116-002 Tract # Lot # Square Footage 12796 Type of Development Single Family Residence No. of units Comments .1511 -290 .Tacumha 1.398 sq- ft_ 51-415 Calle .Tarumba 1298 sq- fl 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 1.58 X I Z796 or$ 4,417.68 have been paid to D.S.U.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 Richard L. Swalve Telephone-' 734 ` 9584 Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /egem ted by Diana M. Allard Payment Received Signature Check No. 316 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 REQUESTED BY ,F,4 AND WIJFN RECORDED MAIL THIS DEED AND. UNLESS OTHER- WISE SHOWN BELOW. MAIL TAX STATEMENTS TO: NAN6 F Richard L. Swalve, et al ADDRZSS ip CITY s STATC y ZIP L A J Title Order No. Escrow No. 2-11282 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED - , The undersigne_. declares(�ihat the transfer .tax is $...79..24........................................................ ....................................................... ............ and Is EJ computed on the full 'value of the interest or property conveyed, or is ❑ computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land, tenements or realty is located in ❑ unincorporated area ® city of........zA..Qu!,Uta...................................................................... and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, EDNA LEETA DOVICA; a widow I A hereby GRANT(S) to RICHARD L. SWALVE and SHARON M. SWALVE, husband and wife as joint tenants, as to an undivided 1/2 interest, and CONSTANCE BARKSDALE, a widow, as to an undivided 1/2 interest, as tenants in common, as to Parcel "B", and" the following described real property in the City of La Quinta county of Riverside , state of California: LEGAL DESCRIPTION, ATTACHED HERETO AND MADE A PART HEREOF. t "RICHARD L. SWALVE and SHARON M. SWALVE, husband and wife as joint tenants, as to an undivided 1/2 interest, and RICHARD B. SWALVE and LINDA K. SWALVE, husband and wife as joint tenants, as to an undivided 1/2 interest, as tenants in common, as to Parcels "A" and 11/.11• t t Dated September 7�, 1990 dc�rct� Edna Leeta Dovica i A STATE OF CALIFORNIA COUNTY OF. SAN LUIS OBISPO SS.- On this the 13th day of - Seat . 19--9Il, before me the undersigned, a Notary Public in and for said County and State, personally appeared _ EDNA LEETA DOVICA FOR NOTARY SEAL OR STAMP , personally known to me or proved to me on the basis of satisfactory evidence to be the person whose name—i S subscribed to the within instrument and acknowledged that She executed the same. Signature of Notary CA Y CARNAHAN Commission expires 6/4/93 MAIL TAX STATEMENTS .4TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE Name Street Address City & State 0 LEGAL DESCRIPTION PARCEL "A": Tu�T 23 iY�i BLOCK 2 OF DE-.SERET CLUB TRECT, UNIT P: � SS C . 2, ���t� F!Y MAP ON FILE IN BOOK 20 PAGE 6 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA. PARCEL "B"•' LO BLOCK 3 OF DESERT CLUB TRACT, UNIT NO. 2, AS SHOWN BY f93IN MAP ON FILE IN BOOK 6 PAGE 20 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA. PARCEL "C":,. LOTS 17 AND 18 IN BLOCK 3 OF DESERT CLUB TRACT, UNIT NO. 2, AS SHOWN BY MAP ON FILE IN BOOK 20 PAGE 6 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA. f r