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9604 (SFD)P.O. BOX 1504�i � No. 9604 � Addrress 51-415 Calle jacu a LA QUINOTACCAL FORNIA 92253 f � �,� �a Owner R®cliard L/ Swalve Mailing Address City Zip ; Contractor ress BUILDING: TYPE CONST. % OCC: GRP. A.P. Number 769-116-002 Tel. Legal Description Project Description �? City Zip Tel.: State Lic. .,& Classif. 355655 B1 * City - Lic. # 1784 Sq. Ft. 1398 No. 1 No. Dw. Stories` Units . • ArcFi"Engr., I CSize Designer ranch® Cyr Lake Design .t New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Address P. O. Box 4bi1 Tel. 71�I244�.2©ti3 Pettit does not include block Wa11s or City Cain Lake Zip 923-3.0 State Lic. # 'pool LICENSEWCONTRACTOR'S DECLARATION' ' I hereby -affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Diiviision 3 bf•the Businegss and ProfessIonsyC,ode, and mi license is in full force and eiflCt. •i\. li � i 3'A � £ ? `94f f M SIGNATUREf DATE ' OWNER•BUILDERDECLARATION',_ I hereby affirm that I am exempt from.the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness 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 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 penally of not more than five hundred dollars ($500). ❑ 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, 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 sale. 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.) b 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 contractsfor such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - ❑ I am exempt under Sec. B. & P.C. for this reason Estimated Valuation 77,915.00 PERMIT - .. AMOUNT Plan Chk. Dep. - rj (j • (� Plan Chk. Bal. 221. 63 Const. .�.,. i< : I, 540. 50 McCh. rj • 50 Electrical - 121 6� ..Plumbing 16.3 • 50 S.M.I. . i • Qo Grading 20. 4v Driveway Enc. 20.44 Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I havea 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 .Copy is filed with the city. ❑ Certified copy is.hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE' (This section need not be completed it the permit is for one hundred dollars ($100) valuation or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ anyperson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. It, 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 if work thereunder is suspended for 180 days. I 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 Infrastructure 1714 , g4 .Precise Plan 25.00 TOTAL 314.4.55 2894.56 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEW --- 1ST FL. SO. FT. ® $ 2ND,FL. SO. FT. POR. SO. FT. ® I GAR. SO, FT. ® CARP. SO. FT. ® WALL SO. FT. ® SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET i j 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-9R'$EPT1C WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEGUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEWPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ® c BATH TUB FINAL INSP. SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING 0111f('1I 0 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE v�ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS-9R'$EPT1C TAN ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. • © GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEGUIP. 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. FRAMING 8 l L fj FINAL INSP. q ROOFING �r-e-jrG� �(% 2 c L� (�� REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL H G q n MESH INSULATIONISOUND L FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATIIRES/INTTIALS GARDEN WALL FINAL V 4 P.O. BOX 1504 APPLICATION ONLY Building 78-105 CALLE ESTADO Address '7 (� A QUINTA, CALIFORNIA 92253 Owner \ i Mailing rh AddressP ©� �� A.P. Number nT �P — CJ V i ity Zi T� ��� Legal Description Cor. tractor/ '.Project Description ' r LJ q *Tty a' . �/ City ., _ Lic. #q Sq. Ft. No. No. Dw. Arch:, E� v Size 3 �' Stories Units —Designer D s New . Add ❑ Alter -0 Repair ❑ Demolition ❑ — Addre s _ Tell d I`t �. 3 ley Zip State f(( Lic. # LICENSED CONTRACTOR' DECLARATION I he4b affirm t at licensed ntle��pprovi o s o Chapter 9 (commencing with Section 7 o vision oft a usinessd Prbfes n C • de, and my tic se is in full force and tect. S GNATU DATE _ OWNER -BUILDER DECLARATION Estimated Valuatl I hereby affirm that I am exempt from the Contractor's License Law for the following O �n reason: (Sec. 7031.5,Buslness and Professions Code: Any city or county which requires a 7lJ V it t t perm o cons rucl, alter, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit tofife a signed statement that he is licensed pursuant to PERMIT AMOUNT 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 ezempr therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.Q --� subjects the applicant to a civil penalty of not 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. do the work, and the structure is not Intended or offered for sale. (Sec. 7044, Buisness and Const. 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. provided that such improvements are not intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner -builder will have the burden Electrical 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- Plumbing 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 S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O I am exempt under Sec. B. & P.C. for this reason Grading Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLAR TION 1 hereby affirm that I have a certificate of consent to If-ipsure, or a certificate of Worker's Come satin Insur ce, or a cert+'Od ca thereof ec. 3800, Labor Code.) Policy No.Sa,J�(lompany- ( /�/j�l - O Copy is filed with the city. ❑ Certified co is here y furnished. TOTAL CERTIFICATE OF EXEMPTION FROM t REMARKS WORKERS' COMPENSATION INSURANCE _ .- r (This section need not be completed U the permit is for one hundred dollars ($100) vlation 5 005102 <2023 6T��'A,#,5, 5 ?Ss7 S or less. _ gvn�L1f I certify that in the performance of the work for which this permit is issued, I shall not employ any parson- in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner / NOTICE TO APPLICANT: If, alter making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions' of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. i f Minimum Setback Distances: _ - - / 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 Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. Issued by: Date 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 BUILDING DIVISION CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. 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 APP./EQUIP. 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/e c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL IL 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 GROUND PLUMBING 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) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 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. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESHNITIALS 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 La uinta No. 10877 O O Permit # Log # Owner Name Richard Swalve No. street See Below City La Quinta Zip Ca Study Area 110 APN # 769-116-002 Tract # I ILot # E= Square Footage 12796 Type of Development Single Family Residence No. of units Comments 1;1-9kn r.nllP .Tnmimhn 1 RAR sn ft 51-41.1; OnllP .Tnrnmhn 1 RQR en ft - 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 12.796 or $ 4,417.68 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 Richard L. Swalve Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /ezem d by Diana M. Allard Signature Telephone 714 2449584 Payment Received 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 AND WHEN RECORDED MAIL THIe DEED AND. UNLEee OTHER- WISE &HOWN BELOW. MAIL TAX eTATEMENTS TO: NAME r Richard L. Swalve, et al Amna•• CITY a *TATE 1 zip L1 Title Order No. Escrow No. 2-11282 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED The undersigned declares that the documentary transfer tax is $ ... 79�20................................................................... and is 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 oT realty`is loceted'in ❑ unincorporated area ® city of ........ ,Lid..Q.u.iptd...................................................................... and .. FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, EDNA LEETA DOVICA, a widow 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. **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 "C". DateJ September 7, 1990 STATE' OF CALIFORNIA • ��oCtut �.�cGG6c • ,�/iLtkdtlG Edna Leeta Dovica COUNTY OF SAN LUIS OBISPO I SS. On this the 13th day of Sept-, 19-9s 1, before me the undersigned, a Notary Public in and for said County and State, personalty 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 OF "CLIL BEAT. unlY CO U M person whose name -1 -s- subscribed to the within Instrument ltatsir AMUC • Cr�0110 and acknowledged that she executed the same. W � JUR4 spo m Signature of Notary CA Y CARNAHAN Assessor's Parcel No ............................................. Commission expires 6/4/93 MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED AI;OVF Name Street Address City & State f LEGAL DESCRIPTION PARCEL "A": SLOT 713 Irl -BLOCK 2 OF DESERT CLUB TRB.CT,- UNIT PJO. 2, AS SHOW.- FRY MAP ON FILE IN BOOK 20 PAGE 6 OF MAPS, RECORDS OF RIVERSIDE COUNTY,. CALIFORNIA. PAP;CEL "B" PLOT 9 IN BLOCK 3 OF DESERT CLUB TRACT, UNIT NO. 2, AS SHOWN BY 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. 4 COUNTY OF ""•• ""-- - C�17�_ 1811, peturtl ino UM w,,,,,....a.._-• On this the 13th day of Notary Public in and for said County and State, personally appeared Fpp NOTARY SEAL OR STAMP EDNA LEETA DOVICA , personally known COF1ICIAL SEAL it U�IN�HAN to me or proved to me on the basis of satisfactory evidence to be the Kstto t�t�peon whpSg name 1 S subscribed to the within instrument msmspoc um l (Jt*p wee t, ltl9tl and acknowledged that she executed the same. Signature of Notary Assessor's Parcel No ............................................. CA Y CARNAHANres 6/4/93 Commission expires MAIL TAX STATENIFNTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SI10WN, MAIL AS DIRECTED AB OV -- city a stare --- Street Address Neme