13183 (SFD)itrA dA4. )r7—A P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 78-725 La Jari LA QUINTA, CALIFORNIA 92253
'V Builders
Mailing
Address P.O. 13OX 366
City
Zip
Tel.
La Qginta, CA
92253
564-4832
Contractor
AM C6nStructi n
Ad
gress�
Driveway Enc. •`.
City
Zip
Tel.
State Lia
City
& Classif. 487.584
Lic. # 626
Arch: Engr.,
Designer
Address:
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm,that I am licensed under provisions of Chapter 9 (commencing with Section
70 OO) of Division 3 of. the Bu`s,in+es a dProfessions Code, and my license is in full force and
effect. .'�l:�Y�
_SIGNATURE DATE
OWNER -BUILDER DECLARATION
I herebyaffirmthat I am exempt from the Contractor's License Law for the following
reason: (Sec: 7031.5,Buslness and Professions Code: Any city or county which requires a
permit to construct,, alter,'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 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, Suisness 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. It, 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.)
❑ 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
❑ Copy is filed with the city. ❑ 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.)
it 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: 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.
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
BUILDING: TYPE CONST.
A.P. Number 769•-136-003
Legal Description
Project Description SPD
No. 13183
OCC: GRP.
Sq. Ft. 2081 No. No. Dw.
Size Stories Units
New Ek Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit rives not include any block walls
or pool: Driveway -encroachment permit
to be obtained with Bn4ineering Dept.
Estimated Valuation $124 639 00: .,.
PERMIT`. AMOIINT
Plan Chk. Dep:--;:
250.00
-• j
Plan Chk. Bali
s 354..35
Const.
Mech.
Electrical
Plumbing
S.M.I.
2 1993
727.04
14g.fl�
jog. I4
444.00
EZ2. SA
Grading
20.00
Driveway Enc. •`.
'
.00
InfrastructuIe;
reds :: a
5.00
Arts . n PUblic
Places
_ 61. so
TOTAL
4,421.55
4,171.551.j
REMARKS V
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 FEES
1ST FL. SQ. FT. ® $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
DUCT WORK
ROCK STORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
REINF. STEEL
GAS (FINAL) TEMP. POLE 0
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
WATER HEATER SERVICE
FINAL INSP.
DRAINAGE PIPING
CARP. SQ. FT. ®
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
WALL SQ. FT. Q
LUMBER GR.
DRINKING FOUNTAIN.
SQ. FT. ®
I
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
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, 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 ® 1+/4 c
SEWAGE DISPOSAL
FINAL INSPECTIOI9—?!W
SQ.FT.GAR ® 36c
HOUSE SEWER
CERT. OCC.
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
ELECTRICAL HEATING & AIR COND. SOLAR
SETBACKr(e�
GROUND PLUMBING —1 ERGROUND
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 APPJEQUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE 0
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. / `.
l
FRAMING G�
FINAL INSP. � —7_ 7
ROOFING Q ��
_9
T
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL -Z 3'013 G
LATHING -2-3 G
MESH
INSULATIONISOUND —` 3
FINISH GRADING
FINAL INSPECTIOI9—?!W
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Building^Zj ��.72 5 y
Address / L- f f7/
Owner
Am P LJ I I -P M
Mailing 7 o 3 t 1
Address l2 4�
City 62 ZIpljZ,7,5_�;
Contractor AW/
Address��Q ,
City lZip
G d P.O. BOX 1504 APPLICATION ONLY
78-105 CALLE ESTADO
OUINTA, CALIFORNIA 92253
State Lic.Gity
& Classif. (.,{�� Lic. #
Arch., Engr.,
Designer
Address Ffel.
BUILDING: TYPE CCONST.~� OCC. GRP.
A.P. Number -761— 13& —0d3;
q_ 1fV 2 "' Legal Description C -
Project Description J fZ1"
CityStae
le, , IZIp I Lic•# F
#1 ENSED CONTRACTOR'S DECLARATION
I hereby affirm that I a j tensed undW'provIsion�� IChapter 9 (commencing with Section
7000) of Division 3 of th sin ss and Pro orts,6ode, and my license Is In full force and
effect.
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, alter, 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 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, Bussness 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 or completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of safe.)
❑ 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' COM ATION DECLARATION
I hereby affirm that I have a certif' to consent to set • certificate of
Worker's Compensation Insurance, or a c ifi copy t ec. r Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Cert ed 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, alter making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions or the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I= 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 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
FINANCE
Sq. Ft. ,n, ' No. No. Dw. f
SizeytJ� Stories Units 1
Add ❑ Alter ❑ - Repair ❑ Demolition ❑
,timated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
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:
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 7/22/93 Type of Permit I La Quinta
No. 12339 Permit #
Owner Name A & M Construction Log
No. 78-725 ' street La Taritz
City La Quinta Zip 92253 Study Area 116
APN # 769-136-003 1 Tract # I I Lot # 0 Square Footage 12081
Type of Development Single Family Residence No. of units 1�
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 1.65 X 2 081 or $ 3,433.65 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
A & M Construction
Name on the check
By lamps F. Lively
Assistant Superintendent, Business Services
Telephone 564-4832
Fee collected /exempted by Vickie J. Durrett �- r
Payment Receive` -
Signature
M6�_9_ Q,f
Check No. 15657
..
Collector: Attach a copy of county or city plan check application form to district copy for,all waivers. T
Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy_- Accounting .
ti
RECORDING RF.OUESTE"Y
UMON LAND TITLE COMPANY
AND WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN BELOW
lMAIL TAX STATEMENT TO:
am,A_&L M Construction
iSreet
i -
dt,'e.P . O . Box -366
lity&La Quinta
)StateCa 92253
MAIL TAX STATEMENTS TO
NameSAME AS ABOVE
Street
Address - - --- -- -
City 8
State
TITLE ORDER N0.2 0 2 7 4 0 ESCROW No3 7 9 7 —J C
0
Q
A
CD
V C
7'��
CnCOcc
CCo` 0o 1" ♦ c -u Q O
if
C' o
03lic
SPACE ABOVE THIS LINE FOR RECORDER'S USE
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX IS $ Cps Sa
)CI computed on full value of property conveyed, or
❑ computed on full value less value of liens or encumbrances remaining at time of sale.
❑ unincorporated area
M --I city of La Quinta , AND
FOR A VALUABLE CONSIDERATION, receipt of.which is hereby acknowledged,
o Howard, a married man as his sole and separate property
hereby GRANT(s) to
& M Construction, A California Partnership
0
the following described real property in the City of La Quinta
County of Riverside , State of California:
ots 33, 34, 35, 39, 42, 43,--44, 45, 113, 115, 131, 135, 138 -of DESERT
GUB TRACT UNIT NO.5, as shown by Map on file in Book 21 Pages 61 and 62
f Maps, Records of Riverside County, California.
I
-7.D,,!ed -Jan.~ —4-,=1990
Leo Howard
STATE OF CALIFORNIA /�
COUNTY OF LOS A A) G'--C.cc S SS.
On this %— day of J -4a u 6 ±� in the year 19 -9-0— ,
before me, the undersigned, a Notary Public in and for said State,
personally appeared 44:;'2 h�o60'4/-6
, personally known to me
(or proved to me on the basis of satisfactory evidence) to be the
person whose name subscribed to the within
instrument, and acknowledged to me that _ he — executed it.
WITNESS my hand and official seal.
Signatur `�"'�«lQ% G . `7ir-
NOTARY PUBLIC IN AND FOR SAID STATE
CO -441 (REV 4/85)
MAIL TAX STATEMENTS AS DIRECTED ABOVE.
(This area for official notarial seal)
OFFICIASPAT. I\
RHODORA E FRANK.
a
NOTARY PUBLIC - CA.LIFO:.'::A i(
„
LOS ANGELES COUNTY
^= '"
My comm. expires AUG 28, 1992
MAIL TAX STATEMENTS AS DIRECTED ABOVE.
(This area for official notarial seal)
CALVIN G KAMINSKAS ; J
Asslstanl Commissloner=
v
(714) 275.3000 '
OFFICE OF
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE. commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291
r
DAN RILEY
Sealer. Welghls & Measures
(714) 275.3030
DATE ZZ — q'3 CASE NO.
DEVELOPER'S NAMEt
ADDRESS: PB 36 �
TELEPI IONS: (&g ) S
Dear Developer:
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governing Lhe Coachella Valley. If substitutions
do occur and they differ from plant material listed, this office must be notified
imnediately.
,Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agricultural Cotnnissi is Office
cci Indio and Riverside
4080 LEMON STREET, ROOM 19. RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012
C t of 14 a Oututa
Nu4b*
Lit to . aub *afjot3t11-t*'1$it*j0U
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building!
Code certifying that at the time of issuance this structure was in compliance with the various.
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 78-725 Avenida La Jarita
Use Classificotion Single Family Dwelling Bldg Permit No. 13183_
Group R3 Type Construction VN —Fire Zone use zone SR
Owner of Building AM Builders P.O. Box 366
Address
City La Quinta, CA 92253 Lonnie Day •
By.
Date; February 7, 1994
Buil1linif Official
W
T IN A CONSPICUOUS PLACE