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9856 (SFD)Building Address 52--940 Diaz Owner Jerry Lugo Mailing Address 4 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 , City Zip Tel. 1 Contractor Same as above State Lic. City & Classif. B1 31739 Lic. # Arch., Engr., Designer Address Tel. . CityI Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION that I am licensed under provisions of Chapter 9 (commencing with Section 3 of the Business and Professions Code, and my license is in full force and OWNER -BUILDER DECLARATION I hereby af&rn that I am exempt from the Contractors 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 rile 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, 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.) ❑ 1, 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. R 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. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WO R KERS' 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 employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. "Dale 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 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 No. 9956 BUILDING: TYPE CONST. OCC: GRP.. A.P. Number 773-312--010 Legal Description Lot 17 Block 170 Project Description SF'D Sq. Ft. Size New ❑ No. Add ❑ Alter ❑ No. Dw. Units Repair ❑ Demolition ❑ Permit dues not include block Malls or Estimated _Valuation 91,804.30 PERMIT AMOUNT Plan Chk.tDep. 250.00 ' Plan Chk. Bal. 268.62 Const. 603.50 Mech. 55.50 Electrical 127.92 Plumbing •165.00 S.M.I. 9.20 Grading 20.00 Driveway Enc. 20.00 Infrastructure . 2027.35 TOTAL 3547.09 3297.09 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback frorri'Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: I 10 I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES +, IST FL. SQ. FT. ® $ UNITS SETBACK s GROUND PLUMBING l UNDERGROUND YARD SPKLR SYSTEM 2ND FL SQ. FT. SLAB GRADE ? b .? 9/ A ROUGH PLUMB. BONDING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® SE ROUGH WIRING. GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (ROUGH) METER LOOP DRAINAGE PIPING CAR P. I SQ. FT. ® REINF. STEEL 8 O� �� GAS (FINAL) WALL SQ. FT. DRINKING FOUNTAIN. SQ FT ® WATER HEATER 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 WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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 FIRE ZONE ROOFING: SO. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL i ti FIREPLACE SO.FT.GAR ® V4c 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 8 AIR COND. SOLAR SETBACK s GROUND PLUMBING l UNDERGROUND A.C. UNIT ' COLL. AREA - SLAB GRADE ? b .? 9/ A ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK y FORMS SE ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL 8 O� �� GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING LUMBER GFL FINAL INSP. �. cu. yd. FRAMING / i FINAL INSP. $ plus x$ =$ ROOFING O / �j� l/i %/ REMARKS: VENTILATION G FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND D FINISH GRADING FINAL INSPECTION / 7 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL i DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 8/19/91 No. 110812 Owner Name Type of Permit Jerry Lugo No. 52-940 street Ave. Diaz City La Quinta zip 92253 La Quinta Permit # Log # Study Area 112 APN # 773-312-010 1 Tract # I DLot # Square Footage 11600 Type of Development Single Family Residence No. of units 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 ff—.5-8­1 X 11.655 1 or$ 2,528.00 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 Jerry Lugo Telephone . Name on the check : ,* , _ . ' �a. James E. Lively Assistant Superintendent, Business Services Fee collected /eze ted by Diana M. Allard Signature _ ;1 itip- J i�. Payment Received' f ,+. , ; ( n Check No.'3230 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 Received From: L Tract SC,' 8 L.(4. ► 7C G.A. Code $ a.50 O Remarks: CKs C 1,t-*-W'D TOTAL $ [x- (O 2 S ❑Copy to: Cash Check Money Order r .. Water Service Cashier .� '4 CVWD-438(11189 Order No. •Es. eow'No. Loan No. WHEN RECORDED MAIL TO: Jerry Lugo and Isabel Lugo L7 LU k� ... 0 t v It Q 13 %; WW. SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: 16 50 DOCUMENTARY TRANSFER TAXt.............................................. Same as above xxxComputed on the consideration or value of property conveyed; OR / ...... Computed on the consideration or value less liens or encumbrances remaining at time of sale. , Signature of Declarant or Agent cieterml g tax — Irm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Thomas Sawyer and Christina Sawyer, husband and wife hereby GRANT(S) to Jerry Lugo and Isabel Lugo, husband and wife, as joint tenants the real property in the City of La Quinta County of Riverside , State of California, described as Lot 17 in Block 170 Santa Carmelita at Vale La Quinta Unit No. 17 as per map recorded in Book 19 Pages 19 and 20 of Maps, in the office of the County Recorder of Riverside County, California. Dated June 3, 1991 I STATE OF CALIFORNIA )ss COUNTY OF San Bernardino) June 3, 1991 before me, the undersigned, a Notary Public in and for said State, per- sonaltyappeared Thomas Sawyer and Christina Sawyer (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)+Irlare subscribed to the within instrument and acknowledged to me that hegsheithey executed the same. WITNES my Ihndand official seal. Signatur A 21� V r inia M. Green Thomas Sawyer Jai I h ) o -,.,-'- Christina Sawyer a, .. OVFIC1AL SEAL VIRGINIA M GREEN m 9 NOTARY PUBLIC - CALIFORNIA SAN BERNARDINO COUNTY My comm. expires DEC 30,.1992; (This area for official notarial seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 (6/82) < CALVIN C. KAMINSKAS i� ; DAN RILEY a Asslstonl Commissloner Sealer, Weights & Measures (714) 275-3000 (714) 275-3030 M4j 1• OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissloner 83-612 Avenue 45 Suite 7 Indio, CA 92201 (619) 342-8291 DATE % CASE NO r✓ — D 7 � Z DEVELOPER'S NAME: S. Cc ADDRESS- TELEPHONE: ((�� Dear Developer: After reviewing your landscaping plans, -all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ from plant material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. 7 gric tural Commis ice cc: Indio and Riverside 11 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 - FAX (714) 275-3012 - is 3S" BUILDERJS 3EARIES Model Description ❑ B36CF Builder's 36" Clean Face Model Description Double Wall Chimney Low-cost, light -weight double wall chimney is perfect for installation in residential homes. Fans (Optional) 41 11 iiUlLiJhK'J 6EXIE6 Outside Air (Optional) � ,ass Doors (Optional) Fireplace may be equipped with outside air capability for easy installation. Brick -Like Refractory Marco's simple door installation maintains the clean uncluttered look of the fireplace when installed. Clean Face The complete absence of grills guarantee the custom made masonry look when installed. Heat Circulating Dual two -speed fans may Includes a fully refractory A true heat circulating be utilized on heat lined firebox. fireplace. Room air is circulating models only. circulated through the fireplace for added energy efficiency. Other .Marco Features: • Low Profile design • Durable epoxy black finish • Knock -out plug for easy gas line installation • Narrow side walls 1 • Maintenance free damper J • Pre -wired for fans (heat circulating units only) • Heavy mesh safety screens • Heavy gauge steel grate ❑ B36HC Builder's 36" Heat Circulating ❑ B36HCI Builder's 36" Heat Circulating (Insulated) Hearth Dimensions 12"' Dia. Pipe 10% �1A 12111.' 40• Hearth Extension IB' x 18' Framing Dimensions K 161E SQ. Listing Agencies. U.L. (Underwriters' Laboratories, Inc.) MH9245 B.O.C.A. (Building Officials & Code Administrators International, Inc.) B.C.C. (Southern Building Code Congress) ..C.B.O. (International Conference of Building Officials) #2578 L.A. City -Approval Number R & R NO. 23960 Hearth Dimensions �-- 23- 1 18, -- 35' Hearth Extension 53• x t8' I 12%' 01a. Pipe 0 �•a 21311e' Model ❑ B41CF Model _D ❑ B41HC B ❑ B41HCI g Framing Dimens