003624 (SFD)P.O. BOX 1504 No.
003624
Address
Building 53- 065' Dian LA QUINTA, CALIFORNIA 92253
Owner . .
Coachella Valley -wand Co., . .
' BUILDING: TYPE CONST. OCC: GRP.
Mailing r
Address 247 1. -AnihmAti Way #2 A.P. Number 774-041-016
City Zip Tel.
92162 32 --3.02 Legal Description
Contractor Project Description raiT1;ale. i?ait ily Dwelling
Stam Construction
Address
may.
S.
City Zip Tela
State Lic. City
& Classif. .387934 Lic. # 395 Sq. Ft. 1529 No. No. Dw.
Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
310 of 6' wc-od fence
City
Zip
State
430 •. Garai i
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section'
7000) of Division 3 of the Business and Professions Code; and my license is in full force and
u
effectSIGNATURE
`%✓ DATE
• , ., .. '
OWNER -BUILDER DECLARATION
_.
Estimated Valuation.
I hereby that 1 am exempt from the Contractor's License law for the following
703 1-.5, Business Professions Code: Any or county
reason: (Sec, and city 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
- PERMIT- AMOUNT
the provisions of the Contractor's License Law, Chapter•9 (commencing with Section 7000) of
-t
" Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis -
for the Any Section 7031.5 by 'any for
_
4
Plan Chk. Dep. €30.
alleged exemption. violation of applicant a permit`
subjects the applicanttoa civil penaffy of not more than five hundred dollars ($500)- '
y$250.
I� +¢3
Chk. BBI. 'i J
. ❑ I, as owner•of the -property, or my employees with wages as their sole compensation, will .
_Plan
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Const" 376 • 00
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,
f�
Mech.sv
provided that such improvements are not intended or offered for sale. ,if, however, fire building
. ,330
or improvement is sold within one year of completion, the owner -builder will have the burden
Electrical�'17 "
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 103.00
struct the project. (Sec. 7044, Business and Professions. Code: The Contractor's License Law
builds improves thereon, for
s>!!
S.M.I'.
does not apply to an owner of property who or and who contracts
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
. V11f
Grading 20.00
❑ 1 am exempt under Sec. B. & P.C. for -this reason
-
Driveway Enc. 20.004�
Date Owner
Infrastructure 1141 L.36
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have 'a certificate of.1consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified.copy thereof. (Sec. 3800, Labor Code.)
Policy No. 'Aompany'° ' � • "
❑ Copy is filed with the city. ❑ Certified copy is h eby furnished.
TOTAL $2,742. 6
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
tI _ t5 t;
sl*) "1� AV!' P f Ay, � 1' yAUJ 0
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: If, after making this Certificate of Exemption you should become
ZONE: BY:
subjectto the Workers' Compensation provisions of the Labor Code, you must -forthwith
comply with such provisions or this permit shall be deemed revoked.' -
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 ouisigned and validated, and is subject to
FINAL DATE INSPECTOR
expiration if work thereunder is suspended for 180 days.
21 ' � � (�
1 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
HARD COPY
T '
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
"
SLAB GRADE 3//
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS,
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT. ®
GAS (FINAL)
TEMP. POLE
WALL SQ. Ff.
DRINKING FOUNTAIN
'GROUT
WATER HEATER
URINAL
SO FT ®
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
CU. yd.
$ plus x$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP. a6D
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
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.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/a c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
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 & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 3//
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS,
/
SEWER ORS ICT
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL 7J /
GAS (FINAL)
TEMP. POLE
'GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. a6D
FRAMING
FINAL INSP.
7/—
ROOFING 7
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR v
GAR. FIREWALUL 426
LATHING ` 1
MESH
`
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS,
GARDEN WALL FINAL
_Z� 9
P.O. BOX 1504 APPLICATION ONLY
Building78-105 CALLE ESTADO
Address ..f'3 O LA QUINTA, CALIFORNIA 92253
Owner J r'
Mailing '
Address a y 7 e To evo V, T z W,+,i
City Zip Tel. 40
P41A,e S,04,,)r % 1 9 a 2 4. i 3.2 a- /,0 L o
Contractor r
Address
2 ',-7 4f '¢ 2
Zip Tel. /
44443 F2 2 4 Z I 3A I - l0 20
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 77-1-0411-016
Legal Description X-ff,T- 640,,he /7 r
Project Description.S�.�4/cr
State Lic. if City
& Classif.3� 79'3 Al Lic. # gG�— SFt. No.
_ / Size Sto
Designer
Address Tel.
City IZip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under proyisions of Chapter,9 (commencing with Section
7000) of DivisIidn 3 of the Businessss and Professions Code; and my license is in full for a and
effect. L14--.� •� 1 / 3
SIGNATURC�' DATE
OWNER -BUILDER DECLARATION
eby 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
Oermit to construct. after, 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 rive 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
o/ 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
✓;EWWORKERS�'COM ,EN ATION DECLARATION
I hereby affirm that ' avea certica e�fot,,consent to self insure, or a certificate of
Worker's Compensation insyrance, or a certifiedtcbp�'ther oe,_f\Sec. 3800, Labor Code.)
Policy No. / .Company i
❑ 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.)
I certify that in the performance of thq 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
Lenders 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.
1 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 DIVISION
No. Dw.
NewA Add ❑ Alter ❑ Repair ❑ Demolition ❑
IEstimated Valuation Ao' SOS
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
r'
TOTAL
REMARKS
005182 10 815700? -08-88,._.,_ 10
Y'Lr L.H�i7 1 iUrHL- Y 4 Y.VV
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
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SO. FT. ®
GROUT
WATER HEATER
WALL SO. FT. ®
FINAL INSP.
DRINKING FOUNTAIN
SQ. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
-$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
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
FIRE ZONE ROOFING
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
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 & 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.IEQUIP.
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 SIGNATURESIINITIALS
GARDEN WALL FINAL
' otrrr fele.
low Mo. 10 -SM
Lam No.
WHEN 116COROEO MAIL TO-
COAL=UA VALUM LAMD Co.
Attar Virgisia Cooper
27820 Dorris Drive, Suite 102
Carnal Valley, Ca. 93923
MAIL TAX STATEMENTS TO
ur as above
., fill
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tQSM� �
AC A vk'T7«q o R11COAGG we
0001/IP1fN1V ywaw It TAN - iii�- -1?0
.. �. Caete�aM M e» eatetaraeaw M -MA of /M" atk""L am
...... Cateautka A VA twtetdw~ O glre we too to vokoanfto
lektlkk\ M was of sea
5 _
a,Mw•/e it oetlneM M sawt e.1w,M„Mr IM •w,,, 4.m. .
GRA' ( DEED
FOR A VALUABLE CONSIDERATION, rvcapt of which a hersby ack-KmIedowt,
ROM? L. CULLRM AND RATNRYN CULLSH, husband and rife
hereby GRANT(S) to
COACNRLLA VALLRY LAND CO , LTD., a Califntnia Lisped Partnership
the few property in the City of LA "CTC.. .
County of Riverside SW. ul :, •I d,unu. dtactrtled as
Lot in Block 178 of BMta Carmelite at Vale La Quint&, ':ult Mo. 18, as shorn by map
on file in book 19, pegea 30 and 31 of slaps, Records of Riverside County, Ca.
(APs774-0111-016-81
Lot 11 in block 167 of Unit t18, Santa Car•rlita at Vale Ls Quint&, as per itaP
recorded in book 19, pages 30 and 21 of Maps, Records of Riverside County,
California.
AP4774-075-011
Dow November 17 „ 1987
eraaowrv'a��Vuaida iN
�Movef�er 23,1987
•stow K er rkeMaeM4 a Mow► PMMA n eno /a aW Sww pw
epNy tepowso Robert L. Cullen and Kathryn
Cullen
/ � iAGL•riC.G/
R st L. C len
i
Rat Nryn�Cu on
alwaa srw
twsm,nr born a — iw pc—c;'. ,n. — m. bawl a ..wuc+a,v MVW G, M, I IA1fj
4w0pftm b to ale PWO^N .ft" „P Gi Were n,k.C„ked Is 0. �` CAWGivesO
000 WAVoo Md sed SMAvoladod b no "Mt IWMV Wy e.eiwp0
"Mo*'
• DtsNlttms fw Ant M
wrtttaw n,y kaM sM tMlcr 1Mw ,
n- �•--- �• 11ke N est .rMr, --W .tel
1k�t.alle.ti -.- ro0a wail
MAIL TAX ETATGWXTS At DIR&MD AWVR