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9444 (SFD)r./4 Building 54-510 Diaz Address Mailing Address City Indio. Contractor P.B.A. Address . S aLme P.O. BOX 1504 .)) N o . 78-105 CALLE ESTADO // J LA QUINTA, CALIFORNIA 92253 �f 10 ;�s __71BUILDING: TYPE CONST. OCC: GRP.; SA 45-250 Smurr #12 Zip Tel. 52201 1 347-2470 Zip State Lic. City &Classif. 547897 Lic.# 1469 Arch., Engr., Designer Address Tel. City IZipI State Lic. # LICENSED CONTRACTOR'S DECLARATION hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) of Division 3 of the Business and Professions Code, and my license is in full force and ffect. i _SIGNATURE DATE 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 peirnif 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 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 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 ❑ Copy is filed with the city. O Certified copy is hereby furnished. ly; CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not 'be completed i1 the permit is for one .hundred dollars ($100) valuation or less.) 1 certify that in the performance of tha 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. 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 Ihereby 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 A.P. Number_ Legal Description Project Description Ste? z Sq. Ft. 1709 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Pe.%T1;iit includes block garden gall Permit does not include pool Estimated Valuation94,556.00 rX56 00 PERMIT AMOUNT Plan Chk. Dep. 275'0,00 Plan Chk. Bal. 279.14 Const. 617.00 Mech. 55.50 Electrical Plumbing 165.00 S.M.I. 6.65 Grading 20.00 Driveway Enc. 20.00 Infrastructure 2030.09 TOTAL 3574.78 3:324. /'t3 REMARKS 08vii.0:7 #t) i567 04-91)_411 t.() I V W4.M^1 I i t1 i Wt.. I .9.3,:-f , f o 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 x 1ST FL. $Q. FT. ® $ UNITS SLAB GRADE /y �j G ROUGH PLUMB. BONDING YARD SPKLR SYSTEM ' 2ND FL SQ. FT. ® FORMS S R ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. $Q. FT. GAS (ROUGH) METER LOOP GAR. $Q. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. ® TEMP. POLE DRAINAGE PIPING WALL SO. FT. ® GROUT DRINKING FOUNTAIN SQ FT ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation _$ FLOOR DRAIN MECHANICAL FEES FRAMING 6 �? f%/ 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SQ. FT. ® c BATH TUB LATHING 3 SQ. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ® V.c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE IPL.CK.FEE CONST. FEE JELECT.FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK C/ �j� ✓ GROUND PLUMBINGtA D UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE /y �j G ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS S R ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. `� 9� / 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 INSP. �D 9 ! f/ FRAMING 6 �? f%/ FINAL INSP. ROOFIN �/� %,, `// A/�%�" / / _� IG' 71 711f7/ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 3 MESH INSULATIONISOUND L8 9r FINISH GRADING FINAL INSPECTION 9� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESJINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 4/22/91 Type of Permit I La Quinta No. 10556 Permit # Log # Owner Name Pinson Brothers & Arroyo No. Street See Below City La Quinta zip 92253 Study Area 110 APN # I Tract # I Lot # Square Footage 13400 Type of Development Single Family Residence No. of units Comments 54-510 and 530 Avenida Diaz Each home is 1700 square feet 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 FT58 X ® or $ 5,372.00 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 Pinson Bros. & Arrroyo Telephone Name on the check By Richard M. Beck Director, Facilities Planning & Development Fee collected /exempted by Shelley D. Bennett n Payment Aeee;ved z � r Signature 1' �i ( A ; ` a' � �.��'"dck N6.,,2846 Collector: Attach a copy of county or city plan check application form to distriei copy for allwaivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting! ' ' OFFICE OF . _ AGRICULTURAL COMMISSIONER V AND WEIGHTS & MEASURES CALVIN C. KAMIIJSKAS JAMES O. WALLACE 4080 LEMON S1REE1, ROOM 19 ft.WaN Corr'NiNolmm AQrlcuOwol CommlfUonrrr RIVERSIDE. CALIFORNIA 92501 CLEMENT DFNVEPJISIE Dlreclor of Welahli A Me01w09 (714) 787-2561 Soolor 83-612 Ave. 45, Suite 7. Indio', CA 92201 (6191 342-8291 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 frafn plant material listed, this office nest be notified immediately. 'Bank you for protecting and preserving the Coachella Valley's pest -free envirom ent. Agricultural Camdssio er's Office cct Indio and Riverside Office CASE W. PC DEVELOPER'S NAMC;: ADDRESS- * I51— ` ELEP11ONE: Sq:j,_ " c947 O 3q7 — 3116- l16--_7 -_7—7 d- Dear Developer: AT. T-7 4 Z7 1 -. OZli- 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 frafn plant material listed, this office nest be notified immediately. 'Bank you for protecting and preserving the Coachella Valley's pest -free envirom ent. Agricultural Camdssio er's Office cct Indio and Riverside Office %N T ,rrllEICORDED;rTWl�t9 Aft Y. STATEMENT TO: PINSON_BROTHERS & ARROYO .45-250 SMURR ST. #12 INDIO, CA 92201 ASSESSOR'S. PARCEL NO. ESCROW NO. - 3685— TITLE ORDER NO. GRANT DEED The undersigned grantors) declare(s): Documentary transfer tax is.$ 146.30 ( ) computed on full value of property conveyed, or ( )computed on full value less value of liens and enc umbr ces re Hing at time of sale. ( ) Unincorporated 'area: ( YCity of � QU1� and By this instrument dated FEB. • 5th, 1991 for a valuable consideration, JOSEPH VAN MULLEM AN UNMARRIED MAN hereby GRANTS -to PINSON.BROTHERS & ARROYO A CALIFORNIA PARTNERSl-l1P the following described real property in the State of California, County of. RIVERSIDE Lots..,21.;:' 22,�.•23 =,and,.24 -of Block 270 of Santa Carmelita At Vale La Quinta Unit no..25:a•s' per 'map recorded in Book 19 pages 50-51 of maps in the office of the County Recorder of Said County. STATE OF CALIFORNIA ... ) SS. C.OUNTY'=OF ) On before me, the undersigned, a Notary Public in and for said County and State, personally appeared personally known to me (or proved to me on the basis.of satisfactory evidence)'to be the persoh(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same. Signature JOSEPH VAN •Z. r Uj�8OW aNcc U_�-,Cr '. ~ Cn w a li I< SPACE ABOVE THIS 1_112 FOR RECORDER'S USQ GRANT DEED The undersigned grantors) declare(s): Documentary transfer tax is.$ 146.30 ( ) computed on full value of property conveyed, or ( )computed on full value less value of liens and enc umbr ces re Hing at time of sale. ( ) Unincorporated 'area: ( YCity of � QU1� and By this instrument dated FEB. • 5th, 1991 for a valuable consideration, JOSEPH VAN MULLEM AN UNMARRIED MAN hereby GRANTS -to PINSON.BROTHERS & ARROYO A CALIFORNIA PARTNERSl-l1P the following described real property in the State of California, County of. RIVERSIDE Lots..,21.;:' 22,�.•23 =,and,.24 -of Block 270 of Santa Carmelita At Vale La Quinta Unit no..25:a•s' per 'map recorded in Book 19 pages 50-51 of maps in the office of the County Recorder of Said County. STATE OF CALIFORNIA ... ) SS. C.OUNTY'=OF ) On before me, the undersigned, a Notary Public in and for said County and State, personally appeared personally known to me (or proved to me on the basis.of satisfactory evidence)'to be the persoh(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same. Signature JOSEPH VAN •Z. r GRANT DEED GRANT DEED . This form provided by WESTERN MUTUAL ESCROW SERVICES STATE OF. CALIFORNIA COUNTY OF RIVERSIDE SS. 31 ��� On this 5th day'of FEB, , in the scar 1991, n before me, the undersigned, a Notary Public in and for said Cour y and" z ;j State, personally appeared FRED BROUWERS CL personally known oto me (or proved to me on the basis of satisfactory evidence) to. be the v F LU v person whose name 1S ' Z U. subscribed to the within instrument, as the Attorney -AS— in fact of � Z .J.O.SERH_._V.AN_MULLEM_ . '`' `'"' i !; ¢• t i:��i i��lf . rl(!r!•li �'1' :iEAI- i w and acknowledged to me that su c I dic n:nr {{ Ijr'i.:;,', r '1 � r„•.rl ; r•,; ;; .I tnt t Idt;l;ll t'nl dr;. �.•dilVl ulp w cc O THE. of JOSEPH VAN MU .F.M thereto as pr HIS apd. own name as Attorney 1�: ;� :P'` Uy Cornm. F_x,^,il�:-� .IUN 17,191;4 o a Signature U m S u n 2 Name (Typed or Printed) W Notary Public in and for said County and State 1.121 1183 MAINIE FOR NOTARY SEAL OR STAMP t Client Name Client Address Client Phone Buena Engineers,. Inc. 79-81 1 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 DATE ,5-,3--911,97- JOB NO. _3 -10.2- 10.PROJECT PROJECT T Lo TS �/�i✓!�J/5 //9Z LOCATION Lf} . - a /'d T'q FIELD TESTING CONTRACTOR /p� f0</✓,SdP/ &S OWNER WEATHER TEMP. o at AM ° at PM PRESENT AT SITE OPTIMUM MOISTURE CONTENT % 5q -1/6 ��wA iAz ° TEST NUMBER • TEST LOCATION / LOT NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY IbsJCu. ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY IbsJcu. ft. OPTIMUM MOISTURE CONTENT % 5q -1/6 ��wA iAz ° 9.0 �a� 7 96 ��9. 7 7, 1a6,/ 97 3 °ate -S /,2,3.9 9s q a 4,q 4,176 it 5.6 7 ��-.filo /68FG K 2cTAf►{1nlG !�A 5,4-59p0 = Oven. Mt ' Lcc.rn605 s'f �Sl D - Sal 330 5q -g5 S70 Fill 3 Q(D i LeY/Si/ L� 11 O - ATS' /11 � vtW O Le O O g At/E ihA htAZ REMARKS: E2 9( C"eirfE%f� 0 %U /r 57Z14—C. -@ A11C, Irr BCH f�frD. FCG 1"Mf6laff- ooais 1sTiwG dF selmr— ��ilol; GOG� /ZOIC• — � / �//9:h' r CLIENT REPRESENTATIVE SIGNATURE FIELD REPORT TECHNICIANS SIGNATURE 5924 ! Buena Engineers, Inc. 79-8116 Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 Client Name Client Address Client Phone DATE JOB NO. 3,20z -P/ PROJECT T ZoTS ELEVATION LOCATION 44 a/"JTq FIELD TESTING CONTRACTOR pp OWNER WEATHER U�- /e- TEMP. o at AM ° at PM PRESENT AT SITE OPTIMUM MOISTURE CONTENT % sq Ivo L1CW1j)A Az i ° TEST NUMBER TEST LOCATION LOTI NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY IbsJCu. it. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY Ibslcu. R. OPTIMUM MOISTURE CONTENT % sq Ivo L1CW1j)A Az i ° I 9.0 �a 7 9b f�-9.7 7• *7 /2 /°dam I 96 /x,39 9s 25.� 7 s�-.E7o /b8rG /a1,9 9� � N � �•9 /as b � 97 ACTAW )AIL &)AU.S, 5q- _ ¢a,c. ria l cc.rr,6is S 4.510 no 5 K -S5 W -;x'70 11 3sO D 11 Oil 1-7 1 _ Atli thA hIAZ REMARKS: CAS f T£s-f-S int/ 7* ew, L)1W6 ,949 C, 0 %a us��6 �► F i3 �, o -7� frc ,� s 7u .v ff� ow �3 ` iGG r�iCM f�irl)_ FCG /j1�IF-5b,*C Ce/51S7-1W6 dF SON.<— CLIENT REPRESENTATIVE SIGNATURE FIELD REPORT � TECHNICIANS SIGNATURE 59_, 2 /.