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002982 (SFD)r Building Address 73-805 VtStwiwd 5D Wive Owner a3.tt3 tri »g. Mailing Address 789 Pudl Xings City Zip Tel. Daim. m o CA 92260 Contractor ress City (Zip State Lic. & Classif. Arch.; Engr:, Designer Address City Lic. # Tel P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA; CALIFORNIA 92253 BUILDING: -TYPE CONST. -OCC: GRP.- A.P. Number 34-464. _ Legal Description lot 4• IYact. 21090. Project Description�1t3,��? Sq.•Ft.No. No. Dw. Size . Wig..2031.*.. Stories Units I New ❑ Add ❑ Alter ❑ Repair ❑ :• 'Demolition ❑ .. . . City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION _. hereby affirm that I am licensed under Provisions of Chapter 9 (commencing with Section 70 OO) of Division 3 of the Business and Professions. Code, and my license is in full force and effect. .. -. _SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's -License Law for the following $ reason: (Sec. 7031.5, Business and Professions Coder Any city or county ,which requires a *to !�2 permit construct, alter, impiove, demolish, or repair any structure, prior to tits 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 Division 30f the Business and Professions Code; oc: that. he is exempt therefrom, and the basis for the Any Section 7031.5 by 'any for - Plan. Chk. Dep. alleged exemption. violation of applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars'(8500). Plan Chk. Bal. �� 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, Buisness and Const. l . Professions Code: The Contractor's License Law does not. apply to an owner.of property who - F.7s builds or improves thereon and who does such work himself or through his own employees; Mech. y9 [}Hq dskpt) provided thal'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 Electrical wit - & 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 00 struct the project. (Sec. 7044, Business and Professions'Code: The Contractor's License Law __.U7.- does not apply 'to an owner or 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:) Grading ❑ I am exempt under Sec.. B. 8 P.C. for this reason Driveway Enc. 20 'i` ,, ., fi Date � " Owner Infrastructure 1. 68 a s 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. TOTAL �j�� p- /� 5' 2.846.65 2.596 a.05 CERTIFICATE OF EXEMPTION FROM .. - REMARKS, WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred 'dollars ($100) valuation f _ /2/At 7—.p P_(i [./ Z.440 /f1W IZAU,01.-e or less.) - - I certify that in the performance of thg work for which this permit is issued, i shall not —��L. O N '/�'L"I�G L Ty 76i Z04% " -employ any person in any manner so as to become•subject,to the Workers' Compensation f Laws of California. ' Date Owner NOTICE TO APPLICANT: If, after making this Ceitificate of Exemption you -should become ZONE: BY: - subject lo' 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 I CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the r work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Name Lender's Address -signed FINAL DATE INSPECTOR This is a building permit when properly filled out; and validated, andds subject to ' expiration if work thereunder is suspended for 180 days. I certify -that I have 3/10/87 read this application and state that the above information is.correct. Issued by: Date Permit agree to comply with'all'city and county ordinances and slate 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 B)491 3 l0 59665 it HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING F EES IST FL. SQ: FT. @ $ 2ND FL. SQ. FT. POR. SO. FT. @ GAR. SO. FT. @ CARP. SO. 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 APPJEOUIP. LAUNDRY TRAY 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. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL %� *t' 1 �' 6"~,� _ i SQ.FT.GAR @ 3/ac HOUSE SEWER VENTILATION 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 7// SETBACK ' 9� OUND PLUMBING ' UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS WER OR SEPT[Xi� ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 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 %� *t' 1 �' 6"~,� _ i 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 Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES (CD' TO: City of La Qtfinta DATE Z.? De artment=of,Communit Develo men - � P Y t P 78-105 Calle Estado La .Quinta', CA 92253 This is to ,certify that developer of which, is located a.t79-_ wi¢hin this District, has paid school facility,;fees imposed pursuant to the authoritXogenerated by Government Code Sect101 530A0 in the amount of e44, AAoNA covering a total of A 0 :5/' V square: feet of..( residential or. (- ) industrial/commercial,development and.•that building-permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS,UNIFIED SCHOOL DISTRICT White Building Department • Yellow-'Facilities Planning • Pink - Accounting • -Gold Devviloper c�. baa 1 O)-37 '� ;r`i� jwro:� IC,i:`fl tw-'4�'.,, y, .c r, i .i ar; .'v ,�f,.rv'�. 1g�� `]�r= i!�'�'�'f-•:J"� fi►w 'S` �' �,t COUNTY OF RIVERS.iDE, ENVIRONMENTAL HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form With four copies of a scaled plot plan (1-20 scale) drawn to County specifications required on the attached check list. A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # qNme (Owner, Agent, Contractor, Etc.) y ty 17-S-069 MailinngAddress „yd CityState Zip Code Telephone 9 Job Property Address ° a 7 1- AC16 \J c ; •emrounitya Legal Description of of ProFerty. (Lot, PyM�, TR)) i` 0City 0, 'Assessor's Parcel No. - Water Agency orAXelh f . _ 1, •sem rV x� - . Use of Permit'" 0%•��of1 tanning Case # Lot Size �i ➢i* ipt�9�id lN..tlrFd\ t c•� SFD, MH Site Preparation Etc. `i On 04 j2 Signature of Applicant '*y Date 1 m The above information must be verified from Building A'pp'lication . STAFF USE — DO NOT WRITE BELOW THIS LINE nittiiial Date Certification of Existing S.D. System required. ❑Yes ❑'No' riff/ _�2 - r, 41- WQCB Clearance required. ❑ Yes O Nor 00;1 x Soils feasibility report required. ElYes 1�2 /Nor Detailed boring report required. ❑ YesL�( . o Detailed contour plot plans required. ❑ Yes. Z,No Staff Specialist approval required. El Yes �Z No Lot I nspection 'Date Soils/boring report by. /`� Project # Date Soils Map Page�/>i /c1 Soil Type F Gi Approved by!r� Date aK1 ' r if t - 1 .. ✓ �n..r ij , Type of System: No. of Bedrooms? 4�� 3Boi71r�1 (1) Septic Tank � Soil Rate Required ' ❑. Existing. ®Nf ew El Additional Replacement ` =d "7t t�t/u.Arlr4ii (2), eachline sq.. ft. trench Sidewall allowance 1 ft. Sq. Ft. Install Line(s) Ft. _ong, inches Leach bed Sq. FtN'of bottom (Botto ,, area) rock/ Ft"wide with min. per running ft. ❑„ 1A' rock below drain line~-- area"" Leach: lines/ bed -special design for slope: Applicable (3) Pit Diameter No: Pits Pit BI Seepage: Pit total depth ..r N/A-1toef Overburden factor .,�; , Max. allcWable depth If ��..��_.1✓` _.. i -OCC.., ...r .... /'�i✓f'S1"'�� xo�d Ca ✓$+!d t,.tA.wr�ct.�.....- f /J �� �.� .C�Y..Ll. �' � _Y : •>�:.«• -£ .�..!''Z�ed9.:.� .... .�/� G%2 ..SAF" ' .-d%� W �/�F v i oil ` . -?F`...f�'-C�./-I.�X ILiC✓I'./�+/1J•../9rt�. �!� �/C/Y•�FK� �'^'/./CR'i.�iiV.._f/ LrT/ C✓ `✓�%fIY' (w��tK// A �%YZK... This applicationEi p ov d denied:for the design of a subsurface disposal system as indicated on the accompaned plot plan using the requirements set forth in Section B above. A. building permit is necessary for the installation of the above -designed system. (1 Septic tank and sewer lines must be,50' from any, wells d to ems, c(.� • . ui Ge. � %�r�� �'r f �• 1 12Leach lines must be 1001 min. from any wells including expansion area "(3) Seepage pits must be 150' miin/n from any wells includiinng.,eexxpa�n}sion area-/ /p _ � o Signature of -Health Official ` "' I { f� lJl,? ,y �� ' Dater (/ +� ^•, r.i,� C RECEIPT NO �7' a ` Issued by— _/-&t Date 4 2 �2 District: • O Riverside ®'I�dio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending =ile DOH -SAN -122 (Rev. 6/86) N -G6T,It� I .A L.1 RU''-ORDING REQUESTED BY a Ln CT $� _� 3� o _ N AND WHEN RECORDED MAIL THIS DEED AND, UNLESS Ow N c v Z a _ y OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO: W NAMES �.. .� a �_ a - ~ COi CD Mr. and Mrs. Keith Palmer IW V -� tel (L a STREET J .� ADDRESS 73-089 Buck Springs 'Dr. g _ CITY, Palm -Desert, Ca. 92260 I .` STAT ZiaE - J Title Order. No ................ ... Escrow No ........ This space for Recorder's use l Corporation , Grant Deed.. F7 ThIE UNDERSIGNED CRANTOR(s) DECLAAE(s) DOCUMENTARY TRANSFER. TAX is ?7.50 _ -- unincorporated area ❑ City of Parcel No 617-111-004.-5 computed on full value of property conveyed, or ❑ computed on full value less .value of liens or encumbrances 'remaining at time of sale, and 'FOR A VALUABLE CONSIDERATION, receipt of which is herebv.'acknowl edged, Bank of America National'Trust and Savings Association; A National Banking Association organized under,the laws.of the United States x�c of America D11MherebyGRANT(S) to Keith C. Palmer and Anna B.. Palmer,. husband and wife as joint tenants N the following described real property in the N County. of Riverside ,State of California: N Lot 4 of Tract 2190 as per map recorded in Book 41, Pages 55, 56 and 57 of Maps, Official Records of Riverside County, California Dated April 13,• 19.83 Bank of America National Trust -and STATE .OF CALIFORNIA ) Savings Association: COUNTY OF Los Angeles } 'SS. On April 26., 1981 ). before me, BY, the undersigned, a Notary Public in and for said County and State, i t ice— rest en BY, personally appeared Jack Bennett known to me to be the A •'V . President, and R : E . , South AssisEint Secretary Y known to me to be Assistant Secretary of the corporation that executed the within Instrument, aiid acknowledged to me that such .corporation O=AFAL' °executed the within instrument pursuant to'its by-laws or a resolu- �� _ `f. Ntion of its board'of direc rs. o 'NOTARIFORNIALOTYMy co29, 1983 Signature Name ( Typed or Printed) Notary Public in and for said County and State .( Space above for official notarial seal.) - fAIL TAX STATEMENTS 'I -O PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SIiOWN, MAIL AS DIRECTED ABOVE Name Street Address 2462 City & State ` 78-105 CALLE ESTADO - LA QUINTA,.CALIFORNIA 92253- 1619► 564-2246 March 25, 1987 ; Mr: Keith Palmer 73-.089 Buck Springs Drive ' Palm Desert, CA 92260 SUBJECT: Collection of Fees forlthe-Coachella Valleys Fringe-Toed Lizard Dear Mr. Palmer: Our records indicate that a single family home was approved:for you at the following address: 79-805-Westward'Ho Drive La Quinta, CA This location is within what is established, as-the Coachella Valley , Fringe-Toed Lizard habitat fee area. A"fee, in the amount of $600.00 per acre,(or portion thereof) is collected from Any new development within the fee area. The amount of this fee, for your property is $110.19. _ This fee should have been calculated into the building permit `costs; your'''..' was inadvertently overlooked during review of your residence., we apologize for`any inconvenience this nay cause you, and appreciate your remittance of the.above amount at-;your earliest convenience., Please make your,.check payable.to,.the Citytof La Quinta. Again, thank you for your cooperation. i Very truly yours,' MURRELL CRUMP PLANNING•DIRECTOR Wallace H. Nesbit Assistant Planner 'WHN:bja F cc: File,•79-805 Westward Ho Drive MAILING ADDRESS - P.O. -BOX 1504 LA QUINTA,' CALIFORNIA 92253