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15328 (SFD)
15'�32.8. s P.O. BOX 1504 No. • Building 78-495 CALLE TAMPICO Address •.52-650 Avenida Villa LA QUINTA, CALIFORNIA 92253 Owner t Men stelafter BUILDING:- TYPE CONST. V—N OCC: GRP. R3 Mailing Address 77-745 Delawarea A.P. Number .773°-304-006 •.City JZipr Tel. " ' - • Palm beer-t 92261 ' 772-0046 Legal Description . Block 141 t i,8 Contractor Project Description Kenstem*6e � . SVD Address . Saxt1G as alio e City. Zip Tel.: State Lic. 7 City & Classif. Lic. # Sq. Ft.No. No.,; No. Dw. 'Arch., Engr., Size �� Stories Units . - � ' . 'Designer NeWK19 Add ❑ • Alter ❑ Repair.❑ Demolition,❑ Address Tel. City :» Zip State Lic. # ' LLNSED CONTRACTOR'S DECLARATION 1 I hereby a irmpltflat I a licensed under Drovisions_pf..Chapter 9 commencing with Section 7000) of Di' si^on�`of' e•Business and•Profenlons Code, and my license is in full force and •t effect. a'j \ \ . L$LGNATURE r _ \ DATE OWNER -BUILDER DECLARATION I herebyaffirm that I am exempt from the Contractor's License Law for the following Estimated Valuation f P 9 $97,308.00 reason: (Sec. 7031.5,Buslness and Professions Code: Any city or county which requires a �•. permit to construct, atter, 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 PERMIT - NAMOUNT ' the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or at. he is exempt therefrom, and the basis - - • - + k r for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk.'Deji- 1•• �- $250.00 - subjects the applicant to a civil penalty o/ not more than rive hundred dollars ($500). ety n 9 O.I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. �, ,.9 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 Const. 3A A&.SD p? - . Dtit builds or improves thereon and who does such work himself or through his own employees, y' provided that such improvements are not intended or offered for sale. I/, however, the building Mech. _ ', `t" 62'46 -00 or Improvement is sold within one year o/ completion, the owner -builder will have•the burden Electrical '" - -$1-27.�70 of proving that he did not bund or improve for the purpose o/ sale.) 4 •' ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing $135..08 struct the project. (Sec. 7044, Business and Professions Code: The Con(ractor's License Law does not apply to an, owner of property who builds or improves thereon, and who - contracts for S.M.I. 9, . "7 3 - such projects with a contractors) #tensed pursuant to the Contractor's License Law.) - Gradin V Grading _ n * 0 A ❑ 1 am exempt under Sec. B. & P.C. for this reason - .r Driveway Enc. .00 Date Owner Infrastructure 135.51 WORKERS' COMPENSATION DECLARATION + I her affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensationlnsurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy NQS Company � op is filed with the city. ❑ Certified copy is hereby furnished. TOTAL $3, 652.53 $3,.377..53. CERTIFICATE EXEMPTION FROM JREMARKS. • •WORKERS' COMPENSATION INSURANCE ' (This,section need 'not be completed N 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. Date Owner NOTICE TO APPLICANT: N, after making this Certificate of Exemption you should become ZONE: 'BY: ' subject to 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setback from Center Line SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE . . HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,.S cle-SETDdC fiom Property Line DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. T FLNAL AE nINSPECTOR This is a building expiration if work thereunder is suspended for 180 days. permif when properly filled out, signed and validated, and is subject to �� r r� l certify that I have read this application and state that the above information is correct. Issued b �/� : � Dlt i� Permit I agree to comply with all city and county ordinances and state laws relating to building#' J U 'construction, and hereby authorize representatives of this city to. enter the above-. N �y� mentioned property for inspection purposes. Validat d by:1 0 J�1 Signature of applicant Date 'Mailing. Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU-'��. S IST FL. SO. FT. $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM r BAR SINK I ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS , G WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) /0 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 FINAL INSP. / SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL REMARKS: SQ.FT.GAR ® 3/.c HOUSE SEWER FIRE ZONE ROOFING 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 , 5 GROUND PLU UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS , G SEWE R 1 ROUGH WIRING DUCTWORK ROCK STORAGE FOUND. REINF. s� GAS (ROUGH) /0 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. / FRAMING A / 9S FINAL INSP. ROOFING 7 / A ©le 1--D / vww / /I �✓�yn/w J ���'7 �� //�� -7e !/ , REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND 9 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Mailing Address Z City FQ�v Contractor Address BUILDING: TYPE CONST. OCC..GRP. A.P. Number 172;7 � /07 Zip Tel-. 77,;) D® �� Legal Description Project Description City' lZip State Lic. Q & Classif. Arch., Engr., Designer Address Tel.. %,] Ly Lic. # Tel. City I I State J LICENSED CONTRACTOR'S DECLARATION I herebyf irm t t I arm licensed under provisions of Chapter 9 (commencing with Section 000) of ptrsion'` 3 f the Bus' essagd-Rrafessions Code, and my license is in full force and Zip OWNEWBUILDER 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 o1 not more than five hundred dollars ($500). 1-: 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*1 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 contractors) licensed pursuant to the Contractor's License Law.) 1"] 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. 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.) 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, 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 _ BUILDING DIVISION . ZONE: BY: Minirprn uSetback Distances: 1 Front Setback from.Center Line Rear Setback frr:)m Rear Prop. Line Side Street Sett-ack from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation:_ Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. {� Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 0 rj AAA V 1 r: 'fnnr TOTAL REMARKS ZONE: BY: Minirprn uSetback Distances: 1 Front Setback from.Center Line Rear Setback frr:)m Rear Prop. Line Side Street Sett-ack 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. SO. FT. @ $ 2ND FL. - SO. FT, r@ POR. SO. FT. @ GAR. SO. FT. @ CAR P. SQ. FT. 0 WALL SO. FT. 0 SO. 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.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EQUIP. LAUNDRYTRAY 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. SO. FT. @ c BATH TUB SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1'A c SEWAGE DISPOSAL SO.FT.GAR @ 3/.c HOUSE SEWER REMARKS: 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 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./EQUIP. 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 4 4 Qum& P.O. Box 1114 APPLICATION ONLY Building. ` 1 �� �) U L 78-105 CALLE Address J dl l/ LA QUINTA, CALIFORNIAORNIA 92253 S Wl C: BUILDING: TYPE CONST., MedL.1 i g .� (� �� Address �{J W 1 A.P. Number C' 11' ITeZ�Ur200(�� Legal Description tractor � � bn � � . /i Project Oescription�( dIm,adress91r Ll r 1-:4-k .,� a 1*03--4u1 U State Lic.� & Classif�1 � ,L, City Lic. ff Sq, Ft. Size Designer Address I I Lic. K LICENSED CONTRACTOR'S DECLARATION 1 he , affirm that 1 am licensed under provisions at Chapter 9 (commencing with Section 700q W 1'r�p3 of the eye\ingj� ��\dam f sere o and rc license le in full foe and effect. fir �l Y r• GNATLREN DATE OWNER-SUILOER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec..7031.3.susiriou and Professions Code: Any CRY Of comfy wfnieln reduYN a ow el to constrict. Mer. rrprow. do willsh, or repair any SOMIrae, prior to as ssumw* moo requires the applicant for such perms to Te a fibred atalerrnant font M s acensed pursue" to Me orovmiw s of the Contractor's license Law. CAeot« a rcor.nenc w with Secdon 7000) of Oftrwon 3 of the Business and Professions Code. or that. he s eaempr thereffot, and the bow for the aNped exemption. Any violalfon of Section 7031.3 oil any applicant for a 00 subjects the apokcartr to a trod penalty of not more man rhe hundred losers (=300). 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 said. (Sec. 7044. Sureness 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 thrbph lea own al pbyfes. provided rival such rnproverrsnts are not intended at offered for sae. N. however. the building Of nprovenent rs sold within one year of completion. Me owerbusler well have the burden of proving that rte did not bind or improve for Me purpose of sale.) I, as owner of the property, am exclusively contracting with licensed contractors to cot► struct the project. (Sec. 7044• Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duadd or snprovws thereon. and who contreeta for such profacts with a contractor(s) licensed pursuant to the Contractor's License Law.) 1 am exempt under Sec. S. 8 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 Workers Compensation Insurance, or a certified copy thereof. (Sae. 3800, Labor Code.) Policy No. Comper y ! I Copy is filed with the City. C Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed A the pets is ter one kindred doears IS 100) vaaaBon or less.) I certify that in the performance of tf1P 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: N. Mer maang Min CeroNcate of Exenptlon you should Decorme st^Wt to the pbrlrers. Compensation Provisions of the labor Code. you mot forthwith comply with such provsrpns or fns prime shas 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. (See. 3097, Chir Code.) Lender's Name Lenders Address This is abuilding 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. 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 abovo mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. Ste OCC. GRP. 6 L) 1 C, LP No. Ow. units New 0 Add 0 Alter 0 Repair O Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chit. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 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: gate Permit Validated by: Validation:_ CONSTRuCT!C4 EST MATE 40 ELECTRICAL FEES NO OLUMBING FEES a l 'AR P ( '.VALL 571MATED CCNSTRUCTICN - UNDERGROUND A.C. UNIT I i 50 FT. S -APO i�KL=..SIS"9'd SG F_ MOBILEHGMF S. BONDING 30 F. s =OWEP CUTLET AQOF OPAINS SO F' I OPA!NAGE PIPING 90 FT ^. iOPINKING FOUNTAIN SO F' ;URINAL. VALUA'iCN S •- WATER PIPING ' :OTE. Not to ce useo as property tax +alualton OTHER APPJEOUIP. �FLOOP OPAIN MECHANICAL FEES TEMP. POLE WATEP SOFTENER °NT SYSTEM FAN EVAP COCL HOOD SIGN WASH EP(AU TO((DISH! APPLIANCEARYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FL00l1 SUSPEN E WATER SYSTEM ' LAUNDRY TRAY A.Fl HANDLING UNIT CFM =f KITCHEN SINK ABSORPTION SYSTEMB.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPPESSOR HP POLE. TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER 501LER B.T.U. SO. FT. c BATH TUB VENTILATION SO. FT. « c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID Qi I'N c _ _ SEWAGE DISPOSAL FIREPLACE SO.FT.GAR n J.c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE GBL TOTAL FEES _. MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE __.._.STRUCTURE _ ._ _._ PLUMBING -. ELECTRICAL HEATING BAIR 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 DUCTWORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING IFINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT - WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM ' GRADING cu. yd. = plus xS =f LUMBER GR., --. FINAL INSP. FRAMING FINAL INSP. ROOFING _ _._• - _ _ — -- — - } REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR _. GAR. FIREWALL LATHING MESH INSULATIOWSOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOW S SIG NATURESIINITIALS GARDEN WALL FINAL 11 DESERT SANDS UNIFIED SCHOOL DISTRICT _ ' 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot' Be Duplicated619-775-3500 . . Date 6/15/95 No. 113498 Y Type of Permit I La Quinta Permit • # - Owner Name Ken ,:Stemmer No. 52-650 Street Villa , City La Quinta Zip 92253 Study.A_ea 113 APN # Tract ,# Lot # 0 SquarE, Footage 1600 Type of Development I Single Family Residence Na, of units Comments 8, 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 1.72 x^ 1600 or $ 2,752.00 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 Ken StemmerTel eplt6ne Name on the check y to r� �✓� 'f � Fes'{ • e,,�, 1, . 6y. Dolores A. Ballesteros rY Superintendent t nr a }pvr Fee collected /exempted by Mary. L Lopez p *" Payment, Received ; ,i Signature Check No. 414 dol Collector: Attach a' y of county or city,plan ch application form to district copy for all waivers. Embossed Original- Building Dept. /Applicant Copy - Applicant/Receipt '` Copy - Accounting T I? ra+!i►"`4.+t4:i�t t t+TiN�%:;%'r+(Z:M. */�yr '+- y`f�_ •q,,,s,.-,.•+ -,� 4 iE k•' TEL Aug ` 03',95 x 23 0i'4t''No�FQ2'5 :P,. 03-•'-�- <<FIDELITYkPD r. , , w t �x ' Ufa .^.•`'.' . •,1{^: � � 'r' , ti i ��' } ` � r � d � � ' �.; . � .f- .,{Y"da."1��x*1'*!;V 1 -.`:1•.•'-.�n.,3;( ~'" ',�• ,-fI-• _y x4 .- 5 �' ./+ Au __pp��.eeuaay �;•i°Fvt« "^a # ." • - i.. .,�., •• .� • ;00 .. ,. tom. V I ,•i . RECON10 tc pmouEssty sr, l REC� OLD REPUBLIC Tett }' At 2.0 i r1pyrp �tON, k4A& tai STAT0A 4t r0 t : .. ..- . - r♦ � �' 8� • .. , • �,: ; • i, • 's7 � � MAY• -1 Marc LeBlanc an.r Apri I . LeBI anc. r + *„)ss•vanet > I f • ,�, 73730 Highway .111. � •r■�.o.w.�i Palm Desert. Ca 92260 A,1rn�r" 81318-13 .r_ F,...,,:.: 958082R;t • . tiOLCE ASO�IE TNtS 1111E "M REt omm'S USE' • , T 365lpw 12461 � _� t • ' - , gran THE L'KUF:RSiG'•IEbG.RA![fOR�•I t>fC1�1Rf.1.i "Phis conveyance con irm�Cx `title 1�iou�l�I+�id on /�ri1..thj, ` rXA LNf ,tARY TRANSFER TAX ISS F) F ,rf.nsra,f aua• 7C ("�y �t I.a' QL1DLd IQQS in irntil>ttcnt no. un,n., 773 304 006 4 th 10326I. '' ,v.mPuteti t,o loll .aloe „t intrf" I,f i'ri .,,mc�eel: IR �tw. 1 %'..1", + 'urnl.fatwc� renu,n,n� at t1mr,•1 vtr. r,ta: 1 il,tt,ittltej ,N1 full .aloe Iv-, �alur .d Ilea. ••r en. 1; FOR A VALUABLE Ct1�SIt�kRA7fi.)ti, receipt vftwihtih I% henM' iihnt,w{talk-d = Z AURAL. CROSS Husband an� - � _ BRIAK -CR0�5 and L d Wife hereto GRANT(S) to ` t.;I ' 1 ' • `! t MARG LE BLANC'and APRIL LE BLANC; Husband and Wife as Joint Tenants _ flee fnurnA ins t4exntte d real Piper m ft City Of La Ou i nta f Riverside : atc of C.t,t,.rnta t wmv „ i 1 I` Lot 18 in Block 141. SANTA CARMELITA AT YALE LA.,QUINTA UNIT 15,.as per Map ' recorded in Book 18 of Maps. page V , in the Office of.'the Recorder of said'County. a I THIS DM. IS•BEIPG RECORDED TO CORRECT SUyERS NAMES. TITLE MAS TRANSFERRED TO i MIAN.UtOSS'and LAURA L. CROSS IN ERROR. THERE VM NO CAIISIDERATION PAID OR ; RECEIVED FAR THIS DEED. ERRO11EOi1S DE>:D wAs RECORDED 4-4-95 at 2:00 p.m. AS INSTRUlIENT. NO. 103291 I i , Dared— s Brian'= Cross �. STATE Of CALIFORNIA ta,�/1tt% b� • �' ` .} SS — - ---� — -- — CouNTY OF be" Moe. �dl7T'd �. LrOSS . -Tim 0, 6 ritt!lr�A�tJ� _ /1bT111r t�uL — — - ="�"D°"red JERALRGUSERMIW ro ene em rn. eas of etrt,staere>ti NOtAR�' ��.= . to De"ppM"AMsi AM t,1t s an ^ c t a r„thln ,nttt*urnent am PEE to rrte melt t�►gwh" wse cuted Cew+nt E�+� a" 2&1!!!!l e+R titr+r in 4 "*Orr &'No toted =00*0041. arld fho 1771 �IprRltert W. tt+Qrt�tWMfi or+ ttte ,w"ry"er tto p7 rwr*lt . or the orglty upon behalf at wreKh V"* PWMWI(S) 8044. eve cut tnwrvrrwm vNTNESS OMANSlot . . 1 `W) PARTY Sl Y.W.N. MAR- AA i»1' .D AM(ri'f. v(An. T; aT1oMi.�i TO "PT'"M-47- (11'P()l i t11►t!If: l.lVf.'� v t I A:)OJZVG %C to '3i aim aL1mn �Q ItMM ►ye.ti R. Ake Q♦A� 0M#qP OMI OT �MiJ' 7tArt SAI JWiI WOJi9 OWU4* On6f8oJ D1aM -In t; f 89J 1 t *1qA tII YswdPtH OUET usse 63 .119290 mI69 11 t'' 3a t rtt 91tarA V)Atj • 8a9rna r►eS,i.p��tttT .acx xST .o7Jttsz:j 9111 ni 4A rn hi , U .tib 7r. rI� _ A - 0:1=1.3vaoD !Itfr. ,.,�aA two aT11f►Tr�a�ct3rppstiUY! f �� ' T uOt-Mq _ l7t Ytt f]�i7N!AA1 fRA T/ .on 1�tcrr7rri tii Zp?I :.Setup KJ u. ra,iN'JA+11 x 6214 .I�SFnI A no ♦. b.i�.r�...,.♦ hns'i �A .7ZL ►u M7Y'aM1 1*4 !Dli. itul MI Igltee�r7pr. it 7fRlI >•yry.Rtyr>71-3 lea Ml WO77 M..n]rt M. 741ar ni Stix, t .I} n.. tnhrlre.,.y tr�alr�la.rtlA,� ni�»d �t A.rAry lu >7ryrn ./t�tTAA�ittle'It)) :�.iRA'1JR.Y A ROS O fW bn6 bn6(tauH .ZZopD .J ARUAJ bna ZZO%O HAIRS O T O.ABO +rime} tlnsn9T 1nioL as 93 id b1a DfISC UK .UAJ8 3.7 JI3?9A bns 3MAJS 3J am E1R t u0 bJ 3o Yl t 3 ar vtxlrhq kn lbrlme.)b gtvA�iMl ,ett um• tJa) i.. ara>, , 9bi t19V to qsM 19q as .CI TINU ATHIUO.A1 3JAY TA ATIJ3MAAJ ATNAZ .IAI $"re nt 81' 1oJ .Y1nuoJ b162 10 "b1009A 9"1 10 93tiio OFU nt .SQ 9Qsg .rgs,M To 81 NOOS nt bsbio091 OT (13MV-HART M 391T .Z3= UrUG T33RM OT 03WK13n c)!i ZI � LINT RO aia9 u01TAA3Att 0:1 2M3A3^taT .fARR3 uI Z2W .j AgUAJ bnb 220Aa aAIRa -On ZINT $W OVUM IPM1 -OU T Z UJIT2p I ZA .t3.q OO; S is 2e -t, -D an=.ix ew am tt =r W 1$ T a z { �a to cagy Aix, m TTATe 8201.7 . j a'R1b.� ° "WPO � , ll' -� Wr x•ra T a'� a ,sn trY+oe+ev o+tJ to oa c� , �� *St1t pr+ at � Orth t+cr+r,�.ytn, ',.'•iho F. CM -1 C* ftm yw--* ell v towm-%za Brit l rn rA "0 u1�ri w�1 aoF. � l-T,71�iD 1f16T1 � ..., w... � w, .•.... ►..'. �(f!M ��Jllf'TtYit �:Y Y"1 .7. . l:`i..�?'i.l .1";:..yr.r::rti .Y) f ��i'i:+� I'T'I::•`� '.•-..A�; �r w ti +• F TEL w. Aug 03'.95 23 : 04, No .025 P . 04 'C0 , , TELETAX �TYhfN��IoNAL TITLE r -r - - _ E 199,4-95 TAX ROLL Q8.34:24 06/14/9 0rD' - RIVERSID 3 , �, - TS AS Q,F 0 I25 95 CUSTOMER SERVICE REQUEST ONLY APiV: 773-255-005 a2 r, TRA: 020017 - CITY OF, IA 4UrNsA" LECAL:.LOT 5 BLK12 ME 018/046 SANTA CARMELITA VALE LA QUINTA UNIT 1 52TUS: MAIL: 4621 DELANEY RD'S E SALEM, OR 97301 --- ASSESSED OWNER (8) -------- ------ ------- - ----------- 1ST HALF ---- 2ND HALF IAVENDI'TTI LAVERNE STATUS ** PAID ** �'�' PAID W/PRN PAYMENT DATE 12/10/94 05/09/95 TOTAL TAX 265.66 TAX INSTALL 134.33 134.33 PENALTY 13.43 23.43 BALANCE DUE .00 .00 ** TOTAL TAXES DUE 00 BILL: 000578407 *** SPECIAL ASSESSMENTS INCLUDED. IN TAX AMOUNTS xxs FUND. TYPE AMOUNT DESCRIPTION 68-2381 1915.BOND185.00 LA QUINTA AD.91-1 68-5859 MISC ASSMT 30.00 CVWD AVLBLTY CHG IMP 5.5 68-2373 LNDSCP/LTG 11'.. 518 LA QUINTA LDSCP & LTG 63-4882 MISC'ASSmt 10.00 CVWD STANDBY CHARGES 2:36.56 TOTAL OF SPECIAL ASSES-3MENTS *** VALUES AND EXEMPTIONS *** IAND 2,871 : *NET* 2,871 *f* ADDITIONAL PROPERTY INFORMATION *}*. TAX CODE: 000 USE, CODE; YY VESTING -NO ' PUI CODE Y04 ACREAGE SEAT OF REPORT* ' ` 4 DESERT'SANDS UNIFIED SCHOOL DISTR=CT 82-879 Highway 111 O NOTICE: +' Indio, CA 92201 Document Cannot. Be Duplicated619-775-3500 Date 6/15/95 Type of Permit��a &tta No. 113498.. � .1 Permit # ` Log Owner Nam_ a KenStemmer. ` No. 52-650 Street Villa City La Quinta Zip 92253 Study Area 113 APN # Tract # Lot # 0 Square Footage 11600 Type of Development Single Family. Residence t No. of units Comments At:the present time, the Desert Sands Unified School District does not -- ollect- 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: r, ! EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.72 x 1 600. or $ 2,752.00 " have been paid to D.S.U.S.D. for the property listed above and that building permits and/or Certificates hf Occupancy for ; this square footage in this proposed project may now be issued: Fees Paid By Ken. Stemmer Telephone 772-0046 ` Name on the check ' By Dolores A. Ballesteros Superintendent Fee collected /exempted by Mar ' Lou Lopez Payment Received " Signature Check No. 414 i Collector: Attach pyo county or city plan c e application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy ; Accounting