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10556 (PLBG)dinraseg 52-040 Villa Jon .Srov n Mailing Address Box 4329 City Zip Palm Desert Contractor . Tity/ 4UWA , ` qq P.O. BOX 1504 fj �Q. iO��� 78-105 CALLE ESTADO f � , LA QUINTA, CALIFORNIA 92253 BUILDING: -TYPE CONST. OCC: GRP. - 45 --6836 -1 Y 170 San Nicholas City Zip Tel.: Palm Desert 92260 34.0--3724 State Lic. City & Classif. C36 577430 Lic. # 2014 Arch., Engr., Designer. Address Tel. City( Zip ( State 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 effect. SiSiNATI1RE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Buslness and Professions Code: Any city or county which requires e permit to construct, after, Improve, demoksh, 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 7009) 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). CH, 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, Bulsness and Professlons 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 far 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.----­L-B..& P.C.-for this reason Date Owner Z1 -+ ^ ' � �� �'•� 3 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 flied 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 th¢ work for which this permit Is Issued, I shall not employ anyPFarson In any manner so as to become subject to the Workers' Compensation Laws of Cellfornla. Date Owner NOTICE TO APPLICANT., It, 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 It 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 sof this city to enter the above-. mentioned property for Inspection purposes. Signature of applicant Date Malling Address City, State, Zlp .P. Number Legal Description Project Description Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add O Alter O Repair O Demolition 0 Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const: Mech. Electrical Plumbing 30.00 S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS r r . a: 7 4 ^ -T-,r F.f A ,ftp 7 a _.431) 4 -rt 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 ESTIMATENO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SO. 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.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ® 3Ac HOUSE SEWER REMARKS: 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 EWER,0111 &EPTIC I ANK ROUGH WIRING, DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER L60P 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 FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL ­W­- Received From: Address:% L727ek,_ ACcumillio.. Service Address • Meter(s) • Service(s) • -Backflow(s) 0 House Laterals) COACHELLA VALLEY WATER DISTRICT' CASH RECEIPT DETAIL • Detector Check(s) • Meter Surcharge ASanitation Capacity Charge 0 W.S.B.F.C. 0 Temporary Construction Meter 0 Turn on Charge 0 Uncollected Account -Name 0 Inspection Fee-Tract- Fee ee-Tract-Fee - 0 Plan Check Fees Water I Sewer - Tract - • Bond Payment - A.D. --Bond Assmt.__ • Customer Deposit • 'Other TOTAL $ e;r Remarks: 0 COPY to: Cash Water Service ..T Money ,P t., Check Cashier Order —7CVWD-4 fZ DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 1.11 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 7/12/91 1 Type.'of Permit La 'nta No. 10730 Permit, # Log # Owner Name Don Brown - No. 52-040 Street Villa city La Quinta zip 92253 Study Area 115 APN # 773-234-002 Tract # I Lot # ° Square Footage 11779 Type of Development. IrSingle Family Residence No. of units Comments At the present time, the Desert Sands Unified School District does not collect fees on y 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: I x. EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 5.3080 in the amount of 1.58 X 1779 or $ 2,810.82 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. r Fees Paid By Don's *.Desert. Designs Telephone 341-8310 Name on the check r gy James E. Lively ,k 7 41 Assistant Superintendent, Business Services _J Fee collected /exempted by Shelley D. Bennett + " ` Payment ReLeived} h=l Signature { ''0�. Check No �1 G19 Collector. Attach a copy of county or city plan check application form to district copy +'o 'rul waivers. Embossed Original-Building Dept./Applicant Copy - Applicant/Receipt Copy -Accounting e JUL 10 '91 12,0& s Order No. Escrow No. LoanNo. v WHEN RECORDED MAIL TO: Don Arnold Brown Sally Francis Winn P. 0. Box 4329 Palm Desert, Ca. 92261 JUL 2 0. .COPY of Document Recorded cin as No. has not been compared with criglnal. �,1�!LLIAM E. CONERLY County Recorder PIVERSIDE COUNTY, CALIFORNIA PAGE . 002 FOR RECORDER'S USE MAIL TAX STATEMENTS T0: _0_ Don Arnold,Brown DOCUMOffARY TRANSM . TAX Sall Franc -s 144 -in ... Compute.d on the. consWerstion or velue of propriety eonv�yed: OR .- __...._ y : coinpui.e ai t1>♦ oaaide.r>etlon w Moe. ie.rt lie.ns o► fncumbraneei P. 0. Box 4329 re.rna)nin9 at tlme.'of stye... . Palin Desert, Ca. 92261 319118t re of D coram or Agent:de.aarminine ax — Fhn► Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ,SALLY FRANCIS WINN, AN UNMARRIED WOMAN hereby GRANT(S) to DON ARNOLD BROWN, AN UNMARRIED'MAN AND SALLY'FRANCIS-WINN, AN UNMARRIED_ WOMAN, AS JOINT TENANTS the real property in the, City of . LA QUINTA County of RIVERSIDE : - ..State of California, described as LOT 21'' -IN BL•O'CK 93 OF SANTA CARMELITA AT VALE LA QUINTA''UNIT NO-. '11; AS --PER .MAP - . _2cEt;Q]{liED IN -BOOK„18: PAGE 75 OF MAP.S�.,_.i ECQ _OF.,�RZVERSI�,F,. 9 -0 -MUX f 1 ) JUNE 28, 1991 Dated_ __ , � . _ .. ...._ .._ .......... ' C ” - WINN.- STATE OF CALIFORNIA RIVERSIDE COUNTY OF l On JUNE.2&, 1991 Wore me, the undersigned, a Notary Publk: in and for said State, PW_ aonalryappeared SALLY FRANCIS. WINN ELENA N. OOM pemnatly known to me (or proved to me on Ilia Mata of satisfactory .A VOTARY MMIC— eyictence) to be the peiEcxi(s) whose name(a) Ware subscribed tia the WOEAM Cao" \'{ . . wrtnin instrument and, acknowledged.to me that helshe/they executed 1 M, CannNssdn Eu+*" Dec. 28. 7993 l 9 same: - I..-Mr--���N�rr.Mr�i��M��A/ 'ESS my hand and offid8i seal. (This arcs .for' official notarial seal) MAIL TAX.STATEMENTS AS DIRECTED ABOVE F WOODSTOCK WEST Inc. P.O. Box 604 Thousand Palms,CA 922.76 (619) 343-.2113 CONTRACT Contractor � L____ ______ _ Date _�_✓_'2�t' �_ '_ Address' ------------- ---------------- Phone Delivery Address_____— ------- ��'-� -------NO-15--c- ------- Legal Description Gc�1------- -- ----------------------------- --------------------------------------- DESCRIPTION OF PRODUCT ORDEREDtODST CK WEST shall Fr�vid e the fol l wing described rod ct:__2 -- --- �,- `---��° --7- s ----- -^---- ----------------=------- ----------------------- --------------------------- --------- -----------------------=---,------------------------------------------- �0 + �lo CONTRACT PRICES $-----------=-=-`-------------=-- PAYMENT TERMSi Deposit With Order: Balance:Baiance Due Date: t321,a �w OWNER: LOAN: J� Name ------=------- - ��-� � ��� ------ Name -------------- Address --------------- -- Address -------------------- ---- ---------- City ----------------------------- -City ----------------= - ----------- Phone _ Phone----------------------------- Loan ------------Loan Officer______________________ TYpe of Loan --------------------- Voucher/Draw----------------------- ------ WOO STOCK W ST CONTRA R' If accepted. by = �� ______ these prices will remain in'effect for a eriod of _____ ____-_____ days. . s ' Buena Engineers, Inc.- 79-811 nc.79-811 B Country Club Drive - Bermuda Dunes, CA 92201 • (619) 345-1588 ' Client Name, Client Address 4 Client Phone DATE JOB NO. 3/''g • /'-7 3yo- ,PROJECT ' FIELD TESTING V-'LC0 LOCATION DRY DENSC Y IbsJCL ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY lbs./cu. ft. CONTRACTOR OWNER WEATHER TEMP.,/ o at AM C L �� ��/4r+ 9 `� 0 at PM PRESENT AT SITE 13P6 C, TEST NUMBER " ` 4TEST LOCATION ' _..i LOT NO. ELEVATION FIELD TESTING -REFERENCE CURVE MOISTURE • CONTENT % DRY DENSC Y IbsJCL ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY lbs./cu. ft. OPTIMUM MOISTURE CONTENT % 13P6 C, vtac,o.,_T X, ' r Ku L) �. L_ REMARKS: kc •� �� T E` ITS i %4./� CLIENT REPRESENTATIVE SIGNATURE FIELD REPORT t TECHNIDIANS SIGNATURE i 7 j' 4. t