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07517 (SFD)4 `• /ry� P.O. BOX 1504 N o . 0751.7 Building Address 50-625 Ave. LA QUINTA, CALIFORNIA 92253 s Owner A & N Construction Mailing BUILDING: TYPE CONST. OCC: GRP. Address . PO BOX 366 A.P. Number 769 -065 -ON City Zip Tel. bt2! 92253 Legal Description Lot 39 Contractor Project Description Single Family DwIling Sam Address P State Lic. I City & Classif. 487584 Lic. # 6226 Arch., Engr., Designer Address Tel. City I ZipI State ! Lic. # LI ENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am censad under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the sin ss and Professions Co nd my license is in full force and effect. f d 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 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 of not more than five hundred dollars ($500). 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 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.) O 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 or property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATIDECLARATION .� I hereby affirm that I have a certificatA of insent to self -insure, or a certificate of Worker's Compensation Insurance, or a certifiedcpby ereof. (Sec. 3 0,.6eeorOode�� Policy No. Company b j% O Copy is filed with the city. O Certified c y 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 lh� 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 uspended for 180 days. I certify that I have read this pplication and state that the above information is correct. I agree to comply with all ci and county ordinances and state laws relating to building construction, and hereby au onze representlft4ves -of this city to enter the above- mentioned property for inspec onpurpos�es. Signature of applicant Date Mailing Address City, State, Zip ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback4rom Property Line FINAL DATE INSPECTOR Issued by: Date 4/9/'9OPermit Validated by: Validation: Sq. Ft. Size 2300 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition O Estimated Valuation $1331,060 PERMIT w AMOUNT Plan Chk. Dep. Plan Chk. Bal. 324, IR Const. Mech. 53.50 Electrical HUM Plumbing S.M.I. 9.1ft Grading Driveway Enc. Infrastructure 2,8655,04 TOTAL REMARKSAAk 1110194 & 4.44 It It ♦F ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback4rom Property Line FINAL DATE INSPECTOR Issued by: Date 4/9/'9OPermit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SO. FT. BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SO. FT. ® SEWER OR SEPTIC TANK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. DRAINAGE PIPING CAR P. SO. FT. ® METER LOOP HEATING (FINAL) WALL SO. FT. REINF. STEEL DRINKING FOUNTAIN. SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation WATER HEATER FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR. LAUNDRYTRAY 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® V4c 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 w 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 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.1jN qo L,a FRAMING �j FINAL INSP. lrq(� ROOFING e b /�� :.` VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING ({,✓ �p O(/ ��% MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION ( l l CERT. OCC. FFNrF FINAI / lA, n REMARKS: INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District • CERTIFICATION OFrPAYMENT FACILITY FEES . ��,� ������ V Tp�yci f L,aQin t a DATE Departmen ,of Community Development 78-105 Calle Estado La Qjuinntta, CA 92253 This is to c rtify t w developer f_ located at this%Distr;ict-has-pa id`sc ool aut or.t generatp4 by Governme $ 3 cLUM 1-41 covering a total of ( ) industrial/commercial devel this footage in this development M 5�'9p 1 OT- _wh-i chi s . , _ .,,. s , ,_ --� �,i"f'hin t facility fees imposed pursuant -the f` ��� 0 a White - Bu O—W o94 pment and that building permits for may now be issued by your jurisdiction. 2��x � f) - eftmj� for DESERT SAt46S UNIFIED SCHOOL DISTRICT X702-� ,Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer 0 )-37 I OFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES CALVIN C. K/1MII4SKAS JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Asstssoni CommhstonM AgdeuthstotCommhslonet RIVERSIDE. CALIFORNIA 92501 CLEMENT DENVENISIE Otreata of Wetphlt A Measures (714) 781.2561 Seoter 49613 Highway 86, Suite B12 2 Coachella, Ca. 92236 n (� (619) 342-C8291 ()3 PC LG 0��37i� U DATE r, MWWPER' S NAM s A d a ADDRESS, 1A d% 7ELEPI IONB e ( Dear Developer: 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 frun plant material listed, this office imst be notified imwdiately. Thank you for protecting and preserviiilg the Coachella Valley's pest -free envirotment. ' Agr&Zultural Canni.ss Toner s Off ice cai Indio and Riverside Office a r 1;S % 1 II T H E C I l- 1' 0 F La'-� Tell Calm N. ad' May 8, 1992 Riverside County Assessor's Office 46-209 Oasis Street, Room #406 Indio, CA 92201 To Whom It May Concern: The address of the structure located on A.P.N. #769-065-004, lot 39, in La Quinta has been corrected from 50-625 Avenida Tujunga, to 50-625 Calle Guaymas. Please note this change. Thank you. BUILDING AND SAFETY DEPARTMENT -6h�t4 Tom Hartung Building and Safety Director TH:es cc: A & M Construction Imperial Irrigation District LTRTH.10 Cite of La Quinta Posr Office Box 1504 ♦ 78-105 Calle Esrado La Quima, California 92253 Phone (619) 564-2246, Fax (619) 564-5617 Deva: S Pwouaon. Mark Paimer Des,Oo 619-340 0::2 urs �u mu! "TAX T=f1l . . mA & MM COnSU140t red P.O.. Box 566 f&La Quinta "Ca 92253 9;740 ivv w� r,lt�w _,I.o CM ll � W �. QE a a� < v rva3797-JC I SPACE ABOVE THIS LINE FOR RECORDER'S USE '# GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ X3 computed on full value., of property conveyed, or O computed on full value less value of liens or encumbrances remaining at time of sale. 0 unincorporated=area ` X3 city of La Quints , AND P6R A VALUABLE CONSIDERATION, receipt of.which is hereby af. nQwledged,_ o'Howard, a married man as his sole and separate property hereby GRANT(s) to _ & M Construction, A California Partnership � r. the following described real property in the City of La Quinta County of Riverside , State of California: is 33, 34t 35, '39, 42, 43r-44, 45f. -l-13,-115, 131, '135, 138 -of DESERT UB,TRACT UNIT-NO.5, as shown by -Map on file -in Book 21 Pages 61 and 62 Maps, Records of Riverside County, California. in — - - ---�� Al ' -- 'ri DOW Ja>n. • 4 f 19 9 0 { Leo Howard STATE OF WFORNIA .COUNTY OF �S N �s Lc s SS. yOn V* day of J'R a u &&±� in the year 19 90 , before me, the undersigned, a Notary Public in and for said State, personally appeared Leo "/0W' zz , personally known to me ,`.(or proved to me on the basis of satisfactory evidence) to be the ^person whose name— is subscribed to the within 1 4 vArument, and acknowledged to me that — he _ executed it. i 41 WITWSS my hand and official seal. §ignatur NOTARY PUBLIC IN AND FOR SAID STATE OFFICIAL SPAT, RHODORA E FRANK a NOTARY PUBLIC - CALIFORNIA LOS ANGELES COUNTY My comm. expires AUG 18, 3991 (7 t area br otflclel notadal eaal) (REV 4415) MAIL TAX STATEMENTS AS VIRECTED ABOVE. E a DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 Indio, CA 92201 TO: Date: 9 D This is to certifat Q tok C , developer of NTwhich is located at - AZA - .S <-n - f with It school district,is required to Vyschool facility fees pursuant to the authority generated by Government Code Section/.5 080. The amount of fees due for thei."above referenced pr 'ect i $J covering total applicable /square footage of square feet, which is subject to final verification at time payment is presented. CC) rC�a3a0►� Desert Sands Unified School District CERTIFICATION QF6wPAYKENT O s� a0A ACILITY FEES f OC Q �q�fa�Qa DATE: W Departure of Community Development a, 78-105 Calle Estado La Quinta, CA 92253 This is to c rtify A developer of ;,''which, ig►; orf located at '��hi0 x• r; this District, has paid sc ool facility fee: itApose .`6 `-,iq nk''t the 1.;�' , ,•. au t or't ge erat by Governme t Code se f'ot► A 080''n"t mount of`�' ' I' $ ' covering a total of square--., eet ( ) industrial/commercial development and -that bu1, �0g perMiis or-tv this footage in this development may now bg:,issued by youx jyrisdiC iA�# r =t 3� for DESERT $A S UNIFIED SCHOOL'. pISTR!T hue -Buil ing Department • Ye,.ow - aalities Planning Pink Accounting Gold - Develop �1-37• J. a Ips UO.S'2C 00.85` Z 00 UJ M V Z O 8'1 LU V Z ��0 W COUNTY OF RIVERSIDE ENVIRONMENTAL Aaiiia`aOr' Paraw Na HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFAC WAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled'plot (1-20 scale) drawn to County speculations as Indicated on the attached check IISL Anon -refundable filing fee (see below); en the application Is submitted. Check must be made payable to the County of Inns ` `}Rtverslde."Approval of this application §ball re ;valid for a period not to exceed one year from date of approval. VERIFY ITEMS IN SECTION A FROM BUILDING & SAFE PLICATION BUILDING DEPARTMENT APPLICATION LOG # — Agent, Coit P Z Address 8 Firm �j y`� Owner ^ Phone Mailing Address City d /hv r to Z6 Z 17 Job Legal Description Prop. M. Tract Lot) CLX— Lot Size�{ /�(lp jl Agency A Use of Permit P/P, CU, etc:' v a6/ Other 1✓l ��� voter V S O G r k Dwelling, Site Prep, etc. Signature of Applicant Date CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE SUBSURFACE DISPOSAL 1238 57.00 ❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $ 17.00 a gist 4 Parcels (Each) 1238 $ 57.00 (Less than 1 year) b. Each Parcel after 4 7344 $ 24.00 ❑ PRELIMINARY ELECTIVE 7352 $ 23.00 ❑ Rerevlew (2nd review same parcel) 7344 $ 24.00 EVALUATION (Attach DOH SAN 53) ❑ She Evaluation in Conjunctiomwlth.•, ❑ HOLDING TANK 7351 $ 47.00 Critical Area 7348 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00 / INITIAL DATE Holding Tank Agreements Completed ❑ Yes G ZZ f' �/ - -ZCertification of Existing S.D. System Required ❑ Yes WOCB Clearance required. (Attach Form ❑ Yes o / DOH SAN 007, Santa Ana Region Only) Solis Percolation Report Required. ❑ Yes Special Feasibility Boring Report Required. ❑ Yes tai Detailed Contour Piot Plans Required (1 to 5 fL interval) ❑ Yes C / Ottter ❑ Yes /Nd� Staff Specialist Lot Inspection Required ❑ Yes 0 No Lot Inspection Date Solis boring report by Project Date /� c7 C Soils Map Page Sol Type C.'T r A Approved by t �•�" Dade No. of Syeleme Tylt of System(.) No. Dwelling Units (1) (1) Septic Tank Soil Rale roaee/Sand ❑�ding Tank ❑O Rept Bedrooms li\ 30, 94 /, rl• y s/LGel N� Gr (g t i . Ft. Sq Sidewall allowance Install Lines) ft long a wide with Leach Bed sq. ft trench area It. nxtic/ sq. iL min. I as rock below drainlines or per running It. 47+• NA Leachlines/bed special design for slope: Applicable (3) Pit Diameter No. PAs Pit Balo N W 413111 Seepage Pit Total Depth (TD) uA 1 �pri5 f 1 + N/A J of Overbrxden lector 6 Max. Allowable Depth / 0 1 No. 2 System REMARKS: ��f/^ 1,y r, 7r`. This application 'iA APPROVED M for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompan using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed system. No construction is permitted in the required reserved 100% expansion area. (1) Septic tank and sewer lines must be 50' minimum from any wells/ /U -r �,p,Q�p `y' L�Q`y`' Leach lines must be 100' minimum from any wells, including expansion ea Seepage pits must be 150' minimum from any wells, including expansion area ��-r �< ��, 3 90 Signature of Health Official -� to RECEIPT NO. ? Issued By Int Date 3 3u - 9v DISTRICT: ❑ Riverside,[II= Jp.® ❑ Hemet q Perris ❑ Rancho Cati . ❑ Blythe DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records k.