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07520 (SFD)P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 50--790 GtawaS LA QUINTA, CALIFORNIA 92253 Mailing Address PO Bax 366 - City La Quiftta Zip 92253 1 Tel. 564-4832 Contra or ft City lZip I Tela State Lic. I City & Classif. 4875H Lic. # 6. Arch., Engr., Designer Address Tel. City I ZipI State Lic. # LICENED CONTRACTOR'S DECLARATION I hereby affirm that I am lice ed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi ssind Professions Code, and my license is in full force and effect. jOWNER-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 fire work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and 1, 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 or 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.) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION D CLARATION r� I hereby affirm that I have a certificate of cons t self -insure, or ace . icate of Worker's Compensation Insurance, or a certified copy t ereo (Sec. 38 >Ca or C Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is ereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (8100) valuation ' or less.) I 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 or Exemption you should become subject to the Workers' Compensation provisions or 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 an properly filled out, signed and validated, and is subject to expiration if work thereunder i suspended for 180 days. I certify that I have read th application and state that the above information is correct. I agree to comply with all A and county ordinances and state laws relating to building construction, and hereby a thorize representatives -of this city to enter the above- mentioned property for inspeatich purposes. Signature of applicant Date Mailing Address City, State, Zip No. 11LDING: TYPE CONST. OCC. GRP.; 763-076-001 P. Number Description Lot 35 07520 Project Description Sinule family Wlina 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: Date 4/9/W Permit Validated by: Validation: Sq. Ft. 2M Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ d� Estimated Valuation $1309151 PERMIT AMOUNT Plan Chk. Dep. 2S0.00 Plan Chk. Bal. 375.76 Const. 748,00 Mech. Electrical 140.76 Plumbing 169.50 S.M.I. 9.17 Grading 20.00 Driveway Enc. 201.00 Infrastructure 2,787.79 TOTAL $4.574.48 1 4.324.48 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: Date 4/9/W Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS ROUGH PLUMB. 2ND FL SQ. FT. HEATING (ROUGH) YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. I SQ. FT. ® METER LOOP DRAINAGE PIPING WALL SQ. FT. REINF. STEEL DRINKING FOUNTAIN SQ FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER AL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL LATHING SQ.FT.GAR ® 3Lc HOUSE SEWER MESH 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 SEPTICI ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF 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 xi =$ LUMBER GR. of FINAL INSP. ! ! q0 FRAMING 6 �/® AL INSP. ROOFING /� VA �ly // j REMARKS: VENTILATION FIRE ZONE ROOFING` FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND ' FINISH GRADING FINAL INSPECTION " C CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL I i11%._` - }} Tiof Ila Quinta This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building! Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 50-790 Guaymas Use Classification SFD Bldg. Permit No. 07520 Group R3 Type Construction VN Fire Zone Use Zone SR Owner of Building A & M Construction Address P. O. Box 366 City _ La Quinta, CA 92253 By. Lonnie Day Dote: 11/14/90 Building Official POST IN A CONSPICUOUS PLACE o •' etf.�`••• OFFICE OF +_ AGRICULTURAL COMMISSIONER AND *';�•,;:� WEIG141S & MEASURES CALVIN C. KAMIIJSKAS JAMES O. WALLACE 4080 LEMON STREET. ROOM 19 AsitstontCommhsloner ApttclApol Commtsstonet. RIVERSIDE. CALIFORNIA 92501 CLEMENT 13ENVENISIE "recta of welghte & meoturet (1`141767-2561 seoter 49613 Highway 86, Suite B12 " 2 Coachella, Ca. 92236 PC � t1 n/\ 11 J �(619) 34Z-C11SE1No. 1vC(�(�C�`�037L�� DATE r, � t- DMWPER' S NAME t A C\ IA,l (-!A ADDRESS It- kp, QAANAe% TELEPI TONE s�n� /) 'SY0 14 - Dear Developer3 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 fran plant material listed, this office Tnust be notified imnediately. 'Thank you for protecting and preserving the Coachella Valley's pest -free envi.rotm ent. Agriculal Ccxmdssioner s Office i... s; cc & I io and Riverside Office 0 moi! Desert Sands Unified School District ;. .. ,. CERTIFICATION QE.BAYMENT q}, )PAC' ILITY FEES �,�yf�+��~QEae 0�' DATE • DepartmeKt�of Community Development 78-105 Calle Estado, La Quinta, CA 92253 f A�, I This is to c rtify t developer of whi h i_ located at h " d this District,^ has paid sc ool facility feli; imFthe} aut or't .loge erat by Governme t Code Se t ott5 O80 'n 't ptout�> •qf,' `, `',`�±' $ ( w (, '• covering a total of s.guace feet' o• .`(R 1r) [eS ,Qf�Vi, ( ) industrial/commercial'development and .t this footage in this development may now be is`ued}b �hi.pe�R}.ts .Ot y y4uf jvFi cl Y �. sago •,� . 30 for DESERT SA_. pNIP'IS a � ., White - Buil ing Department • Ye Ow�Facilities Planning, • Pink - Accounting ♦ Gold - Develpplr- TAX» ., . &_M Construct +- P.O. Box 366 n+La Quinta No Ca 92253 h4 � I I a a P�. - x 02740`,:. .�IMttlaillt,�.. - • 40 - C3 at . 4 J ,Vwwa3797-JC SPACE ABOVE THIS UNE FOR RECORDER'S USE GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ f%p, 2=1 computed on full value of property conveyed, or 0 computed on full value less value of liens or encumbrances remaining at time of sate. • _ .. _ .. _ p unincorporated -area - f X7 city of La Quinta , ANDy FOR A VALUABLE CONSIDERATION, receipt of. which is hereby ackvQwledged,_ o Howard, a married man as his sole and separate property s L � hereby GRANT(s) to & M Construction, A California Partnership the following described real property in the City of°La Quinta County of Riverside , State of California: Lots 33, 34,J5, 39, 42, 43r - 44, - 45,-• 113,- 115, 131, •135, 138 -of DESERT ZUB -TRACT UNIT -NO.5, as shown by -Map on file -in Book 21 Pages 61 and 62 *,f Maps, Records of Riverside County, California.. a 4.00-40, _ Jan. 4, 1990 Leo Howard *,STATE OF CAWFORNIA COUNTY OF LoS A AJ `2� Olt 0M8 day of T , in the year 19 2_Q. , before me, the undersigned, a Notary Public in and for said State, personally appeared L.1= CO _Ak4, l,9-.Gl6 personally known to me ,�(or proved to me on the basis of satisfactory evidence) to be the person whose name'is subscrked to the within 'Instrument, and acknowledged to me that _ he ,_ executed it. ?WITNESS my hand and official seal. NOTARY PUBLIC IN AND FOR SAID STATE OFFICIAL SFAs. RHODORA E FRANK to NOTARY PUBLIC - CALIM'NIA LOS ANGELES COUNTY My comm, expires AUG 28, 1992 1(REV 4/85) MAIL TAX STATEMENTS AS DIRECTED ABOVE. (TN%are& fpr o6tial notarial "W) RECEIPT NO. 2111 Issued By t0A (. Date 3 - 30 ju DISTRICT: ❑ Riverside, ❑; .lrZdi ❑ Hemet q Perris ❑ Rancho Eali . ❑ Blythe DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE . Office file YELLOW . Applicant PINK -.Bldg. Dept GOLDENROD - Plans/Records " Aaaaason Part* 144M COUNTY OF RIVERSIDE ENVIRONMENTAL q _ ' 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 speculations as indicated on the attached check Ilst A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. Q VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOGAf Z O 1 Agent. Cont CoptgPerso�T Phone Address & Firm I LU Phone Melling Addre/s6 (O (nOwner City State C� ip -7Z 753 Job Property Address l Legal Description . (PM, T LoQje.4f7 L// a-fi 9l� ► 3.57 e =0` Lot Size l Water Agenc I Use of Permit -/C CU, etc. o`/C r Other s7aG P (/� !� � Dwelling, M Site Prep, etc. [ wC 1 ✓� 6 �� a! Z �Q O Signature of Applicant Date CATEGORY: � REV CO�FEE CATEGORY: REV CODE FEE SUBSURFACE DISPOSAL 1238 ❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00 CD ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $ 17.00 O a. 1 at 4 Parcels (Each) 1 1238 $ 57.00 (Less than 1 year) W❑ b. Each Parcel after 4 7344 $ 24.00 ❑ PRELIMINARY ELECTIVE 7352 $ 23.00 Rereview (2nd review same parcel) 7344 $ 24.00 EVALUATION (Attach DOH SAN 53) C# ❑ She Evaluation in Coniunction with ❑ HOLDING TANK 7351 $ 47.00 Critical Area 7346 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ She Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00 INITIAL DATE Holding Tank Agreements Completed ❑ Yes No�� Certification of Existing S.D. System Required ❑ Yes V Ntt1 WQCB Clearance required. (Attach Form ❑ Yes q00' 1 DOH SAN 007; Santa Ana Region Only) Solis Percolation Report Required. ❑ Yes Special Feasibility Boring Report Required. ❑ Yes Oe'No'� Detalled,Conto(ir Plot Plans Required (1 to 51t interval) ❑ Yes Other ❑Yes ❑ �lb� No Staffist Lot In '" C�/ Spedal Inspection Required ❑ Yes r_ Lot Inspection Date Solis boring report by Proiect it Date _ Soils Map Page / Sol Type Approved by a s"' Data U �Q/j No. of Syslems T* of Systems) No. Dwelling Units (1) (1) Septic Tank �" Soil Rate Greaae/Sand Z 0 ❑ Holding Tank ❑ Existing flew Bedrooms, F-jxturerh)nfts -,Grease Intop . • . , ❑ ReplaoenwrM 05.601.+1, !%4,M *4X 1&� Gal I T 1r a/Gf W �(? Leech Line Sq. Ft Sidewall allowance r Instal Line(s) it. long ft wide with Leach Bed sq. ft trench area R rodV sq. it ,1 min. achesiebw drainl'mes orbdtom area per running It. Leachlines/bed special design for slope: Applicable - (3) Pit Diameter '` No. Pits Pit Below Iralet'(BI) Seepage Ph Total Depth (TD) C Max. Arable Depth , Overburden factor t ©5 ® 6 ' WIA.� Tv No. 2 System#/,4 REMARKS: i 41, rfl® This application s'`PP OVED IED.for the category checked in SECTION B above, regarding.the design of a subsurface disposal system as indicated on the accompanied"plot plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the Z above -designed system. No construction is permitted in the required reserved 100% expansion area. • Septic tankand sewer lines must be 50' minimum from any wells q� /o �'` P�"� 2) Leach lines must be 100' minimum from any wells, including expansion rea W 71"1", ((3) Seepage pits must be 150' minimum wells, including expansion area / to /from /4__-' /any Q Y g••/C.flG J�� Signature of Health Official -✓ Date RECEIPT NO. 2111 Issued By t0A (. Date 3 - 30 ju DISTRICT: ❑ Riverside, ❑; .lrZdi ❑ Hemet q Perris ❑ Rancho Eali . ❑ Blythe DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE . Office file YELLOW . Applicant PINK -.Bldg. Dept GOLDENROD - Plans/Records " DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 Indio, CA 92201 TO : lOvvi . L UU,A- v Date: 9 This is to certif�i alt developer of . (' which is I OCIA ted at ) - .S / A i nn . U ,C-/) - (,-7 `7 c,- with thi school district, is required to y school facility fees pursuant to the authority generated by Government Code Section 54080. The amount of fees due for the/ above referenced pr ect i $ covering total applicable square footage of square feet, which is subject to final verification at time payment is presented. G) r�a300� � P 226