10885 (SFD)Building
...a...__ ;A-460 Herrera
Owner
Suncrown Corp
c&ty/ 4
P.O. BOX 1504 'tj No, 10885
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253 `
BUILDING: TYPE CONST' OCC. GRP.
Address Box. 8 0 4
City zip JTeI_
La Quinta 92253 564.4977
Contractor
Larry Donoho Construction
380 Sand Springs
Haim Spgs z'52262 1
Tel.32�-3569
State Lic. Gity
& Classif. B 627265 Lic. # 2154
Arch.- Engr., I
Designer
Address I Tel.
CityI zip I State I
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
effecI
.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Busfness 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 rile 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 rive hundred dollars ($500).
❑ 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 -budder 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 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. 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
[46Copy is filed 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 the work for which this permit is issued, I shall not
employ any peon in any manner so as to become subject to the Workers' Compensation
Laws of Cali fornirsa.
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 fortliwith
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
7
A.P. Number
Legal Description
Project Description
:a I /—/ , 5�
SPD
(�� 7
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Estimated Valuatio97,177.40
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
501.31
Const.
585.50
Mech.
55.50
Electrical
120.66
Plumbing
154.50
S.M.I.
8.80
Grading
20.00
Driveway Enc.
20.00
Infrastructure
1778.31
Precise Plan
25.00
TOTAL
3269.58
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 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
QST FL. SO. FT. ® $
UNITS
as
2ND FL SQ. FT.
COLL. AREA
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT.
FORMS
DRAINAGE PIPING
WALL SQ. FT.
/
—,RWEtbR SEPTIC TAN ROUGH ROUGH WIRING.
LLL
DRINKING FOUNTAIN.
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FOUND. REINF.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
WATER HEATER SERVICE
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
/
FRAMING �l/ `
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
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 ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING ��a NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
/
—,RWEtbR SEPTIC TAN ROUGH ROUGH WIRING.
LLL
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-x$-=$
1 / S/ S F7 -
TT ��V AgAq
LUMBER GR.
FINAL INSP.
/
FRAMING �l/ `
FINAL INSP. 7
ROOFING /�
(/
P"yu ry ! ")
4
p�
l •/
-
�c
l
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATING74
MESH
INSULATIONISOUND S
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
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• RECORDING REQUESTED BY
LAND TITLE rn
EIto AND WHEN RECORDFn MAIL. TO
; NAMF. F
GO AnnRFSs Mark J. Franks`
CITY A 51-460 Avenida Herrera
%11 ATL La Quints, Ca. 92253' —I
71P
tt 10-19967
Title Ar,97V,7-97 - -- Fm
+cw No... -_ •_--_-- _—
1 rl
MAII. TAX STATFNIFNTS TO
NAMF. r
.ItRFF.T ABOVE ADDRESS
ADDRESS
CITY A
STATE
/.1 P
2,
DOCUMENTARY TRANSFFR TAX 6-
-M—COMPUTED
_XX_COMPUTED ON FULL VALUE OF PROPFRtY CDNVFYI:D,
ON COMPUTED ON FULL VALUE LIP -S LIEN% AND
tNCUMRRANCIA RLMAININCI At TIME OF SALE.
—1 I Signature of Ded4rani or Agent determining ate. Firm Nene
CORPORATION GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
SUNCROWN CORPORATION,
a Cal ifronia Corporation hereby GRANT(S) to
JAMES MARK FULHAM, a single man
the following described real property in the City of La Quinta
county of Riverside , state of California:
Lot 14 of. Block 64, Santa Carmelita at Vale, La Quinta,
Unit 16, as per map recorded in Book 18, Paqe 67 of Maps,
in the office of the County Recorder of said County.
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SPACE AROVF. TI115 I.INF. t nk kFCOkDFk'S tisr
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DOCUMENTARY TRANSFFR TAX 6-
-M—COMPUTED
_XX_COMPUTED ON FULL VALUE OF PROPFRtY CDNVFYI:D,
ON COMPUTED ON FULL VALUE LIP -S LIEN% AND
tNCUMRRANCIA RLMAININCI At TIME OF SALE.
—1 I Signature of Ded4rani or Agent determining ate. Firm Nene
CORPORATION GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
SUNCROWN CORPORATION,
a Cal ifronia Corporation hereby GRANT(S) to
JAMES MARK FULHAM, a single man
the following described real property in the City of La Quinta
county of Riverside , state of California:
Lot 14 of. Block 64, Santa Carmelita at Vale, La Quinta,
Unit 16, as per map recorded in Book 18, Paqe 67 of Maps,
in the office of the County Recorder of said County.
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 5/11/92 1 Type of Permit I La Quinta
No. 111378 Permit #
Log #
Owner Name Suncrown Corp.
No. 51460 street Avenida Herrera
city La Quinta zip 92253 Study Area 111
APN # I Tract # I Lot # Square Footage 11375
Type of Development Single Family Residence No. of units
Comments
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 5.3080
in the amount of 1.58 X 1375 or$ 2,172.50 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 Suncrown Corporation Telephone
Name on the check
By James E. Lively
Assistant Superintendent, Business Services •' '` 's., �{
r12, J.
Fee collected /exempted by Shelley D. Bennett s'
Payment Receive 1
Signature `'! ' =
-hack No. 2592 +
Collector: Attach a copy of county or city plan check application form to district copy f6k• all wide i e.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
CALVIN C. KAMINSKAS
Assistant Commissioner
(714) 275-3000
`+ o 4,Y
I'
OFFICE OF
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue -45 Suite 7
Indio, CA 92201
(619) 342-8291
DAN RILEY
Sealer. Welghts & Measures
(714) 275-3030
DATE YI;2 CASE NO. L P epS q�
DEVELOPER'S NAME:Urtieleew,e) e�e000e,. Tor eA
ADDRESS: 5.2- 417y
A. 4 (Ir,,Ll 72?
TELEPHONE: ( 6 / j ) .5-f. IV -
S y Os ,S lax vfeAwo
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 from plant material listed, this office must be notified
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agricultural Conniss' per's Office
cc: Indio and Riverside
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012