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14217 (SFD)Building ' Owner .4- P.O. BOX 1504 N o . 1.4217 54-965 Ave. Herrera LA QUINTACCALIFORNIA 92253 Kerry Eagle/JHR Deve:lop=ent BUILDING: TYPE CONST. V17 OCC. GRP. `13 mailin Address 11604 vontura Blvd., Ste. 62.E A.P. Number 774-302-020/021 City Zip Tel. Lot 11 & 12 Sloek 312. Studio City, A 91604 1 (213) 656-3153 Legal Description Contractor S arse Address Zip I Tel. I State Lic. 8 590684 I City 2557 & Classif. Lic. # Arch., Engr., Terry A. Roach Designer AiISul N. 49th Pl. TO 02) 996-2852 Cgyuottsdale, AlZIp85254 Dict# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section x]000) of Division 3 of the Busine and Professions Code, and my license is in full force and 7gffect.fs !J 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,Business 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 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). 0 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, 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 DECLARATION I hereby a ' m that I have a certificate of consent to self -insure, or a certificate of Worker's Co ensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Poli y 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.) 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 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 slate 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 Project Description SFD Sq. Ft. No. No. Dw. Size 19115 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit includes 51 wall, pool permit must be obtain,3d prior to con£tructior of mall. Estimated Valuation *123,979.00 PERMIT AMOUNT Plan Chk. Dep. 25U.140 Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. .. qU Grading Driveway Enc. Infrastructure i r U J rrldcise Plan .:a.UU Arto in PublIx Placos > TOTAL r r •' REMARKS T 17 1 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. PLUM, FVttS A.C. UNIT COLL, AREA SLAB GRADE 1ST FL. SO. FT. ® $ UNITS HEATING (ROUGH) ` FORMS YARD SPKLR SYSTEM ROUGH WIRING 2ND FL. SQ. FT. ROCK STORAGE FOUND. REINF. GAS (ROUGH MOBILEHOME SVC. BAR SINK POR. S0. FT. ® REINF. STEEL GAS (FINAL) TEMP. POLE T GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GROUT WATER HEATER SERVICE DRAINAGE PIPING CAR P. SO. FT. ® BOND BEAM 3 G 9� I WALL SO. FT. x$ _$ DRINKING FOUNTAIN FINAL INSP. FRAMING /w17- /� URINAL SQ FT ® /A /j�/� / UI ���1r, ` �� 55 ` /y / y/J o".� REMARKS: ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FIRE ZONE ROOFING FLOOR DRAIN MECHANICAL FEES WATER SOFTENER SPARK ARRESTOR VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER //�� LATHING %S GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED UrlAA LAUNDRY TRAY AIR HANDLING UNIT CFM INSULATION/SOUND 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 GARDEN WALL FINAL SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1Va c SEWAGE DISPOSAL SO.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/1-3—gq4 UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER R SE S ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE T GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM 3 G 9� WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING /w17- /� FINAL INSP. ROOFING /;ed - /A /j�/� / UI ���1r, ` �� 55 ` /y / y/J o".� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL ' //�� LATHING %S y Alp UrlAA MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL of OPT-*, ug Tit�J of ?gel (011thad 1111t*tbthl� elli1) e1fPN -tltlttkiillll 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 54-965 Avenida. Herrera Use Classification Single Family Dwelling Bldg. Permit No. 14217 VN Group R3 Type Construction Fre Zone Use Zone SR Owner of Building JMK Development Inc. Address 11684 Ventura Blvd. #624 City Studio Cit CA 91604 BY Daniel P. Crawford Jr. Dote: April 10, 1995 Building Official POST IN A CONSPICUOUS PLACE DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 10/17/94 No. 113129 Type of Permit I La Quinta Permit # Log Owner Name JMK Development No. 54965 Street Avenida Herrera city La Quinta Zip 92253 Study Area 110 APN # Tract # Lot # 0 Square Footage 11916 Type of Development Single Family Residence I No. of units 1� 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 53080 in the amount of 1.72 X 1 916 or $ 3,295.52 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 JMK Development Telephone Name on the check By Dolores A. Ballesteros Superintendent Fee collected /exempted by Vickie J. Durrett y Payment Received, Signature C�C,� - - �, ' �heck No. -2315 .n Collector: Attach a copy of county or city plan check application form to district copy -,for all waivers. w Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy, -,Accounting COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL 3 R G.A. Code x TOTAL $ Remarks: ❑Copy to: r' Cash Water Service Check Money c"' Cashier -.__, Order CVWD- (11189) 1.2Received From - -- Address: Account No. LIS) Service Address + ❑ Meter(s) ❑ Service(s) i + ❑ Backflow(s) ❑ House Laterals) ❑ DetectorCheck(s) _ ❑ Meter Surcharge Sanitation Capacity Charge �5� ❑ W.S.B.F.C. iii ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water / Sewer - Tract - e ❑ Bond Payment - A.D. - Bond Assmt. • i ❑ Customer Deposit ❑ Other e G.A. Code x TOTAL $ Remarks: ❑Copy to: r' Cash Water Service Check Money c"' Cashier -.__, Order CVWD- (11189) AAD VWED F6"lltD rAlt Twit DED All/ MM D"OttE OHM Datft 411I -I1, IAZ ITITEMENT T1: . rPl inning Department Street City Of La Quinta ddreea 78-495 Calle Tampico os"a: LLa Quinta, CA 92253 J Al r`llama Street A ddraaa City a �,�State . L TITLE ORDER v MAIL TAX STATEMENTS TO i FIC1110W Me J II� Z j t SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX is 3 -O- p computed on full value of property conveyed, or Q computed on full value less value of liens or encumbrances remaining at time of sale. p unincorporated area p city of LP, QUINTA , AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, J11K Developmnt•, Inc., a California Corporation hereby GRANT(s) to JMK Developulent, Inc., a California Corporation the following described real property in the r' County of Riverside , State of California: (Property Description) Lots 9 and 10 of block 212 Santa Carmelita At Vale La Quinta, Unit No: 28, in The City Of La Quinta, as shown by rap on file in book 19, pages 59 and 60 of maps, in the office of the County Recorder of said county. (This document is being recorded to perfect•.Certificate of Parcel Map Merger No. 94-302) ""•,- ,_ __ June 2, 1994 Dated STATE OF CALIFORNIA SS COUNTY of On this day of in the year before me, the undersigned, a Notary Public in and for said State, persornally appeared .p personally known to me p proved to me on the basis of satisfaciory evidence to be the person whose name is subscribed to this Instrument, and acknowl- edged to me that he (she or they) executed it Signa T•Zr7 JMK Development, Inc. I erry e, Pr et i d e n t NOTARY PUBLIC IN AND F .N8.. SA!t',ZTAT Thit aree In! c. (Thit notarial seal)