08959 (SFD)Building
Address 51--960 $iseabt mw
Owner
Tt, 0 6J
4VI 4 4 QUM Ira
P.O. BOX 1504
78-105 CALLE ESTADO �^
LA QUINTA, CALIFORNIA 9225`
1 4vxs
Address 73-6255 Ughway 111 Sidto G
City Zip T�7�73125
Pam Desert 9226fl
Contractor
P.O. BOz 3983
De "rt IZip 42261 ITel. 340-6W7
State Lic. I City
& Classify 480121 B•-1Lic. #
Arch., Engr., R
Designer
Address 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
70 00) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
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,Buslness 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) or
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.)
❑ 1 am exempt under Sec. B. & P.C. for this reason t,
Date Owner rte`- 7'-� a- �h, .�
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
O Copy 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 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
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
No.
ILDING: TYPE CONST. 4_F,i1, OCC. GRP..
P. Number 773-175-811
al Description
Project Description
Sq. Ft.
Size
New ❑
No.
Stories
7
No. Dw.
Units
Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep. 250.00
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing 152.50
S.M.I.
C 53
Grading
Driveway Enc.
Infrastructure 1737.91
A 1: 1t
TOTAL 2891,46
REMARKS
uj A rsV W1141 4i n91. 4
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
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SQ. FT.
YARD SPKLR SYSTEM
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
E IC TANK
GAR. SO_ FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
jDRAINAGE PIPING
CAR P. SQ. FT. ®
HEATING (FINAL)
OTHER APP./EQUIP.
WALL SQ. FT.
DRINKING FOUNTAIN.
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WAiER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
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.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
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 P kQIS' J''9
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.,
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
E IC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
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. 0% / ��
FRAMING
FINAL INSP.
ROOFING
'
U
�,rc.
nn
N
A
7
R MARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING{�j//V ii 30 9a
MESH
INSULATION/SOUND /� �7 l�
FINISH GRADING
FINAL INSPECTION �/7
-
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 10/26/90 1 Type of Permit I La Quinta
No. 110231 Permit ii
Owner Name T.P.M. Holdings Log li
No. street See below
City La Quinta zip 92253
Study Area
APN N I Tract N I Lot # Square Footage 14290
Type of Development Single Family Residence No. of units
Comments B2.A00 R.amire7. (Area 111)_ 52-100 A1varadn (Area 111) and
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
Ibis certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of Fl. -58--1 X ® or$ 6,778.20 have been paid to D.&U.&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 _Hopewell Partners, Ltd.
Name on the check
By Richard M. Beck
Director, Facilities Planning & Development
Telephone
Fee collected /exempted by Shelley D. Bennett
y� �-q Payment Received
Signature e ��_„ 4� _!l Y Check No. 227
Collector: Attach a copy of County or City plan check application form to Disb L ict copy.
Embossed Original- Building DeptJApplicant Copy - Applicant/Receipt Copy - Accounting
£isG•uleWf.✓
09/06/1990 15:17 FROP1 FOSTER,PEPPEP, SHEFELMHN TO 16197733097 P.02
Order No. 102595 /n -gyp
Escrow No. 903276 -MA O i�iJ (VR FMM
Loan No. S
FIDELITY NATIONAL TITLE INS. CO. � W g 1k: 9� ` -
�
WHEN RECORDED MAIL T0: 10 g
LANDRACE CORPORATION (Tom Pors) > = 4
c/o Foster Pepper & Shefelman w 4
LD Security Pacific Plaza, 15th Floor W `
777 108th Avenue N.E. Q 1
Bellevue, WA 98004
SPACE ABOVE THIS LINE FOR RECORDS USE
MAIL TAX STATEMENTS TO: 327.25
DaINVFMARY TRANSFER TAX $._..._........._..._.._..___...........
SAME AS ABOVE Computed.on the consideration or value of property conveyed; OR
.XX Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
Slynaturra of Gc1arMK Or ApMt Oetermininp t1x – Firm Meme""
CORPORATION GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
T.P.M. HOLDINGS
a corporation organized under the laws of the State of Nevada
GRANTto LANDRACE CORPORATION, a Washington corporation
, does hereby
the real property in the City of La Qui nta
County of Ri versi de State of California, described as
Property described on EXHIBIT "A" and EXHIBIT "B" attached hereto and by this reference
made a part hereof
Defied _ June 5.,.,_1990 - - -
STATE OF CALlit A I
COUNTYOF_.^ItJ-�,/' ] -;E )
o,L�Jtime 5. 1990 - - bel a mo,
the undersigned. a Nota Public in and for8aid $tate, personallyappear-
ed
proved tome on the basis of satisfactory
evide=tbehe persons who executed the within Instrument as
—President4w+d
on behatt
the eorporatlon therein named. and acknowledged to me that such cor-
poration executed the within instrument pursuant to res briews or e
rm4lution of its board f directors.
WITNESS mv4dl and oftial sesll% s7
N
-T--.P.M,. •-HOLDINGS
tie
By
THOMAS P. MOYER President
By
OFFICIAL SEAL I
CYid i H I_ OR;'CNO
notary ptoic . olilomia
pa nes rcb-
wf 2 t992
09/06/1990 15:1? FROM FOSTER,PEPPER & SHEFELMAN TO
EXHIBIT "A"
PARCEL 1:
16197733097 P.03
21623.5
'Lot 8 in Block 3 of Santa Carmelita at Vale La Quinta, Unit No. 1
as per map recorded in Book 18, Page(s) 46 of Maps, in the Office
of the County Recorder of Riverside County.
PARCEL 2:
Lots S and 6 in Block 239 of Santa Carmelita at vale La Quinta,
Unit No. 22 as per map recorded in Book 20, Page(s) 24 of Maps,
in the Office of the County Recorder of Riverside County.
PARCEL 3:
Lot 4 in Block 4 of Santa Carmelita at vale La Quinta, Unit No. 1
as per map recorded in.Book 18, Page(s) 46 of Maps, in the Office
of the County Recorder of Riverside County.
Said land is situated in the City of La Quinta, County of Riverside,
State -of California.
�fifdiNN,
A4�,,7f�n-. /`
09/06/1990 15:18 FROM FOSTER,PEPPER & SHEFELMAN TO
r' ...
PARCEL 1:
EXHIBIT "B"
16197733097 P.04
216235
.L,Ot 4 in Block 160 of Santa Carmelita at Vale La Quinta, Unit No.
16 as per map recorded in Book 18, Page(s) 99 of Maps, in the
Office of the county Recorder of Riverside County.
PARCEL 2:
Lot 9 in Block 58 of Santa Carmelita at Vale La Quinta, Unit No.
5 as per map recorded in Book 18, Page(s) 63 of Maps, in the
Office of the County Recorder of Riverside County.
PARCEL 3:
Lot 18 in Block 2 of Santa Carmelita at Vale La Quinta, Unit No.
1 as per map recorded in Book 18, Page(s) 46, of Maps, in the
Office of the County Recorder of Riverside County.
PARCEL 4:
Lots 10 and 11 in Block 93 of Santa Carmelita at Vale La Quinta,
Unit No. 11 as per map recorded in Book 18, Pacje(s) 75, of Maps,
in the Office of the County Recorder of Riverside County.
PARCEL 5:
Lot 13 in Block 102 of Santa Carmelita at Vale La Quinta, Unit
No. 11 as per map recorded in Book 18, Page(s) 75, of Maps, in
the Office of the County Recorder of Riverside County.
PARCEL 6:
Lot 23 in Block 113 of Santa Carmelita at Vale La Quinta, Unit
No. 12 as per map recorded in Book 18, Page(s) 79 of Maps, in the
Office of the County Recorder of Riverside County_ y,
PARCEL 7:
Lot 11 in Block 64 of Santa Carmelita at Vale La Quinta, Unit No.
6 as per map recorded in Book 18 , Page (s) 67 of Maps, ' in' the -
Office of the County Recorder of Riverside County.
PARCEL 8:
Lot 14 in Block 157 of Santa
No. 16 as per map recorded in
Office of the County Recorder
PARCEL 9:
Carmelita at Vale La Quinta, Unit
Book 18, Page(s) 99 of Maps, in the
of Riverside County.
Lot 17 in Block 66 of Santa Carmelita at Vale La Quinta, Unit No.
6 as per map recorded in Book 18, Page(s) 67, of Maps, in the
Office of the County Recorder of Riverside County.
PARCEL 10:
Lot 17 in Block 249 of Santa Carmelita at Vale La Quinta, Unit
No. 23 as per map recorded in Book 20, Page(s)' 25,, of Maps, in
the Office of the County Recorder of Riverside County.
09/06/1990 15:19 FROM FOSTER,PEPPER & SHEFELMAN TO 16197733097 P.05
216235
PARCEL 11:
Lot 19 in Block 84 of Santa Carmelita at Vale La Quinta, Unit No
10 as per map recorded in Book 18, Page(s) 70, of Maps, in the
'-6ffice of the County Recorder of Riverside County.
PARCEL 12:
Lot 4 in Block 257 of Santa Carmelita at Vale La Quinta, Unit No.
24 as per map recorded in Book 19, Page(s) 44 and 45, of Maps, in
the Office of the County Recorder of Riverside County.
PARCEL 13: -TI-960 r, se,,.owe r
'173- 175--c If
Lot 14 in Block 117 of Sanca Carmelita at Vale La Quinta, Unit
No. 12 as per map recorded in Book 18, Page(s) 79 and 80, of
Maps, in the Office of the County Recorder of Riverside County.
PARCEL 14:
Lot 24 in Block 158 of Santa Carmelita at Vale La Quinta, Unit
No. 16 as per map recorded in Book 18, Page(s) 99, of Maps, in
the office of the County Recorder of Riverside County.
Said land is situated in the City of La Quinta, County of
Riverside, State of California.
Q
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15
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CO
I
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH A29MW s P111MM Na
ENVIRONMENTAL SERVICES DIVISION,3
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 list
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.
VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # L�
Agent. Contractor, Contact Person
Address &Firm
ggx I#5 '
Owner
Phone
Mailing Address
r r15
s
State
Zip
Job Property Address
Legal Description Prop. (PM, Tract Lot)
.�cit`y
T lay Strf J(::"a
a16lJ
1 S/-
� AL -k-
Lot Size
ter Agenc
Use of Permh P/P, Cu. etc.
Other
Sv � /o D
V • Wrf� ►-
S� a,/Q � f�Q.�'acQ
I MH Site O ep, e
9tt)
Andigie-lof Applicant
Date
CATEGORY: REV CODE FEE
CATEGORY: REV CODE FEE
SUBSURFACE DISPOSAL 1238
O SITE EVALUATION UPON REQUEST 7349 $ 43.00
16.
❑ MULTIPLE PARCELS WITHIN SAME +
(NO PLOT PLAN)
LAND DMSION
O SEWER/SEPTIC VERIFICATION 7348 ' $ 17.00
a 1 at 4 Parcels (Each) 1238 $ 57.00
(Less than 1 year)
b. Each Parcel after 4 7344 $ 24.00
❑ PRELIMINARY ELECTIVE 7352 $ 23.00
O Rereview (2nd review same parcel) 7344 $ 24.00
EVALUATION (Attach DOH SAN 53)
O Site Evaluation in Conjunction with
O HOLDING TANK 7351 $ 47.00
Critical Area 7348 $111.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00
O Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $ 87.00
INITIAL ATE
�1
Holding Tank Agreements Completed ❑ Yes No '7
Certification of Existing S.D. System Required ❑ Yes No
WQICB Clearance required. (Attach Form ❑ Yes No
DOH SAN 007, Santa Ana Region Only)
Soils Percolatkxh Report Required. O Yes No
Special Feasibility Boring Report Required. ❑ Yes No
Detailed Contour Plot Plana Required (1 to 5 R interval) ❑ Yes No
Other ❑ Yes No
Staff Specialist Lot Inspection Required ❑ Yes No
Lot Inspection Date
Soils boring report by Ti /e ' Project Date
Soils Map Page Sol Type Approved t;y Data
No. of System
Type of Systerth(e)
D Folding Tank ❑ ExistingBed
No. Dwelling Unite(1)
Units
Septic Tank
Soil Rate
Gram e/ pd
Grew4Mop
/
New D ReplaoertwrM
fi�xture
/� A
.p Ask
/
�
f�
Gal
(2) Leach Sq. Ft
Sidewell allowance
Install Une(s) ft long h wide with
Leach Bed aq.
h area
ft rock/ sq. ft
min. rock below drelnlinea
of b
per running K
.7drenc
Ar NA
—
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below
Seepage Pit Total Depth
Other.
Applicable
Inlet (BI)
(TD) ';Q r
Max. Allowable Depth
N/� Overburden factor
^49-5- A 6
�`
l
/ �!
No. 2 System
REMARKS:
y
This application i A PROVED ENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
on the acoompanOd-pot—pian, 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.
G> Septic tank and sewer lines must be 50' minimum from any wells
(2) Leach lines must be 100' minimum from any wells, including expansion area
Seepage pits must be 150' minimum from any wells, including expansion area
V
Signature of Health Official Date
RECEIPT NO. Issued By /✓�/� Date
DISTRICT: ❑ Riverside, ❑ Indio ❑ Hemet O Perris ❑ Rancho Calif. O Blythe
DOH -SAN -122 (Rev. 3/90) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Ptans/Records
v� of OFFICE OF
AGRICULTURAL COMMISSIONER
AND
:41viIf WEIG141S & MEASURES CALVIN C. KAMINSKAS
JAMES O. WALLACE 4080 LEMON SIREEI, ROOM 19 Afrhlonl Commlrslonor
Aprkullurol Commlislonm RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISIE
Ohecta of Welghb & Meatues (714) 787-2561 Souter
49613 Highway 8.6, Suite B12
Coachella, Ca. 9223.6
(619) 342-8291
DATE 2, O CASE W. �� C` K Q? 0 7 % O /
DEVELOPER'S NNS s L— G /t✓e� C e C.
ADDRESsl
TEGEPI IONS t :� -73 — 3 /1-S
%�
l r
Dear Developer: 11 �%,`✓`� �- ,�r-e o ��^�� ac . ,
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 trust be notified'
hnnediately.
Tbank you for protecting and preserving the Coachella Valley's pest -free .envirorvent.
Agricultural Carr ssi er`s Office
cot Indio and Riverside Office
4id•
. a,