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003406 (SFD)44 P.O. BOX 1504 No, 003406 Building 78-105 CALLE ESTADO Address 53"365 Eisenhower LA QUINTA, CALIFORNIA 92253 Owner Coachella Valley Land- Co. Mailing BUILDING: TYPE CONST:'- OCC. GRP. Address 24 P,. ahanitz Wast 42 A,P.,Number 774-085-019 City Zip Tel. t�s►'�m ,� Ira � x n2 -'102€I Legal Description i Contractorplan A y Project Description flJ-•r.rr f'i+tn�all+�r.s4#^ {_ ,Address - - - same city, Zip Tel." State Lic. City & Classif. Lic. # Sq. Ft. No. No. Dw. 3€7934 `' • 895 Size. I Al n Stories Units -Arch.; Engr., - Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ ITel. Address City Zip State { 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 �. effect. SIGNATURE'. '' - DATE " .•` OWNER -BUILDER DECLARATION Estimated Valuation 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 PERMIT AMOUNT I the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) o/ ` 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 `permit Plan Chk. Dep. 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 Plan Chk. Bal. $ 39.11 h4 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. � .�Q 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,. 33.00 Mech. 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 Electrical 74.17 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- Plumbing 103.00 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 S.M.I. 3 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) { E3I am exempt under Sec. B. & P.C. for this reason Grading 20.00 Driveway Enc. 20.00 Date Owner Infrastructure 1,121.12 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to seWinsure, 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. 0 Certified copy is hereby furnished. TOTAL 7 �q CERTIFICATE OF EXEMPTION FROM REMARKS `f 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 - n.R • ti r .•,•; .3 !. employ any person in any manner so as to become subject to the Workers' Compensation'- ~ h , Laws of California. v►;{ }" frill tj 1 .1' r r•�. r. . Date Owner " NOTICE TO APPLICANT: If, alter making this Certificate of Exemption you should become - ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear. Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL, DATE INSPECTOR 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. j ts.,a I certify that I have read this application and state that the.above information is correct. Issued by: Date % 9 ► o Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY T CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE `� J7 ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SO. FT. @ STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® ROCK STORAGE FOUND. REINF. /O O GAR. SO. FT. ® POWER OUTLET ROOF DRAINS OTHER APP./EQUIP. REINF. STEEL DRAINAGE PIPING CAR P. SO. FT. ® TEMP. POLE WALL SO. FT. ® GROUT DRINKING FOUNTAIN SO. FT. ® SERVICE URINAL ESTIMATED CONSTRUCTION VALUATION $ BOND BEAM WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES LUMBER GR. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER ROOFING � O 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, TEMIPERM 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. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL LATHING d% 4(/ 171 1,'3 (� SQ.FT.GAR g 3/ac HOUSE SEWER MESH GAS PIPING PERMIT FEE INSULATIONISOUND FINISH GRADING PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE LPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK ROUND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE `� J7 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SKEPIT X r ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. /O O 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. FRAMING / �� _ FINAL INSP. 17 r ROOFING � O REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING d% 4(/ 171 1,'3 (� MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS. GARDEN WALL FINAL RLCORDING REQUESTED BY AND WHEN NECONDED MAIL THIS 0110 AND UNLESS OTHERWISE SHOWN SELOW MAIL TAI STATEMENT TO: Name COACHELLA VALLEY LAND CO. ATTN: TOM STAR Street Address 732 WILLIAMS ROAD City& PALM SPRINGS State CA. 92262 MAIL Name Street Address SAME AS ABOVE City a State TITLE ORDER 00. ESCROW N0. 2 0 7 7 6 6 PB . SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX is $ 17.60 IN computed on full value of property conveyed, or 0 computed on full value less value of liens or encumbrances remaining at time of sale. It unincorporated area 0 city of AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby -acknowledged, PHONSINE THORBURX, WHO ACQUIRED TITLE AS PHONSINE THORNBURN hereby GRANT(s) to COACHELLA VALLEY LAND COMPANY, A CALIFORNIA LIMITED PARTNERSHIP the following described real property in the County of RIVERSIDE State of California: LOTS 6 ANDBLOCK 210 OF SANTA CARMELITA AT VALE LA QUINTA, UNIT 20, AS PER MAP CORDED IN BOOR 19, PAGE 38 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA: Dated July 21, 1987 STATE OF CALIFORNIA COUNTY OF SS. On this _ day of—AU L►t in the year 19A2 before me. the undersfggned, a Nipry Public in and for said State, personally appeared f 110 WE 7#oAAyA,-J personally known to me (or proved to me on the basis of satisfactory evidence) to be the person_ whose name 1 S subscribed to the within instrument, and acknowledged to me that he_ executed it. WITNESS my hand and official seal. Signature 40T�AIIY PUBLIC IN AND OFOR $AID STATE 3 6 a 12,6(0 PHONSINE *THDRBUI � (This area for official notarial seal) OFFICIAL SEAL LIONEL PETERS roc. vt NOTARY PUBLIC - CALIFORNIA LOS ANCELES COUNTY t.".y Comm. expire. JAN 21, 1989 (This area for official notarial seal) T4'y� 4 4 " 7,0> P.O. BOX 1504 APPLICATION ONLY Buildingi 7&105 CALLE ESTADO Address % S&5' t�.5�oVk:il2 LA QUINTA, CALIFORNIA 92253 Owner Mailing Address 2w7 "en City I Zip ITel. Address e. o 1117 Tel.. ° z G.7 3z 2 State Li/7 �e�r,. Lic. I City & Classif. ,-. Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Di/vislon 3 of the Busin/ess and P/rote sions Code nd my license is in full force and effect. K P? R7 SIGNATURE: -I'— ••KK -DATE OWNER -BUILDER DECLARATION I herby 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 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 live 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 or 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 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (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, alter 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 it 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 retating 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 BUILDING DIVISION BUILDING: TYPE CONST. OCC. GRP. A.P. Number 1_o7_7 Legal Description %1�T��►--r�! 2!,,l /1A) Project Description iJU':)YLitt Yt1' ryii.9 � 'U'Y"c:'f: � t l.:r . �o.�.o W _ ZONE: BYd 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: Sq. Ft. Size /!,///a No. Stories �/ No. Dw. Units / Newer Add ❑ Alter ❑ Repair ❑ Demolition ❑ r Estimated Valuation "! 71 F PERMIT AMOUNT Plan Chk. Dep. 510' .0 O Plan Chk. Bal. R47. Const. 001 Mech. 3 .00 Electrical -7 , / 7 Plumbing Oa S.M.I. , Grading . Om Driveway Enc. Infrastructure / / _► A Z <- !i o TOTAL 4 REMARKS iJU':)YLitt Yt1' ryii.9 � 'U'Y"c:'f: � t l.:r . �o.�.o W _ ZONE: BYd 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 SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. @ GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. @ GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN SO. FT. @ WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER 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 LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac HOUSE SEWER FINISH GRADING 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 SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. 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. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL