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14218 (SFD)Building Address 78.-815 Lima Owner S.W. simors Mailing �. Address P.O. $fags 376 City tesz., . GR zIp 92320 Contractor Same Address 4 �iGG�1�IGV P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 14218 s BUILDING: TYPE CONST. V'OCC: GRP. -R3 A.P. Number 769-600--010 Tel. Lot 22 Tract. 24890-4 ( 'Legal Description Project Description City lZip I Tel. State Lic. A B-356905 (City & Classif. Lic. # Arch.- Engr.,'- __•. Mike Pool — Designer Add s'eY vine Tel. City zip -CI�i alp 92373 utc.a 49585 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 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) of Division 3 of the Business and Professions Code, or thathe'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). ❑ 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 contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner 1 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' COMPENSATION INSURANCE (This section need not be completed it 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 A L 3 - i a~ J+ Lender's Address '• 1f t}_ ., - • 4 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. r - Signature of applicant � 3' '' . Date Mailing Address --+�•*='•• .- City, State, Zip t. t r . f fl to! ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Ce i r Lin Side Setback from Propertya-21— DATE Issued by: Validated by: Validation: r Sq. Ft. Size 3219 No. No. Dw. Stories Units N 0 ' Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does nod. - in- clUde block wall or Pi)Oi. N Estimated Valuation $258,035.€30 PERMIT AMOUNT Plan Chk. Dep. 250.00 0 Plan Chk. Bal. 760..04 ;Const. 1,231.00 Mech. 96.00 Electrical 217.97 Plumbing 205.50 .S.M.I. 26. go: Grading 20.00 Driveway Enc. a00 Infrastructure 5r946.39 Arms in ffu�blkc Places 420.08 r• TOTAL - 9,174.58 92• 5858 / REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Ce i r Lin Side Setback from Propertya-21— DATE Issued by: Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS B GRADE 0 a V. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. p FORMS SEWER OR SEPTIC TANK POR. SO. FT. p MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. Q. FT. OTHER APPJEOUIP. DRAINAGE PIPING WALL SO. FT. TEMP. POLE DRINKING FOUNTAIN. SO FT ® GROUT URINAL __. _ ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM 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 REMARKS: 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% 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 lollGROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA B GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. S (ROUGH) 1q! 0915 J METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. �IINAL INSP. 12— S-7 FRAMING ►«� FINAL INSP./�' ROOFING L REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING AL INSPECTION _ CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL FROM 714 7951356 E.W. SIMMONS INC OCT .17.94 10:37 AM P-001 Post -Fax Note 7672 No. ofPages ............................_ TodaysDaa.,......._............_......_..Tme .:.......,.M... _. 1 77 -.__....,...._................_ ........... ...............:.........:..., ................... .._. _...._.._....:; .................... ..........:, -.,,:-,.,..,..,.......M..........._.,.,: «., :.».-...,,, w, , ............ � l Z � From .. ,.....:.�.. ,-., ._.,..,m _ Bill W. Simmons_ :To K ._.....M:.........,._..,.,,..:_..,.,w,M..,_.......:._,........_..................-----....---.---.......:.........._......,:..........,. Y.._ .................._.- __,....w..,...,,.,.m.:......,w......,,...,...,w..._ Cwpanv City of LaQuinta B. W. Simmons Inc. 'Lo,,tk , -Locat=ion Dept, Charge i.,. .:..:e..., .,.........y.........._,_..,. ,_........._.................................. ,........... ....... ... ......:.,...,.....,,...,...... ..... ............ ..... -............_..._._......,..,...................._................._...._.,...._ _ _ .. :fact # Telephone Fax i! Teleph 619-7.77--7011 = -7.9 --...._....-----•--._..........:.........:......:.... ...,......:_...........,..................._...,._...9Q9.......5......1:.3..5..6.:1,.:.,...,,,.,,...-.........9.09.:,.,7.,5......&92&.,..,.v....,:..,...M,.... k..--.. morns — _ ,Orlginet (� Destro, Rdwrn. Call for pickup '......,............_......._.................._...._....._............ ....... ....... ........ D anon:.:..,...,_.......,....—..I..:...:.......n......,µ.� ...,_..__........:....._......r.-_..:...._..._...,,.....�....,....._..............„ Grant Deed to follow fdr Lot. 22 Tr.,,...2,4.8.0,.4.,....-7..8_-815.._Llma................................_...---.........._..---.._..._ _..._.._........�_,,._.... ,...,....,....._..._...._......_..._._.....__._..._...._..._................._..................._,..:.,w.., ... _..._...._.,._.,..,.Citrus Golf Course ...:.....:........:............. ...... ................... tF&RWAY HOMES'=-. Order No. -:Escrow No. 'Loan.No., { WHEN -RECORDED MAIL TO: Mr. and .Mils. Billy W. Simmons P:O. Bok 376 'Calimesa, CA 92320 r 6 a�� 7 a9 x�4V CCE LL W t� SPACE ABOVE TIES LINE FOR RECORDER'S USE " MAIL TAX STATEMENTS TO: Docl�I�rrTnRY TRANSFER TAX s ........ .............................7av ..................... X,.Computrd on the consideration or value of propem- wmc�rod; OR SAME AS ABOVE ..:::.Computed on the consideration or value less He, or oocumbrances THEE[NDERSI sal ICED GRANTOR 4 Signature of Declarant or Ageot detcrMining tax -Finn acme 111•—" 111 1 • � Y rel Yl 11111 1 CORPORATION GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, J.M.'PETERS COMPANY, INC. a corppration organized under the laNys of the State of WDA DELAWARE ,does hereby 1 GRANT -10 BILLY W. SIMMONS and .MARGIT SIMMONS, Trustees of. The Billy W. Simmons Family ' Trust dated March 6, 1990, the real property in the City of LA QUINTA County of RIVERSIDE , State of.California, described as . LOT 22 OF TRACT 24890-4, AS MORE PARTICULARLY DESCRIBED IN EXHIBIT "A" ATTACHED HERETO AND INCORPORATED HEREIN BY THIS REFERENCE. GRANTEE BY ACCEPTANCE AND RECORDATION OF THIS DEED,.EXPRESSLY ACCEPTS, COVENANTS, AND AGREES TO BE BOUND BY AND ASSUME PERFORMANCE OF ALL APPLICABLE PROVISIONS AND REQUIREMENTS SET FORTH IN THE MASTER DECLARATION AND ALL SUPPLEMENTARY DECLARATIONS ATO, AND ANY AMENDMENTS THERETO ("MASTER DECLARATION") ALL AS DESCRIBED IN EXHIBIT "A", WHICH PROVISIONS AND REQUIREMENTS ARE ACKNOWLEDGED TO BE REASONABLE AND ARE INCORPORATED HEREIN BY THIS REFERENCE. THIS GRANT IS EXPRESSLY SUBJECT TO THE PERFORMANCE OF SUCH PROVISIONS AND REQUIREMENTS To BE PERFORMED BY.GRANTEE THEREUNDER. THE USE FOR WHICH THE PROPERTY IS INTENDED IS RESIDENTIAL, AND THE RESTRICTIONS ON ITS USE ARE SET FORTH IN THE MASTER DECLARATION AS SUPPLEMENTED AND AMENDED, AND THE SUBDIVISION MAP FOR THE PROPERTY TO WHICH THIS DEED IS SPECIFICALLY AND -EXPRESSLY MADE SUBJECT TO. DATED: March 1, 1994 Dated - March -1, .1994 StATE OF CAL ORNLk COtwry 0)= t~ Ott before me. lfj Q i2 L{ p&bonastly. a#ipg{rred _:– personally known to tn,�(or proved to me on the basis of satisfactory .evidenee) to be the personW whose narne(�) is/wc7subsoribed to the within urwrurnent and acknowledged to me that helshe"ey executed the same in his/het.#anir authorized capacity(ies), and that by hiwly_ 3eir siggna- ture(A_on.the instrument the persolo or the entity upon behalf of whioh the person{. acted, executed the inst=ent. WITNBSS hand and official seal. Si=ature / / J.M. PETERS COMPANY, INC., A NWPRA CORPORATION DELAWARE 1 By Craig jfos4r., Vice President BY Secretary. J. smutbf _. IDT I NOINT RtR: - cdoloft I c4E tY MY cam f. Sa- ts, tee? (This area for offtciW notarial seal) MAIL TAX SI<'ATEMEIN'rS AS DERECTED ABOVE 1144(1/91) FROM 714 7951356 E.W. S IMMONS INC OCT .17.94 10:38 AM P-002 i.,<µ�,Rw l�✓.i. EXHIBIT ALL THAT CERTAIN LAND SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF RIVERSIDE CITY OF LA QUINTA, AND IS DESCRIBED AS FOLLOWS: PARCEL 1: LOT 22 , OF TRACT N0. 24890-4, AS SHOWN ON A MAP FILED IN BOOK 218 PAGES 1 THkOUGH 9 INCLUSIVE OF MISCELLANEOUS MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA. ALSO EXCEPTING AND RESERVING THEREFROM, FOR THE BENEFIT OF THE J.M.. PETERS COMPANY, INCORPORATED A NEVADA CORPORATION, ("DECLARANT") ITS SUCCESSORS AND ASSIGNS, TOGETHER WITH THE RIGHT TO GRANT AND TRANSFER ALL OR A PORTION OF THE SAME, AS FOLLOWS: A.. THE;':RIGHT':TO PLACE ,ON,. UNDER OR ACROS5 THE PROpFt'I'Y, TPANSMISSZON,I,NES. AND Ohtk FACILITIES FOR A COMMUNITY ANTENNA OR CAKE TELEVISYCJI�. SYaTEMAND TMEAFTEA TO OWN. AND CONVEY SUCH LINES AND FACILITIES, ' AND THE Rl= TO -EN R UPON THE PROPERTY -TO SERVICE, MAINTAIN, REPAIR, RECONSTRUCT AND REPLACE SAID LINES AND FACILITIES,. PROVIDED, HOWEVER, THAT THE EXERCISE OF SUCH RIGHTS SMALL NOT UNREASONABLY INTERFERE WITH GRANTEE'S REASONABLE USE AND ENJOYMENT OF THE PROPERTY. B. NON-EXCLUSIVE EASEMENTS OF INGRESS, EGRESS, UTILITIES, DRAINAGE, AND FOR OTHER PURPOSES, AND EASEMENTS AND RIGHTS AS RESERVED TO DECLARANT AS DEFINED AND DESCRIBED IN.THE "MASTER DECLARATION" HEREINAFTER DESCRIBED, AS SUPPLEMENTED AND AMENDED. RESERVING THEREFROM UNTO LANDMARK LAND COMPANY OF CALIFORNIA, INC., ITS LEGAL REPRESENTATIVES, SUCCESSORS AN17 ASSIGNS, ALL WATER, MINERALS., OIL.,, GAS, P tOLEUM, OTHER HYDROCARBON SUBSTANCES AND ALL GEOTHERMAL ENERGY SOURCES IN OR UNDER OR WHICH MAY BE PRODUCED FROM THE LAND WHICH UNDERLIES A PLANE PARALLEL TO AND FIVE HUNDRED (500) FEET BELOW THE PRESENT SURFACE TO THE LAND TO WHICH LANDMARK LAND COMPANY OF CALIFORNIA, INC., HAS ANY RIGHT, TITLE OR INTEREST. SUCH RESERVATION SPECIFICALLY RESERVES TO LANDMARK LAND COMPANY OF CALIFORNIA, INC. THE RIGHTS OF PROSPECTING, EXPLORATION, DEVELOPMENT, PRODUCTION; -EXTRACTION, AND TAKING OF SAID MINERALS, OIL ,.GAS, PETROLEUM; .HYDROCARBON SUBSTANCES, WATER, AND GEOTHERMAL ENERGY (AND/OR ITS SOURCES) FROM LAND BY MEANS OF MINES, WELLS, DERRICKS, AND/OR OTHER"EQUIPNENT FROM SURFACE LOCATIONS ON ADJOINING OR NEIGHBORING LAND OR LYING OUTSIDE OF THE LAND; PROVIDED, HOWEVER, THAT THE OWNER OF SUCH MINERALS, OIL, GAS, PETROLEUM, HYDROCARBON SUBSTANCES, WATER, AND GEOnMfflAL ENERGY (AND/OR ITS SOURCES), AS ABOVE SET FORTH, SHALL HAVE NO RIGHT TO ENTER UPON THE SURFACE OF THE LAND NOR TO USE THE LAND OR ANY PORTION THEREOF ABOVE SAID PLANE PARALLEL TO AND FIVE HUNDRED (550) FEET BELOW THE PRESENT SURFACE OF THE LAND -FOR ANY PURPOSE WHATSOEVER. PARCEL 2: NON-EXCLUSIVE EASEMENTS FOR INGRESS, EGRESS, UTILITIES, DRAINAGE AND FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION OF COVENANTS, CONDITIONS AND RF,STkICTIONS FOR THE CITRUS COURSE HOMEOWNERS ASSOCIATION ("MASTER DECLARATION") RECORDED NOVEMBER 6, 1990 AS INSTRUMENT NO. 406990. 8,0WECT TO: 1. NONDELINQUENT REAL. PROPERTY.TAXES AND ALL NONDELINQUENT UNPAID GENERAL AND:SPECIAL ASSES; 2. COVENANTS, CONDITIONS, RESTRICTIONS, EASEMENTS, RESERVATIONS, ................ DEDICATIONS, RIGAND RIGHTS -0' -WAX OF RECORD OR .APPARENT INCLUDING WITHOUT LLTATION, THE MAST9R DECLARATION, AND SUPPLEMNIARY DECLARATIONS AND ANY AMENDMENTS THERETO, DESCRIBED ABOVE. FROM 714 7851356 E.W. SIMMONS-INC FEB -02.95 2:47 PM P.001 Pages Today's-'Trrne Fax .Note .7672 . .... ......... . ...... ....... ..... ... ..... ......... ....... . ......... .... ... ............... ........ ... ........... From 4 ......... ........... ... `Company ....... . ... ... ....... .' .,. LQCZW Dept- charge i� ......... ...... ....... .......... ........... ..... ....................._._._......:....•. ................ ..... .................... Fax 0 �Fax# �e Ile # J&phom# 77 ............. ReUm =Op; E ElCall w pimp ... ........ . . ..... . ........ ................ . .... ..... ........ . . ..... ................ ...... . .... ... .... . ........ . .... . IS....... ..... . .......... ...... .. ... .. . ......... ..... . ... . ..... . . ........ ............ ........... ... February 2, 1995 Wayne Simmons Simmons Construction Calimesa,-CA ".9232Q..' Re: -Lot .22, La Quinta This is to confirm that I have performed a visualinspection of the rebar size and placement for grade beams and footings. Reinforcement is in accordance with the approved plans. If you have any questions, please call. Thank you, K Michael. Pool -Civil'Engineer KtiV No. 49585 EXP_ 9-30,96 Y. e 4 November 4,1994 Simmons Construction P.O. Box 848 Calimesa, CA 92320 Re: Lots 22 & 63 Citrus Golf Course, La'Quinta This is an acceptance of the truss layout. and engineered drawings from Brown and Honeycutt Truss Systems Inc. The drawings are dated September 13, 1994 for Lots 22 and 63 at the Citrus Golf Course in La Quinta. Q�OFE/ Nq KEA/T !� c� V� O W p t N0.49585 Exp. 9-30.96 Michael K. Pool Civil Engineer `fglF of cAVF����P