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13326 (SFD)4 �iGGifl�l�iV Pr 7% % W., .4 P.O. BOX 1504 Building 47-355 Via Cordova 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Holmer Mailing Address 1:54 E. Desert Falls Drive City lZip Tel. Palm Desert, ' 922.11 340--3522 Contractor 'Manner Construction 154 E. Desert Falls Drive clyalm Desert, iZjp 2211 Tel 340-3533 State Lic. City & Classif. $ 180530 Lic. # 2.579 Arch., Engr., John Walling Designer At d e,ss.40 ClUb t)rive Tel. 360-0250 CYndiWe e11s � l ePA _ l int# 611424 I LICENSED CONTRACTOR'S DECLARATION I hereby affirmj(hal)I am licensed underfrrovisions of Chapter 9 (commencing with Section j7000) of ivision 3 of the.Business antlPy fessions Code, aRS1 4JY license is in full force and I 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, 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 or completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) • O 1, 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 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.) Poli y No. Company py 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 sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 13326 BUILDING: TYPE CONST. OCC. GRP. A.P. Number &1-7-k Legal Description�- Project Description Sq. Ft. No. No. Dw. Size 2640 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block wall or pool. Estimated Valuation $155,267.00, PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 500.17 Const. 835.50 Mech. 109.00 Electrical 171.40 Plumbing 181.50 .S.M.I. 15.53 Grading 20.00 Driveway Enc. .00 Infrastructure 3,424.68 Arts In F=11c Places 11 3�3.1 r TOTAL s�`-� s�5 �r�U-�•�� 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 DAl Issued by:_ Validated t Validation: STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING _ UNDERGROUND CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINg Fk 1ST FL. SO. FT. ® $ UNITS HEATING (ROUGH) STORAGE TANK FORMS YARD SPKLR SYSTEM 2ND FL. SO. FT. DUCT WORK ROCK STORAGE / FOUND. REINF. / ✓l MOBILEHOME SVC. BAR SINK POR. SO. FT. ® OTHER APPJEOUIP. REINF. STEEL GAR. SO. FT. ® POWER OUTLET _ ROOF DRAINS GROUT DRAINAGE PIPING CAR P. SO. FT. ® FINAL INSP. WALL � SO. FT. WATER SYSTEM DRINKING FOUNTAIN SO. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ FRAMINGC10 WATER PIPING NOTE: Not to be used as property tax valuation 67-3 /'% 7 FLOOR DRAIN MECHANICAL FEES REMARKS: WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER 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 MESH SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL FINIS RADING SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES j ICRO 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. / ✓l GAS (ROUGH) clep METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING �V—cu. yd. $ —plus—x$_=$ LUMBER GR. FINAL INSP. FRAMINGC10 FINAL INSP. A-20 ` ROOFING / �� - 67-3 /'% 7 q F� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWAL�7- LATHING MESH INSULAT IONISO UND � Ll FINIS RADING FINAL INSPECTION CERT. CC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL a SENT_BY:nXEROX Te I ecopier 7017; 3-2.1-94••';11:14AM RECORDING REQUESi£D BY CONTINENTAL, LAWYERS TITLE AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHERWISE SHOWN BELOW MAIL TAX STATEMENTS TO: NAME FXr &Mrs. -Robert A. Holnt� STREET 2953 Monte Cresta Drive AMESs cTy Belmont, CA 9,1002 STATE IIP L 6197739289-► 1 214'386 2909;# 2 SPACE ABOVE THIS UNE FOR RE :'ORDER'S USE — Title Order No. Escrow or ioan No, 2,17 Cha n GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) DOCUMENTARY TRANSER TAX is $ 148.50 I computed on full value of property conveyed, or CITY TAX $ ❑computed on full value less value of liens or encumbrances remcining at time of sole ❑ Unincorporated area: ❑ City of _ LA []UIN rA _-�-,--� ,and FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknewisdaed.\ WILMA-LA QUINTA L.P., A DELAWARE LIMITED PARTNERSHIP hereby GRANT(s) to ROBERT A. HOLMER and H. LYNNE PAID 12-1.5-87 HOLMER, Zruatees of the following described real property In the CITY OF LA gUINTA County of RIVERSIDE State of California: SEE EXHIBIT "A° ATTACHED Holmer T,inst: v WILMA-LA QUINTA L.P., ALL _ BY CENTRUM PORT PAVILIONrLTO _ _ APORA710Pd, AS - - -- -�EkkRA . L PARTNER- BY.,' WILMA ' SOUTH MANAGED PTN A GEORGIA CORPDRATIpNT,CDAP , ITS ATTORNEY IN PAW State of ' ' .� County of -...—_ d[ ) � J , 6197739289-► 1 214'386 2909;# 2 SPACE ABOVE THIS UNE FOR RE :'ORDER'S USE — Title Order No. Escrow or ioan No, 2,17 Cha n GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) DOCUMENTARY TRANSER TAX is $ 148.50 I computed on full value of property conveyed, or CITY TAX $ ❑computed on full value less value of liens or encumbrances remcining at time of sole ❑ Unincorporated area: ❑ City of _ LA []UIN rA _-�-,--� ,and FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknewisdaed.\ WILMA-LA QUINTA L.P., A DELAWARE LIMITED PARTNERSHIP hereby GRANT(s) to ROBERT A. HOLMER and H. LYNNE PAID 12-1.5-87 HOLMER, Zruatees of the following described real property In the CITY OF LA gUINTA County of RIVERSIDE State of California: SEE EXHIBIT "A° ATTACHED Holmer T,inst: v WILMA-LA QUINTA L.P., A DELAWARE LIMITED PARTNERSHIP/'' _ BY CENTRUM PORT PAVILIONrLTO _ _ APORA710Pd, AS - - -- -�EkkRA . L PARTNER- BY.,' WILMA ' SOUTH MANAGED Dated Ja g A GEORGIA CORPDRATIpNT,CDAP , ITS ATTORNEY IN PAW State of ' .� County of -...—_ d[ ) � SS. on L} l d before me, personally appeared . i personally known to me (or proved to me on the balls of d sotisfgGjbry evidence) to be the persons) whose name(s) Is/ are subscribed to the within instrument ��.�`�i S N0Tgq���o Ond acknowledged to me that he/she/they executed the some in hls/her/their riled .Q� .� •� autho. capacity(les), and that by his/her/their signature(s) on the Instrument the person(s), or the entity upon behalf of which the person(s) a � a G�AGIp� Acted, executed the instrument. WITNESS my hand and official seal. = ._ 24 Ise Signature TT_1nAr6w 7ini. •iat seol) y:� SENT BY:Xerox"Telecopier 7020 3-21-94 4 12:25 6197739269-+ 1 214 386'2909;# 2 EXHIBIT "A" PARCEL 1: LOT 204 OF TRACT' NO. 261521. IN THE CITY OF LA QUINTA., COUNTY OF RIVERSIDE, STATE OF CAL1 WA, AS.PER MAP RECORDED IN BOOK 227, PAGES 77 THROUGH 85, INCLUSIVE, OF MAPS, IN THE OFFICE OF THE -COUNTY RECORDER OF'SAID COUNTY' AND AMENDED BY RESOLUTION NO. 91-1081 RECORDED MARCH 261 1992, AS INSTRUMENT NO. x.05176, OF OFFICIAL RECORDS. RESERVING THEREFROM ALL OIL, GAS AND OTHER HYDROCARBON SUBSTANCES LYING WITHIN AND UNDER THAT'PORTION OF SAID LAND, LYING BELOW A DEPTH OF 500 FEET, MEASURED VERTICALLY FROM THE, SURFACE OF SAID LAND,- ITHOUT HOWEVER ANY RIGHT TO 'ENTER UPON THE'SURFACE OF SAID LAND OR INTO THAT PORTION OF THE SUBSURFACE `THEREOF, LYING BELOW A DEPTH .OF 500 FEET,' MEASURED VERTICALLY FROM SAID SURFACE. PARCEL 2: A NONEXCLUSIVE EASEMENT FOR INGRESS,EGRESS, USE,AND ENJOYMENT OF THE COMMON AREA' (AS DEFINED IN THE DECLARATION REFERRED ,TO BELOW) INCLUDING ANY COMMON AREA ANNEXED TO THE PROPERTIES (A8 DEFINED IN THE DECLARATION REFERRED TO BELOW). SUBJECT T0: THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, -CONDITIOMS, RESERVATIONS, RESTRICTIONS; EASEMENTS AND OTHER MATTERS SET FORTH 'IN THAT CERTAIN AMENDED AND RESTATED DECLARATION OF ESTABLISHMENT OF CONDITIONS, COVENANTS •AND RESTRICTIONS FOR LAKE LA QUINTA (THE "DECLARATION"), RECORDED NOVEMBER .,27, 1992, AS INSTRUMENT NO. 415112; OFFICIAL RECORDS, RIVERSIDE, COUNTY AND -ANY AMENDMENTS AND ANNEXATIONS THERETO, ALL OF WHICH PROVISIONS ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE. SAME FORCE .AND EFFECTAS THOUGH FULLY SET FORTH* HEREIN AT LENGTH, AND GRANTEES, 'BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO BE BOUND BY THE PROVISIONS OF SAID DECLARATION AND ANY AMENDMENTS 'AND ANNEXATIONS THERETO AND AGREE TO PAY PROMPTLY WHEN`DUE, ANY AND' ALL MAINTENANCE ASSESSMENTS AS REQUIRED UNDER SATE) ..DECLARATION AND ANY AMENDMENTS- AND ANNEXATIONS THERETO. -GRANTEE: Robert Holmer ne Holmer