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13945 (SFD)q W. il TA.hf 4 4 Q" Building Address Owner P.O. BOX 1504 47-500 'iia Montigo 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Tony Stefano Mailing 154 Desert Falls Drive Address �layfu"'t Desert, cliz I 92211 Tel. 340-3S22 Construction ISCDesert Falls Drive "I Pilm Desert, C1 92211 1 340-3522 State Ljc. 8 180530 I Lic. # 257'9 & Classif. Arch., Engr., - Designer John Walling d97eV0 Club Drive Tel. 360-0250 City Zip State Indian llells, pa Lic. # 57424 LICENSED CONTRACTORS DECLARATION I hereby affirm that I 4M licensed,, under provisj. tis of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe`s o,ns Code and m cease is in full force and effect. ..%:1!' . • 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 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). ❑ 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 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 O Copy is filed with the city. O Certified copy is hereby furnished. I, CERTIFICATE OF EXEMPTION FROM t WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($1L0) valuation or less.) I certify that in the performance of lhp 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 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. 13945 BUILDING: TYPE CONST. VN OCC: GRP.. R3 A.P. Number 517-820--025 Legal Description Lot 253 Tract 26152 Project Description SFD 7435 Sq. Ft. , No. No. Dw. Size Stories - Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block wall or pool. Estimated Valuation $16 lb33.00 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing AMOUNT • !)U4s U164 • • 196. . .S.M.I. 16.!OU Grading 10.UU Driveway Enc. . UG Infrastructure k 3*111U.31.24 ArtSr in Fu is places 1 C. TOTAL bo Sys �� .its 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 DA' Issued by: Validated Validation CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING 1ST FL. SQ. FT. ® $ UNITS (DINDERGROUND r� A.C. UNIT YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ ROUGH PLUMB. BONDING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® SEWER OR SEPTIC TANK ROUGH WIRING GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH) DRAINAGE PIPING CARP. SQ. Ff. HEATING (FINAL) OTHER APPJEQUIP. WALL SQ. FT. GAS (FINAL) 2 DRINKING FOUNTAIN. SQ FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE' DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRY TRAY AIR HANDLING UNIT CFM /,� r� _ ( ,0i L / g V[- _ ( 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR Q 3/ac HOUSE SEWER ZZ.ATHING j ON 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 PLUMBIN _to 3 (DINDERGROUND 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 APPJEQUIP. REINF. STEEL GAS (FINAL) 2 TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ =$ LUMBER GR. FINAL INSP. ' FRAMING FINAL INSP. 56 OOFING /�—�/ �� /,� r� _ ( ,0i L / g V[- _ ( REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL ZZ.ATHING j ON MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL F . BuildingI Addres Owner 75WII Mailing �Q P0T City i Zi Address t, 0 v p e q I-2-1 Address 4 City State Lic. & Classif. Arch., Engr., Designer I t ]Zi q_:?zl1 I�f - - 4 P.O. BOX 1504 78-105-CALLE CALIFORNIA9 A QUINTA; ORNIA 92253 APPLICATION ONLY ' BUILDING: TYPE CONST. . - .00C. GRP. A.P. Number _ 3 a Legal Description T17 -.i D. 1_0 •�-• > - Project Description 5 a� City -_;' 0T,x Sq. Ftp' G�am.►,� Size 4' Ot�'G New ❑ Address s O�`l�� Teir C06 4 . City Zip 5 ' r State° r ** N 6&V a -S 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 .I.hereby affirm that I am exerriptvfrom the Contractor's License Law foi�the following L. reason: (Sec. 7031.5 ,Business and Professions Coder Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also ., requires the applicantyforsuch permit`tofile, a signed statement that he is licensed pursuant to.• the provisionstof 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 c'vo penalty of not more than five hundred dollars ($500). << {7 Etas 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.) I 1 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.) 1-1 1 am exempt under Sec. {' B. 8 P.C. for this reason - Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have acertificate of consent to self -insure, or a certificate of Worker's Compensation Insurance,ora certified copy thereof. (Sec. 3800, Labor Code.) Policy No. I Company D 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 lh0 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 Cabor 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 3" construction, and hereby authorize -representatives -of this city to enter the above- mentioned property for inspection purposes. r Signature of applicant -Date- Mailing ateMailing Address City, State, Zip + BUILDING DIVISION No. Stories d ❑ Alter ❑ No. Dw. t Units Repair ❑ Demolition ❑ Aimated Valuation PERMIT AMOUNT ' Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL r �' REMARKS w 0 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback-from-RearProp. Line Side trot Setback from Center Line f1� Side Setback from PrODertv Line FINAL DATE ­//till0 ?LINSPECTOR Issued by: C — r— Datp ,) U Permit Validated by: V4 / Validation: ' ""_, CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ UNITS ' SLAB GRADE 2ND FL. S0, FT. BONDING YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. } BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS" CAR P. SD. FT. @ GAS (ROUGH) r DRAINAGE PIPING ' WALL SO. FT. @ OTHER APP.IEQUIP. DRINKING FOUNTAIN SO. FT. @ TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation 1 FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER i GARBAGE DISPOS { 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, 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 @ 1 I c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR @ 3/<c HOUSE kEWEA ~` LATHING 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.IEQUIP. 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 In:irtl:I VN -J WUNA I UMLWINI1 LALs GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 9/12/94 1 Type of Permit La Quinta No. 13056 Permit # ` Owner Name Tony Stefano Log No. 47-500 street Via Montigo City La Quinta Zip 92253 Studs- Area 123 APN # Tract # Lot # 0 Square Footage 12835 Type of Development IrSingle Family Residence No. of units '0 Comments At the present time, the Desert Sands Unified School District does nit 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 1.65 x 2 835 or $ 4,677.75 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. t.. r Fees Paid By Mannes Construction Telephone _340'3522 4 ,. Name on the check roc f.,t 'ZI By Dolores A. Ballesteros Superintendent }' j Fee collected /exempted by Marcia J. Ewart Payment Received Signature Check No..1003 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting :T '0 rte. s� RECORDING REQUESTED BY AND WHEN RECORDED MAIL io Name Anthony P. Stefano, Trustee Address city & State 11-100 (Rev.4/94)Q APN No: Title No. Escrow No. THE UNDERSIGNED. GRANTOR(s) DECLARE(s) DOCUMENTARY TRANSFER TAX is S 143.00 CITY TAX $ 9-1 computed on full value of property conveyed, or CI computed on full value less value of liens or encumbrances remcining at time of sale, U Unincorporated area: IN City of LA Q U I N T A and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, WILMA-LA QUINTA L.P.`, A DELAWARE LIMITED PARTNERSHIP' - hereby GRANT(s) to ANTHONY P. STEFANO, Trustee of the STEFANO LIVING TRUST DATED 9/17/71 the following described real property in the County of RIVERSIDE State of California: SEE EXHIBIT "A " ATTACHED Dated: July 21, 1994 WILMA-LA QUINT -A L.P. A DELAWARE LIMITED PARTNERSHIP BY: CENTRUM PDRT•PAVILION LTD., A DELAWARE CORPORATION, AS GENERAL PARTNERI BY: WILMA SOUTH MANAGEMENT CORP., A GEORGIA CORPORATION, ITS ATTORNEY IN FACT State of California ss. County of On before me, (here -insert name) Notary Public, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) .whose name(s) Is/are subscribed to the within instrument and acknowledged to me all that he/she/they executed the same in his/her;thelr authorized 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) acted, executed the Instrument. WITNESS my hand and official seal. Signature affix •sal wtthln border EXHIBIT "A" PARCEL 1: LOT 253 OF TRACT NO. 26152, IN THE CITY OF LA QUINTA, COUNT'r OF RIVERSIDE, STATE OF CALIFORNIA, 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. 91-108, RECORDED MARCH 26, 1992, AS INSTRUMENT NO. 105176, OF OFFICIAL RECORDS. RESERVING THEREFROM ALL OIL, GAS AND OTI4ER 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,. WITHOUT 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 ENJOYMEN- OF THE COMMON AREA (AS DEFINED IN THE DECLARATION REFERRED TO BELOW) INCLUDING ANY COMMON AREA ANNEXED TO THE PROPERTIES (AS DEFINED IN THE DECLARATION REFERRED TO BELOW) SUBJECT TO: - THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS, 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 EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH, AND GRANTEES, BY ACCEPTANCE OF TIiIS 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 Wf-IEN DUE, ANY AND ALL MAINTENANCE ASSESSMENTS AS REQUIRED UNDER SAID DECLARATIOV AND ANY AMENDMENTS AND ANNEXATIONS THERETO.