14130 (SFD)P.O. BOX 1504
Building 55-i20 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Albers, Inc.
Mailin
Address 80_111 AVenne 53
City Zip Tel?<"
Indio 92201 564--6023
Contractor
gendren Construction
P.O.Box 1804
el.
State Lic. City
& Classif. 190400 Lic. # 2238.
Arch:, Engr., •- - -
Designer Jerry Sherman ~
Address Tel.
81-677 Shade Avenue 342-3709
CityIndia T
1p92201 Lic. Stat#
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. ii��i?.i;
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,Susiness and Professions Code: Any city or county which requires a
permit to construct, atter, 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 allegedexemption. 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 or sale.)
bj, 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.) -
O 1 am exempt under Sec. B. & P.C. for this reason
Date t i 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. . ❑ 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.)
1 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 youshould 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 stale 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
IL
No. 14130
BUILDING: TYPE CONST. VN OCC. GRP., R3
A.P. Number 769-620-002
Legal Description Lot 2 Tract 255397
Project Description Si_tma 1p- FATni l'ta rIWA%1 1 3 rtrs
ZONE: BY: � ,
Minimum Setback Distances: I B 1�
Front Setback from Center— --
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. 37 0
Size
No:
Stories -'`
No. Dw.
Units
NewX Add ❑
Alter ❑ Repair ❑ Demolition ❑
u
Permit noes
not include
block wall
or pool.
Estimated Valuation
X305,942.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.0
Plan Chk. Bal.
U0 4.2!
Const.
i bt1.511
Mech.
164 . lit)
Electrical
252 . 53
Plumbing
229.51)
.S.M.I.
311. J
Grading
C1. UU
Driveway Eno.
Infrastructure
6uuuouu
Arr-5 In eu.5
1 Places
ai b
TOTAL
• ��
REMARKS
ni
�.
ZONE: BY: � ,
Minimum Setback Distances: I B 1�
Front Setback from Center— --
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:
t r COACHELLA VALLEY UNIFIED SCHOOL DISTRICT
CERTIFICATE OF COMPLIANCE
(Government Code 53080)
Project Name:
Project Address: 55-120 Inverness, La Quinta, CA 92253
Project Owner's Name: Albers Inc. Phone No.:
Project Description: ' 1 Dwelling
Building Type (Check one) 1Wsidential AX (Include No. of Dwellings)
Commercialstria)
Tract No.: 25397 Lot No.: 2
(If tract attach Schedule "A" of all lots by tract, square footage for each lot and total.)
Assessor's Parcel No.: 769-620-002
(If Schedule "A" is used show Assessor's Parcel No
No. for parcels before subdivided.)
for each lot if one exists or Assessor's Parcel
Total square feet of Building Area: 3,710 Sq Ft.
Certification of Applicant/Owners. The person signing certifies that the above information is
correct and makes this statement under penalty of perjury and further represents that he/she is
authorized to sign on behalf of the owner/developer.
Dated: 10/24/94 '
City/County Certification:
Signature: I m
(Signature) .Optional
(Title)
SCHOOL DISTRICT REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN
OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING:
(CIRCLE ONE)
Gov. Code
53080/65995
(t AB 181, SB 128
Gov. Code Agreement Existing
65970 prior to 1/1/87
(SB 201) Note:
Not subject to
fee requirements
Total Nuber of Sq./Ft. 3,710
Amount per Sq/Ft. $ 1.72
Amount Collected $ 6,381.20
School District Offici �� Title: Asst. Superintendent, Admin. Serv.
Foch "Tut" Pensis Date: October 24, 1994
Phone: (619) 399-5137 Ext. 235
Note: AB 2926 and SB 201 fees are capped at $1.72 per square foot for all residential
Construction, and at $0.28 per square foot for commercial/industrial projects.
U P�6or
� ftECOf1DING RCQUCDTGD BY � W �
COMMDKWEALTH LAND TITLE CQl �
AND WHEN nECOnDCo MAIL TI IIC DCCD AND, UNLC330THCAWI3E SHOWN BELOW, �r�- C) M
MAIL TAX STATEMENTS TO: f I� U 'O 1 O
X aw�� o$
NAME F LU en s
ADDRESS ALBERS, INC,' Q W �
r-1 a Cr.
a
STATE CITY a �L . 8
ZIP L a
Title Order No. 193461 Escrow No. 1416 -DS
SPACE ABOVE THIS LINE FOR RECORDER'S USE
GRANT DEED �
The undersigned declares that the documentary transfer tax is 1.-. _.........__._.___ and is
X computed on the full value of the interest or property conveyed, or is -'
_._. computed on the full value less the value of Clens or encumbrances remaining mmieon at the time of sale. The land, tenements
or realty is located in
_._ unincorporated area Xclty of _ 1-6 QUlNTA _...__....-•_--- _-... __..._..._ and
FOR A'VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
MICHAEL MENCACCI and SHERRYL MENCACCI, HUSBAND AND WIFE
hereby GRANT to
a -
Dated APRIL 29, 1994
ERTICFICATE Or ACKNOWLEDGMENT 1Ri450
ALBERS, INC., A NEVADA CORPORATION
State of California
y
On before m _
\�
the following described real property in
the City of LA QUINTA,
County of
County of
RIVERSIDE, State of California:
e
personally appeared
•
Lot 2 of Tract 25397, in the City of ,La
9uinta, County of
Riverside, State
of California, as per map recorded in
Book IOE9, Pages
20 through 25,
G. De Vito
inclusive of maps, in the office of the
CountyfRecorder
of said County.
and acknowledged to me that he/she/they executed the same in his/her/their
LOSANOELESCOUNTY Q
authorized capacity(ies), and that by his/her/their signature(s) on the instru-
a -
Dated APRIL 29, 1994
ERTICFICATE Or ACKNOWLEDGMENT 1Ri450
0
'
State of California
y
On before m _
e
SS,
(dale (name and Biu a of officer)
County of
:
e
personally appeared
•
•
,ove
personally known to me (or proved to me on the basis of s tisfactory evidence) I
'Lawrence
G. De Vito
to be the person(s) whose name(s) is/are subscribed to the within instrument
•
0 Comm 01007437 ^
0 • NDTARY PU8LIC CALIFOANIAP
and acknowledged to me that he/she/they executed the same in his/her/their
LOSANOELESCOUNTY Q
authorized capacity(ies), and that by his/her/their signature(s) on the instru-
•
o
Comm+ E•Pr"Oct 22 '997
ment the person(s), or the entity upon behalf of which the persons) acted,
executed the instrument.
o
WIT ES y hand and officia at.
00,Notar
s
l Signature ;
0
I
.'CITY OF` XQUINTA�
DEPARTMENT OF PLANNING & `DEVELOPMENT
BUILDING DIVISION i
�✓ J 24-HOUR
e NOTICE Pff,�WA �
Inspection Line,-�777-7153
1994
Owner Albers, Tnr-
i
'Contractor HenArPn Cnristrueti'nn
Permit Number 14110
POST -ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
�y�tt20"�
I -RNESS
JOBADDRESS
E
Permit does not include block wall or
Poof.
!
t TYPE OF INSPECTION._.., - DATE INSP. 1
FOUNDATION & SETBACK
FOOTING STEEL 1z
GROUND PLUMBING
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
•. _ ,
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC i
ROUGH PLUMBING
a IROUGH.GAS & GAS TEST —
HEATING & VENT- A/C
O.K. TO WRAP —
GROUT O 4' O S'
UNTIL A
DRYWALL INTERIOR'
EXTERIOR LATH •
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK 7 2 �,/..
FINALS
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPRCIYALS DO NOT INCLUDE RIGHT TO
'�� TURN ON UTILITIES O�-``I"fILDING= -
CARLOS ELIAS
REGISTERED CIVIL ENGINEER
38825 Charlesworth Drive
Cathedral City, California 92234
Telephone (619) 328-7271
November 7, 1994
City of La Quinta
Dept. of Building & Safety
78495 Calle Tampico
La Quinta, Calif. 92253
Gentlemen:
This letter concerns the Dick Albe.rs residence to.be
constructed on Lot 2, Tract 25397 (Inverness Street ) in La
Quinta, California.
I have reviewed the Truss Company truss drawings and find
that they. conform with my design as. shown on the architectural.
plans.
Very truly yours,
Carlos Elias
CE: j
cc: Mr. Bill Albers