002450 (SFD)P.O. BOX 1504 No.. 002450
Building 78-105 CALLE ESTADO
Address.- PtAlb3? LA QUINTA, CALIFORNIA 92253
Owner _ .. .
Mailing
BUILDING: TYPE CONST. OCC: GRP.
Address 0—011 C4e-N A.P. Number 769-360-021
City - _ Zip- - -Tel.
. 9 568--2825 Legal Description Ict 29
Contractor Project Descriptions
Address
City, Zip Tel...
CARA. 300
State Lia City M;G 3330
& Classif. Lic. # Sq. Ft.'No. No. Dw.
Size- # 750. Stories Units "
-Arch., Engr., t
Designer New ❑ Addy Alter ❑' Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. # ,
LICENSED CONTRACTOR'S DECLARATION " D►=�4 n rr+r r!4
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
OWNEWBUILDER 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 0
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
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 Plari Chk. Dep.
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 Plan Chk. Bal.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.
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, Mech.
provided that such improvements are not intended or. offered for sale. If, however, the building, A11 .. G,:1
or improvement is sold within one year of completion, the owner-builder will have the burden Electrical
of 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. Plumbing lF+
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. Z(�
such projects with a contractor(s) licensed pursuant to the Contractor's License-Law.) .- .
Grading n nA
❑ I am exempt under Sec. B. & P.C. for this reason
Driveway Enc. Irk Pin
Date owner x Infrastructure 9rin An
WORKERS' COMPENSATION DECLARATION '
hereby affirm *that I have a certificate of consentto 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.
TOTALZr, nA A0r- tNl
CERTIFICATE OF EXEMPTION FROM REMARKS
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' ll, 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
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.) Side Setback from, Property Line
Lender's Name
Lender's Address This is a building permit when properly filled out, signed and validated, and is. subject to FINAL DATE INSPECTOR
expiration if work thereunder is suspended for 180 days. 7-8-86
I certify that I have read this application and state that the above information is correct. Issued by: Date i� 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 a Validation:
City, State, Zip
A593-2 �_ .8 34.8500 U
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FELS
IST FL. SO. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SO. FT.
WALL SQ. FT. @
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP.IEQUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SQ. FT. ® c
BATH TUB
INAL INSP.
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 14/4 c
SEWAGE DISPOSAL
VENTILATION
SQ.FT.GAR @ 3/4c
HOUSE SEWER
SPARK ARRESTOR
GAR. FIREWALL
LATHING
GAS PIPING
PERMIT FEE
FINISH GRADING
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.
INAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
Qy�u Z��� Ct1VL! • �.�i /J'>P>'"�
pAAft'0 !/ OOo A�gw .
✓' —' / 7 1~i��L�
�`"" =�t�✓ q •/ //�Li r±�7+G,
_ —^ /- 0/1101 /*AA17
//" /lLrf,Qli yy�✓ Q.L/'
�/
F ` 1 � A14 0, 010 44 0
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION �S—
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS,
GARDEN WALL FINAL
s -lit as belavi
ca
PItCORogo ReOueenn or
e1e0a rlrle
•
AND itl RECORDED MAIL TO
Nrm JAMES L. RESNEY , •
81-917 Sierra Avenue
e"•'t Indio. CA 92101 <
Aaa/tr
city A
Buts L J
SPACE ABOVE THIS LINE FOR plCORDER/S USE
NINVOUAL Pow
This Form Fu►sdahod by Ticor Tide Insurers
CAT. NO.NNooeoo Notice of Completion
TO 1021 CA 111-1171 Before enteutien, refer to title "moany requirements stated an Kevan side.
Notice is hereby vtn that:
1. The undersigned is owner of the interest or estate stated below in the property hereinafter L. iced.
2. The full name of the undersigned Is _--YAMES L. RRgNPY
>t. The full address of the undersigned is: 81-047 Ma Avenue _ Tnd1 n, CA 411M
•. The nature of the title of the undersigned is: In fee.
l(f other this fee, strike No fee" sad amen, for eatmplo, "purchaser under toatrut of putehue,"ser
S. The full names and full addresses of all persons, if any, who hold title with the undersigned as joint taunts or as tenants
In common ►re:
NAMrF ADDRESSES
NONE
6. The names of the predecessors in interest of the undcrsiptd, if the property was transferred subsequent to the commence•
mens of the work of improvement herein referred col
NAME ADDRESSES
no trans tr made, roster "done .
7. A work of improvement on the property hereinafter described was completed on 5/29/87
S. The name of the contractor, if any, for such work of improvement was •lames L• ResneY
Well eanetetor lo. work n mprorto C%t u a whole, IRWR "nota".)
P. The property on which mid work of improvement was completed is in the City of _La Quanta
County of Riverside , Sate of California, and Is destribed a follows:
Lot of Tract No. 20717-2A in the City of La Quinta. county of Riverside
state of California art Der zi recorded in book 157. pastes 10 through _16
In—elusive of Maris, in the office of the county recorder of said county.
10. The street address of said property is
(If no tuaet a4drew hu been officially satlgned, invert "none")
sheat"re or ROB PARTNERS,
Dated: Jun 2 1987 n eamed
�^ .J P PU asrspk s_A CAtIYORNIA�t IT,IM ®pARTfI� HZP
(Allo sign tsriheu onon Ow a1 X1X)
S'fATN OF (AL.11--ORNIA, 1
COUNI'Y OF RIVERSIDE 155, Ja a L. sane , Cen 1 Partner
'rile undersigned, being duly sworn, says: Thae_he is the owner of the aforesaid interest or estate in the property described
In the foregoing notice. that he hsscad the same, and knows the contents thereof, and that the facts stated therein are true.
SUHti(:RIs1;U AND SWORN 70 before mROB PARTNERS,e
Iiiptlarure of Y4LIFORNIA LIM D PARTNERSHIP
fin June 2, 1987 Owner named
in prrssraph 2 Xsess e6991:0 be , as ner
Signator
�,QIAWrIVAl SEAl. t
t
Notify Puhlic in an for wId BuALLAN R. LEVIN
t+
te r• a
• t m � NoWry Pvbhc.C•Illolros
j! PIInelp/) sites to
Rleeltlde County
My Comm, Esp. Aug. 1. 1958
IThit ties for official aourid ted)
Title under Nu. _ C4jj1QJ_ _-- -- _ Esemw or Loan NO. lQ0511531117
biZ d SEE.RCVERSE StoE FOR TITh COMPANY 111101,1111611 1W UP CUINW6LTiasrWdBz' IZ S6. t
r
Copyright (C)1995 Dataquick Information Systems
Page 1
APN
769-360-088
Use: SINGLE
RESIDENCE
Phone : (619)771-3401
Owners:
LEIGHTON,F
B
Pg-Grd: 225-B3/
Site
55970 PEBBLE
BCH*LA
QUINTA CA
92253
Census: 0456.019
Mail
55970 PEBBLE BCH*LA
QUINTA CA
92253
Zoning: A2
FloodP: 060245 2270
Legal
.34 ACRES IN
LOT 15
MB 157/010
TR 20717-2A CM 057 Map: MB -157-010
Tr/Lot/B1: 20717-00/L70015
Assd
$711,665
TRA :
020025
SaleDt:
06/01/88
SaleAm: $625,000F
Land
$199,480
Tax :
$8,110.38
Doc # :
173250
1st Td: $300,000
PerImp:
710
Sta/Ex:
CUR / Y
Lender:
FIDELITY
F Addl:
Ownshp:
TaxYr
94-95
Title :
TICOR
PrevDt:
Last Trans W/O $:
$/SgFt:
$162.34
PrevAm:
Yr Blt:
1987
SgFeet:
3,850
OutImp:
GarSgF: 454
BedBth:
3/4.0
Addtnl:
StSurf:
Y
GarTyp: ATTACHED
#Story:
1
Roof :
TILE
MscBdg:
CarSgF:
#Units:
1
Electr:
UNDERGRND
Ht/Cl :
B
GarSF2:
LotSz :
14,810
Gas :
DEVELOPED
FirePl:
Y
GarTy2:
Water :
DEVELOPED
Pool
Y
CarSF2:
----------------------------------
Sewer :
DEVELOPED
--------------------------------------------
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Copyright (C)1995 Dataquick Information Systems