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11435 (SFD)P.O. BOX 1504 Building5;IQxttL2tlEtci 78-105CALLEESTADO 3-960 AddresLA QUINTA, CALIFORNIA 92253 Owner Jack Wilson Mailing Address 51030 Herrera City Zip Tel. La Quinta 1 92253 564--4471 Contractor Dodco Construction P. ©. Box 1012 City Zip Tela LaQuinta 92253 5646478 State Lic. Lic. &# 1375 Classif. Al 397830 Arch., Engr., Designer Address I Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) t. of Division 3 of the Business and Professions Code, and my license is in full force and effec _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,Business 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) 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.) Po`icy,No. Company ,EWCopy 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 -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 11435 11LDING: TYPE CONST. OCC. GRP. P. Number 774-141'-0124 !gal Description Lots 14. 15, 16 Bloc. 196 oject Description SFD r Sq. Ft.289 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block wall or Fool NOTE: Fees reflect lot merger Estimated Valuation 178,603.40 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. 17.90 Grading Driveway Enc. Infrastructure 1613.64 TOTAL 1886.54 1635.54 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 DATE INSPECTOR Issued by: Date Permit Validated by: Validati CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES . 1ST FL. SO. FT. ® $ 2ND FL SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® Sp 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 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3Vec HOUSE SEWER FINAL INSP. L ROOFING q5 '7 /s !J GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING f / 0 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) O ( �(� f�G METER LOOP HEATING (FINAL) OTHER APP./EOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE '7 l 3 �.2 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSPr 7 . Z�3 (,(� a FRAMING3 q3 G� FINAL INSP. L ROOFING q5 '7 /s !J S /[1 ' /p G� s6/ �( a f .t,C Uj /�D-nre�,J,s Lam•?/�%l(1Z%� ,/ 1 `P i✓d—(�c01�8(�6�9�1-d Ul Il V REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LA ING 111111113 L MESH INSULATION/SOUND 3 FINISH GRADING FINAL INSPECTION/l CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL ARROW PRINTING. INDIO. CA 2300 11/90 271213 -CJ 4 P.O. BOX 1504 N o . 11435* Building 53-960 Montezuma 78-105CAt-LEESTADO Address LA QUINTA, CALIFORNIA 92253 Jack Wilson Mailing BUILDING: TYPE CONST. OCC. GRP. Address 51030 Herrera A.P. Number 774-141-024 City Zip Tel. La Quints 1 92253 564-4471 Legal Description_ Lots 14, 15, 16 Block 196 Contractor Project Description__ SFD Address P. O. Box 1012 City Zip Tela LaQuinta 92253 564-6478 State Lic. City & Classif. Ell 397830 Lic. # 1375 Sq. Ft. 2 8 9 0 Size No. No. Dw. Stories Units Arch., Engr., New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Designer Address Tel. Permit does not include block wall or City Zip State Lic. # pool NOTE: Fees reflect lot merger LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section o7000) l.of Division 3 of the Business and Professions Code, and my license is in full force and f f ec �1GNATURE DATE 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, 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) 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 (5500). ❑ 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 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. tt, 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.) Estimated Valuation. 178,603.40 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. Const. Mech. Electrical Plumbing ❑ 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. 8 P.C. for this reason S.M.I. 17.90 Grading Driveway Enc. Date Owner Infrastructure 1618.64 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 X-yGopy is filed with the city. O Certified copy is hereby furnished. TOTAL 1886.54 1636.54 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPEPENSATIONINSURANCE REMARKS (This section need not be completed If the permit is for one hundred dollars (S700) valuation or less.) I certify that in the performance of the 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 Callfornia. Date Owner NOTICE TO APPLICANT: ff, 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. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line 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 FINAL' DATE Side Street Setback from Center Line Side Setback from Property Line INSPECTOR 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. Issued by: Validated by: Date Permit Signature of applicant Date Mailing Address Validation:_ City, State, Zip DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 12/8/92 1 Type of Permit I La Quinta No. 111887 1 Permit # Owner Name Jack Wilson Log No. 53960 Street Avenida Montezuma City La Quinta Z I p 92253 Study Area 111 APN # I I Tract # I J Lot # 0 Square Footage 12890 Type of Development Single Family Residence I No. of units 0 Comments At the present time, the Desert Sands Unified School District does not 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 1.58 x 2 890 or $ 4,566.20 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. Fees Paid By DoDco Construction Telephone 564-6478 Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett ' ^�.` Payment Received Signature . faki'v C, - �'';:Check No: 3237 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 RECORDING REOUESTED.B� RnnordingRequestedY First American Title Insurance Company AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHER. WISE SHOWN BELOW, MAIL TAX STATEMENTS TO: &NAME Dan and Cheri Featheringill DDRESS P.O. BOX 1012 STATE La Quinta, CA. 92253 ZIP Title Order No. Escrow No. 4694-J iQC='' 9 11 30- 2 O Y Z ts� � I, Y ME s IL J a 3 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED Th I ndersigned .declares that the documentarytransfer tax is $... 77.00 ...... and is .........................:..... computed on the full value of the interest or proper onveyed, or is ❑ computed on the full value less the valu oK'enr nc�imbr es remaining thereon at the time of sale. The land, tenements or realty is located in ❑ unincorporated area city of.... .................................. and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, IONE MIEURE, a Widow hereby GRANT(S) to DAN FEATHERINGILL and CHERI LYNN FEATHERINGILL, husband and wife as Joint Tenants the following described real property in the county of Riverside , state of California: Lots 14, 15 and 16 of Block 196 of Santa Carmelita at Vale La Quinta, Unit No. 19 --_ as..per map recorded in Book 19, pages 33 and 34 of..maps.,_.Riverside Count Dated March 27, 1992 ONEIM U EE O A n STATE OF CALIFOVIAr. P COUNTY OF/�,� � J4�} S.S. On A r 0