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04567 (SFD)• " vU l 4 4 P.O. BOX 1504 Building 77-655 Montamna78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner nary M. Maddick & Angelica Ilayr ca Mailing BUILDING: TYPE CONST. OCC. GRP. Address P. 0, Box 1140 A.P. Number 773-003-013 & 014 City Zip Tel. La 0uinta 92253 gG4�-�dQf3 Legal Description Contractor Ozer/Bui.g.8ar Project Description Single Fatmily tars ollincr Address City Zip Tel State Lic. City & Classif. Lic. # Sq. Ft. No. No. Dw. Arch., Engr., Size 2292 Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State 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 Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following $120,470 reason: (Sec. 7031.5,Buslness 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 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 t� for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit Plan Chk. Dep.85a .0 0 p0 subjects the applicant to a civil penalty of not more than five hundred dollars ($500). t: O I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. y� do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 2u • vu 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 or improvement is sold within one year of completion, the owner -builder will have the burden Electrical 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 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.1. y0 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading O I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date owner �) + Cc <�,rt r r%?r : 1 .7..! Infrastructure balance 1 r 0U «b 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL � 0.71�J. CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATION INSURANCE i (This section need not be completed if the permit Is for one hundred dollars ($100) valuation til AY � : Ids. '61 +. ' ' {•t { (��.I -tQ• r !- i i ` t •' 1 �, or less.) I certify that in the performance of thq, 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 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 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE IN?SP� TOR This is a building permit when properly filled out, signed and validated, and is subject to .(r (� t 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. Issued by: Date 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 Validation: City, State, 21p WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATL NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO Fl Ip $ UNITS SLAB GRADE , �/� .ROUGH PLUMY6 � f -V BONDING YARD SPKLR SYSTEM 2ND FL SO FT. a // Zt44FORMS EWER OR SEPTIC .(f ROUGH WIRIN�b ; ,C--1 MOBILEHOME SVC. BAR SINK POR SO FT. a GAS (ROUGH! METER LOOP GAR SO. FT. a POWER OUTLET, ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO FT. Gr GROUT WATER HEATER WALL SO. FT. @ FINAL INSP. DRINKING FOUNTAIN GBOND SE f t111 WATER SYSTEM URINAL SO. FT. a LUMBER GR. FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation (�/ . �C` FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTONDISHI APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREWALL LAUNDRYTRAY 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 SO. FT. g c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID g 1 w c SEWAGE DISPOSAL SO.FT.GAR (g IV c HOUSE SEWER 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 8 AIR COND. SOLAR SETBACK " ROUND PLUM BIN57;lk UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE , �/� .ROUGH PLUMY6 � f -V BONDING HEATING (ROUGH) STORAGE TANK // Zt44FORMS EWER OR SEPTIC .(f ROUGH WIRIN�b ; ,C--1 DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH! METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. •eREINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. GBOND SE f t111 WATER SYSTEM GRADING cu. yd. $ —Plus—X$—=$ LUMBER GR. FINAL INSP. n {' FRAMING %O_ G� ! Y FINAL INSP. ROOFING y� t /' 1 ` I 1 (�/ . �C` REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR FIREWALL //GAR. CIATHING � /v—r-- MESH (/LNSULATIONISOUND �l FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS _ GARDEN WALL FINAL Building 14- 15 YAll L P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO QUINTA, CALIFORNIA 92253 Mailing J Address City > Zips, Tel. Address ✓-%G—s-r-z�P� Qct/ G�'-��-P •- City lZip Tel.. State Lic.I City & Classif. Lic. # Arch., Engr., Designer Address 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) 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 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, alter, Improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to rile 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, Bulsness 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 propertywhobuilds 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 ,p A Owner 1 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 ❑ 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 thg work for which this permit is issued, I shall not employ any parson 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 it 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 ateMailing Address City, State, Zip BUILDING DIVISION BUILDING: TYPE CONST. OCC. GRP. A.P. Number 7-? 3 093 /4/ Legal DescriptionLvr3 I" . 4 �� K l+ (� 54%p t/L ttr- Project Description Sq. Ft. �I Size F No. No. Dw. Stories Units NeWIRr,Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation ' 2 a 4 -1 -0 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. pp Mech. Electrical Plumbing S.M.I. O Grading Driveway Enc. Infrastructure r/ 4 AIC Dig 54C �. 670 TOTAL REMARKS ZONE: BY105W2 10 1748„08-30-k�t3�__ i 3 Minimum Setback Distances!`'N.l i' ” i Q , nL_ � ' 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: Validation: CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES ( $lD7 Nq UNITS BONDING 1ST FL. SQ. FT. ® STORAGE TANK FORMS SEWER OR SEPTIC TANK 2ND FL. SQ. FT. DUCT WORK ROCK STORAGE YARD SPKLR SYSTEM GAS (ROUGH) METER LOOP MOBILEHOME SVC. BAR SINK POR.'0 SO. FT. ® GAS (FINAL) TEMP. POLE GAR. v SQ. FT. ® f ©l--1 1 POWER OUTLET ROOF DRAINS CARP. SQ. FT. ® BOND BEAM DRAINAGE PIPING WALL 'SO. FT. ® 1,6 7 =$ DRINKING FOUNTAIN SQ. FT. ® FINAL INSP. FRAMING URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation REMARKS: FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER SPARK ARRESTOR 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, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. FENCE FINAL SQ. FT. RESID ® 1+/4 c SEWAGE DISPOSAL INSPECTOR'S SIGNATURES/INITIALS SO.FT.GAR ® 3/ac HOUSE SEWER GARDEN WALL FINAL 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 APPJEOUIP. 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 INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES "OTICE: THIS DOCUMENT CANNOTUl TO: City �fF'L®�QuinATED' DATE: DO Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This ,is to certify that ((/ ' developer -=of which -As. . located at within this District, has.paid school facility ees imposed pursuant to the authority,,g`nerat d by G vernmeht Code S ction 5' 80 in the amount o covering a total of r]' t quare feet of ( ) r sidential or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. f&wg�x - ��or DESERT S NDS•UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 • 1. RECORDING REQUESTED BY WHEN RECORDED MAIL TO Nr uME SPACE ABOVE THIS LINE FOR RECORDER'S USE) POWER OF ATTORNEY — GENERAL [Includes optional DURABLE POWER OF ATTORNEY] KNOW ALL PEWNS BY W1 $J UESUT$-�That I, M=Xead Maddick Ih�hndersigned (jointly or 4erally, it more than one) her make, constitute and appoint Angelica Mead Haynes my true and lawful Attorney for me and in my name, place and stead and for my use and benelit: (a) To ask, demand, sue lot, recover, collect and receive each and every sum of money, debt. account, legacy, bequest. interest, dividend. annuity and demand (which now is or hereafter shall become due, owing or payable) belonging to or claimed by me, and to use and take any lawful means for the recovery thereof by legal process or otherwise, and to execute and deliver a satisfaction or release therefor, together with the right and power to compromise or compound any claim or demand: (b) To exercise any or all of the following powers as to real property. any interest therein and/or any building thereon: To contract lot, purchase. receive and take possession thereof and of evidence of title (hereto: to lease the same lot any term or purpose. including leases for business. residence. and oil and/or mineral development: to sell, exchange, grant or convey the same with or without warranty: and to mortgage, transfer in trust, or otherwise encumber or hypothecate the same to secure payment of a negotiable or non-negotiable note or performance of any obligation or agreement: (c) To exercise any or all of the following powers as to all kinds of 1lersonal property and goods. wares and merchandise. choses in action and other property in possession or in action: To contract lot, buy, sell, exchange, transler and in any legal manner deal in and with the same, and to mortgage. Iransfer in trust. or otherwise encumber or hypothecate the same to secure payment of a negotiable or nonnegotiable note or performance of any obligation or agreement. (d) To borrow money and to execute and deliver negotiable or non-negotiable notes therefor with or without security: and to loan money and receivenegotiable or non-negotiable notes therefor with such security as he/she shall deem proper: (e) To create, amend. supplement and terminate any trust and to instruct and advise the trustee of any bust wherein I am or may be trustor or beneficiary. to represent and vole stock, exercise stock rights. accept and deal with any dividend. distribution or bonus. loin in any corporate financing, reorganization, merger, liquidation, consolidation or other action and the extension. compromise. conversion, adjustment, enforcement or foreclosure, singly or in conjunction with others of any Corporate stock, bond, note. debenture or other security: to compound. compromise, adjust, settle and satisfy any obligation, secured or unsecured. owing by or to me and to give or accept any property and/or money whether or not equal to or less in value than the amount owing in payment. settlement or salisfaclion thereof: (f) To transact business of any kind or class and as my act and deed to sign, execute, acknowledge and deliver any deed. lease. assignment of lease. covenant, indenture. indemnity, agreement. mortgage, deed of bust, assignment of mortgage or of the beneficial interest under deed of bust, extension or renewal of any obligation, subordination or waiver of priority. hypothecation, bohomry, charter -parry, bill of lading, bill of sale. bill, bond. note, whether negotiable or non- negotiable, receipt. evidence of debt, full or partial release or satisfaction of mortgage. judgment and other dent. request for partial or full reconveyance of deed of trust and such other instruments in writing or any kind or class as may be necessary or proper in the premises. - (g) ISlrike II not applicable.( This Power Of Attorney shall not be affected by subsequent incapacity of the principal (and shall remain effective for a period of 7 years after the disability or incapacity occurs]. (h) [Strike it not applicable.( (i) II (g) and/or (h) are not stricken, the following warning applies . WARNING TO PERSON EXECUTING THIS DOCUMENT: This is an important legal document. It creates a durable power of attorney. Before executing this document, you should know these important facts: 1. This document may provide the person you designate as your attorney in fact with broad powers to manage, dispose, sell, and convey your real and personal property and to borrow money using your property as security for the loan. 2. These powers will exist for an indefinite period of time unless you limit their duration in this document. These powers will continue to exist notwithstanding your subsequent disability or incapacity. 3. You have the right to revoke or terminate this power of attorney. 4. If there is anything about this form that you do not understand, you should ask a lawyer to explain it to you. GIVING AND GRANTING unto my said Attorney lull power and authority to do and perform all and every act and thing whatsoever requisite, necessary or appropriate to be done in and about the premises as fully to all intents and purposes as I might or could do if personally present. hereby ratifying all that my said Attorney shall lawfully do or cause to be done by virtue of these presents. The powers and authority hereby conferred upon my said Attorney shall be applicable to all real and personal property or interests therein now owned or hereafter acquired by me and wherever situate. My said Attorney is empowered hereby to determine in his/her sole discretion the time when, purpose for and manner in which any power herein conferred upon him shall be exercised, and the conditions, provisions and covenants of any instrument or document which may be executed by him/her pursuant hereto: and in the acquisition or disposition of real or personal property, my said Attorney shall have exclusive power to fix the terms thereof for cash, credit and/or property. and if on credit with or without security. When the context so requires. the masculine ender includes the femme o neuter, an singular numb des the ura . WITNESS my hand this �s/ day of /�L �alr, 19FS, &I zcn4. STATE OF SAHFORNDt I ss. Mary Mead Maddick COUNTY,OF /' 1 --04" f'CL- On this r in the year 19jElbefore me, the undersigned, a Notary Public in and for said. Slate. personally appeared Ma,r Ink Qal MaddLelK personally known to me (or provell to me on the basis of satisfactory evidence) to be the person_ whose name subscribed to the within instrument. and acknowledged to me that •ihe_ executed It. I WITNESS my hand and official seal. j My Commission Expiros Feb. 11, 1990 Notary Publi an for said Stateopt. Dowlx OFAIieNNOWER FAI-Iinelu YI WOLCO DexnBLE 1400— OF Al2-86 Yj inrs sunaara lam covers most usual momems m me eels iibifaiea. 6eime you ] WelCorre taxa . INC (pfi IY•e6 sipn, nese il. fit in iii:n13. erM mike elianpes Draper io your Ir�nsaclion. sr1986 WOICor15. INC �qyd �) tonsuu a nwya II you aouW Ixe Ipm i fitness m your purpose. •vet"� ,.1 �•4Yt+ ` if. P lf;r* i k +f' f. A Vii' .'aY4Ly K41 iy ~ - �'P�f� Y .,w 4 y '?gYe.fr'r. RECORDING REQUESTED BY AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO: FAngeNAME lica Mead Haynes STREET P.O. Box 1140 CDDRESS ITY. La Quinta, Ca. 92253 STATE ZIP .t : N,;i . r •k' r ` ' Title Order No. Escrow No. GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX E no consideration ❑ computed on full value of property conveyed, or ❑ computed on full value less liens and encumbrances remaining at time of sale. Signature of Declarant or Agent Determining Ta. Firm None FOR VALUABLE CONSIDERATION, receipt of which is acknowledged, I (We), MARY MEAD-MADDICK, a widow Iname of pumprlsll , grantto MARY MEAD-MADDICK, a widow and ANGELICA MEAD HAYNES, a married woman 1— 19-1.41) BOTH AS JOINT TENANTS all that real property situated in the City of I=a Quinta (or In ar unincorporated area of) Riverside County, California, (name M Counryl described as follows (insert legal description): Lot 1 and 2 of Block 66 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 6, as per Map Recorded in Book 18 page 67 of Maps, Records of Riverside County, California. 'I , THIS DEED REFLECTS PARCEL MERGER NO. AS APPROVED BY THE CITY OF LA QUINTA. Assessor's parcel No 773-083-013-8 and 773-083-014-9 Executed on 19_, at STATE OF CALIFORNIA ISS COUNTY OF On this day of Ili the year 19_, before me, the undersigned, a Notary Public in and for said State. personally appeared personally known to me (or proved to me on, the basis of satisfactory evidence) to be the person_ whose name_ subscribed to the within Instrument, and acknowl- edged to me that _he_ executed it. WITNESS my hand and official seal. Notary Public in and for said State. M MaryMead-Maddick (This area for official notarial seal) MAIL TAX STATEMENTS TO NAME ADDRESS ZIP wOLCOrTS FORM 775—Rw. 1245 (PYIc. du. O) GRANT DEED <.n..: it �sy� �4�•�e � �. ��..1 it 4 Y i- t7j .T y 4" 8-1- ' n Sc•':, y ��'ft� )3�"�f'j/, a � r,,ti Belpre you -1W 1--. rasp n. ell ,n an 0WkI. ane mak. -NI-1 CNnQ.a ar. app wwrl and n.G.Lry w yom pan -lar Iranacim, COnsun a 4"v it you p w Ill. tprm'a I,Ine.a Iw your pu,p and Y7. wolco s make m Iepr.k.nutw & warrant,, W.S. Or m,ohw. w,ih r..p11c110 IM—h.,rubary ar In—.1 Ihn W. la an W.M.d ON Or pu O— ©1955 N'OLCOTTS. INC 01 • 0 OMcr Fscrow Number ................. :. Number....3$-�71.�2....... N RECORDING REQUESTED BY Cq -A ................ "N" .. ................................ AND WHEN ...:.RECORD.....EE.D MAIL ..T.HH.IS . D D.EED . . AND. .....UU.NLESS .. . . . OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO: Mary ..Mead,.Maddick............... ................... ....... P..O...Jiox-11.40............. _....... _............................... La...Qulata,....Ca.. 92253 .................................. 4 8 N a° ,jig 00 .�01 0-j CFa SPACE_ ABOVE THIS LINE FOR RECORDER'S USE La Ouinta (City or "Unincorporated") _ Grant Deed �'j - 093 -010-7 _ THE UNDERSIGNED GRAN70Rfs) DECLARE(.) DOCUMENTARY TRANSFER TAX is E 1 A 1 S • "- ❑ computed on full value of property conveyed, or ❑ computed on full value less value of liens or encumbrances remaining at time of sale, and .... DANIEL..EIM=ZELL1,..sa. u=mrrled..maa............................ For a Valuable Consideration, the receipt of which is hereby acknowledged, hereby GRANT(s) To..-MARX..�1.:�1!�AAIQKr...I�..X.1St.0.K........................................................... ................................................................................ .................................................................................................................................................: t all that real property situated in the County of .............. Ri Vt?t'S,i d2 State of California, described as follows: Lots 1 of Block 66 SANTA CARMELITA AT VALE LA QUINTAL Unit No. 6, as per map _y_�Q,� rLrnrdwd to Anetr 1A Aage 67 of Napa Rornrda of Rlvnraid..e_Cottntg.,_-California r e } Dated.........Apri1.41 1983 ............... . I STATE OF CALIFORNIA jFE / /xll.C.�//,41 l SS. of /%l _ / } OFFICIAL SEAL BONNIE J McCARTHY OTARY PUBLIC'- CALIFORNIA RIVERSIDE COUNTY My comm. explres MAY 17, 19115 i r ...... .... ........... ....... ..................................... el •Ptr�� � elli ISS, Dan On this the 1r' day ofi�,e i L 19-L2, j before me, t the undersigned Notary Public, personally appeared ❑ personally known tome proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) /'S subscribed to the within Instrument, and acknowledged that JF/E_ executed.it. WITNESS my hand and offlci I seal. X11111111111!!illi././J!!!!,/l!/l./!illl!/l!!!!!./!./lIIIIIJ!Jl/ilGENERAL ACKNOWLEDGMENT FORM 71100&2 l./lllfl!!l!/l!_l!./lflll!!llfll./Jll�� NATIONAL NOTARY ASSOCIATION - 23012 V Mura Blvd. - Woodland Hill.. CA 91364 0� 0 M Z O W Y cc Q Z> W ir COUNTY OF RIVERSIDE, DEPARTMENT OF HEALTH ENVIRONMENTAL HEALTH SERVICES DIVISION - - PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County specifications required on the attached check list. A non-refundable filing fee of $40 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log Name (O ner. Agent. Contractor. Etc) • Mail, Address - D/ 8 // 7O I GI t :�- a aL6 Slat 19-2-: Zip Co^^de c Telephone h/ /�L - -J., 'Job Property Address 'City or Community .esption of Properly (Lot. PM TR J'XIai cn 'Assessors Parcel No Water Agency or Well Ste•- - use of Permit tanning Case L� V FD MH Site Preparation Etc Signature of pliCant Date The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initiah. Date} C ! Certification of Existing S.D. System required. ❑ Yes t No `�'i.{� ► j �J WOCB Clearance required. ❑ YesNo t l Soils feasibility report required. ElYes No _ Special feasibility boring report required. ❑ Yes No Detailed contour plot plans required. ❑ Yes No t Staff Specialist approval required. .- ❑ Yes No Lot Inspection Date. Soils/boring report by V M Project # Date_ __— Soils Map Page Soil Type Approved by -" Dale--- ate __Type Typeof System: 40,, of Bedrooms (1) Septic Tant,,N loco Soil Rate Req ired � C1 Existing New EJ Additional El Replacement �tV Vv' t� Gals. ? `� 90 / (2) Leach line sq. ft. / (Bottom trench ea) Sidewall allowance ft. roclSV Sq. Ft.•' Install Ines) _Ft. Long, with min. inches Laa9h bed Sq. I,: of bottom -Fl/0ide per running ft. ❑ N/A rock below drain lines area r Leach lines/bed-special design for slope: Applicable (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth `r r N/A Overburden factor El 5' DA_- ti" y Max. allowable depth \,At„�Ctt+t �Od �K�G�StCti C+`kat This application is app o denied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit is necessary for the installation of the above -designed system. ((1)) Septic tank and sewer lines must be 50' from any wells (2) Leach lines must be 100' min. from any wells including expansion areaC,% (3) �,Seepage pit's must be 150' mien. from any wells including expansion area i 1Lt Ir• 1 p c.�^ ��.�� Signature of Health Official •t t Date RECEIPT NO. -�>qw Issued by V �� Date T� I 10 District: El Riverside l�7 Indio El Hemet— El Perris ❑ Rancho Calif El Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 4188) NNS 0 OFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES 49-613 Ilwy 86, Suite B-12 Coachella, CA 92236 619-342-8291 DATE Nart DEVELOPER'S NAME: ADDRESS: ,� 4, I ; C,Aj� TELEPILONE: (� �.�) S `1 ` Bio ,�- 3 Dear Developer: E. LEON SPAUGY COMMIS :10`E R JAMES 0 WALLACE ASS:S*.ANI COMMISSMNEP. CLEMENT BENVENISTE SEALER CASE NO. K G 6 Cs `Ll v `& After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ fran plant material listed, this office must be notified inmediately. Thank you for protecting and preserving the Coachella Valley's pest -free env\ironvnent. C;� .�.., d� b� {�L��c,�P'5� Ibc�V 1- -3 (F616 + �XN�Se 1 Agr ultural Commissioner's Office cc: Indio and Riverside Office •4 4(4j Q9 WC 78-105 CALLE ESTADO - LA OUINTA,•CALIFORNIA 92253 (619) 564.2246 TO: All Permit Applicants FROM:. City of La Quinta, DATE: February 9, 1987 SUBJECT: PROTECTION OF UNDERGROUND INSTALLATIONS AS MANDATED BY AB 3020 Prior to the issuance of a permit .which involves any type of excavation, the Applicant must provide the City of La Quint& with an "Inquiry Identification No." issued by a regional notification center. The notification center for this area is: UNDERGROUND SERVICE ALERT 1-800-422-4133 Excavation is defined as any movement of earth by grading, trenching', digging, ditching, drilling, augering, tunneling, scraping, cable or pipe plowing and driving, or any other.way. TH:dnv cc: File, Underground Installations (Alpha) MEMOTH6 62— s Jv, •Vol I MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA• CALIFORNIA 92253