003275 (SFD)V)
Building
Address
Owner
i�
Mailing
Address
City
.. pammuda'L%v
Contractor
ce:ti�t.4
P.O. BOX 1504 No. 003275
78-105 CALLE ESTADO
L..960 VD—rale . LA QUINTA, CALIFORNIA 92253
?>Ct TQC:
. __. BUILDING: TYPE CONST.- .00C: GRP.
-
go — , W rirv� s A.P. Number 773152"0.1
Zip
92201 345-4236-, Legal Description
Project Description 1011mle .PC -oily Dwellim
JZip Tel..
State Lic.
& Classif. 327394
Arch., Engr.,
Designer
City
Lic. #
Sq. Ft. No.
Size Stories
- r
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
A1' n$ r
City Zip State 100' 3e BID& Wall
Lic..#
LICENSED CONTRACTOR'S DECLARATION$ t*� voirAr7 r
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 1121 R-01-04% _ _
,SIGNATURE t ., _%% y DATE
- r 011VNER BUILDER DECLARAT ON '
-s
I hereby affirm that 1 am exempt from the Contractor's License Law for the following Estimated Valuation • $74441$.40
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 (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
Professions Code: The Contractor's License Law does. not apply .to an owner of property. who
PERMIT.
Plan Chk. Dep. jq
-
Plan Chk. Bal.
Const.
'
Mech.
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,
Electrical
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.)
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
..
S.M.I.'^
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
Grading
Driveway Enc.
Date 7 Owner r 'w _� -r,f �.s„
_ ." :J 1.+ _;
Infrastructure
/I v
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.)
BY:
Policy No. ' Company
Minimum Setback Distances:
❑ Copy is filed with the city. O. Certified copy is hereby furnished.
TOTAL
~� AMOUNT-
y7. Ari
?i'it 06
7n. An
_ � .tri. � ♦
CERTIFICATE OF EXEMPTION FROM •'
WORKERS' COMPENSATION INSURANCE
REMARKS
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.) 5 -
I certify that in the performance of the work for which this permit is issued, I shall notf1${�i?."
•(# .�tuf%.(,f_. t »a.?—�j,
employ any person in any manner so as to become subject to the Workers' Compensation
X v ,i x s ,iItlir 4
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
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
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
INSPECTOR
• 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.
�f )+3�b�1
8
I certify that I have read this application and state that the above information is correct._
Issued by:
Date ll i Permit
1 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, Zip
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. p
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SO, 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.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
AS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP.IEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
01,VTEMP. POLE 025 F�
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
REMARKS:
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FE PPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
XGROUND PLUMBIN67—/,� f
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE �� -
OUGH PLUMB. _
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
OUGH WIRING /—,17.��
DUCT WORK
ROCK STORAGE
FOUND. REINF. �,
AS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
01,VTEMP. POLE 025 F�
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM a�
WATER SYSTEM
FINAL INSP.
RADING
cu. yd.
plus x$
=$
LUMBER GR.
//
/�%(l�RAMING /� _7 7
C16
FINAL INSP.
,/�61OOFING /�— �'�
61e o C./ /-X
iy
/t]/%i J I�� / 5
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR1qt
R. FIREWALL
THING �O
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
- Desert Sands Unified School District
' CERTIFICATION OF PAYMENT
OF CC.r7
SCHOOL FACILITY FEES ILA
TO: City of La Quinta DATE: Z1
Department of Community Development ,
78-105 Calle Estado
La Quinta, CA 92253 NOTICE: THIS DOCUMENT CANNOT
BE DUPLICATED.
This is to certify that - ,
developer of _ which is
located at — within
this District, has paid school facility Nees imposed Plursuant to the
authori y generated b Governme t C e Section 530 in the a ount of
$ ti 3 Up —4.
.
covering a total of sq a feet of ),residential or
( ) industria'1/commercial development.aind that building permits for
this footage in this development may now be issued by your jurisdiction.
i
forkjESERT SANDS NIF D SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • . Gold - Developer
` (10)-37
j RECORDING REQUESTED BY .Q
ir
Orange Coast Title Company U o per'
¢ o ca
AND WHEN RECORDED. MAIL THIS DEED AND, UNLESS
OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO: 0 Q.� = W Q ~
_ L
Q , Oka
NAME C
,�. f Jerry Lugo _ , � � STREET, LLl yr ='.. ." Q D � • 4 ~ � o
ADDRESS Isabel Lugo > tt�. �.•, .. g , • .Q
79860 Boqueron U
STATE Bermuda Dunes; CA 92201 W ¢
zip ¢
A . .
Title Order NoR. .59517.-l... Escrow No,.1996.-1...... y'
"�� •. This space .for Recorder's use /
Grant Deed
THE UNDERSIGNED GRANTOR (s) DECLARE (s)F,o. _ .�
DOCUMENTARY TRANSFER TAX is $ 6.60
❑ unincorporated area JXCityqf ):,B _ Quin -t
Parcel No. 773-152-011-9
*omputed
73-152-011-9
computed on full value of property conveyed, or
.1 computed on full value less value of liens or encumbrances remaining at time of sale, and.
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
,WILLIAM T. McREYN.OLDS, a single'man
hereby GRANT (S) to
JERRY LUGO-and ISABEL LUGO, Husband and wife as: o.int tenants
the following described real property in the City of La Quinta, .
County of Riverside , State of California:
r,
Lot 1.4, Block 29. of Santa Carmelita` 'Unit'l '2,
per map recorded in Book 18, pages 5Y-an4'56, records of Riverside`County.
SUBJECT TO: covenants, conditions; restrictions, assessments,
easements, rights-of-way, exceptions and reservations,.if. any'.,-,-of.-record.
Dated April 22, 1987 ��-•
STATE OF E'tt>JiFQWAA Or(e —
COUNTY William T. McReynolds
OF `i'L, SS.
On before me, the under
j signed, a Notary P blic in and lor said County and State, personally
i
appeared
t
known to me
to be the person whose name AA--- subscribed to the within
instrument and acknowledged that Lam- —executed the same.
/ BUSA*N 1=1:31-;: R
1J�:L� - O "rCIJ
NOTARY PE"
Name (Typed or Printed) My Cornnlas!on Expirer,
Notary Public in and for said County and State ismwee%% )
MAIL_ TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF.NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
2461 Name Street Address City & State