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SFD (04258)Building 51-155 Navarro P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 2.158 Owner Side Street Setback from Center Line aii,?hn P.,: Reatwev BUILDING: TYPE CONST. A.P. Number OCC. GRP. "773-183-020 Mailing Address 71-361 Hig$lWay 111p #3 - CityZip Side Setback from Property Line Tel. „4, t+Fho M;rag 92270 Lender's ;AddressCOR Legal Description T INS-PF7T 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. -340«-0801 Project Description I certify that I have read this application and state that the above information Is correct. Contractor PacificHabitat, Inc • Address I agree to comply with all city and county ordinances and state laws relating to building City- Zip Tel. mentioned property for inspection purposes. Validated by: State Lic. 8 Classif. . 48� City Lic. # - Sq. Ft. 1369 No. No. Dw. Mailing, Address Validation: Size Stories Units Arch., Engr., 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 Divislon 3 o the Business and Professions Code, and my license is in u11 force and OM < SIGNATURE' -" " --••"''�^°""-'"-""' �*'^-�•""„"'1f "e .r" DATE OWNER -BUILDER DECLARATION • :'7 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, '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 penally of not more than five hundred dollars ($500).I 01, 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, Bussness and Professions Code: The Contractor's License Lew 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 Estimated Valuation / 6 +798�ji7 PERMIT AMOUNT Plan Chk. Dep. 02-su, UU r Plan Chk. Bal. ep y kS •%' Const. .iq�r . tifiJ - r� Mech. �- Electrical Plumbing lu5 100 S. M. 1. - W • .+�� GradingL) Driveway Enc. Date Owner Infrastructure Is odd o *4 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 a" - O Copy is filed with the city. 0 Cert'ifie"dcopy is hereby furnished. f EXEMPTION TOTAL REMARKS CERTIFICATEOF FROM WORKERS'COMPENSATIONINSURANCE (This section need not be completed if the permit Is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: ff, alter making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ZONE: BY>^� 3usn,•+ _�,�� r ,�-- v <:yy,i 0. •�� wit r,x .: ^ u,�ti$c�r'7 Minimum Setback DlstanceS: •*.. c a Front Setback from Center Line Rear Setback from Rear Prop. Line • CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 1 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 ;AddressCOR FINAL DATE T INS-PF7T 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. 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, Zip WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT y $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB YARD SPKLR SYSTEM 2ND FL SO FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR SO FTa DUCT WORK ROCK STORAGE GARSO. FT. POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. SO FT. 6 GAS (FINAL) TEMP. POLE WALL SO. FT. a DRINKING FOUNTAIN SO. FT. 0 WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTONDISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED /v ( v LAUNDRYTRAY AIR HANDLING UNIT CFM 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. SO. FT. ® c BATH TUB SPARK ARRESTOR SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID a tv C SEWAGE DISPOSAL LATHING /v aO —�� SO.FT.GAR (g V c HOUSE SEWER MESH GAS PIPING PERMIT FEE NSU LATI ONISOUN D/G—< PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE aL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR SETBACK GROUND PLUMBINf // v 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.IEOUIP. 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. / J 6RAMING k -�d� FINAL INSP. ROOFING /v ( v `� Com— REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING /v aO —�� MESH NSU LATI ONISOUN D/G—< FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Building Address Owner , .If1HN Mailing Address71-30 City iANCHO MIR Contractor PACIFIC Address 71_,�n1 4 P.O. BOX 1504 APPLICATION ONLY 78.105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 `° M. r ' BUILDING: TYPE CONST. OCC. GRP. 111 #3 A.P. Number M-1 m-ngn Zip Tel. 92270 340-0801 Legal Description I QT 10 .RI K 1?0 TAT INCA Project Description SINGLE FAMILY RESIDENCE AY 111 RANCHO MIRAGE `'92270Lcuictly 40-0801 State Lic. & Classif.485366 # Arch., Engr., Designer PAUL. PING DRAFTING Address I Tel. ' F' 171 11 /7Qr_ City p Zi State VI11-A rnA r A i rr- 1 1217700 1 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 Contractors License Law for the following reason: (Sec. 7031.5,Business and Prolessions 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.($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 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 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.) 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 the work for which this permit is issued, I shall not employ any peon in any manner so as to become subject to the Workers' Compensation Laws of Cal ifornirsa. 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.) Lenders '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 Address City, State, Zip BUILDING DIVISION Sq. Ft. No. No. Dw. Size 1369 Stories 1 Units Af Newer Add ❑ Alter ❑ Repair ❑ "Demolition ❑ 1 - Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Z (`U "f Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS 005182 2 10 0651 06-15-88 13 1y L YIaYl I I U i 1•iL. i. .::.?'V . VV 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: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SO. FT. ® CARP. SQ. 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.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE. UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c HOUSE SEWER REMARKS: VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE JELECT.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 U. yd. $ -plus-x$_=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT e NOTICE. THIS DOCUM $QiA I JL FEES Q3:! BE DUPLICATED e � IND TO: City of La Quinta DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to Oartify that/ LV , developer of which is located at A, within this District, has paid school faci ity fees imposed pur uant to the authority generatecj by Government Code Section 5 080 1 th ount of S co ering a total of squ a feet of S] r sidential or ( ) industrial/commercial development and that building permits for this footage in this development may now a issued by your jurisdiction. or D SERT SANDS•UNIFIED SCHOOL DISTRICT e -� ding Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 RECORDING REQUESTED BY AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHERWIS[ SHOWN BELOW, MAIL TAX STATEMENTS TO: STN[eT ADDntse CITY, STAT[ :,r• L J Title Order No ............................. Escrow No............. r "" "' " This space for -Recorder's use. Grant ]Deed ,THE UNDERSIGNED GRANTOR(O' DECLARL(s) DOCUMENTARY TRANSFER TAX is 3 ❑ unincurporatcd arca (] City of Yarccl No. ❑ curnputed on full value of property con4eycd, ut` ❑ 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, HENRY M. NUDSON and DAWN B. NUDSON, husband and wife hereby GRANT(S) to JOHN R. KEARNEY AND MARY KATHLEENIKEARNEY,.husband and wife as Joint Tenants I the following described real l,roperty in the { county of , state of Riverside f C�. Lot 10 in Block 120 of Santa Carmelita at Vale La Quinta, Unit No.t12, as shown by Map on file in Book 18, pages 79 and 80'of Maps, Records of Riverside County, California. t is llated__ May 25, 1988 I _ AA STATE OF CA IF gNIA /'1 Henry M. dson COUNTY .OF— .. y `(-i ;:l..i%.J/ } SS. .On this __ _._ `yam c _day of .' c L �'�i� in the year _ `F J • C aQoO�-� --� before me, ih undersigned, a Notary Public in Dawn B. Nudson. and for said County and State, personally appeared Henry M. Nudson and Dawn B. Nudson proved to me on the basis of satisfactory evidence) to be the person whose name J. ATL DFRCIAL Sc;t subscribed to the within instrument ind s"' s~' °p � v c(`j .�E�j� ` S 1 ' pa.. acknowledged that -.•1 executed the =` ? , NOTidtY PU6UC 0(klf'611Ip1p , same. PRINCIPAL OFFICE IN14 . LAS ANGELES GbiwTV t Signature c. L .eaL_k::,_.- ; ..l M1 Commis,aon Exp. A 8. 1488 F' Na a (Typed or Printed) Notary Public in and for said County and State FOR NOTARY SEAL OR STAMP MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIV'AS DIRECTED ABOVE Name Street Address City Stete L- llll O Z O i= U W V) W Z O 1— U W U) U) `1 LL Q W cr COUNTY OENVIRONMENTALF RIVERSIDE, DIVISION 7 PE RMIT APPLICATION FORA SUB URFA E S WAGED SPO A 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. �- C 11A Q I _fib G Building Department Application Log # Y Name (Owner, Agent. Contractor. Etc.) Matting Address ' City P State F'+ Zip Code 2 2 Telephone ? 7 (,' -Job Property Address `Gry r. Eommunny -Legal Description of Properly. (Lot. PM. TR) r�4. . l v � U , ti .► L o T /o el ��1 � o, 'Assessors Parcel No ewaler Agency r Well v�jq Q use o PermitA.1'P.>;% +.✓F ( �" Planning Case # Lot Size ` •I�/ I/-�f / / ,�J / ('3 O .,20 .%Aq fJl �����,.,, SID MH Site Preparation Etc. e K 15-- /f t! _' i igna re of ApplicantDale i The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE 0, /Initial Date 01el /� te Certification of Existing S.D. System required. ❑ Yes P N WQCB Clearance required. El Yes !t Soils feasibility report required. ❑ Yes �_ A Special feasibility boring report required. ❑ Yes (aeee„���_,,.% r �'" Detailed contour plot plans required. ❑Yes,D N/o*,(. Staff'Specialist approval required. ElYes EXo Lot Inspection Date ii Soils/boring report byn Project # 'Date Page -2 Soils Map L!, / l Soil Type{/ 41C Approved by if"I Dateb— TJ_J t Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required �6/ ElExisting L New ❑ Additional ❑ Replacement 6' Gals. 1 (2) Leach line sq. ft. (( otto trench Sidewall allowance ft. Sq. Ft. Instal�Line(s) Ft. Long, 1 Leach bed Sq. area] rock/ running ft. �'N/A Ft''Gvid,. with min. inches below drain lines Ft. of bolt bm, per rock area Leach lines/bed-special design for slope: (3) Pit Diameter No. PitsPt�itIll€ Seepage Pit total depth N/A Applicable Overburden factor 6Z �©r Max. allowable depth Vol G -- This application i apppr eov d/ak iedrfor the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B a ove. A building is necessary for the installation permit ofthe above -designed system. (1 Septic tank and sewer lines must be 50�f om any wells (2) Leach lines must be 100' min. from any wells including expa�nslo%�/llrarea '�� `�G�� See age pits must be 150' min. from any wells including expansion areal ' ='or r. Signature of Health Official / / �J / vT� g t Ok Date RECEIPT NO._ 3 70 2— Issued by ��- Date (? -t District: ❑ Riverside ©l o ❑ Hemet 1` ❑ Perris R.-lcho Calif. ❑ Sithe Distribution: WHITE—Office file YELLOW—Applicant PINY. - Dept. G1:1l_uci4ROD—Pending File DOH SAN 122 (Rev 8187) i f OFFICE OF AGRICULI"URAL COMMISSIONER AND WEIGHTS & MEASURES 49-613 Ilwy 86,.Suite'B-12 .. 'Coachella, CA 92236 619-342-8291 E. LEON SPAUGY Commis-I0NEq JAMES 0 WALLAGE ASSISiA**f rpM�nSSIU�EP. CLEMENT BENVENISTE ,SEALEq . DATE 14' _ , CASE DEVELOPER'S . NAME: rFlivti�- ADDRESS: TELEPHONE: lie Dear Developer:' 1 After reviewing your landscaping plans, all.plan't 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 imnediately . Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agricultural Com issi ner's Office cc: Indio and Riverside Office li4 IZ-1i r