SFD (11077)r
Building 52--195 Navarro
Address
Owner
Michael' Gallien
Mailing ' P. O. -Box 945
Address '
City zip
Tia Quinta 92253
Contractor
Gallien Construction'
Addre$gmr'" as-ab''ove
City' Zip
P.O. BOX 1504 No. 1'1077.,
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253=�Idf�fi : /i i� r
tlu
BUILDING: TYPE CONST. OCC: GRP. t
A.P. Number'
Tel.
564-1187 Legal Description
Project Description
State Lic. City ` .
& Classif. 577184:. Lic. # 1502 Sq. Ft. 1571D No" '
..Arch., Engr.; ,
Size Stories'
Designer- - R&beet "Alcuxabrac, +' New ❑ - Add ❑ Alter O Repair ❑ Demolition ❑
Addres- O r BOX -413 Tel.
l:
Permit does n®V . include - block walls
No. Dw.
Units
city. ii�0�3',Pa];t�t3
Zip922 75 _.
State G .1 38.1
-..or. pool.
K
_ 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,Business and Professions Code: Any: city or county which requires a
permit to construct,., atter, improve, demolish, or repair any structure; prior to its issuancealso
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). '+'-
J�J I,,as owner of the property, or my employees with wages as their sole compensation, will
�d the work, and the structure is not intended or offered for sale. (Sec:17O44,'Buisness and
.' Pro/essions Coder 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 knprove for the purpose of sale.) . "
O 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 e, �, �,r�f. )illIV%/"Yff 1'.t1
Estimated Valuation
97 1147.80
PERMIT - '
- •. - • ' `�_
t
Plan Chk .Dep. -' 2.50.00
Plan Chk. Bal.
FConst.
y Mech.
'
Electrical' `
Plumbing -
...
S.M,1-1 ..
-
Grading
Driveway Enc.
Infrastructure
WORKERS' COMPENSATION DECLARATION
I' hereby affirm that I have a certificate of consent to self -insure; or a certificate of:, .
Worker's Compensation Insurance, oca 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 becompleted it 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 -
l�employ any person•in any manner so as to become subject,to�the.Workers' Compensation
Laws of California.•'1.�jrT//r11/�c s rr
NOTICE TO APPLICANT.- r I!, after making''I �ertilicati- Ex���A youshould - 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 performarice of the.
work for which this permil,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
i
AMOUNT
201 61,
630.50
' y 55.d . y0
d32.r71'
135.00
9. 8 0 M
20.00
. Go
2190.33
• wit e t „ �
34�
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line' S
Rear Setback from.Rear Prop. Line _
Side Street Setback from Center Line—
Side
ine Side Setback from Property Line
c
FINAL DATE INSPECTOR -
Issued by: t Date - Permit
Validated by:
-Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FESS i
1ST FL. SQ. FT. ® $
2ND FL. SO. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SO. 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
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
BONDING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
SEWER OR SEPTIC TANK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
DUCT WORK
LAUNDRY TRAY
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
BOND BEAM
SQ.FT.GAR ® 3/4c
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 & AIR GOND. SOLAR
SETBACK
GROUND PLUMBING 7 U11
RGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
1AVROUGH
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./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
yd,
$ plus x$
_$
LUMBER GR.
FINAL INSP.I`cu.
( �'pr;L�
FRAMING /�iJ��
FINAL INSP. Il �7
ROOFING � /UUU
[
�iLr'�T
1
L
6m-4 13«
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING pQ
P/
INSULATIONISOUND
FINISH GRADING2
INAL INSPECTION
c.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
-- _ M. , , . ^ Jt . .
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 6/25/92 1 Type of Permit I La Quinta
No. 11522 Permit #
Log #
Owner Name Michael Gallien
No. 52195 street Navarro
city La Quinta Zip 92253 Study Area 112
APN # I Tract # I Lot # Square Footage 11670
Type of Development Single Family Residence No. of units
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 1670 lor$2,638.60 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 Gallien Construction/Pomona First
Name on the check
Telephone 564-1187
By James E. Lively
Assistant Superintendent, Business Services ,t ' a,7 ,
Fee collected /exempted by Shelley D. Bennett'
Payment Receivedj(.
-
Signature '0 % Cc c 'd'h o. 80.767374
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Apphcant/R.eceipt Copy - Accounting -Z,/ -)T':'..
ORl NUMBER.,,
Record;d zt itl
Gateway Title i;;;r parry"'
WHEN RECORDED MAIL TO`.
R��•
sy�z; o
CC
oLL
UJ
0 S
W
W
THIS LIE 'FOR I`
l/
ER S US
MAIL TAX STATEMENTS TO:
THE UNDERSIGNED GRANTOR(s) DECLARE(s)' o
DOCUMENTARY TRANSFER TAX is $
omputed on full value of property conveyed, or
= 0 computed on full value less value of liens or encumbrances remaining
at time of sale.
C.0RP0RATI'0N GRANT DEE>D
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
LANDRACE CORPORATION,
a corporation organized under the laws of the State of Washington ,-
does hereby
GRANT to +
T MICHAEL R. GALLIEN.and THERESA R. GALLIEN, husband and wife
the real property in the City of
County of Riverside 4 State of California, described as
Lot_10.of Block 93, Santa Carmelita at Vale,•La
Quinta Unit No. ll.as shown by Map
on file In Book '8,__Pa e_75:- o _.Ma.ns.. Rer_nrds of sn-,,.e, (:ptt^t.v
Dated Feorua y 28; 1992
LAN' AC CORPO TION W on -
STATE:��F
_ R ) C—orpor O
COUN4Xss.
On�/ec
e d before me,
the undersigned, Notary Public in and for said State, personally appeared B
i •
President
and
pe'sonatly known to me (or proved to me on the basis of satisfactory
er';,'ence) to be the persons who executed the. within instrument as BY
President and Secretary
on behalf of
the corporation therein named, and acknowl ed to me that such co OFFICIAL SEAL
corporation :: �'.= C. R. Kf?AGCS
executed the within instrument pursuant its by-laws or a resolution of its +n�'' t Nota
board of directors. F 4. N Pub1lc-Coljr0, '�
I.�
RIVERSIDE COU�Tr
WITNESS my and ial I. .v M� MIU1011 Exi;';,,.,
Signature
• sr 12, 19x.1
(This arca for official notarial seal)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
('V
cn
m
L
Cn
o
00
FF
m
U_
s
a
'CORD '
l/
ER S US
MAIL TAX STATEMENTS TO:
THE UNDERSIGNED GRANTOR(s) DECLARE(s)' o
DOCUMENTARY TRANSFER TAX is $
omputed on full value of property conveyed, or
= 0 computed on full value less value of liens or encumbrances remaining
at time of sale.
C.0RP0RATI'0N GRANT DEE>D
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
LANDRACE CORPORATION,
a corporation organized under the laws of the State of Washington ,-
does hereby
GRANT to +
T MICHAEL R. GALLIEN.and THERESA R. GALLIEN, husband and wife
the real property in the City of
County of Riverside 4 State of California, described as
Lot_10.of Block 93, Santa Carmelita at Vale,•La
Quinta Unit No. ll.as shown by Map
on file In Book '8,__Pa e_75:- o _.Ma.ns.. Rer_nrds of sn-,,.e, (:ptt^t.v
Dated Feorua y 28; 1992
LAN' AC CORPO TION W on -
STATE:��F
_ R ) C—orpor O
COUN4Xss.
On�/ec
e d before me,
the undersigned, Notary Public in and for said State, personally appeared B
i •
President
and
pe'sonatly known to me (or proved to me on the basis of satisfactory
er';,'ence) to be the persons who executed the. within instrument as BY
President and Secretary
on behalf of
the corporation therein named, and acknowl ed to me that such co OFFICIAL SEAL
corporation :: �'.= C. R. Kf?AGCS
executed the within instrument pursuant its by-laws or a resolution of its +n�'' t Nota
board of directors. F 4. N Pub1lc-Coljr0, '�
I.�
RIVERSIDE COU�Tr
WITNESS my and ial I. .v M� MIU1011 Exi;';,,.,
Signature
• sr 12, 19x.1
(This arca for official notarial seal)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
.. + Of 0,
CALVIN C. KAMINSKAS ,r.°!� DAN RILEY
Assistant Commissioner I ° Seater, Weights & Measures
(714) 275-3000 / (714) 275.3030
OFFICE. OF
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291
DATE a9.- 9� CASE NO. � CG
DEVELOPER'S NAME: ri l l / Pz "7 6VI2,
� 12 7 C z 7 69. chap/
ADDRESS 0, 9y�
TELEPHONE:
S—�? 19 � i Y -.r e
Dear Developer:
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 from plant material listed, this office must be notified
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agricul al Comnissioner's Office
cc: Indio and Riverside.
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012