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09296 (SFD)P Building Address Owner C&tyl 4 P.O. BOX 1504 N o . 0929£ 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address Rox 26S City I Zip Tel. I Contractor ty jZip BUILDING: TYPE CONST. OCC: GRP. A.P. Number 77A-119—nnA � Legal Description 141mr--11k •94A T.^* 17 ► I JProject Description State Lic./ & Classif. l ! 4 r Lic. #1 t Arch., Engr., 2-50.00 Designer ` �.- Address Side Street Setback from Center Line 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 DO() ofpivision 3 of the Business'and Professions Code, and my license is in full force and `S16`TIATURE X 'Qj�� 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, 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 dc;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.) 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 person in any manner=so,as to become -subject to the Workers' Compensation Laws of California. f, �_._ Date Owner �' - NOTICE TO APPLICANT: If, ter—making this Certificate 0 "Exemption., you should become subject to the Workers' Compensation provisions of i the Labor Code,,: you must forthwith comply with such provisions or this permit shall be deemed ievoked. - 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 ateMailing Address City, State, Zip Sq. Ft. No. No. Dw. Size 1466 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit includes block. wall -- Permit does not include V001 Estimated Valuation PERMIT BY: AMOUNT Plan Chk. Dep. 2-50.00 Rear Setback from Rear Prop. Line Plan Chk. Bal. Side Street Setback from Center Line Uq 17 Const. FINAL DATE SIR 1 01) Mech. Validated by: qs; q#1 Electrical 91A cid Plumbing I AI Q S.M.I. 4 Grading 7" 11 Driveway Enc. _ Infrastructure A -? -JA/;F 4 _ , 4i TOTAL 3250—M 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: Validation: CONSTRUCTION ESTIMATE NO. ':EL I ECTRIdAL FEES. NO. PLUMBING FEES IST FL. SO. FT. @ $ UNITS COLL. AREA 2ND FL. SO. FT. PLUMB. YARD SPKLR SYSTEM BONDING MOBILEHOME SVC. BAR SINK POR. SO. FT. @ 0, SEWER GAR.. SO. FT. @ POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH) DRAINAGE PIPING CAR P. S0. FT. @ HEATING (FINAL) OTHER APP./EQUIP. WALL SO. FT. @' GAS (FINAL) DRINKING FOUNTAIN. SO. FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) . APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ROOFING /1j �r/ 71(7/ LAUNDRY TRAY AIR HANDLING UNIT CFM AV 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 @ 11/a c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac 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 COND. SOLAR SETBACK3 5/.4 5-1 y, GROUND PLUMBING Q ,UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE KJROUGH p PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 0, SEWER 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 FINAL INSP.( GRADING cu. yd. $ plus x$ _$ LUMBER GR. FRAMING y—�Q 9//y FINAL INSP. ]/c/ / ��% ROOFING /1j �r/ 71(7/ rMd/ �'_^ ,wr /r�s� 3/2 /f/ A,* �tj/- �j 10-0- / AV REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION �G CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 3/20/91 No. 10481 Owner Name Type of Permit Shirley Stephan No. 53-660 street Eisenhower city La Quinta zip 92253 La Quinta Permit # Log # Study Area 111 APN # I Tract # Lot # Square Footage 11466 Type of Development Single Family Residence No. of units Comments New rpsidPncP 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 fatality fees imposed pursuant to Government Code 53080 in the amount of ff-.5-8­1 X 1466 or $ 2,316.28 have been paid to D.S.0 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 Shirley Stephan Name on the check Telephone By Richard M. Beck � Director, Facilities Planning & Development ,�-,`` �� �� Fee collected /exem d by Kathleen Emmerlin PaymenAV t Recpve�' •- Signature Checker hfo. 132 Collector. A ch a copy of county or city plan check application form to district, 'iii�.y` er all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL�� Jy/'V s Received From: 'v r Date-<54//4/ (ZA/' /,t>4� Z -e 3 Address: ` ' Lots Trac Service Address cc G.A. Code_YLI it /�)) ._Ice(s) 4 � 1 / 01O ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) ❑ Met r urcharge ✓��'" / 5 1 D Niation Capacity Charas •S ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ' ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water I Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other TOTAL $ Remarks: ❑Copy to: Cash Check � %}` y`f Water Service � / I Money Order ( `� ;.. Cashier Order I�!o;'' Escrow No. Stephan Loan No. 166378 WHEN RECORDED MAIL TO: Shirley Stephan 52-740 Avenida Alvarado La Quinta, CA 92253 MAIL TAX STATEMENTS TO: Shirley Stephan 52-740 Avenida Alvarado La Quinta, CA 92253 SPACE ABOVE THIS LINE FOR RECORDER'S 111,E DOCUMENTARY TRANSFER TAX $...................... .......................... ...... Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less (lens or encumbrances remaining at time of sale. Signature of Declarant or Agent dstorm inlnp tax — Flrm Nama GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Sun Crown Corp., a California Corporation hereby GRANT(S) to Shirley Stephan, an unmarried woman, as her sole and separate property the real property in the City of La Quinta County of Riverside , State of California, described as Lot 17 of Block 244 of Santa Carme.lita at Vale La Quinta, Unit No. 23, as per Map recorded in Book 20._ Page.25 of Maps in the Office of the County - Recorder of said County. ALL—PURPOSE ACKNOWLEDGMENT State of--��,2��t-r County of �(? �1 (�f�i, pfury .hl On %a2 • /.3 NP before me, I.es 1, 2- ✓ecru 4VO-1 scr V i (name, title of officer), personally appeared [ . ,iii.',, /,-/,s , ;0 personally known to me — OR — 0 proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowl- edged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. OFFICIAL SEAL LESLIE JEAN MOOSAVI NOTARY PUBLIC - � • , CALIFORNIA RIVERSIDE COUNTY My comm. expires JAN 21, 1992 NO 209 CAPACITY CLAIMED BY SIGNER Q INDIVIDUALS) SIGNING FOR ONESELFlTHEMSELVES ,� CORPORATE I�/ �$/ OFFICER(S) TITLE(S) 15611, 61 6"1.1,i it Co ry COMPANY PARTNER(S) PARTNERSHIP ATTORNEY- IN-FACT PRINCIPAL(S) TflUSTEE(SI WITNESS my hand and official seal., Signature % ® NAIIUNAL NUT Ell OTHER TRUST TmE(S) TITLES) ENTITY(IES) REPRESENTED ENFITYIIES) REPRESENTED • P.O. Boz 7164 • Carrow RECORDING REOUESTED BY COMMONWEALTH LAND TITLE CO. AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHERWISE SHOWN BELOW, MAIL TAX A•� STATEMENTS TO: F SUN CROWN CORP. 107 POST OFFICE BOX 804 LA QUINTA, CALIFORNIAi92253 ESCROW NO. TITLE ORDER NO 6-11449—LB 163606 SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) dere(s): Documentary transfer tax is 28.60 J A.P.N. ( X ) computed on full luc bperty conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( X ) City of LA QUINTA , and By this instrument dated TWENTY—FIRST DAY OF SEPTEMBER, 1990 , for a valuable consideration FRANK ZARAGOZA, JR. A SINGLE MAN O , S hereby GRANTS to SUN CROWN CORP. A CALIFORNIA CORPORATION the following described real property in the CITY OF LA QUINTA County of RIVERSIDE , State of CALIFORNIA LOT 17 OF BLOCK 244 OF SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 23, AS PER MAP RECORDED IN BOOK 20, PAGE 25 OF MAPS IN THE OFFICE OF THE COUNTY i RECORDER OF SAID COUNTY. STATE OF CALIFORNIA, COUNTY OF Rixt.RARSi»E: On OCTOBER 22 1990 before me es the undersigned, a Notary Public to and for said County and State, personally appeared FRANK ZARAGOZA, JR. proved to me on the basis of satisfactory evidence to be the persun(s) whose name(s) is/are subscribed to the within instrument, and acknowledged to me that he/she they executed the same. WITNESS my hand and official scab S?(1'0N_'V-vh �L � , FRANK ZARAGOZA, JR. -;s:;;lCl!;L SEAL TONT S. RdMANO NOTAPY PUBLIC - CALIFORNIA RIVERSIDE COUNTY Y M comm. expires WAY fi, 1994 MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY IS SHOWN, MAIL AS DIRECTED ABOVE. APD730 Name Street Address City & $tate 0 Q ` as Us cc S L cc _ Q � ,y oo Q o 30: a SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) dere(s): Documentary transfer tax is 28.60 J A.P.N. ( X ) computed on full luc bperty conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( X ) City of LA QUINTA , and By this instrument dated TWENTY—FIRST DAY OF SEPTEMBER, 1990 , for a valuable consideration FRANK ZARAGOZA, JR. A SINGLE MAN O , S hereby GRANTS to SUN CROWN CORP. A CALIFORNIA CORPORATION the following described real property in the CITY OF LA QUINTA County of RIVERSIDE , State of CALIFORNIA LOT 17 OF BLOCK 244 OF SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 23, AS PER MAP RECORDED IN BOOK 20, PAGE 25 OF MAPS IN THE OFFICE OF THE COUNTY i RECORDER OF SAID COUNTY. STATE OF CALIFORNIA, COUNTY OF Rixt.RARSi»E: On OCTOBER 22 1990 before me es the undersigned, a Notary Public to and for said County and State, personally appeared FRANK ZARAGOZA, JR. proved to me on the basis of satisfactory evidence to be the persun(s) whose name(s) is/are subscribed to the within instrument, and acknowledged to me that he/she they executed the same. WITNESS my hand and official scab S?(1'0N_'V-vh �L � , FRANK ZARAGOZA, JR. -;s:;;lCl!;L SEAL TONT S. RdMANO NOTAPY PUBLIC - CALIFORNIA RIVERSIDE COUNTY Y M comm. expires WAY fi, 1994 MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY IS SHOWN, MAIL AS DIRECTED ABOVE. APD730 Name Street Address City & $tate 1 oOFFICE OF . _ AGRICULTURAL COMMISSIONER AND WEIGHTS &MEASURES ! ` CALVIN C. KAMINSKAS JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Asslaant Comrnlsslonm Agricultural Commissioner RIVERSIDE. CALIFORNIA 92501 CLEMENT BENVENISTE I Director of Weights h Measures Sealer (714) 787-2561 83-612.Ave.. 45, Suite 7 'Indio, CA 92201 (619) 342-8291 DATE —a - ( CASE NO. DEVELOPER'S NAME: w n lv AbDRESS: TELEPHONE: - 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. Agricultural Commissioner's Zkfice cc: Indio and Riverside Office �f le E31 3LIND.MANUFACTURING 66125 PIERSON BLVD. SUITE B D SERT HOT SPRINGS, CR 92240 (619) 329-9398 SOLD TO: STORE TELEPHONES EXT. SHOP COPY SHIP TO: (IF NOT THE SAME AS SOLD TO) lffffA I LOUVER COLOR STYLE - PATTERN mr. pi m III El MWEN WAS mo NOVA # 9A41 I NIP610-116411 p M WEMM�FAVIEI MINIM Imm I 14H WAEE�����MAM AN, MIMI on I ommmmm PAV 3 1 FACTORY DEDUCTIONS WHEN REQUESTED, 118" ON WIDTH AND 318" ON HEIGHT. SPECIAL INSTRUCTIONS 4L -: Z3 TOTAL FOR BLINDS TAX / INSTALLATION GRAND TOTAL `L -- PAID WITH ORDER�`�� BALANCE DUE ���' i i Buena Engineers, Inc. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 Client Name r Client Address Client Phone ter• DATE JOB NO. i FIELD TESTING PROJECT MOISTURE DRY MAXIMUM MAXIMUM OPTIMUM LOCATION '" TEST LOCATION r ` CyJ CONTRACTOR OWNER r WEATHER CONTENT TEMP. o at AM DRY DRY at PM q PRESENT AT SITE 11 11 (( Ii4f_l0 �. - �.'•,�I a•, ,_, > bra � % Ibs./Cu. ft. DENSITY t CLIENT REPRESENTATIVE SIGNATURE FIELD REPORT TECHNICIANS SIGNATURE 18293 i FIELD TESTING REFERENCE CURVE MOISTURE DRY MAXIMUM MAXIMUM OPTIMUM TEST '" TEST LOCATION LOT NUMBER NO. ELEVATION CONTENT DENSITY DRY DRY MOISTURE 11 11 (( Ii4f_l0 % Ibs./Cu. ft. DENSITY DENSITY CONTENT _,t• �n 0 4 lk i I % lbs./cu. ft.' % `r 1 ' Vr •"1: S Arl +; -. •F. �.F \- h''C' " •,�- �+,-- rj.. ...yt :.,. -a• I. i �/ i'tf •'Iw: 6 ay� 1 REMARKS,.;,,` I "�`" ! c < I GE. Cr i:: tt.,- (4 C4 e . i Gp a Cf ((I op IA - A !1 21 CLIENT REPRESENTATIVE SIGNATURE FIELD REPORT TECHNICIANS SIGNATURE 18293