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No Permit No (SFD)-�" P.O. BOX 1504 APPLICATION ONLY Building 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Mco 17EUEL0PME14_, /N6 - Mailing Address p o, 6oX 7 6 9 City Zip Tel. Contractor Address City , lZip Tel.. State-Lic. I City- & Classif. 8- S 73 '% 7 Lic. # Arch., Engr-, Designer Ro,5 /3Ylf-P Address Tel. CityI Zip I State r✓r Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7�000�) of bivisiayS of the BProfessions Code, and my license is in full force and SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Busness and Professions Code: Any city or county which requires a permit to construct, alter, improve, demofah, or .repair any structure; prior to its issuance also requires the appicant for such pemut 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 vkNation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a avi penalty of not more than rive hundred dollars ($500). ❑ 1, 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 bolds or inproves thereon and who does such work himself or -through his own employees, provided that such improvements are not intended or offered for safe. ff, however, the building or improvement is sold within one year of completion, the owner -budder wild have the burden of proving that he did not build or improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec. 7044, Business and Professions Code. The Contractors License Law dam not appy to an owner of property who builds or bnproves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors License Law.) ❑ 1 am exempt under Sec--L-__B'& P -C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION hereby affirm that -I have a certificate of consent to -self -insure, or a certificate of Workers 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 (his section need riot be completed ff the permit is for one hundred dollars ($100) valuation or Am-) I certify that in the performance of thg work for which this permit is issued, I shall not employ anyppeersrsoon in any manner so as to become subject to the Workers' Compensation Lairs of Califom'ha Date Owner NOTICE TO APPLICANT: 9, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply nth such provisions or this peand shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, CW Code.) Lendees 'Name -- — Lenders Address This is abuilding permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 1 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 BUILDING: TYPE CONST. OCC. GRP. c/ A.P. Number 7 % `� - S — d 0 Legal Description Z-0-1. -7- Project Description -t, /` . 0. Project Sq. Ft. Size r 6 a No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation ,f 7 PERMIT AMOUNT Plan Chk. Dep:- Plan Chk. Bal. Const. y Mech. "12 , S-12 Electrical fC. Plumbing 7` -TV S.M.I. o Grading Z0 „C Driveway Enc. 4J Infrastructure iC A./ � Ste.• O U 7 TOTAL Z) REMARKS 0niP3'' 1 "A411 -'Y-69 1 wr,i r rnm t ]7hh nn yr .a, hT 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. 60 SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ®1776 GAS (ROUGH) METER LOOP GAR. S0. FT. POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. GROUT WATER HEATER WALL SO. FT. @I _ DRINKING FOUNTAIN SO. FT. WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM I 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 LATHING SO. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 C SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING 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 APP./EQUIP. 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 SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 10/9/90 No. 10195 Type of Permit Owner Name Tamco Development Inc. No. street See Below city La Quinta zip 92253 La Quinta Permit # Log # Study Area 110 APN # 1 771 Tract # I Lot # Square Footage 1296 Type of Development ISingle Family Residence I No. of units Comments 149 Arlrli+innal crninra foot park+n naw rn„e+"1f.+;n1n ..f+1171. M 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 11.58 1 X ® or $ 467.68 have been paid to D.S.0 S.D. for the property listed above and that building permits and/or Certifica;s of Qccpancy for this square footage in this proposed project may now be issued.,': Fees Paid By Tamco Development Inc. Telephone Name on the check' 04 µ f By Richard M. Beck Director, Facilities Planning & Development Fee collected /exempted by Marcia Ewart Payment Received Signature G'/11� /���� check No. 1549 Collector: Attach a copy of County or City plan check application form to District copy. Embossed Original- Building DeptJApplicant Copy - Applicant/Receipt Copy - Accounting Desert Sands Unified School District CERTIFICATION OF PAYMENT OF C1 • >Y FEES E(D� NOTICE: THIS ®OCt�l�,����� �m BE DUPLICATED, TED, � TO: City of La Quinta DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to cerify-that developer of which is located at3 - - within this District, has paid sc 1 faciflitV fees imposed pur nt to the authority g Herat Gove nment Code Secti n 53080 in the amount of / covering a total of 1. 3 6 0 square feet of ( ) res dential or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. for DESERT SANDS•UNIFIED HOOL D RICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 RECORDING REQUESTED BY jN10N LAND TITLE AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OT. WISE SHOWN BELOW, MAIL TAX STATEMENTS TO: MAKE F TAMCO DEVELOPMENT INC. Acoattn P. 0. Box 4694 CITY a Palm Desert, CA 92261 STATE Zip L J Title Order No. aO I LA, J Escrow No. 10-10557 PAPcc r cc Ej J X z `^ ® w V - 9 CD Uj C •L' at as �3 > tIm SPACE ABOVE THIS LINE FOFFRECORDER'S USE GRANT DEED The undersigned declares that the documentary transfer tax is 5......12.10 ....... and is computed on the full value of the interest or property conveyed, or is ❑ computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land, tenements or realty is located in ❑ unincorporated area city of l ........... and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, VENE L. DARBY AND MIRIAM B. DARBY, husband and wife . hereby GRANT(S) to TAMCO DEVELOPMENT INC., a California Corporation the following described real property in the city of La Quinta county of Riverside , state of California: J Lot 21, Block 199, Urll 19 of Santa Carmelita at Vale La Quinta, as per map recorded in book 19, pageA34 of Maps, in the office of the County Recorder of Riverside County, California. 51 a,... � :�e►,i,. 7► zz .. Notary Public In and for seW County and State, personally appeared Vene L . Darbv' and •Miriam B . Darby personally known to me or proved to me on the basis of satisfactory evidence to be the person S whose name S a rgibscribed to the within instrument and acknowledged that th.@V executeo-the same. MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, HAIL AS DIRECTED ABOVE, Name Street Address City 8 State CAL-1/CT (Rev 2-88) ut I u.E Ur E. LEM SPA%;GY ? r AGRICUL I UHAI. CUNIMISSIUIdLIt JAMLS o V;Aunt:t: s �ss�s�a�t �: �:+'•ussnr�ln 1 f 1 �)) v AMO CLEMENI pFNVENSIE r1 • M tV1:1GI I I S bi MEASURES SLAM t _ 116, Uulte 11-12 w tog—613 IIN Y 't:uacliell��, CA 92276 ^f' ♦ .e9� 619-J�� 2-0'L91 UN AUUItEss� - G�f�-1 un,+l9 s bj., (�Lj- War Wveloperl t After reviewluy your I0IIdsct111I.Iuf 111c0I1!I, till 11 IiellaVa11ey1.isU substiluLlu"s violation of quarantine ltr�s tjuveEn111y ll1_ W�c do occur tend they dlEfer [tuu I11011t n►vaterial lisled, L1,19 office nntsl he Ilvtil:ied . iu11?diately. lectLl a11d 1�Eeservllly the Coachella Valley's pest-f>ree enviroullenl. '1'11a ik you Lor pru y Ayr�.ca-caCaiullssl errs UL[ Ice cct Indio mid Itiverside Uttice COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL 08 Received F Address: Account N Service Ad ❑ Meter(s) ❑ Service(s) ❑ Backflow(s) ❑ House Lateral(s) ❑ Detector Check(s) Iter Surcharge Sanitation Capacity Charge U ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account -Name ❑ Inspection Fee -Tract - Fee - ❑ Plan Check Fees Water / Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other Remarks: ❑Copy to: Cash Check Money Order _�� <!:� //�'.V ,7-1014-, S I TOTAL $ v Water Service Cashier cvwD-4m 1vew w'?