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9510-086 (SFD)Qy LICENSED CONTRACTOR DEPLARAT!9N4' ,' 11 herebi affirr� that I' of Chapter 9 (co mmencing with, iirri lici�se *,SectioW7606)'6f DMsio-'n"'3"o-f"th'e!Bu-sin'e's's"a'nd.Pr6foi;s!6iied's'.code,.'andmy-, License is In full force and effect. U"n _ # 473216 r se Uc.,Class, Exp .,Date! f�2 Dk4 I J' SignatureofContricitor - _Iplv,7, ii /I--- OWNER-BUILDER DECLARATION .- I,hereby affirm that I am exempt from the Contractor's Licens6 Law for the f,follc;wirg reason: f.,as'owrier of.the property,,or my empilo'yees with:wages-as their'sole compensation, will 'do the work, and the structure is not intended or offered for sale (Sec. 7044, Business & Professionals Code). 1, as owner of, the;, property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). I am exempt under Section B&P.C. for this reason on Date., Signature of Owner WORKER'S COMPENSATION DECLARATION 111� I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' rn 6oI pensation, "as provided for by Section 3700 of the Labor. Code, for the 7pe ormance o f the work for which this'permit is issued. I havei'and will maintain workers' compensation insurance, as required by Section'3760 Of thil-abor Code, for the performance of the work for which this V permit is issuedMy workers' compensation insurance carrier,-& policy no. are: CiWriiir�;`l 7-f ..,AU,,VQ Policy No. 3¢G T 9 (This section need not be completed if the permit valuation is for $100.00 or less). ceitify,that In the 0'erformence of the work for which this permit is issued, sal ,shall ,not employ, any person in any manner so as to become subject to the workerscompensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor , ,.Qode, I shall forthwith comply %lkhMhose provisiond' ? jLWarnlrig: Failure to"secureworkers' Compensation coverage is unlawful and shall subject"' anempl'�ier. W crir�iiial penalties and civil fines up to $100,000, in 'gddn't6 the cost 6fco,mpensation, damages as provided for in Section 3706 of the Labor Code, intarest and attorney's fees. IMPORTANT 'Applic'aition'is heraby.made to the Director of Building and Safety ' fore '04irmimt siu--bjectio the c—on-d-itions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuaM to any permit issued as a result of this application agrees to, & shall, indemnify & hold harmless the City of Indian Wells, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building ,.construction, and hereby, authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. es 7 -Signature (Owner/Agent) Date 9J A C F.BUILDING PERMIT 8.wAV;W=nW P E R M I T tl'Nill. M DATE TIO -7 VALUA N:, rr 6 JOB SITE ADDRESS 5U30AVE._OBREC0'N�..'. 3 OWNER CONTRACTOR JOE SYMO BUILDING 1110W.014S 52-030 AVE,'OBREGON LA QU[NTj'C CA 92202 (619')564-4175'., )�64-4175 DESIGNERtENGINEER JOA14 RACM USE OF PERMIT NVAtLYDIVEELUNG .6&`87 IMF I I I il tclude 80 1. Cot Ygi'dall blawaRr I a/6x pool P'eit Pidw jy. k t FEE DESCRIPTION TEES TRACT CONSTRUCTION 1,422.00 SF K)KCHMATIO 192.00 SF r A �Okj, GARAGMARPORT 432.00 SF 4 FT. WALL 80.00 Is 7 r ISTIMATED COST OF CONSTRUCTION u, -NOT 7.4 PLWIT FEE SUNIM.A.RY PLAN CTMCK FEE' 101-000434,318 $ 102. 42 CONSTRUCTION F M- 101-000-418-000 rt n MEIC14ANICALFEE 1014042,1d100 ELECTRICAL FEE t0l -W-4207.* 1.4 P"tL PLUMBING FRE 101-000-419-000 STGNG MOVON FEE - RESID 100-000-241_._000 4A GRADING MW 101'-004423-000 $20. 1NFRJM'RUCfUM FEF 225-000-443-342 $ 11927. PRECISE PLAN -000-44134.5 325. FEE DEPOSITNOV-`2�i 5 A SUB -TOTAL CONSMUCTrION AND PLAN CHECK $31 -USI 7, 14 LESS PRE -PMD FEES .$250.00 'TOTAL PERMIT FEES WE NONV S3,138.17 - t TOTAL PROAX-f PERMIT FERE -tee 31S 8"n, RECEIPT DATE BY DATE FINALED INSPECTOR, INSPECTION RECORD OPERATION 177�DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs //fi / r AX Underground Ducts Forms & Footings / Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap 3 G F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wail Firewall Exterior Lath (� Drywall - Int. Lath JDM 6W Final Final' POOLS - SPAS BLOCKWALLAPPROVALS. steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Q / Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: %Final �/� SA/k Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) Building Address -5-2-030 4 ✓G-. 'P.O. BOX 1504 78-105 CALLE ESTADO r(r� p LA QUINTA, CALIFORNIA 92253 Mailing Address f) 01..17 E R 0 �. U City Zip ]Tel- 61,2- of $6y- 91-75 Contra+ctor Address 1117-9,9.5 f'A T X 4,/&7' city ,/L- City Zip Tel.. LA 147 .2 S 3 56`1- U, 75 State Lic. City & Classif. y 7 3 2 6 Lic. # 3 5/ 7 Arch., Engr., Designer oNAf Address Tel. (7`611J67 21 City Zip State C'/')7HaA(- 3y Lic.# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed' underTrovisions of Chapter 9 (commencing with Section 7000) -of Division 3 of the Busin s's and oJesslons Code, and my license is in ,� _ full force a d effect. � • � r , �� ) L SIGNATURE- U 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 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). 17 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 - 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 1 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.) 1-1 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 XCopy 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 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: 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.) 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 1 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 bovementioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING' DIVISION APPLICATION ONLY BUILDING: TYPE CONST.• OCC. GRP. A.P. Number -7 7 S —� Legal Description 1 ,2 7r�,-2 Project Description Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep.. Co Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 11 TOTAL �U rbU REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Linea Rear Setback from Rear Prop bl& Side Street Setback frorn,Cea er Line--� Side Setback from ProQ&Liy1Q VI FINAL DATE INS.PE�C�TOR VVC� v, Issued by: Date `• Permit /0- Validated O Validated by: \ // Validation: CONSTRUCTION ESTIMATE c�rmce� FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. CAR P. SO. FT. ® WALL SO. FT. f{,C SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME S POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS -�AINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation _ FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRY TRAY AIR HANDLING UNIT CFM OTHER APPJEQUIP. 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. BATH TUB GRADING cu. yd. $ plus x$ SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ IIA c SEWAGE DISPOSAL FINAL INSP. SQ.FT.GAR @ 3/4c HOUSE SEWER GAS PIPING PERMIT FEE VENTILATION 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 APPJEQUIP. 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 116tF1E0 h H BERMUDA DUNES r RANCHO MIRAGE ►' INDIAN WELLS H PALM DESERT a JLA OUINTA ',p INDI0 y� Desert Sands Unified School District 82-879 Highway.1l l - Indio, California 92201-5678 - (619) 775-3500 - FAX# (619).775-3543 BOARD OF EDUCATION Gilbert L. Anderson Ren6 L. Garcia Jim Koedyker Matt Monica Amy Swan -Draper November 27, 1995 To Whom It May Concern: Facilities/Acquisitions/Construction Desert Sands Unified School District hereby waives the payment of Developer Fees for the Building Horizons Projects located at: 52-010 Avenida Obregon La Quinta, CA 92253 and 52-030 Avenida Obregon La Quinta, CA 92253 If you have any questions and/or concerns, please don't hesitate to contact me at (619) 775-3500, ext. 5272. Sincerely, Peggy Reyes, Manager III Facilities/Acquisition/Construction OCT -27-95 FRI 13;,19 DIXIE 10/27/93 11:13 $909 276 1920 RECORDING REQUESTED BY. /a When Recorded Mail Do iment and Tax Statement To: • Building Horizons, Inc. 42600 Cook Street, suite 110 Pala besext, CA 92:11 Escrow Nu. 10275 -LF Title Order Nu. _ APN: 773-215-001 b 002 Code: The undersigned grantoris I declares) FAX NO. 6195680283 P.01 FATCO BHINC � uol/uul COPY Ll T� �� Ti has 11011 LLc?i.' 'v.'Ln'Ared vh CounLy R1VE;RS1DE COUNTY. CAL)FCANIA GRANT DEED THIS LINE FOR RECORDEn,s usE Documentary transfer tax a $ 37.40 City tax 4 ( X 1 computed on f ill value of property Conveyed, or ( ( computed on fill value less value of llens or encumbrances remaining at time of sale, ( 1 Unincorporate( Area City of La Quint& FOR A VALUABLE CONST )ERATION, receipt of which Is hereby acknowledged, DAVID W. SHEARIER and LISA A. SHEARIER. husband and wife, Who acquired title as - DAVID. W. SHEARIER and LISA A. SHERIER,.husband and wife hereby GRANT(S) to BUILDING HORIZONS, IIC., a California Non-Frofit Public Benefie Corporation. the following described rel 1 property In the City of La Quinta County of Riverside State of California: Lots 1 and 2 is Block I of Santa Carmelita at Vale Lit Quinta,Unit 81 a map'r -d in book 18, page 46 of Maps, Records of Riverside County, California. DATED: STATE OF L4UF6ft#A COUNTY QF before me, personally appeared Q., personally known to me (or proved -to mu on the basis of satlsfactory evld ince) to be the personfs) whose name(s) is/are s ibscribed to the .within instrument and ecknowled±;ed to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by I is/her/thelr signsture(sJ on the instrument the persc n(s), or the entity upon behalf of which the pars. m(s) acted, executed the instrument:, Witna_s my han h_b gffic.uI seal, Signa Eh ' % / • D id W. Shearier Lisa A. Shearier 0 . MAIL TAX STATEMENT AS DIRECTED ABOVE FU_ 13 IRev 4,1941 GRANT DEED OFFIC&OF THE AGRICULTbRALG QMMISSIONER CALVIN C. KAMwsKAs Assistant. Conyrdssloner P.O. BOX 1089 - RIVERSIDE CA 92502-1089 DAN RILEY j JAMES O. WALLACEPHONE (909) 215 3000 Sealer, Weights & Measures Apdculhnal Comer 6loner %FAX (909j 275=3012 (909) 275,14M Director of Wel6hS & Measures FAX (909) 2716-4728 1'83-6 12;Avenue >45 . Suite 7: Indio, ',CA -:-9220.1' (619)8634291 DATE . :16b, 5CASE NO�q 5... .. .. DEVELOPER'S NAIL IO 4YS K /2L S �Ly/� 1N/ t D iuG �`��C l 2 odv S / /l/C , ADDRESS::.D, DlCAwE72- x..032 TELEPHONE : 5:6 H"H l 7,5. AvE Dear Developer: O�yy /lGts�C "ll �i'Q4 • .t%Y After, reviewing your Tandscaping plans, all plant 'mater:jal listed is not in violat'.ion of quarantine laws governing:-,-. .Coaehe _la Valley. If substitutions do. occur and .t'hey di.ff;e:r. from `plan't ma.ter`ial listed, t -his office must be not if.ied . immed'iate jy. Thank you for protecting and preserving the-:-:<Coaehella,Valley's pest -free environment'. Agricultural Commiss:i/ -s Office cc: Indio and"Riverside TEST NLMf R LOT ND.' ELEVATION FIELDTESTING CECURVE MOISTURE OONTENT % CRY DENSITY Ibs/cu. ff. MAXIMUM DRYMOISTURE DENSITYDENSITY % lbs/cu. OPTMUM CONTBTT P% LoCD.� FD '/ //'F. rej o\ REMARKS: P6E�'p/h�tct , Cowt r:L�.`o!l p t� 'Ro.Js, oc X 5 AW � �-FSi' we e- 7a zhei�Fer,. /4+le LJ� 1 e toy �.✓e i�4, P.T, E R ESTABLISHED IN 1918.AS A PUBLIC AGENCY 0/S.T,R 1 G-, COACHELLA VALLEY WATER DISTRICT POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711 DIRECTORS: OFFICERS: JOHN W. McFADDEN, PRESIDENT STEVEN B. ROBBINS, PETER NELSON, VICE PRESIDENT GENERAL MANAGER -CHIEF ENGINEER TELLIS CODEKAS MARK BEUHLER, RUSSELL KITAHARA ASST. GENERAL MANAGER PATRICIA A. LARSON JULIA FERNANDEZ, SECRETARY DAN PARKS, ASST. TO GENERAL MANAGER March 10, 2004 REDWINE AND SHERRILL, ATTORNEYS File: 1112. Lacy Whiteside La Quinta Palms Realty 51-001 Eisenhower Drive La Quinta, California 92253 Dear Ms. Whiteside: Subject: Account No. 606122,452.0.6 52-035 Avenida Ohre' gon, La Quinta In researching our records, we found that the above -referenced property has not met the sewer requirements of the district. The district has no record of receiving a signed petition for annexation or the payment of sewer fees, which would authorize connection to the sewer system. If you have any questions please contact Rosie Anacleto, Customer Service Representative, extension 2420. RIA:ra bc: City of La Quinta Post Office Box 1504 La Quinta, California 92253 Yours very truly, Richard Sh nerd Customer Service Supervisor TRUE CONSERVATION USE WATER WISELY NI'ATrE'/j, ESTABLISHED IN 1918 AS A PUBLIC AGENCY ��S.T,RIcli COACHELLA VALLEY WATER DISTRICT POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711 DIRECTORS: OFFICERS: JOHN W. McFADDEN, PRESIDENT STEVEN B. ROBBINS, PETER NELSON, VICE PRESIDENT GENERAL MANAGER -CHIEF ENGINEER TELLIS CODEKAS MARK BEUHLER, RUSSELL KITAHARA ASST. GENERAL MANAGER PATRICIA A. LARSON JULIA FERNANDEZ, SECRETARY DAN PARKS, ASST. TO GENERAL MANAGER March 8, 2004 REDWINE AND SHERRILL, ATTORNEYS File: 1112. Debbie Webb Hammer Pumping Post Office Box 2448 Cathedral City, California 92234 Dear Ms. Webb: Subject: Account No. 606122,452.0.6 �52-035Avenida Obregon, La Quinta In, researching our records, we found that the above -referenced property has not met the sewer requirements of the district. The district has no record of receiving a signed petition for annexation or the payment of sewer fees, which would authorize connection to the sewer system. If you have any questions please contact Rosie Anacleto, Customer Service Representative, extension 2420. Yours very truly, Richard Shonerd Customer Service Supervisor RIA:ra'... bc: City of La Quinta Post Office Box .1:504 . La Quinta, California 92253 TRUE CONSERVATION USE WATER WISELY