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0207-231 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of > Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Processionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date /Dat �Signaturerof,Contrac r�'! I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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,.Business & Professionals Code). ( ) I, 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 Date. Signature of Owner WORKER'S COMPENSATION DECLARATION 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' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ( _) I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier 1XIMPT Policy No. (This'section need not be completed if the permit valuation is for $100.00 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, and agree that if•..I�should become subject to the'workers' compensation, provisipps of Section 3 00,of•<the Labor Code, I,shall forthwith comply with f se"pro�isions. 1=:� Date:�`7�"' licant %rias = = Warning: Failure to secure Workers' Compensation coverage is unlawful and I shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. '. IMPORTANT Application is -hereby made to the Director of Building and Safety for a ;permit subject to the conditions 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 pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, 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 authorizes representatives of this City to enter upon, the abo�- :mentioned property,ffo�irfspection purposes. iSignatur(Owner/Agent) •-'l'0 "- Date PERMIT PERMIT# _-'BUILDING 431 0207 - DATE VALUATION 4 , LOT r1 TRACTJOB SITE ADDRESS I� I�: iT�.#3 7� fT APN OWNER CONTRACTOR / DESIGNER / EN (NEER COVE D04EL,I:)k'M1!IV I Nl' ArrY'l-lo 1114 2Z- 14 N,EDGE 'ti OODAIDAU RANI*.AAN.A. i CA. 92705 LA QUINTA CA 9223.4 - I_e (,"➢�+l�t�+4�1�7i} O':�17.a1� t�},E1�i:3• USE OF PERMIT 4 1686 S. V. SPIO. PER M)T L" 0n., NOT INCL,UT1E BLOCK WA-Lv..VP0OL Olt, 1.)RIV 1WAY:Al'aT'18O. CHM. % Fd. I CHECK DISCOUINI s`-ORiLT.IPi.,.l?; PERMITS SANIF l'1.AA1. TRACT C'(?P13g'R.UC TX'1N 11016100 OF PORC;HIPA` IO 72. up ;sp 0ARAG —CARPORT MIN SF CONSTRUCTION 101-000-4 1 8-000 $00100 PLAN CHECK ME 101-000-439-318 $1335.31 I-°LIS'DEPOSIT 101.000.439-318 -tali " MECKA7.4- tC;AL ME 101-000-421-000 $59.0 ELECTIUCAt.,1T11E 101-0006420-000 1;11817 >~7✓UMBINQ M 101-000--419.000 s 1 aa.75 STRO140 MOTION Fadi . RESID 1,01-000-241-000 $10.30 MgDI NC FIRE 101-000-423-000 $1.&OD DEVEI.,OPER 1MRACT FEF $Z,40S,00 £+T'LWISIZ PLAN 101-000-441-34.5 $1 iffi.00 y i DJ11°AI' Ut'3 ]PRE -PAM FRES 4250.00 11 1-1 T1F1ffiWT'Y]M8 ME NOW CITY OF LA QUINTA DEPT. 13 7 1, Al FINANCE RECEIPT DATE BY DAT FI INSPEC dy�Yir� INSPECTION RECORD OPERATION t DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs — . U Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap _ F.A.U. _ _ Framing Compressor _ Insulation - Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines /� �ZG- d ,��_ Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans ' O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection ,�f7_!J �� Gas Piping Encapsulation Gas Test j. O Appliances Final COMMENTS: Final 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) `7 A .4 P.0 BOX 1504 APPLICATION ONLY Building 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Address Owner �C\� (crp m et/yt— Mailing Address City Zip TeL ,�� !Nri-y-A. V - 3412-2 Contractor Address __ , city Zip-) Tel.. A riA-H State Lic. City & Classif. 62 - Lic- # _kl Arch., Engr., Designer / ry� Address J I Tel. City Zip State I I Lic. # LICENSED CONTRACTOR!S DECLARATION I hereby affirm-t—hat )Srp licensed unde&,trovisi_oIris of Chapter 9 (commencingfwith Section 7000) of Division 3 pJahe Businessiand-Profegsions Code, and my license is in ull force and effect. SIGNATURE OATE I OWNER -BUILDER DECLARATION I h oreby affirm that I am exempt from the Contractor's License Law for the following re Ison: (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 df not more than five hundred dollars ($500). I] I as owner of the property, or my employees with wages as their sole compensation, will. do ihe 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 'hat such impto�ements 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 didndtibuild or improve for the purpose of sale.) [A 1, 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 properly who builds or improves thereon, and who contracts for such projects with a contractor(s)'ficensed pursuant to the Contractor's License Law.) i'l I 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, of a certificate of Worke r's Cc m pensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. , ompany [71 Copy is filed with the city. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSU RANCE (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 thp 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 ro he 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 he 'eby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 309 7. Civil Code.) Lender's Name— Lender's Address This is a building permit when properly tilled 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 con s truction, and hereby authorize representatives -of this city to enter the above. mentioned property for inspection purposes. Signature of aOplicant Date. Mailing Address City, State, Zip BUILDING: TYPE'CONST. OCC. GRP. A.P. Number —/-) Lt 0 0 C/ tegal Des . cription Project Description I 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: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION I Sq.Ft. Size No. No. Dw. Stories Units N ,eW'_0 Add 0 Alter Repair 0 Demolition 0 Estimated* Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical 11.711 /A\ i i Plumbing lit, . 11 11 S.M.I. Grading Driveway Enc. 111A /H I f '101 0 C, m1l) Inf rastructure CITY OF LA Q —FlIVA1111 UIN-i CEDEPT TOTAL REMARKS I 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: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION I At the present time, the Desert Sands Unified School District does not collect fees on..garages/carports, coveredrpatios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain -facilities for living, sleeping, cooking; eating or sanitation) or replacement mobile homes. It has been determined that 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 Education Code Section 17620 and Government Code 65995 Et Seq: in the amount of $2.14 X 7,074 1 S.F. or $15,138:36 have been paid 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 !St Bank - Sharon Bills Check_No. see above Name on the check Telephone 760/564-7820 Funding 'Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Crystal Scott $15,138.36 s Payment' Recd Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you. that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date`on which`66 building or instiflation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity auttioriied to collect them on the`District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting CERTIFICATE -'OF COMPLIANCE, ` vlFsc� -Deseet Sarift Unified School District 47950 Dune Palms, Road Q BERMUDA DUNES r Date 9/16/02 q La'Quinta .'CA 92253 f .. U)RANCHOMIRAGE d � INDIAN WELLS ti No. 23618 (760) `771-8515-. �,, P ALM LA QU NTAT -Y �INDIO Owner Cove Development/Legacy Homes API # Address see below Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study ,Area Type Single Family Residence No. of -Units 4 Lot # No. Street S.F: Lot # No. Street S.F. Unit 1 21 53600 Avenida Diaz 1686 Unit 6 Unit 2 19 53350 Avenida Navarro 1851 Unit 7 tJn`it.3-4� `52070*-�Avenida,Obrgon��16g6 Unit=8:=1M Unit 4 20 53340 Avenida Navarro 1851 Unit 9 Unit 5 Unit 10 Comments (4) Cashiers Checks - 63096, $3961.14, 63095 - $3608.04, 63097 - $3961.14_and 63094 - $3608.04 At the present time, the Desert Sands Unified School District does not collect fees on..garages/carports, coveredrpatios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain -facilities for living, sleeping, cooking; eating or sanitation) or replacement mobile homes. It has been determined that 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 Education Code Section 17620 and Government Code 65995 Et Seq: in the amount of $2.14 X 7,074 1 S.F. or $15,138:36 have been paid 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 !St Bank - Sharon Bills Check_No. see above Name on the check Telephone 760/564-7820 Funding 'Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Crystal Scott $15,138.36 s Payment' Recd Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you. that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date`on which`66 building or instiflation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity auttioriied to collect them on the`District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting "A Sent 'By: CSAR; - - - - _.714=547 8909; May .1:9-A2 .5:52PM; _--Page 1 /2 ESCROW NO.: 2-35963 NOTE SECURED BY' DEED OF, TRUST INSTALLMENT NOTE INTEREST -ONLY $607;500.00 PALM DESERT, CALIFORNIA APRIL 16, 2002 In installment; and at, the time hereinaher stated, for -value received, I/We;:promise.to pay to Richard L. Deman and 'Monique Deman, Trustees, or Successor Trustee, under Declaration of Trust dated October 1, 1981. or order, at Paim' Desert, Califorhia, or.at place designated by the .holder(s). hereof, the principal sum of .Six Hundred . Seven Thousand :Fivc Hundred And 00"/100 -Dollars ($607,500.,00) ,with inmrest from A]?, IL. 26, 2002 on the amounts of principal remaining from time.to timeuppaid, unttlsaid principal sum is.paid at the rate of 7.50% per cent . per annum. Payable in monthly' installments of INTEREST:ONLY, or more, commencing on the 26'�day of each and every month, beginning on the 26TH. day ,of MAY . " , 20 Q2. ', and continuing thereafter until APRIL ,26, 2005 at which tiine the:entire unpaid principal,balance; together,with interest due thereon, shall become all due and payable. This Note is subject to Section 2966 of the Civil Code, whichprovidesthat the`holder of this note.shall give written notice to the trustor, or his successor in'interest, of prescribed. information at icas" 90 and not more than 150 days before any balloon payment is due. Payor reserves the privilege of. repaying this Note in part:or in full:at.any..time without prepayment penalty. In the event any payment is not.paid within 104ays of the.due date, Trustor shall pay ,to Beneficiary a LATE CHARGE of 6.00% of the payment due in addition to each payment Fdue and unpaid. "This Deed of Trust is given and accepted upon the ezpress�provision-that should ;the property hereinbefore described, or any part thereof, be conveyed or alienated by Trustor; either voluntarily:' or by operation of law, without Beneficiary's written consent, then all sums secured hereby shall, at..chefictary's option, become immediately due and :payable." // � S Z.-0. —7 0 At/E 0 61E4v/v C� Y, . Partial reconveyancc(s) :are to be issued. upon paymen[ of S3? ,500 per Lo . j 3.. 3 8 v ?K"4— . DB .o ti �. 13 SAID LOTS TO BE RELEASED LN A SPECIFIC ORDER AS FO OWS: vc S 3 — 6 ,gWE ,c71A 16 rz First phase of Lots. released are,F.our (4) S'mgle Lois'APN 77,3-215-004; 774-075-007, 774=111-003 and 774-112-004. Second phase of Lots released are 'I'hi ee (3) Double -Lots app 774-073=0051006, 774-095-005/006 and 774-173-023/024. Then all other remaining individual lots to'be:released. Each payment shall, be credited first on interest:the[i due-and;the remainder on principal sum; and interest shall thereupon cease upon -the, amount so credit on the said principal. Should'default be..made in;pavrnent or any installmcat when due the whole sum of principal and.interestshall *become imrncdinteiy due;ai the option of the 'holder of this note. Principal and interest payable in lawful money of ;the Unitc'd.States of America: Should suit be commenced' to collect this note or any portion thereof, such suit as the Court may deem reasonable shall.be'added hereto as attornev's':fees. This note is secured by a Deed of Trust to El Paseo Financial, Inc., a California Corporation as:Trustee, affecting the property located at: 18 Lots Vacant. Land, La Quinta,.C'A - See attached as per. EMBIT ",0. i Patrick T. Doherty Continued on Page 2 elly.`;M.;. Dohe' I . I FSCDIST.RI-CT - PLANNING�REVIEW FORM This form is to"be used. by'CDD staff for review of -single ;family.dwellings in the RC (Cove Residential) District per Section 9:50.090 of the Zoning Code. Its purpose is to determine: 1) that the proposed house design does not duplicate the same architectural style of any house within 200 -feet of the applicant, ,and/or 3) if where is a. -need for the for to file for Master Design Guidelines. If the applicant does -need to file a Master,Design Guideline, please transmitted this information to the:Building.and.Sa.fety-Department at part of your correction list. Please attach additional explanations as ;necessary. APPLICANT Cove ' Development SITE ADDRESS52`T070Ave^Obreg`on� APN 774 _ 215 004 CASE 'NO,::. 2002-689 LEGAL:, LOT 4 BLOCK UNIT S.C.@V.L.Q. CHECK AND APPROVED BY: Greg +T:rousdell DATE: Inform the assigned -.Building plan checker upon your assignment ,to this case. The CDD Executive Secretary maintains `a'log book to track applications and assign case numbers. REQUIRED ITEM .Y, N_ COMMENT/:CORRECTION Verify. legal and APN information Consistent.with MDG on file .(as applicable MDG filing required (5 filings• since eso 9/3/98) Architectural variety within 200 feet of"",' the- surrounding area: P ion'i- I -A nI IINTA M _ -- - Architectural design featur ith EIIJILDIevv ovw Other Requirements: CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS ?�% �© U 0%'-- ��= PERMIT NUMBER OWNER BUILDER ' This fbrm shall be postedon the job with the Builds ! soection. Card at all timesconspicuous place. Only persons appearing on this list or their empl ees We authorized to 'work on this iob. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance P.02 -4R Builder-'Cont'ct relaphone'. PlenNumber l HER Rater Telephone Samp.h Group Number ityin9 SiGnature bee Sample House Number Firrn' HERS Provider: JG/s oGip S Street Address: 7���C>YJG�eorY City/statel.Z!p:�! %� G 6 j �f ,Z 2- 6' 3 Copies to: buddar, h RS'`Provid®r ----------------- HERS RATER COMP (ANC STAT ENT The house was; Tested l " ®Approved as partof sample testing; but wa5.noi tested As the HERS rater prov!dtng diag9nostic testl4antl field venflcation, I cert'4 that the houses identified on this form com ly with the dloghostic°tested;Gompfiance requirements as dhecked•on ihls form, Distribution system is fuily,ducted (l.e , does riot,use building cayitles as pler!urns or platform returns in lieu of ducts) where cloth backed;<rubber adhtaive duct tap' is !hstalled,.mastic and drawbands=are used in combination with clolh backed, rubbe(adhesive duct tape:to•seal leaks at duct'conhections:, MINIMUh1; REQUIREPRENT$. FOR DUCT LrzAKA�GE,kEb0OT1QN COPtt1RLIAN E CREDIT Duct O!agnostic Leakage Testing Results (Ma IMI' G Duct Leakage)' Duct Pressurization Test Results (CFM '* 25 Pa)--Measuredvaluos . Test Leakage F(owjn GFM If fan flow is cal 0i.bted, as 400cfm/ion x'num'ber';of ions enter CWculate'd va!ue here If fan flow !s measured enter measured y-'!ue.here. Leakage Percentage (100 x Test l®akage7Fan Fliw) �.%✓ Check Box for' Pass or izal'(pass=6o-or lass) 0 Pass Fail ILgrHERIy1OSTATIC EXPANSlQN VALVE (tXV)'or Cor' imiss)on a roved,e tatyalerit ;, f No Tharmostatic Expansion Valve (or LJorrur,isston approved equivale-tt) is installed and Rccess is provided for lnspectlon �] Yes is a pass :ss Fail d MINIMl1Nl REQUiF2EM;�NTa�,Ft7R fJU�.i' JESlGN C�QM,PLIANC� t G Yes 0 No .->P,CCA. iViaruai. D Deiign requlr®mints have be n (rater°alas v:erifted that ac�ual;installationmatches values In ,,/ CF 1R:and.destgn on plan D.. /� 2. oO 0 Yes Q No TXV isanst011ed or=l an flow has` been�,venfied. ':IP no TKV, verifled.fen flow°trtafches es"sign from CF=1 f?, fJteal ured Fan"Flow•- . Yes for both 1 and 2 i's:a.Pass Pass Fail Certificate of Occupancy ��, City of La. Quints s Building and Safety Department �`FMOF This .Certificate .issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying-i4at, at the time of issuance, this structure :was in compliance with- the various ordinances of. the City regulating bui/ding construction or use. For 'the following: BUILDING ADDRESS: 52-070 AVENIDA OBREG.ON Use Classification.: SINGLE FAMILY DWELLING Bldg. Permit No.: 0207-231: Occupancy Group: R-3 Type of Construction: VN Land Use Zone:" RC Owner of Building: COVE DEVELOPMENT Address: 2214 N. RIDGEWO:OD ROAD . Building Official City: SANTA ANA, CA 92705 By: KIRK KIRKLAND Date: JANUARY 29, 2003 POST IN A CONSPICUOUS PLACE