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04-3417 (AR)9. �O 1 BUILDING :& SAFETY. DEPARTMENT PCO' BOX 1504 (.76.0) 777-7012 C�MpFT9 X4'95 -CALLS TAMPICO FAX (760) 777-7011 V pti ` LA:QUINTA,. CALIFORNIA, 92251INSPECTION .R-EQUESTS (760) 777-7153 -BUILDING PERMIT: - Application Number . . 04000031;7� Date. 4./12/04 441 Property Address i52'S45 AVENIDA OBR'EGON APN:_ 773 -2`84:. -015=,2, -00000'0 - Application description ADDITION. RESIDENTIAL Property Zoning ... . . COVE RESIDENTIAL Application valuation 4-5:4.1`7 Owner Contractor ------------------------ RAMOS EUGENE ATLANTA.S...G,.c P 0 BOX 216 51105- AVENIDA VILLA # 202 LA QUINTA CA 922.53_. LA.QUINTA CA`92253 -,(760) 777.1312;u , WCC: NONE: WC EXEMPT, : 69/30/05 :CSLB: 799746 0:9/30/05 ;. CCC:' - ---- - - - -- =- -----...Structure.Intormation-------------------------- Construction -- ---•------------------ Construct on Type-: TYPEV ' NON_ ,RATED` Occupancy,'Type. DWELLG/LODGING/LONG <-=10 Flood Zone . . . NON -AO ,4FLOOD ZONE Other struc.t info 'CODE •EDITION '` 2001, CBC,,',' #.BEDROOMS 2.00 ' FLOOD' ZONE: NO FTRST :'FLOOR'-- SQ' --FTG. 794.00 -------------------------------F.------------------------.--------------------- Permit BUILDING -PERMIT' Additional desc 1. Permit Fee 388:50- Plan' -Check Fee 252.53 Issue Date . . . �'_ Valuation °. . ,, 45417 N Al Qty Unit Charge• -Per Extension :;'-;BASE FEE 252.00 21. 00 6. 50.00 THOU'" BLDG 25 001-5,0; 0,PQ 136.50 -------------------------------------=-------------------------------------- Permit . . . ELEC-NEW.',RESIDENTIAL Additional desc Permit Fee . . . . 42.79 Plan•Check Fe -e 10.70 .Issue Date Valuation 0 P.O. BOX 1504 • " VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 922$3 4 4 a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 q 3y / 7 I Date: Y%2 -0q_ Applicant: MI CHF—GCE /Q�is Applicant's Mailing Address: Pio (30>� Z/6 LA- civ „vrA Architect or Engineer: Archi ect or Engineer's Address: /vOi✓ F— L-1c. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect License Class License No. IF Date Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to constrict, alter, improve, demolish, or repair any stricture, prior to Its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she 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).): U 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 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, howeyer, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State license Law.). U I am exempt under Sec. , B.8 P.C. for this reason �f��z/a Date r Owner WORKERS' 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 and policy number are: Carrier Policy Number 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 ft workers' compensation provisions of Section 3700 of the Labor Code, l shall / forth/with commy with those provisions. CDat�( �Z (0 I Applicant ,,/ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND, DOLLARS ($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. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lendels Name ^ , rLendees Address y / v APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this 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 application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this pemdt 2. Any permit issued as a result of this application becomes null and void it 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 county ordinances and state laws relating to building construction, and hereb1�y( authorize representatives of this county to enter upon the above-mentioned pro y for inspection purposes. Signature (Applicant or Age tt): Page 2 Application Number- 04-00003417 Date 4/12/04 Additional. desc Permit Fee, 15-.00 Plan Checky.:Fee .00 ' Issue Date Valuation . . . . 0 Qty Unit Charge Per. Extension BASE'FEE 15.00 Permit . . .,MECHANICAL. Additional desc Permit Fee 52.50 Plan Check Fee". 11.50 Issue Date, Valuation 0 Qty Unit Charge Per Extension BASE F=EE 15.00 1.00 9.0000 EA, :MECH'FURNANCE <=100K 9.00 1.00 9 :, 0000 !EA MECH rYB%C <=3HP'/i0.0K BTU 9.00 2.00 6. 5 0:0`0 EA MECH':VENT FAN 13.00 1.00 6.5000 EA MECH-.;EXHAUST HOOD 6.50 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .- -7 - - - - - - - - - - - - - - - Permit . . . . PLUMBING - - - - - - - - - - - - I Additional desc Permit Fee, 58.50 Plan Check Fee 14.63 Issue Date: V.a' fu at. ion . . . . 0 Qty Unit Charge Per Extension BASE. FEE 15.00 5.00. 6.0000 EA PLB .FrI-XTURE 30.00 1.00 7.50.00 EA PLB.'WATER HEATER/VENT 7.50 1.00 3.0 . 0'0 G.. EA PLB. WATER `INST/ALT/REP 3.00 1.00 3.'0000,EA PLB.:GAS PIPE 1-4 OUTLETS 3.00 Special Notes.and'Comments 794 S.F. DETACHED GRANNY;,F•LA'T. -PER .MUP . 2004-433. PAT I0.COVER ",TS SUED-,, UNDER ' SEPARATE PERMIT. -------------.-----------------------------.-----------=---------------------- Other Fees ENERGY:,REV•IEW FEE- 25.25 STRONG MOTION (ASMI) - RES 4..54 Fee.summary 'Charged Paid Credited Due Permit Fee Total 55.7.2.9• .00 .00 557.29 Plan Check Total. 289-.3,6 -:.00 .00 289.36 .. 2�. July 8, 2004 City of La Quinta Department of Building & Safety Post Office Box 1504 La Quinta, CA. 92253 Re: Mr. & Mrs. Eugene Ramos [52545=Avenida Obregon La Quinta, CA. 92253 Gentlemen I have inspected posts and beams and their connections to the structure for this Building, and have found them to be in reasonable compliance with the drawings. Yours truly, e" lt-4 Carlos Elias Civil Engineer �oQ?,pFESS/p` GPg1'OS F2 it No. 16839 s CML 9TFCF CALlFO� Bin #' l City of La Quinta � \ Building at Safety Division D� P.O. Box 1504, 78.495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 5,25 'J Ve%? JWa abl-e 'D"I Owner's Name: A. P. Number: Address: S2.5 Yom?% -o?i Legal Description: 2.1 Contractor: � hail IJ /h tlesf,7?en 1 ."0,(c. ICCity! ST. Zip:ta a,;,, h, 9zZ53 );Telephone: %(g(,— 7/ —05 Y 7 t TR. Address: SL /05 Avel7iWaJ Jl9-S1iik — 1.0Z Project Description: City, ST, Zip: 14 7499 ra-17/7G 2/ Telephone: 7(P®�_ �,x: •> = ; = ;�" p State Lic. # : % 7 7�f (p Ciry Lic. #: Arch., Engr., Designer. Address: City, ST, Zip: /'� ,� e 1( SSW -79?-93 .3o cern Telephone: �:,¢:y.f�•.:;,....'. ,„.: Occupancy: Tyne = State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: r h7 , j -7 9 �` q. Ft : 7 kstimated € # Stories: # Units: ' Telephone # of Contact Person: Value of Projecfq-0 6 �} + APPLICANT: DO NOT WRITE BELOW THIS LINE ' # Submittal Req'd Ree'd TRACKING PEMMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cala Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance 142— Energy Calt:s. Plans picked up Construction Flood plain plan Plans resubmitted 1lftchaoical Grading plan Y' Review, ready for correetions/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up SAM. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '”' Review, ready for correctionsissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit -Fees Date 3/12/04 No. 25643 Owner Eugene & Michelle Ramos Address 52=545 Avenida Obregon city La Quinta Zip 92253 Tract # CERTIFICATE -OF, COMPLIANCE Desert Sands Unifi4S*il hool.District 47950 Dune'Palms Road La "Quetta; CA, 92253 (760:)"771:=8515 Type Residential Addition Lot # No. Street Unit 1 52545 Avenida Obregon Unit 2 Unit 3 Unit 4 Unit 5 Comments APN # Jurisdiction Permit# Study Area No. of Units S.F. Lot # No.. 794 Unit 6 Unit,? Unit 8 Unit 9 . Unit10 4��ZFIEDSIC Q BERMUDA -DUNES r V) RANCHO MIRAGE NJ INDIAN WELLS PALM DESERT All LA QUINTA ,: VQ INDIO^` O J 773-284-015 & 016 La Quinta 1 Street S.F. At the present time, the Desert Sands Unified School District does not collect;fees on;garages/carports, covered,patiosfwalkways, residential additions under 500 square feet, detached accessory Structures .(spaces that do not.contam facilities for living,<sleepmg,, 000king; eating: or. sanitation) or replacement mobile homes. It has been determined that the above named owner is exempt from paying school fees atthis time'due to the following reason: EXEMPTION`,NOT APPLICABLE. This certifies that school facility fees imposed- pursuant to Education Code Section 17620 arid Government Code 65995 Ei ,Sea. in the amount.of $2.14 X 794 S.F. or $1 i699.16 have,_been paid`fcFr the property listed above and that building permits and/or Certificates of Occupancy for this squa"rd400tage in this proposed project may now.be issued. Fees Paid By Cash- Michelle Ramos check..No... Cash Name on the check` t.eliaphone 771-6587 Funding Residential By Dr. Voris Wilson Superintendent Fee collected /exempted by .Patricia Barbuzza Payment Recd $o7l o $1,699:1'6 Over/Under Signature NOTICE: Pursuant to'Government Code Section 14.020(d)(1), this.will serve to notify you that the 90 -day approval period i,n which you may protest the fees or other payment identified above.will.tiegin to*run from•the date,on which•the..building oeinstallation:�perrriit,for this project is, issued, or from the date on which those -amounts are paid to the District(s) or to another-public"entity authorized to collect them on the District('s).behalf, whichever is earlier. NOyTICE:-This ocument NOT -VALID if Duplicated . Embossed Original :-. Building iAeu10ment/Applicant Copy - Applicant/Receipt Copy - Accounting Y RECORDING REQUESTED BY: "Eugene. Ramos Michelle L: Ramos P. 0. Box 216 La Quintal CA 92253 MAIL TAX STATEMENTS TO: Same as above 694 APNs: 773-284-015 & 016 DOC p ., .:2004-0111657 02%18/2004'08:00A Fee:7.00 Page .1 Recorded in Official Records County of -Riverside Gary :.L . Orsb Assessor.., .Count,y Clerk 8'.Recor;der '- I IIIIII.'IIIIII IIIII�IIII�I�II�I IIII`IIIIIII III'IIIII�IIII III GRANT.DE THE UNDERSIGNED'GRANTOR(S) DECLARES DOCOIIAENTARY TRANSFE! WTAX°ISIS ❑ Computed on full value of property conveyed; or ❑ Computed on full valueless value ,of liens or encumbrances remaining at time of sale. IKI Said property is located'in-the Cityof La*Qu'inta; Riverside County. FOR VALUABLE CONSIDERATION, -receipt of which is hereby acknowledged, Eugene Ramos and Michelle L. Ramos, hu'sban,&and wife as joint tenants, hereby GRANT(S) to Eugene Ramos and Michelle L. Ramos, husband and wife as,joint tenants, "E the following described real property in the City of La Quinta, County of Riverside, State of California: Lots 2 and 3 of Block .163, of Santa Carmelita at Vale La.Quinta, Unit #17, in the City of La Quinta, County of Riverside, :State of California,' as .shown by'rimap on=;file in Book,,19, Pages ,19and 20 of,maps in the Office of the County Recorder of - Riverside County. This deed reflects Parcel Merger No. 2004-433 as -approved by the City of La Quinta as shown on Exhibits A, B and C attac' ' Dated: �r-K �1 , 2004 STATE OF CALIFORNIA } ; .:. COUNTY On this "1 day of `�, , 2004; before me, _ a 7,..-:naoo, the under"signed;'. . a Notary Public in :and for s i State, personally appeared personally known to me, or proved tome on the basis. of.satisfactory evidence, to be the personawhose nam j /are''subscribed to the within instrument and acknowledged to. me that; /"/they executed the same in I /l er their authorized capaclt and ,. that by hX/hf,Hth6ir sign. aW iECD on the,:instrument the.,.persor (s ; or the entity upon behalf of which the _p&'s60 (mss acted;;executed the Instrument. WITNESS my hand and official seal t Signature Notary Public In And For Said State == V �• MMMUMMM _ NOTARY PUBUC-CAUFORNIA —4 m ♦ RIVERSIDE COUNTY. Ql MEMINEEMEMAIMIME ' MyComm. Expires September Z 207 MEN ice - M1ll.►� GRANT.DE THE UNDERSIGNED'GRANTOR(S) DECLARES DOCOIIAENTARY TRANSFE! WTAX°ISIS ❑ Computed on full value of property conveyed; or ❑ Computed on full valueless value ,of liens or encumbrances remaining at time of sale. IKI Said property is located'in-the Cityof La*Qu'inta; Riverside County. FOR VALUABLE CONSIDERATION, -receipt of which is hereby acknowledged, Eugene Ramos and Michelle L. Ramos, hu'sban,&and wife as joint tenants, hereby GRANT(S) to Eugene Ramos and Michelle L. Ramos, husband and wife as,joint tenants, "E the following described real property in the City of La Quinta, County of Riverside, State of California: Lots 2 and 3 of Block .163, of Santa Carmelita at Vale La.Quinta, Unit #17, in the City of La Quinta, County of Riverside, :State of California,' as .shown by'rimap on=;file in Book,,19, Pages ,19and 20 of,maps in the Office of the County Recorder of - Riverside County. This deed reflects Parcel Merger No. 2004-433 as -approved by the City of La Quinta as shown on Exhibits A, B and C attac' ' Dated: �r-K �1 , 2004 STATE OF CALIFORNIA } ; .:. COUNTY On this "1 day of `�, , 2004; before me, _ a 7,..-:naoo, the under"signed;'. . a Notary Public in :and for s i State, personally appeared personally known to me, or proved tome on the basis. of.satisfactory evidence, to be the personawhose nam j /are''subscribed to the within instrument and acknowledged to. me that; /"/they executed the same in I /l er their authorized capaclt and ,. that by hX/hf,Hth6ir sign. aW iECD on the,:instrument the.,.persor (s ; or the entity upon behalf of which the _p&'s60 (mss acted;;executed the Instrument. WITNESS my hand and official seal t Signature Notary Public In And For Said State (This area for official notarial seal) SANDRA LOPEZ NAVA V �• COMM. #1437634 _ NOTARY PUBUC-CAUFORNIA —4 m ♦ RIVERSIDE COUNTY. Ql ' MyComm. Expires September Z 207 (This area for official notarial seal)