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04-5376 (SFD)? BUILDING & SAFETY DEPARTMENT P -.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICo FAX (760) 777-7011. LA QUINTA'i' CA'LIFORN'IA 92253 INSPECTION 'REQUESTS (760) 777-7153 BUILDING PERMIT. Application Number-: . . . .04=-=00.005376 Date 8/28/04 c 5_� Property Address 52'5 5.0' 'AVENTD'A ' OBREGON APN: 773-2,85t003-2 ' . ,d"9:000,0 - Application description-. DWELLING" •SINGLE FAMILY DETACHED Property Zoning COVEo`RES I;DENTIAL Application valuation -`117234 Owner Contractor MARK TUVELL MTB INC. - 50 -8.55 WASHINGTON. ST. #149 „'5;0`855. WASHINGTON ST STE 149 LA QUINTA .. CA .92253 LA, QUI.NTA-:. CA 92253 ;. (760)•, _2"72-X6,044 WCC':'-" STATE,FUND WC: 1795095-2004 08/01/05 CSLBi 83808.9 05/31/06 CCC B ------ --------------- Structure Info:rmation— ------------------------- Construction Type ". . . . . TYPE';.V - NON RATED Occupancy 'type . . . . . . DWELLG/LODGING/CONG <=10 'Flood Zone . . ... . . . . NON, -AO FLOOD'ZONE struct info CODE 'EDITION 'h 112001�,CBCI EDOther # ' BEDROOMS _ ='FIRE.SPRINKLER S NO N GARAGE S.Q 6.67 . 00 NUMBER -OF UN.ITS', _�.�--,.1 1,..00 SQ FTG CiiYO> tPtd�1P`p6a 1820.00 FIRST FLOOR F�{NAPJC�OZEpT Permit . . . . . . ----,9'F --- BU.ILDING.PERMIT Additional desc 1<. Permit Fee . . . 702.50- P -tan Check '-Fee 456.63 Issue Date . . . . Valuation d17234 Qty Unit Charge Per'' Extension BASE'FEE 639.50 18.00 3 . 5000' THOU •. BLDG, 1`.00, 001-500;.000 63 . 00" Permit . . . . . . ------------- MECHANICAL Additional desc Permit Fee 59-00 Plan•Check Fee 14.75 Issue Date . . . Valuation- 0 P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 6!�--5324 Applicant: Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S 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 Professionals Code, and License is in full force and effect. �O License Class _ R License No. Date — Z'� Contractor /41 'r7 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 construct, alter, improve, demolish, or repair any structure, 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, however, 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.). U 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. • , BA P.C. for this reason Date 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 woLters' compensation insurance carder and policy number are: Carrier S TA:r as t— LAAJ D Policy Number / 7 q _ I ceer ify 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 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date —2-0 -LApplicant 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.). Lender's Name Lender's Address 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 permit. 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned pro erty for inspection purposes. Date "��— `v Signature (Applicant or Agent): �� Page 2 Application Number . . . . . 04-000053.76.. Date 8/28/04 Qty Unit .,Charge Per Extension 1.00 9.0000 EA MECH. FURNACE '<-'=1 0 0`K 9.00 1•.00 9.0000 EA :ME-H,B/C,<=3HP/100K BTU'. 9.00 3.00 6.5000 ;EA MECH;'" VENT .FAN 19.50 1.00 6.5000 EA MECH'­EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 1,07.04, Plan Check Fee 26.76 Issue Date Valuation'. 0 °r Qty Unit Charge Per Extension , BASE FEE 15.00 ' 182'0:00 .0350 ELEC :NEW' -RES' -.1 OR 2 --FAMILY -63.70 66.7:00 .0200 ELEC GARAGE-.-OR{:-:NON-RESIDENTIAL 13.34 1.00 15.0000 EA ELEC TEMPORARY`P..OWER POLE 15.00 Permit . . . . PLUMBING Additional desc.. = Permit Fee 1`29.0.'0 Plan Check -.Fee 32 .25 Issue Date Valuation' 0 .Qty Unit; -Charge. Per. Extension 'BASE FEE 15.00 10.00 6.0000 EA . PLB -FIXTURE 60.00 1.00 15.0000 EA. PLB. BUILD:ING SEWER 15.00 1.00 7.5000 EA Ph' B',-, WATER HEATER /VENT' 7.50 1.00 3.00. -EA PLB WATER•INST%ALT/REP 3.00 1.00 9. 0000 E'A PLB'.:.'LAWN SPRINKLER SYSTEM 9.00 6.00'' 7500 ;EA PLB GAS, .PIPE >=5 4.50 1.00 15.0000 EA PLB GAS -METER 15.00 ---------------- Permit GRADING PERMIT Additional desc . Permit Fee 15.00. Plan Check Fee .00 Issue Date . . .� Valuation . . . . 0 Qty Unit`Charge Per ., Extension BASE FEE, 15.00 Special Notes and Comments 1821 S.F. SFD.PERMIT DOES NOT INCLUDE t Page 3 Application Number 04-0000537`6... Date 8/28/04 ' Special Notes --an -,'Comments_. BLOCK WALL, POOL/SPA OR DRIVEWAY'`° APPROACH' ----------------------- --------.--- ------- - --- -- -------------- -------------- Other Fees' . . . . . ART IN PUBLI'C'PLAC:ES-RES .00 DI`F.-.COMMUNITY:10ENTERS-RES 97.00 DI:F,.'CIVIC CENTER -.RES 366.00 ENERGY' REVIEW FEE 45.66 DI`F-,:FIRE'. PROTECTION -RES 97.00 GRADING PLAN'CHECK''FEE .00 DIF LIBRARIES, = RES 225.00 DIF.'PARKMAINT FAC: - RES. 5.00 ' DIF PARKS/REC -'RES 502.00 STRONG=MOTION - RES 11.72 .'(.SM_I) -DIF,-STREET .1 AINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1012:,5.4,. .00 .00 1012.54 Plan Check Total 5.3.0.39- 250':00 .00 280.39 Other Fee Total 2462.3°8': 00 .. .00 2462.38 Grand Total 4005:31. 250:00 .00 3755.31 Date 9/21/04 No. 26448 Owner Mark Tuvell Address City Zip Tract # Type Single Family Residence CERTIFICATE.°OF COMPLIANCE Desert- Sands Unified School: District 47950,131unePalms Road La Quinta`, CA 92253 (760)771=851'5 Lot # No: Street S.F. Unit 1 52550 Avenida Obregon 1820 Unit 2 Unit 3 Unit 4 Unit 5 Comments Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 APN # Jurisdiction Permit # Study Area No. of Units Lot # No. 40- o Q BERMUDA DUNES 7- V) RANCHO MIRAGE INDIAN WELLS �.�PALM DESERT .y LA QUINTA �OIN0 1, 773-285-003 La Quinta 1. Street S.F. At the present time, the Desert Sands Unified','District does'riot collect fees on garages/cargorts, covered patios/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 p.ursuant.to Education Code Section -17620 and .G6veirnment.Code.6599,5 Et S. eq. in the amount of $2.24X 1,820. S:F. or $4;076.80-076.8bpaid for<'theproperty listed: above and that building permits and/or Certificates of;.Occupancy for'th.is square footage in;this propgsed project may now be issued. Fees Paid By CC/1 st Bank..-' Mark Tuvell. Check No. 74265 Name on the check Telephone 272-6044 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted,by Sharo Signature ilvrey Payment Recd $0.00 i $4,076.80 Over/Under i NOTICE: Pursuant to Government Code Section 66020(d)(1), this':will sere 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 fr �. tie date on whiWihe building or installation 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 authorized.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 6� Recording. Requested :By First American title Company when Recorded Mafl Document and Tax Statement To: Mr. Mark -F. Tuvell 50856 Washington St., #149 La Quinta, CA 92253 S-.% -5-3a s.o 0139.1 C&c,'tJ 0,2 RdrGaV DOC Q, 2004--0631°3413 06/1a'/20e41-06 90Q`Fee:7.00 Page 1 of a' Doc ,T -Tax Paid Recorded 165dtficiat Records County.of R1Vcrside iGsry`L,.orce ASS"sor,, ,,County crlsrk 8 Recorder ' 1111111IIllllfllllllllifl11113111I1�l�lllllllilllllll�l GRANT DEED. �undersined 0�entvr(s),declarelsl Documentary transfer tax is $231:00 I X 3 computed on full,value..'of property.conveyed; pr I I computed on full -value less value•ofJiens or encumbrances remaining at time of sale, [ I Unincorporated Area City of La Quinta FOR A VALUABLE CONSIDERATION, -receipt of whreh ut:hereby echnowledged, Frank Mvrl Griswold, Successor. Trustee of the Henry Griswold Living Trust dated June: 1:9, 1995 hereby GRANT(t) to Mark F. Tuvell, 6L. • YriOWv .j ►'rte ri �� �►%�� 5'� Q/� s��� ' the following described real'property^in..the Chyof la-Quinta County of Riverside,-' State of. California: , Lots 1 & 2, Blodk 182'os-Senta' armelita at Vele La, .Quintaf-Unit #17, as -per map recorded in -Book 19, Pages 19 -& 20 of Maps, in the Officeof.the County Recorder'of said County. DATED: July 6.'2004 STATE. OF CALIFOR COUNTY OF ON :Lo �before,me, IIW Deri�onally appeared personally known to me (or proved me on the basis.. of satisfactory `evidence) to be",ihe persons whose name) is/iiN subscribed�td-ilia wlthin insvument and acknowledged to me that he/sl+e/;tRy ^executed the same in his/h'Vjtfhtir authorized capac. ty,(ibik, and that`. - by his/Ret/thy signatureN-:.on the ins r'ument . the personIV, or the entity upon behalf of which the personXacted, executed the Instrument. Witness my hand and official seal. Signature Fr6hk'MVd Griswold', Successor Trustee of the Henry Griswold" Uving Vdst_dated June 1- 995r Frank Wyrl'.G'riswoid,' Trulgee LINDXX GAGNON Gom�7iE.,�an.d 1313093 x .o Not2yy Punlit- California• Ora�ab CaUnty My Comm E;,Pirm Jul 13, 2005 MAIL TAX STATEMENTS AS DIRECTED ABOVE Fp-213 (Rev 7/96) GRANT DEED Z0 39dd CNI S1W b000.ZL209L 6:Z:ZZ b00Z/9Z/G0 October 18, 200.4 Mr. Mark Tuvell City of La Quinta 50855 Washington St: # 149 La Quinta, CA 92.253 Subject: Compaction-TestReport 2-550 5Avenue Obre on —g— La Quinta, California LCI Project No. _LP04141 Dear Mr. Tuvell: 780 N. 4th Street EI Centro, CA 92243 (760) 370-3000 (760) 337-8900 fax 77-948 Wildcat Drive Palm Desert, CA 92211 (760) 360-0665 (760) 360-0521 fax Attached is a summary report of compaction tests, made of fill within the building pad on the subject project site. Placement and'compaction of fill soils were not observed by our firm. The compaction tests were made in conformance to 'In-place Density by Nuclear Methods (ASTM 2922& D3017).ori October 06, 2004, .and the test results, are attached. LIMITATIONS The tests results summarized in.this report present the moisture and density only at the locations and elevations tested on the specified -dates. The density testing was performed according to the generally accepted; geotechnical engineering 'standards of practice that existed in the Coachella Valley of Riverside County at- the time the reportwas prepared. No opinion is expressed as to the uniformity of the material;.compaction, nor adequacy of the material to perform as intended. No guaranty or. warranty, of .the .contractor's work is made or implied. . The test locations are approximate, determined by pacing. and- sighting from distinguishable field features. In doing our work, we have„ relied on topographic and surveying information, provided by others. Avenue Obregon LCI Project No LP04141. Natural or imported soils (if any) at one"Tobt.or below,existing pad grade,, were not investigated or tested by out firm. No warranty pis made as to the stability/density of these soils. With any. manufactured •product,._ there are ' statistical ,yariations in its uniformity and in the accuracy of tests used to determine its quality. As 'compared to other manufactured products, field placement of materials .usually presents:-arge statistical variations in its 1. uniformity and in the accuracy of the test results.. Thus, `eve' i with careful observation and testing, all parts of the constructed product may not comply with -.the job requirements`. Therefore, our opinion. means that there is only a: statistically -based probability that the densities' . obtained comply with the job requirements. This report is issued with the understanding that. the owner or his. representative has the responsibility to insure that this report is submitted to: the ap'propr'iate, governing agencies. Please review the testresults"and.contact our office with any questions or comments. Sincerely yours`, Landmark Consultants, Inc. - �� O GM• CHF J1. 34432 reGreg.E. '. DEPIRES 09-30-05 Princi cmc FOF:CA��F Landmark Consultants, Inc. -ti Summary of Laboratory Tests Maximum Density - Optimum Moisture.(ASTM D1557) Client: Mark Tuvell Project,Name: 52-550 Avenue Obregon La Quinta Project No.: LP04141 Mat. Type Description i Gray Coarse Sand 2 Olive Brown Sandy Silt Max. Opt. Density Moisture USCS (pcf) (%) SP 127.5 9.0 SM 118.5 10.0 Landmark ,Consultants, Iinc: Compaction° Teii Summary Client: Mark Tuvell Project: 52-55.0 Avenida=.Obregon- Project No.: LP04141 � �k�.: ate''; -�No „k �, -t➢ate 10/06/04 :' #.' �Mst �� $ ,w e � � . _ � � � 8Nx10'Eyof SM cornea ' • r Test FWXWE e, / . _ ' � ��;� �atum iF;ield D x �� FieldNIax �h .r � �,.. io�L Relatue _ ., vi Note E � rau , Test '' - 1 2 BSG -1:5 113.9 13.0 118.5 96 P N 2 10/06/04 12'Wx10'S of N/W corner : 2 89G-1.5 113.1- 9:0 11.8.5 95 P N 3 '10/06/04. 12'Wx8N- of S/E corner 1 FG 126.8' 10.0 -127.5 99 P N 4 10/06/04 10'Wx8'N of SAV corner. 1 :.FG 126.61-11.1 ;.. 127.5 99 P N S•tel •