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402-0346 (BLCK)0) LV Q M W�/ N ti ' Z r- • I-CDCD Lu LU JUr`CL Z M u7 N O a; U Q a Z o cc Lt) 0 X U_ <0 O ri Le) z ao 5 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 Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date 533670 T3 31C 06/30/20 ,/Date r / - ""' f Signature of Contractor 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 STA TF, FUN r) Policy No. 1640462-M (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 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /Date• -3- (P6t. Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and 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 -1 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. Signature (Owner/Agent) '� Date °�"cf"4,7 BUILDING PERMIT PERMIT# DATE VALUATION LOT 0401 3.45 TRACT 00/04/20C: 0,2 50.00 22 BLIC 253 JOB SITE APN ADDRESS A .s3� ALVA 7�►Xi%0, 774-20.3-000 OWNER CONTRACTOR/DESIGNER/ENDINEER MARK. Tt3VEi. L • 8UNRO;E CORPORATION 50-855 WASHINOTONST 0149 49-950.T1WERSON T. #130.134 LA (PINTA CA 92253 INDIO Cet 92201 (760)7774522 BL# 1131 USE OF PERMIT G RAL WORMING 150 1.21` COta k30 3' RET.A.BNIMi WITH 5' C)ARDEN WALL AIM 100 U 0` - OARDIN WAIL CITY STANDARD, 6 FT. VitAIL 23+7.00 LF ESTIMATED c0 OF CIONS .11( 10N 6350.00 PERMIT FRE f 171VLk ARY. CONSTRUCTION FEE 101.000.418-000 $90.00 • 11-1 MAR 0 4 2004 - CITY OF LA FINANCE DEPTTA. SUIS -TOTAL CO r TR.UC ION'AND PLAN��CHECK K $90.00 1 LESS PRE'R FEW ) x$0,00 TOTAL :Pk'3i'It •t`.k FEES »1)E NOW ` S90.00 • 1IIIOI IIIIIIII1 IIII 78 RECEIPT DATE. BN" / DA7��INALE INSPECTOR . -. ()1/ "`o._...--• ((JJ� C7Ll INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS - Set Backs • 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 — ,e) Electric Bond • Footings Main Drain Bon Beam. Approval to Cover app r" -�`- d Y ,--,- Equipment Location Underground Electric . Underground Plbg. Test Final- _ Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines 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 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) =KEW CIINL3 . tE1UE:i I u 3Y FIDELITY NATIONAL TITLE GO: INLAND EMPIRE DIVISION ORDING REQUESTED BY: Fidelity National Title Company Escrow No. 410994 -CB Title Order No. 33231355 When Recorded Mail Document To: Mark F. Tuvell 50885 Washington Street #149 La Quinta CA 92253 APN: 774-203-003-6 DOC Si 2003-901363 11/14/2003 08:00A Fee:30.00 Page 1 of 2 Recorded in Official Records County of Riverside Gary L. Orso Assessor, County Clerk & Recorder 1111111111111111111111111110 II ini a Nu iui 11i1 M S U PAGE SIZE DA PCOR NOCOR SMF MISC. I 1=Q I /^A • A R L COPY LONG REFUND NCHO EXAM INTERSPOUSAL TRANSFER DEED 3 D (Excluded from reappraisal under California Constitution Article 13 A Section 1 et seq.) The undersigned grantor(s) declare(s) Documentary transfer tax is $ der- City Tax is $ This is an Interspousal Transfer and not a change in ownership under Section 63 of the Revenue and Taxation Code and Grantor(s) has (have) checked the applicable exclusion from reappraisal: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, PENNY M. TUVELL, a married woman and spouse of Grantee herein hereby GRANT(S) to MARK F. TUVELL, a married man as his sole and separate property the real property in the City of La Quinta, County of Riverside, State of California: SEE EXHIBIT "ONE" ATTACHED HERETO AND MADE A PART HEREOF DATED: November 4, 2003 STATE OF CALIFORNIA _ COUNTY OF (2lVq ..,5( ON (`1 N • 4 r 7-003 before me, DEBORAH C-. MEeC personally appeared 3 - 'Pay -114N M. Toy EU- - personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/pee subscribed to the within instrument and acknowledged to me that hetshe/they executed the same in blather/ti eir authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s),or the entity upon behalf of which the person(s) acted, executed the instrument. Witness � d and official.seal. . Signature i DEBORAH L. MERCER COMM. #1241989 0 NOTARY PUBLIC - CAUFORNIA RIVERSIDE COUNTY My Comm. Exp. Nov. 18, 2003 MAIL TAX STATEMENT AS DIRECTED ABOVE UD -13C (Rev 12/95) INTERSPOUSAL TRANSFER DEED REI OROING .;EQUESTED BY FIDELITY NATIONAL TITLE CO. INLAND EMPIRE DIVISION RECORDING REQUESTED BY: Fidelity National Title Company Escrow No. 410994 -CB Title Order No. 33231355 When Recorded Mail Document and Tax Statement To: Mr. Mark Tuvell 52188 Avenida Velasco La Quinta, CA 92253 APN: 774-203-003-6 M A S R U L DOC SI 2003-901364 11/14/2003 08:00A Fee:7.00 Page 1 of 1 Doc T Tax Paid Recorded in Official Records County of Riverside Gary L. Orso Assessor, County Clerk 8 Recorder lllhl I III I I WI IIII IIIIIIIIIIIIIIIIII PAGE SIZE DA COPY PCOR NOCOR LONG REFUND SMF NCHG MISC. EXAM GRANT DEED . SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) declare(s) Documentary transfer tax is $63.80 [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area City of La Quinta FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Madelon E. Dunn, hereby GRANT(S)to Mark F. Tuvell, a married man as his sole and separate property T1DA the following described real property in the City of La Quinta County of Riverside, State of California: Lot 22, Block 253, Santa Carmelita at Vale La Quinta Unit 24, County of Riverside, State of California, as per recorded in Book 19, Page 45 of maps, in the office of the County Recorder of said County. DATED: October 9, 20 0 3 STATE OF CALIFORNFA 'r\c COUNTY OF . �c�l S CI ON CDC3t- i (a c c c4. 3 h Qefore me, t vaith personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. Signature Madelon E. Dunn \AN S0,EXPIRes(S1S . 4•' (PP Y ,SF a/ • • $• - .z s z iO•)••.>�TIRY � PJp.••J� •. .OF ST . •C1`o E, MAIL TAX STATEMENTS AS DIRECTED ABOVE a FD -213 (Rev 7/96) GRANT DEED Jw No. 410994 -CB e Order No. 33231355 EXHIBIT ONE Lot 22, Block 253, Santa Carmelita at Vale La Quinta, Unit No. 24, as per map on file in Book 19, Pagels) 45 of Maps, records of Riverside County, California. 1 111111 111111 111111 1111 11111 1111 1111 1 1/21T/3i63gGi).2.€4641 Date 3/3/04 No. 25569 Owner Mark Tuvell Address 50855 Washington St #149 City La Quinta Zip 92253 Tract # Type Single Family Residence CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 rrz A1FtEDso o Q BERMUDA DUNES r rn RANCHO MIRAGE NeINDIAN WELLS PALM DESERT ,y LA QUINTA , }� INDIO Q y^1_ © APN # 774-203-003 Jurisdiction La Quinta Permit # 0401-091 Study Area No. of Units 1 Lot # No. Unit 1 22 54040 Unit 2 Unit 3 Unit 4 Unit 5 Comments Street S.F. Avenida Alvarado 1778 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Lot # No. Street S.F. 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 (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 1,778 S.F. or $3,804.92 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 CC/1st Bank - Mark Tuvell Check No. 71429 Telephone 760/272-6044 Funding Residential Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted b` Sharon MCGllvrey c1-4r1 Signature Payment Recd $3,804.92 $0.00 Over/Under 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 the 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