9801-0011 (RR)54631 Avenida Alvarado
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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
456498 Civ 5'3 f98
,Date 95; Signature of Contractor ,A„1-•
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:
Cartier Policy No.
STATE FUND 0715432..97
(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.
/bate: L - " 99 Applicant " - F% 'Y7/ e
Warning: Failure to secure Workers' Compensation coverage s 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 attorneys 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 authorize representatives of this City to enter upon
the above-mentioned property for iinn`spection purposes./
/Signature (Owner/Agent) ! / ( // / - Date / S 74
DATE
1/ 5/98
BUILDING PERMIT
VALUATION LOT
53,1110.00
PERMIT # - CONTROL #
9501-011
TRACT
6 502
JOB SITE
ADDRESS
S4-631 AVENIDA ALVARADO
APN
OWNER
ALBERT J SMITH
54631 AVENIDA ALVARADO
LA QUINTA CA 92253
USE OF PERMIT
f.t 111.111 NO
CONTRACTOR / DESIGNER / ENGINEER
RUBEN M VASQUEZ ROOFING
45020 ELM ST
INDIO
(760)347-5683
RE -ROOF
CA 92201
CBL# 1157
IIIIIIIIIIIIIIIIIIIIIIIII 36
IE
VAL[JATION
3, /00.4)0 LS
ESTIMATED COST OF CONSTRUCTION
PERMIT FEE SUMMARY
REROOF FEE
101-0}00-418-000
$30.00
PAID
JAN 5 1998
ctrvoFLAQUI
SUB -TOTAL CONS RUC' TEON AND PLAN CHECK
LESS PRE -PAID FEES
TOTAL PERMIT FEES DUE NOW -
NTA
3,100.011
$ iU.tff►
$0.01)
530.00
RECEIPT
DATE
BY
DATE FINALED
/'- s -
IN
PETR
I lT
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.
FramingCompressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall insulation
Condensate Lines
Party Wail Firewall
Exterior Lath
Drywall - nt. Lath
/641
Final
Final
POOLS - SPAS
• BLOCKWALL APPROVALS
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
_
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:
•
•
'
,
•r
'
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)
.,:c.
air
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•
•
P.D. Box 1504 ,
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
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June 15, 2007
Ms. Esther Sanchez
Riverside County Assessor's Office
3255 E Tahquitz Canyon Way, Ste 114
Palm Springs, CA 92262=6962
Dear. Ms. Sanchez,
Please be advised of an address correction for the following structure. The
structure formerly addressed as 54-630 Avenida Alvarado, APN: 774-272-025
should be corrected in your files to 54-631 Avenida Alvarado.
Please note this change and contact me directly at (760) 777-7084 if I may be of
further assistance.
Sincerely,
Kay Hensel
Counter Technician
RealQuest.com ® - Report Page 1 of 2
Property Detail Report
For Property Located At
• R:Ea1:QuEst c� m
54630 AVENIDA ALVARADO, LA QUINTA CA 92253-3765
Owner Information:
Owner Name:
Mailing Address:
Phone Number:
Location Information
Legal Description:
County:
Census Tract / Block:
Township -Range -Sect:
Legal Book/Page:
Legal Lot:
Legal Block:
SMITH ALBERT J & VALERIE A
54631 AVENIDA ALVARADO, LA QUINTA CA 92253-3765 H007
Vesting Codes:. / /
LOTS 5 & 6 BLK 269 MB 019/050 SANTA CARMELITA VALE LA QUINTA
UNIT 25
RIVERSIDE, CA APN:
451.09 / 2 Alternate APN:
Subdivision:
19-50 Map Reference:
5 Tract #:
269 School District:
Market Area: Munic/Township:
Neighbor Code:
Owner Transfer Information:
Recording/Sale Date: 1 . Deed Type:
Sale Price: 1st Mtg Document #:
Document #:
Last Market Sale Information:
Recording/Sale Date:. /
Sale Price:
Sale Type:
Document #:
Deed Type: .
Transfer Document #:
New Construction:
Title Company:
Lender:
Seller Name:
Prior Sale Information:
Prior Rec/Sale Date: /
Prior Sale Price:
Prior Doc Number:
Prior Deed Type:
Property Characteristics:
Gross Area: 1,856
Living Area: 1,376
Tot Adj Area: 1,376
Above Grade:.
Total Rooms:
Bedrooms: 3
Bath(F/H): 2 /
Year Built / Eff: 1977 /
Fireplace: /
# of Stories: .1.00
Other Improvements: ADDITION
Site Information: .
Zoning:
Flood Zone:
Flood Panel:
Flood Panel Date:
Land Use: SFR .
Tax Information:
Total Value: ' $83,255
Land Value: $18,041
Improvement Value: $65,214
X500
0607090010B
08/19/1991
1st Mtg Amount/Type:
1st Mtg Int. Rate/Type:
1st Mtg Document #:
2nd Mtg:Amount/Type:
2nd Mtg Int. Rate/Type:
Price Per SgEt:
Multi/Split Sale:
Prior Lender:
Prior 1st Mtg Amt/Type:
Prior 1st Mtg Rate/Type:
Parking Type:
Garage Area:
Garage Capacity:
Parking Spaces:
Basement Area:
Finish Bsmnt Area:
Basement Type:
Roof Type:
Foundation:
Roof Material:
GARAGE/
CARPORT
480 Heat Type:
Exterior wall:
2 Porch Type:
Patio Type:
Pool:
Air Cond:
Style:
Quality:
COMPOSITION
SHINGLE Condition:
774-272-025
SANTA
CARMELITA VALE
LA QUINTA UNIT
25
/ 879-E4
DESERT SANDS
INDIO U
1•
Construction:
Acres: 0.23
Lot Area:
Lot Width/Depth:
Res/Comm Units:
Assessed Year:
Improve %:
Tax Year:
2006
078%
2006
County Use:
State Use:
Site Influence:
Sewer Type:
Water Type:
Property Tax:
Tax Area:
Tax -Exemption:
CENTRAL
CENTRAL
SINGLE FAM
RESID (R01)
NONE
TYPE
UNKNOWN.
$1,359.56
20015
HOMEOWNER
http://www.realquest.com/jsp/report.jsp?serverid=rg03&client=&action=confirm&type=ge... 6/15/2007