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10686 (SFD)r 4 P.O. BOX 1504 Building ( 78-105 CALLE ESTADO Address 54-290 G LA QUINTA, CALIFORNIA 92253 Owner Mike Davis Mailing Address Same CityZ1,92253 p Tel. LaGuinta Contractor tion Co.. Inc. Address 39725 Garard, Suite B P.D. 92260 345--9711 State Lic. City & Classif. B1 577775 Lic. # Arch., Engr., Designer Michael Hurst Add ess Tel. y. 4. Boy. 1362 City Zip State P.D. 92260 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7+000) of Division 3 of the Business and Professions Code, and my license is in full force and GNATURE DATE J OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (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) or 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 or not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year or completion, the owner -builder will have the burden of proving that he did not build or Improve for the purpose of sale.) b I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION r I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) PolighNo. Company Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($ t 00) valuation or less.) I certify that in the performance of thg 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 to the Workers' Compensation provisions or the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration If 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 construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant -Date- Mailing ateMailing Address City, State, Zip No. 10686 11LDING: TYPE CONST. OCC. GRP. P. Number 774--231-003--3 egal Description_ Lot 14, Block 260 roject Description SPD REMARKS 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: Sq. Ft. 129 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit includes garden block wall; retaining wails and/or pool to be obtained sevarately (Estimated Valuation 11-,1-6,30 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 320.46 Const. 678.00 Mech. 62.00 Electrical 139.74 Plumbing 141-00 S.M.I. 11.10 Grading 20.00 Driveway Enc. 20.00 Infrastructure 2414.75 TOTAL 4057.05 3807.05 REMARKS 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. @ $ 2ND FL. S0. FT. @ POR. SO. FT. @ GAR. SO. FT. @ CAR P. SO. FT. @ WALL SO. FT. @ SO FT @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation STORAGE TANK FLOOR DRAIN MECHANICAL FEES DUCT WORK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER REINF. STEW GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM FINAL INSP. KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. @ c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1 Vi c SEWAGE DISPOSAL FIRE ZONE ROOFING SO.FT.GAR @ VVio HOUSE SEWER FIREPLACE GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS ' SEWER Bpel!PTIm9+f4NK � ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEW GAS (FINAL) TEMP. POLE ' 1 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -plus-x$_ _$ LUMBER GR. FINAL INSP. FRAMING ►� FINAL INSP.,,O(2hA ROOFING y ` / /.b/G�.� C� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION/P`'2 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL:d . POP k of9 I I of1�U n a !� ':; : Ltt� tlt �IIi �SdfP 34ilitsion Jug; !{ ;I This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building 4 !, i Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: ! f ; ! BUILDING ADDRESS 54-290 AVENIDA MONTEZUMA a I! ; i SINGLE FAMILY DWELLING 10686 Use Classification Bldg. Permit No. i!I I • Group R3 Type Construction VN Fre Zone Use Zone SR Owner of Building STARK CONSTRUCTION CO. Address 54-290 AVENIDA MDNTEZUMA T I i City LA QUINTA, CA By; LONNIE DAY li I' IAUGUST Date 7, 1992 Building Official POST IN A CONSPICUOUS PLACE Buildin Address Owner �L1� ►yrs I���t) � S Mailing Address f5L4 City Zip T ) _l> (Di;l aF �Q�«rw P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 or a I .yam �— a5 C��.b�l r� Su )Trs CityZip Tel.. 1JAt, .l�S2 i ,, LZ�. O State Lic./ City &Classif. � r�-7 -710 Lic. # Arch., Engr., Designer 114 f♦ U nF i Ll f r ✓2G 1 \ddress Tel. 'ity Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm tha d am licensed undi� er-provisof Chaptgr 9 (commencing with Section 7000) of Division 3%of the usiness and Profgs�to. s ode,,�nd my license is in )LII fo 6e and effect. _ / �/ A///�,s3// //i //ate OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License law for the following reason: (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 of not more than five hundred dollars ($500). 1-: 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, 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 that such 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 did not build or improve for the purpose of sale.) L 11, 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 property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) I'] 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, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company 0 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 thg 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 to the 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 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name -_.- Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if 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 construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING DIVISION BUILDING: TYPE CONST. Q f f OCC. GRP. A.P. Number _774-2_31 J 003" �? Legal Description LO) 14 t LQC.L ZIJ O Project Description �� i�it�(. F; Wl / LU Sq. No. No. Dw. Ft. ' Size 19 Z� Stories Units NewQ Add ❑ Alter ❑ Repair ❑ Demolition ❑ �y. Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. ---- Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. frastructure,( nn s n 4A o<')o na_n _0-) 416 ro,--CMN i�I DTAL i 275.00 TOTAL , ✓i REMARKS 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. @ $ 2ND FL, SO. FT, @ POR. SO. FT. C> GAR SO. FT. @ CARP. SD. FT. @ WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/. c SEWAGE DISPOSAL SQ.FT.GAR @ 3/c IHOUSE SEWER REMARKS: VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING R AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB, BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ =$ LUMBER GR. FINAL INSP, FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL I1415PEGTOW5 b1UNAIUKLWINITIAL5 GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 14114192 1 Type of Permit I La Quinta No. 111318 Permit # Log # Owner Name Mike Davis No. 54290 Street Cortez city La Quinti zip 922M Study Area 112 APN # I Tract # I Lot # 14 Square Footage 1929 Type of Development Single Family Residence I No. of units Comments 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 or replacement mobilehomes. It has been determined 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 Government Code 53080 in the amount of 1.58 X 11.929 or $ 3,047.82 have been paid to D.S.0 S.D. 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. 1 Fees Paid By. Stark Construction Telephone '619-345-9711 Name on the check ,"�• By James E. Lively r Assistant Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett Signature Payment Received Check No. 3965 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting RECORDING REQUESTED BY AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO: NAME VAL(.KA5L- t— 1D4UL5 ANIo AN;vL--TITi; STREET fy�U(S ADDRESS P p, 3oX Z3gg CITY. ZIP Twp.., ,� V" `^'L LIiS�—YL:t r �� gZ2tol -2388 L J Title Order No. Escrow No. QUITCLAIM DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX $_ IAbt\wr ❑ computed on full value of property conveyed, or ❑ computed on full value less value of liens and encumbrances remaining at the time of sale. Signature of Declarant or Agent Determining Tax. Firm Name N1��1FA�I, t,� 1�1�vtS l -o - o -p Tlr S Ni • (Print or type name o1 grantor(s) I t,= d. -{AM • the undersigned grantor(s), for a valuable consideration, receipt of which is hereby acknowledged, do hereby remise, release and forever quitclaim to M 1 C itA-(-t✓ L • DA -VL s A -N p ,q N��TTr✓" l/1. �A vl S r t+�sd3�k r.f A -W -c> w)i PL, A -s :UD, N• -r the following described real property in the City of L-A- QjIN 11—V+ County of State of California: L(>.r I'-{ IN t3L_oc.k 2 o rv►T ZLf o tAKjrt4 C-A-2McL►Tlift f► vAL,�— L f} U 1 NS TA /} S Stto w t�S —13,\f HAP oNS V- I L L I N ec)ov-- I ct P>A f�N� 1-t5 OF Mil tP5 IZ85GotZ� of fzLV�`YzsL7� couL�TY GL s L4 G���Fv2N to . Assessor's parcel No. Executed on G • 19J—'/, at /fCnnity and Slatel ' 5 STATE OF CALI 0 COUNTY OF l L� �SG�� ss. l Cqyi On this 1y—day of in the year 191—/—before me, j the undersigned, a Notary Public in and for said State, personally appeared zn 1 I (or proved to me on the basis of satisfactory evidence) to be the persorf= whose name— �..�..r..rr�a „•subscribed to the within instrumant; and acknowledged tome that ` OFFICIAL SEAL _he= executed it, IRMA S. BULLOUG.H S r NOT-VRY PUBLIC - CALIFORNIA i =me ; G °•: PRINPIPAL OFFICE IN �..'.7 r VERSIDE COUNTY My C9m;rtision Exp. May 14, 1992/ ii' aid State. MAIL TAX (This area for official notarial seal) t STATEMENTS TO H Lr- L+A•I%7 _ L. A M 1 AN TT7 M nA VI L P D fox 2388 PA�1 D�scrZ i ��. L NAME ADDRESS ZIP qz�L-z3c`3S' � WCLCOfTSLAIM FORMDEED (price Aea. 3) This standard form is intended for the typical situations encountered in the field indicated. However, before you sign, i QUITCLAIM DEED (price class 3) read it, fill in all blanks, and make whatever changes are appropriate and necessary to your particular transaction. Consult a lawyer II you doubt the form's fitness for your purpose and use. F 1984 WOLCOTTS.INC. 241 June 15, 1992 T H E C I T Y 441* 0 A La Ouinta 1982 - 1992 Ten Carat Decade Riverside County Assessor 46-206 Oasis St., Room 406 Indio, CA 92201 RE: APN #774-231-003-3 Lot 14 Block 260 0 F Gentlemen: The above parcel number addressed as 54-290 Avenida Cortez has been re -addressed. The new address is 54-290 Avenida Montezuma. Please adjust your records accordingly. Thank you. Sincerely, BU ZING AND AFETY E ARTMENT v 'n Tom Hartung Director of Building and Safety /lc cc: Mike Davis City of La Quinta Post Office Box 1504 ♦ 78-105 Calle Estado La Quinta, California 92253 Phone (619) 564-2246, Fax (619) 564-5617 Design 8 Production: Mark Palmer Design. 619.346.0772 STARK CONSTRUCTION COMPANY, INC. 39-725 GARAND, SUITE #E PALM DESERT, CA 92260 (619) 345-9711 AUGUST 7, 1992 City of LaQuinta 78-105 Calle Estado LaQuinta, CA 92253 ATTENTION: BUILDING DEPARTMENT Gentlemen: Enclosed please find the subcontractor list and business licenses for the Davis residence located at 54-290 Cortez/ Montezuma, LaQuinta, California. Additionally, the owner, Mike Davis, has requested to be completely responsible for the addition of interior blinds. Thank you. Yours very truly, Gal/tark Stark Construction Company, Inc. MMP/ Enclosures 213 DAVIS RESIDENCE SUBCONTRACTOR LIST JULY 27, 1992 TRADE SUBCONTRACTOR LICENSE NUMBER SECURITY SERVICE AFFILIATES SECURITY SER 1481 PLUMBING J.C. GARCIA PLUMBING 706 CARPENTRY STARK CONSTRUCTION 790 ELECTRICAL BARTLETT ELECTRICAL 2561 ROOFING RUBEN VASQUEZ 1157 INSULATION SOUTHLAND INSULATION 215 STUCCO PALM DESERT CONSTR. 824 DRYWALL AAA DRYWALL, INC. APPLIED FOR CABINETS STARK CONSTRUCTION 790 CERAMIC TILE MONUMENT TILE APPLIED PAINTING LAMUNYON PAINTING APPLIED FLOORING BUILDER'S FLOOR APPLIED GARAGE DOORS DOR-GATE 397 CONCRETE A -RAM CONCRETE 1295 CURB SAWING 2095 MASONRY R. E. SIMMONS 2336 HEATING A/C BILL WILSON COMPANY 1315 LANDSCAPING MIKE DAVIS OWNER POOL GATTUSO POOL PLUMBING 816 CORIAN DESIGN SURFACES 2552