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SFD (0008-091)54560 Avenida Madero 0008-091 LICENSED CONTRACTOR DECLARATION 1 -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 s Exp. Date`. 533670 0 ate 2.3 _& JSi nature of Contractor - ✓✓ • D 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. W I have and will maintain workers' compensation insurance, as required by Si6ction 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 001,DFN EAGLE Policy No. "C, 322M[14 (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,s5all forthwith comply with those pr Asions.. Cate: .?e'i` 3 ' •'b Applicant !i / !l 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 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 oto enter upon the above-mentioned property for inspection purpo's- 1115 Signature (Owner/Agent) ='.'f "-'ep- ' BUILDING PERMIT PERMIT# ONS -091 DATE VALUATION LOT TRACT . €18/2,3/x: $106,511W.20gm§_? . •/ 1 JOB SITE APN ADDRESS - A . A. MA 'il %74-262-00..3 OWNER CONTRACTOR/DESIGNER/EN (NEER ' MARK TUV. UUMO-CORPORATION 72-850 k0MURAIhAD 35025 GARAND LANLE, NE C 1 .1VAL A M.Tht✓.R.T CA 92260 1>A1.M 1:9WMT CA 9221.1 (760)345-7186 Of lil 1137 USE OF PERMIT STRO IX%11!1!',LY DWL'1. T.iI G SMPLAN _(TUVELL•A MASTER) PERMIT 13CiES NOT INCLUDE m BLtiC1;'S4iALL OR P001. 4 TRACT CO STRUCTIO14 f,iY1,00 Sly POR.CHMATIO 25.00 SF 0ARAMMARPORT (SF) %M.40 3 FT. WOOD MICE 200, 00 Lg Fs" n"Ir COU OF cOMMUCTI.ON 106"0.20 PF"f FEN SIM"IV CONS'TRUCT'ION FEE 101.000-418.000 $664.00 PLA14 CHECK FEE 101.000-,439-318 $552.54 MECHANICALFES 101-000.421x•000 $80.00 ELEC.'i'.k,.lM-1'UL 101-000-420-000 $134.37 Pl.?11r4AT40 FEN 101.ODO-419QC1W 9;116.79 STit0Nt1 MOTION FFF a T;FSID U01-000-241.000 $10.69 ORADINO FEE 101-OCIO-423-000 $20.00 17uVEL.OPER !MPACi' P71L PRECISE PLAN 101.000.441-345 t10AQa ISE DEPOSIT 101-000-439.318 •$25D.00 MW_T(YrAT_ C014AUC'11014 MTD PLAN affCX $3,365.35 a TIES5 P'1t1?•PA1D F1.W a$250.00 pA !0 3: CYC AL l'::1 14 —r IVIYES DUE )"TOW .CITY 0, ILA +y UI . RECEIPT DATE DATE FINALED INSPECTOR w r INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts p Slab Grade l Return Air Steel Roof Deck 4 . Z, d Gj J Combustion Air Exhaust Fans OX to Wrap p L_ 7 F.A.U. Framing (' —p 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 Electric Bond _ Footings Main Drain i Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines d0 -, Water Piping Heater Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans Q.K. for Finish Plaster Sewer Lateral Sewer Connection ,,a,© Gas Piping Pool Cover Encapsulation Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Q J 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) . ©oo TAiyl •44Q f Gl [ IGv t . P.O. BOX 1504 Building78-495 Address JrL / / LA QUINTACCAL CALIFORNIA 92253 bD Owner MAft Ic 7-uv4c.lt.- Mailing Address Z T0 SoM S-A, -4 R D. City Zip Tel. 'A I f RT 9 z.2.GD 4d-7? 1 - 33` Contractor ,S •v Ro ,- Con n Address % z So r't E K•4 a . City ip Tel. !°/4Grl i s't 9i21!,O 776.0•? 1-133y State Lic. City & Classif. 5-334-7a Lic. # 1 7 -7 Arch., Engr., Designer Address Tel. CityI Zip I State I Lic. # LICENSED CONTRACTOR'S RATION I hereby affirm that I am licensed under h"apter 9 (commencing with Section 7000) of Division 3 of the si d' as and Pr ssion d''% and my license is in full force and of tect. - Z -.06 SIGNATURE DATE 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) of Division 3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis for thealleged 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 (E500). I: 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.) I I 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 doesnot 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.) 17 1 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 FI 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 ing 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: Il, 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 APPLICATION ONLY BUILDING: TYPE'CONNST. OCC. GRP.- A.P. Number 77 / 'ZGZ- 3 4--C) Legal Description 1,O i 2-2- S4 iti', -6►tey 2 74 omr Project Description 5F D 7"vV6'i_ L rl A sTFne A WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ AS -rarezx-A e2±s= Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 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: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 8/23/00 No. 20926 Owner NameMark Tuvell No. 54-560 Street Avenida Diaz APN # 774-262-003 Jurisdiction La Quinta City La Quinta zip 92253 Permit # 0008-091 Log # Study Area Tract # Lot # 22 Square Footage 1771 Type of Development Single Family Residence No. of Units 1 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 5j080 in the amount of 2.05 X 1,771 or $ 3,630.55 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 / 1 st Bank / Mark Tuvell Telephone 760-345=7186 Name on the check " 'r; By Dr. Doris Wilson r Superintendent Fee collected/exem ted by Annette Barlow Signature V0 Payment Received $3,630.55 Check No. 55074 40TICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the90-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 sssued or on which they are paid to the District(s) or to another public entity authorized to :ollect them on the District('s)(s') behalf, whichever is earlier. 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 ,kECORDING REQUESTED BY: AND WHEN RECORDED, MAIL TO: Mark F. Tuvell Sal— 560 72850 Somera Palm Desert, CA 92260 ASSESSOR'S TITLE ORDER NO.: NO.: 774-262-003 ESCROW NO.: 6195 -DS GRANT DEED AvovNi m t4X o?'e6 THIS SPACE FOR RECORDER'S USE ONLY The undersigned Grantor(s) declare that the DOCUMENT TRANSFER TAX IS: $ 22.00 County $ City xx computed on the full value of the interest of property conveyed, or _computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. OR transfer is EXEMPT from tax for the following reason: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Julienne A. Smith, a arate property hereby GRA (S) to Mark F. Tuvell, a ma man as his sole and separate property -reaf-prc 'tuated in the City of La Quinta County of Riverside, State of California, described as: rmelita Vale at La Quinta Unit No. 25, as per map recorded in Book 19, Pages 50 and 51 of Maps, recor s of Riverside County personally pwwn to me (or ed o me on the basis of satisfactory d ee) to be the. p s n(s) whose as ( re on to the within instrnd acknowledged to me that I e a they executed the same in hiir authorized cap c t (ies), and that y his/her/their si at refs) on the instrument the ers n(s), or the entity upon behalf of which the p on ) acted, executed the ins rument. WITNESS my hand an official seal. Signature Q / MAIL TAX STATEMENTS TO: (This area for official notary seal) Mark F. Tuvell - 72850 Somera, Palm Desert, CA 92260 ctBi COMI t. #1"232470 T;. IY! NOTARY PUBLIC - CALIFORNIA —1 LOS ANGELES COUNTY 2003 tdy Comm. Expae.3 Aug. 1G, MAIL TAX STATEMENTS TO: (This area for official notary seal) Mark F. Tuvell - 72850 Somera, Palm Desert, CA 92260 2 RC DISTRICT - PLANNING REVIEW FORM This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential) District, in order to determine the applicability of compatibility issues or need to require the filing of Master Design Guidelines by the applicant. It shall be transmitted to the Building and Safety Department as your correction list. Please attach additional explanations as necessary. APPLICANT SUNROSE CORPORATION SITE ADDRESS 54-56Q Avenida Madero APN 774 _ 262_ 003 BIN NO.: v CASE NO.: 2000-288 LEGAL: LOT 22 BLOCK 272 UNIT S.C.@V.L.Q. CHECKED BY: Stan Sawa DATE: Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive Secretary maintains a log book to track applications and assign case numbers. REQUIRED ITEM Y N COMMENT/CORRECTION " Compatibility Review V Case logged and number assigned Verify legal and APN information Consistent with MDG on file (as.applicable MDG filing required (5 filings since 9/3/98) Consistency with street/surrounding area: Colors Materials Architecture V Other Requirements: f 6 1 I,Oo COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL Received From:%- r- Address: Account Nam y Llot(s) Service Address a ' l % L C ' ` ✓f C -C Meter(s) Services) - ..Et' ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) ❑ Meter Surcharge !_, ,Q- Sanitation Capacity Charge ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water I Sewer - Tract - ❑ Bond Payment - A.D. -'-Bond Assmt. ❑ Customer Deposit ❑ Other G.A. Code TOTAL $ Remarks: pCopy to: Water Service Cash.ISL- i 1 i Check Money ! C ' / Cashier Order / . CVw6-438 (11189) Certificatel'of Occupancy City of La Quinta Building and Safety Department This Certificate ' issued pursuant to the requirements of Section 109 of the Uniform Building 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: BUILDING ADDRESS: 54-560 AVENIDA MADERO Use Classification: SFD Bldg. Permit. No.: '.0008-091' Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RC Owner of Building: MARK TUVELL Building Official Address: 72-850 SOMERA ROAD City: PALM DESERT, CA 92260 By: STEVE TRAXEL Date: 12-19-00 POST IN A CONSPICUOUS PLACE MIM