SFD (0001-019)51905 Avenida Martinez
0001-019
LICENSED CONTRACTOR DECLARATION
-.'I hereby affirm under penalty of perjury that I am licensed under provisions of
.
apter 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
425381 B OZ/3 Ut
i,
Date Signature of Contractors`'
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 exempfunder 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.
N(.,) 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 Policy No.
STATE 17 102'Jll S. ;J3rpft 9u
(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: 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 18.0 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 propertyyffordnspection purposes.
Signature (Owner/Agent)`- " ` ` ' Date—1 1( Vli
BUILDING PERMIT PERMIT
`
ji 04")1_019
DATE I J l J } VALUATION $92,,,9X7 40 LOT TRACT
(11 V
JOB SITE
ADDRESS 51-90.qAVEN11DA (A"RTkN>It Z
APN 773-175.024)
OWNER
CONTRACTOR /DESIGNER /ENGINEER .
DA, 'IT
r
tei•7--V-
ePCiIC+Ay
CrVi 3iT
17I9'S T€{.EigOA'YT
173y S'.r'R.i'.N1C \Yt
5 OCEANSIDE CA 92054
S C)CEANSILIIf: CA. 9204
`
(74(3)917-0%9 C111..10 1955
USE OF PERMIT
NNOI LE FAMILY i3"VEL.i:,1:NG
SF%? - PERMIT IX)ES NOT 24CLUDE BUIC:k WALLS 0R POOL. (LQP
_
'3fi 151 Mrk3'132it
T 3 .AC;" CONST UC TION 1.492,00 317,PORC
Ph>w 0 ".00 SF
t. fA&Atl'WCAHFQI21' 463.00 SF
S F f. W001).FFWJEi 'Y.. O.60 IX
E,STIIO'1ATE, D COST OF CONSTRUCTION
NZ 91.17.4 0
I"E, WRIff FRU SUMMARY
0014, l'.K(JC1IUN.FFX 101-000.419,-000 $AOK.Ots
P'fAN C1XB:.C;K- FER,101-l30t)-4 t 3} g 5t x. 3
%UX_'`A JIC: LFEE
ELECTRICAL FlstI
IPIXIMB:ING q,.E 101-000-419401 $f It).? i
1 ..t...l
STIRONC: M(MIC7A!°'Riv- - RES,") 101. -01N) -241 -ft) $9.30
GRADING FWe' 10.1-000-42'-000 $20.00
1?1?. C:t E fyLAiY 301-000-44.'1-345 :E7Ut3.U0
'" p T
FIT. T.)R OSIT 101-000-4.19-318
SUR -TOTAL CONS` IMC _RONI AND PIAN CHECK
aka
$1,449 06
LESS PRE -PAID FETES
-5650.00
TOTM, 1'k:RMIX 1i'ECS DUE NOVV
$3,198.€I6
RECEIPT
DATE
BY ,! `
r -.L
DA ^ED Q
d-'
INSPECTOR
` sd
INSPECTION RECORD
4 OPERATION
DATE
* INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
J 7
Underground Ducts
Forms & Footings
Ducts
Slab Grade
('
Return Air
Steel
Combustion Air
Roof Deck
— T
Exhaust Fans
O.K to Wrap
Z 4 HT1
F.A.U.
Framing
Compressor
Insulation
_ y. c 10 S
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
3 - -7 -cvx;, S
Drywall - Int. Lath
3=q _pd 5
Final
Final
POOLS - SPAS
BLOC KWALL AP ROVALS
Steel
Set Backs -
Electric Bond
Footings
Main Drain
Bond Beam
- coo 5-7
Approval to Cover
Equipment Location
Underground Electric
J0
2- - e;
Underground Plbg. Test
Anal
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
_ C
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
( (so aj
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
o
Utility Notice (Perm)
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 1/11/00
No. 19896
Owner NameDavid Ross Miller
No. 51-905 Street Avenida Martinez
City La Quinta
Tract # Lot #
Type of Development Single Family Residence
Comments
APN # 773-175-020
Jurisdiction La Quinta
Permit #
Log #
zip 92253 Study Area
Square Footage 1492
No. of Units 1
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
1.93 X 1,492 or $ 2,879.56 the property listed above and that 4itdir7gtr: i
permits and/or Certificates of Occupancy for this square footage in this proposed project may niyw be issued
Sh r'
Fees Paid By CK/Capital Bank of North County/David Miller CeBpt> one 2760-967-00E9
Name on the check
By Dr. Doris Wilson "'
Superintendent t 1 "
Fee collected /exempted by Olivia Aguirre Payment Received $2,879.56
Check No. 16459
Signature
NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) 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 sssued or on which they are paid to the District(s) or to another public entity authorized to
collect them on the Distdcl('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
i
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
Building & Safety as your correction list. Please attach additional explanations as necessary.
APPLICANT: PACIFIC TRADES
PROJECT
ADDRESS: 51-905 Avenida Martinez
APN:. 77.37175-020
LEGAL: LOT 8 , BLOCK 117 , UNIT 12 , S.C. @ V.L.Q.
CK'D BY: Leslie Mouriquand
61N NO:. CASE NO. 99-174 ..CHECK -DATE:
Inform the assigned Building plan checker .upori..your..assignrrment to this case. The CDD
Executive Secretary maintains a log book to track applications and assign case numbers.
The zoning code, architectural and landscaping manuals, and/or assigned inspector should
be consulted where uncertainties arise. The completed checklist shall be maintained in the
Building .& Safety address file.
DEC.16.1999 3:01PM COMMONWEALTH NO.633 P.1i1
RECORDING REQUESTED V:
CHICAGO TITLE COMPANY, COMPANY
99.9NN451KCR 970578!29. pp qq
WH
RL QO Rqq I LOW"D'
1 0 A S E ,NT
DAViA OSS I :tILi'F,R ',
GRANT DEED
E THIS LINE FOR RECORDER'S USE
51-905' AJa. µAen z
The undersigned grantor(a) declare(s):
Documentary transfer tax is $18,15
(XXX) Computed on fulfil value of property conveyed, or
( ) Computed on full value less lens and encumbrances remaining at time of sale.
( ) Unincorporated area: ( ) City of and
FOR A VALUABLE CONSIDERATION, receipt of which, is hereby acknowledged,
CATHERINE F, PAROTINO,
hereby GRANT(S) to
DAVID RM MILLCR,
the real property in ,the City of LA QUINTA, County of Riverside, State of California,
described as: -
Lot a, Block 117, Uniit No, 12, Tract Santa CarMelita at Vale La Quinta, as per map
recorded in Book 18, Fage(s) 78-80 inclusive of maps, in the office of the County
Recorder of said County.
Dated December 14, 11999
State of California
County of RIVERSIDE;
On DECEMBER 15, 1999
before me, KELLY COLLIER
personally appeared
CATHERINE F. PAROTINO
personally known to me (or proved to me on
the basis of patisfacg ory evidence) to be
the person(s) whose nlame(s) is/are subscribed
to the within instrument and acknowledged to
me that he/she/they executed the same in
hip/her/their authorized capacity(ies), and
that by hie/her/their'signature(p) on the
instrument the p rson,(s), or the entity upon
behalf of which he person(p) acted, executed
the instrument. n /-\
WITNESS
Signatur'11-1--
MAIL TAX STA
o;Pcial seal,
CATHERINE F. P.AROTINO
(EL O L1ER
U
comm .:1229428
( v NOTARY PUBLIC -CALIFORNIA
RIVERSIDE COUNTY n
,q COMM. CXPQJ-UN,v6, 2nn1
-
(This area for official notarial seal)
Certificate 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: 51-905 AVENIDA MARTINEZ
.Use Classification: SFD- Bldg.. Permit No.: 0001-019
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC
Owner of Building: DAVID ROSS MILLER
Building Official .
Address: 1719 S. TREMONT
City: SO. OCEANSIDE, CA 92054
By: STEVE TRAXEL
Date: 05-15-00
POST IN A CONSPICUOUS PLACE