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SFD (9803-170)54010 Avenida Martinez 9803-170 a 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 B d 3Qf8 Date Signature of Contractor Y 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 riot 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: Carver Policy No. GOLDEN I AGL E WIC 322371-03 (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 3700of the Labor Code, I shall forthwith comply with those provisions. f / 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 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 inspection purposes. ,/? Signature (Owner/Agent) /',f/.f.ra / Date"h 7 BUILDING PERMIT PERMIT 9803-17© C°NTR°`# DATE VALUATION Sy ],84 1,80 LOT TRACT 7614 614 JJ JOB SITE r -010 VEN10A it'll-kWf WEZ ADDRESS P APN 774-221,4101 OWNER CONTRACTOR //DESIGNER ENGINEER N,1ARKryVTLL SUN OSPCORPORI JV ?2-5550 SOMERA RD. 72450 SONIIERA RD. PALM DESERT CA 92260 PALM DESEWr CA 92260 (7.50)772-1492 CBL# 1137 USE OF PERMIT SI'D S .0 D - PERM iNC"LUDES 50 32" RETAIN'iNG WALL, CITY . STANDARDS TRACT CONSTRUCTION 1.623.00 Sty PORCIVIPATIO ' 13.06 SP GARA.GEICAR;PORT 400.00 SM 6 FT. WOOD FENCE 200.00 LF .0r1'1AfLVfED COST OF C ONS;9'RI:1MION 97;1E43.R1; PERNUT a F EiE SUMMARY CO►vSTRUL'TiO.N FEE 1.0.1-000-11,18--000 $630.50 PLAN C14ECK FIS 101:-000-439-31$ $541.01 NIECH"IC AL FEE 101-000-421-000 $1516.00 ` FLECTRWAL FEE 101-000-420-000 $164.31 PWNIBING .FEE; ) 01-0004.419-000 $136,40 S`1TRONG MOTION FEE -RE' ) 10:1-000-1-41-000 t $J."" GRADINGFEY, 101-000423.000 ' $10.00 1NFRASTRIXTURfi FEE 225-000-443-3142 $:;159,30 PlIr MSE PLAN 101 -000 -,WI -345 SZ.5.*► y o 6 1998 FEE D0*103IT 101-00(1+439-315 ) 4250.00 :.11iY OF LA 0U1NTA SUB-ivxu1 L coN5TR1:3C'rm ANO PLAN C1:-1ECK $3,746.40 LESS PRP.-.PA1:D FRS 4250.00 TOTAL , ff°ERMIT FEES DUE NOW 53.496.40 RECEIPT DATE BY4 DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade 'Jy Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing a Compressor Insulation a 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 A Electric Bond Footings 3 L `' / Main Drain Bond Beam v 9 Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final I 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 406~/Jy Appliances r 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 t t Final Utility Notice (Perm) Building Address Ow er / 1+ l< Mailing Address 7 Z City SA4, ^ 1/ Contractor Adao State Lic. & Classif. Arch., Engr., Designer Address . 'u 'rte - ` i1'r '?'v'y i-%r rrdY•'._ .ti , , ,.. . '.. _. "s-e°1.%Y; tea.. .y- .. 1.. r :,.r -.- _,. . .: -.. v' X803 - 1- P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 TQC Vic 4e— BUILDING: TYPE'CONST. l OCC. GRP. SMDRRA l p . A.P. Number -1-14 - s- G - no i ✓ Zip Tel. £ EJ'iT !Pr_QZ2 i/i 76r) 771 `ctRZZ Legal Description L D T Z Gf 3LK 2,9 Zip Tel. s"3 367e) I Lic.y #cit )11 3 7 1(A V,6-14, Zip State Lic. # hereby LICENSED CONTRACTOR'S DECLARATION on 7000)rOf Division rm lhat I 3 of ffie,Buseness and ',,P 12 1 Coodeh anldrmy license ist inwith full force and Of q/%i _ 'p/ 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, after, 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). 1-21 I, as oner 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 1 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.) I'! I am exempt under Sec. B. & P.C. for this reason Date Owner - WORKERS' COMPENSATION DECLARATION 1 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 n 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 (E100) valuation 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. Date Owner NOTICE TO APPLICANT: If, alter making this Certificate of Exemptionyou 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 it 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 ✓ 3Zff FTi!•z JtNG A . ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line t Side Setback from Property Line A FINAL DATE INSPECTOR Issued by: Date Permi Validated by: Validation: MAP 3 11990 -- WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISIONCITY OF LA QUJNT4} • 1 Sq. Ft. No. Size Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 5n 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 t Side Setback from Property Line A FINAL DATE INSPECTOR Issued by: Date Permi Validated by: Validation: MAP 3 11990 -- WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISIONCITY OF LA QUJNT4} • 1 Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201619-775-3500 CERTIFICATE OF COMPLIANCE Date 5/6/98 No. 16996 Owner NameMark Tuvell No 54-010 Street Avenida Martinez City La Quinta Tract # Lot # Type of Development Single Family Residence Comments APN # 774-222-001 Jurisdiction La Quinta Permit # Log # zip 92253 Study Area Square Footage 1,623 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 1,623 or $ 3,132.39 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 Cashier Check/ Ist Bank/Sunrose Corporation TeIephonA '-7,?M=4491 ' , , ,'-it *A r i Name on the checke tf; 4 By Dr. Doris Wilson Superintendent, Fee collected /exempted by Juanita Green Payment Received $' Check No. 040931 SignatureYZAV"" (NOTICE: Pursuant of Assen%ly 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 I 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 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 H N CO) W o CY o LUZ 0 P: LUULla. N Z co LO N ON U °) aQ LQO X WLL mVU O ti It Z_ 00 a g 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 S33670 Uc. Class Exp. Da &W/98 Date 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&RC.. 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 GOLDEN EAGLE Policy No. NWC 322374-03 (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, 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, 1 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 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 inspection purposes. Signature (Owner/Agent) Date BUILDING PERMIT PERM/IT 9803-170 CONTROL# DATE VALUATION $97,841.50 LOT /„ TRACT 7614 JOB SITE 34-010 AVENIDA MARTINEZ APN 7741 -222 -Ml ADDRESS OWNER CONTRACTOR/DESIGNER/ENGINEER MARK TUVELL SUNROSE CORPORATION 72-850 SOMERA RD. 72-850 SOMERA RD. PALM DESERT CA 92260 PALM DESERT CA 92260 (760)772-1492 CBL# 1137 USE OF PERMIT SFD SYD - PERMI I INCLUDES 50 L.k'.. 32" 11131 AIN LNU WALL. CITY STANDARDS TRACT CONSTRUCTION 1,623.00 SF PORCHIPATIO 13.00 SF GARAGEICARPORT 400.00 SF 6 FT. WOOD FENCE 200.00 IF ESTIMATED COST OF CONSTRUCTION 97,841.80 PERMIT FEE'SUMMARY CONSTRUCTIONFEE 101400-418-000 $630.50 PLAN CHECK FEE 1014)00-439-318 5541.01 N ECHANICAL FEE 101-000-421-000 $60.00 ELECTRICAL FEE 101-000420-000 $164.31 PLUMBING FEE 101-000419-000 $136.50 STRONG MOTION FEE - RESID 101-000-241-000 $9.78 GRADING FEE 101-000-423-M 520.00 INFRASTRUCTURE FEE 225-000-443-342 S2, 159.30 PRECISE PLAN 101-000-441-345 $25.00 FEE DEPOSIT 101-000439-318 4250.00 SUB -TOTAL CONSTRUCTION AND PLAN CHECK $3,746.40 LESS PRE -PAID FEES -$250.00 TOTAL PERMIT FEES DUE NOW 53,496.40 RECEIPT ' DATE BY DATE FINALED INSPECTOR 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 ollowing: BUILDING ADDRESS: Use Classification: SFD Occupancy Group: R-3 54-010 AVENIDA MARTINEZ Type of Construction: VN Owner of Building: MARK TUVELL Building Official Bldg. Permit No.: 9803-170 Land Use Zone: RC Address: 72-850 SOMERA RD. City: PALM DESERT, CA 92260 By: KIRK KIRKLAND Date: 9-23-98 POST IN A CONSPICUOUS PLACE