9711-042 (SFD)54030 Avenida Martinez
9711-042
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
4 '
/ate -' 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&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:
Carrier I Policy No.
GOL DFN EAGLE 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,
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
Acle,. I shall forthwith comply with,t ose provisions
Date: 11- 26 -°'1-7 Applicant ✓^ rj
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./ r
f f j
Signature (Owner/Agent) a ! ! =f Date,`
PERMIT# CONTR OyL# ..r
BUILDING PERMIT
DATE 1 VALUATION LOT. 9711-042 TRACT
tq
7 !S100.94.1.10 23 8256. U027
JOB SITE
APN
ADDRESS
>4-030.AVF:NFiiA MARTINEZ,_
'7^4-a 22-002
OWNER
CONTRACTOR / DESIGNER / ENGINEER
1v1ARK IWELL
SUNRC SE COR[aOR iT.101!
72850 SOIt1ERA. R:1)
72-850 S(YMER,t1. RD. '
PALM DES.ER r CA 92260
PALM DESERT C.t\ 9226-0
(7h0)772-1492 Ci3L . 1137
USE OF PERMIT
c R'
SFD - Pt 1. 2MZ T DOES NOT INCLUDE BLOCK, WALLS OR POOL.
TRACT CONSTRLICTION 1,650.00 SF
GARAGWCARPORT 492-00 SF
6 F"F. WOOD Fav°Clv 200.00 T F
A/ ;. -- R83IDENTIiU t.00 SF
MIMATED COST OF CONMUCTION
141(1,94.1,161
PERMIT M,' SUMMLARAI
CO:NS'l'RUCTION FEE 101-000-419-0010 Sr 1;i.tNJ
PLAN CHECK FEE 101-000-439-318 SS33.77
.t%fECFtANTCALF.ER A01-000-421-000
fiLECfRRCAL FEE 101.000420`000 5131,U9
PLUMBING NEL; 101-000-419-000 $124.50
STRONG M07'10N FEE - RES1:D 10.1-000-241-000 $1().09
GRADING Fid 101-000-423-000 $20.00
figFRLAS'.rRUC1`URE FEE -225-000-413-342 52,23k:f35
PRFCiSR PLAN y P101-000-441 X345 2g,iri)
AWr 'CN PUBLIC PLACES-1tESIC 701-000-25-5-000 %2.35
FEE DEPOSIT s 9 E250,00
4
SUB -TOTAL CONSTRUMION ,E1ND PLAN Cf4F,%'X
$3,7ol, W
LESS PRE -PAID FEES
4250.00
TOTA.i. PERMIT FEES DUE NOW
PAID.
REC IPTNOV
DATE
BY r
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs 1AA
Underground Ducts
Forms & Footings J191
Ducts
Slab Grade U
Return Air
Steel
Combustion Air
Roof Deck / /
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
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
BLOCKWALL APPROVLS
•
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam —
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Neater Final
Water Piping
Plumbing Final
Plumbing Top Out oe
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping ,
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVAL
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Pictures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final 42
Utility Notice (Perm)
COMMENTS:
"--' v-,,,;'r"-"...w.tf..:ii.s Q..+Y•`Tth•' t'iw'y:St ,.F7vy,'%n`31'#a 'wiV „`'''+•- 4;+'yr't;,, ;,..-(l:r +'' `y `7t "V l;""r ✓ t'!r'
G1 Ct/
Building
Mailing
Address 7,2 _ 9r5-.0 Smisi -/kc /%,/
City! Zip Tel.
'U" , 4,1f. ?.acv -
Contractor
,caress
7). —
P.O. BOX 1504 APPLICATION ONLY
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
City Zip Tel.
State Lic. City
& Classif. n i'- v --k , Lic. # 1 —
Arcn., tngc,
Designer Ste!
Address _ Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License law for the following
reason: (Sec. 703 1.5.
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).
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.)
11 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
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
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 ($100) 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 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
1 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.
1 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 lot inspection purposes.
Signature of a0pl
Mailing Address_
City, State, Zip.
TYPE'CONST. OCC. GRP.
Number %%y ` .17— X 00.>—
,I Description r 123 F' C,N.. i-26 001T 27
Ict Description
Sq. Ft. No.
Size /(o S D Sto
No. Dw.
Units
New B" Add ❑ Alter ❑ Repair ❑ Demolition ❑
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 it
Validated by:
Validation: NO"
TYC)c :0-11
.,
r? 0-p ;71 Y
l.: = A ,.
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION y
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
50 . Q
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 it
Validated by:
Validation: NO"
TYC)c :0-11
.,
r? 0-p ;71 Y
l.: = A ,.
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION y
Notice:
Document Cannot Be Duplicated
Date 11/26/97
No. 16318
Owner Name Mark Tuvell
No. 54030
City La Quinta
Tract #
Desert Sands Unified School District
82-879 Highway 111
Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
APN # 774-222-002
Jurisdiction La Quints
Street Avenida Martinez .
zip 92253
Lot # 23 Square Footage
Type of Development Single Family Residence
Comments
Permit #
Log #
Study Area
1650
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
1.84 X 1,650 or $ 3,036.00 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/First Bank/Mark Tuvell Telephone
Name on the check ,t, 1-
By Dr. Doris Wilson `
Superintendent
Fee collected /exempted by Pauline Pearson Payment Received
A3,03'.
Check
Check No. 38840
Signature' Ap `I c
40TICE: 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
ibove 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
wiled 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
VA /mow
o the DeserVEscrow Division
Each Office Independently Owned and Operated
Diane Sedin
Escrow Officer
72-608 EI Paseo, Ste. N6
Palm Desert, California 92260
Office: (760) 836-1881
Fax: (760) 836-1887
/MAX of the Desert
Escrow Division
72608 El Paseo #6
Palm Desert, CA 92260
636-1881 - Fax (760) 836-1887
ESCROW INSTRUCTIONS
TO: RE/MAX OF THE DESERT ESCROW DIVISION
Escrow Officer: Diane
Escrow No.: 1860 -DS
Date: October 22, 1997
Sedin
9
Initial Deposit *$1,000.00
Deposit prior to COE *$12,000.00
*TOTAL CASH THRU ESCROW *$13,000.00
VW
ESCROW SUMMARY
TOTAL CONSIDERATION $13,000.00
RE/MAX OF THE DESERT ESCROW DIVISION IS LICENSED BY THE DEPARTMENT OF REAL
ESTATE, STATE OF CALIFORNIA.
Buyer(s) hand you herewith an initial deposit of $1,000.00.
Buyer shall deliver to you any instruments and/or funds required from Buyer to enable you
to comply with these instructions, all of which you are authorized to use and/or deliver
on or before 11/05/97, and when you are in a position to obtain a standard Policy of
Title Insurance through Old Republic Title Company, provided that said policy has a
liability of at least the amount of the above total consideration, covering the following
described property in the City of La Quinta, County of Riverside, State of California:
Lot 23, Block 296, Unit No. 27 of Santa Carmelita at Vale La Quinta, as per map recorded
in Book 19, page 82, Records of Riverside County, California
Property Address: APN #774-222-002, La Quints, -CA 92253 (NOT VERIFIED BY ESCROW
HOLDER)
SHOWING TITLE VESTED IN: Mark F. Tuvell, a married man as his sole and separate property
(exact vesting to be provided prior to close of escrow)
FREE FROM ENCUMBRANCES EXCEPT:
1) The second half 1997-1998 installment(s) of the General and Special County, and
city (if any) taxes, including any special district levies, payments which are included
therein and collected therewith, for current fiscal year, not delinquent, including taxes
for ensuing year, if any, a lien not yet due or payable.
2) Covenants, conditions, restrictions, reservations, rights, rights of -way, easements
and exceptions of minerals, oil, gas, water, carbons and hydrocarbons on or under said
land, now of record, and in deed to file, if any, affecting the use and occupancy of said
property.
3). Assessments and bonds of'record, if any, not delinquent.
INSTRUCTIONS:
1) PRELIMINARY TITLE REPORT: Buyer shall be provided a current preliminary title
report covering the property. Buyer shall within 5 days from receipt thereof, provide
written notice to Escrow Holder of any items reasonably disapproved. In the event Escrow
Holder does not receive written disapproval within said -time period, the—report shall be
deemed approved.
2) INTERSPOUSAL TRANSFER DEED: Escrow Iiolder is instructed to prepare and record an
Interspousal Transfer Deed, to be executed by Penny Tuvell, in favor of Mark F. Tuvell,
a married man as his sole and separate property, covering subject property. Said Deed
shall contain the following recital: "IS IS THE EXPRESS INTENT OF THE GRANTOR, BEING THE
SPOUSE OF THE GRANTEE TO CONVEY ALL RIGHT, TITLE AND INTEREST OF THE GRANTOR, COMMUNITY
AND OTHERWISE, IN AND TO THE HEREIN DESCRIBED PROPERTY TO THE GRANTEE AS HIS/HER SOLE AND
SEPARATE PROPERTY".COST FOR PREPARATION AND RECORDATION OF SAME SHALL BE PAID BY BUYER.
Make the following prorations and adjustments as of CLOSE OF ESCROW.
X Prorate taxes on real property, based on information furnished by seller/Title
Company.
SELLER(S) INITIALS: BUYER(S) INITIALS: *CONTINUED*
..... ........... ....
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COACHELLA VALLEY WATER DISTRICT
6
CASH RECEIPT DETAIL
7- P / f
Date, I%-- t! - 9-7 a
Received From:
r/% eillo
c c, c
Address:
' ` Lot(s)
3
Tract 13
)
Account No. (
. Service Address
G.A. Code
U
C)-'Meter(s) '
$
ervice s
❑ Backflow(s)
`
❑ House Laterals)
❑ DetectorCheck(s)
'
❑ //MeterSurcharge
Sanitation Capacity Charge
v
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Tum on Charge
Y
❑ Uncollected Account -Name
❑ Inspection Fee - Tract -
Fee -
}
❑ Plan Check Fees Water I Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer Deposit
'rl .r Cl Ca G
/ P
TOTAL
Remarks:
-
{,Copy to:
Cash
Check
r
Water Service -
Cashier
Money
Order
CVWD-438111189)
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:
54-030 AVENIDA MARTINEZ
Use Classification:
SINGLE FAMILY DWELLING
Bldg. Permit No.:
9711-042
Occupancy Group:
R-3 Type of Construction:
VN Land Use Zone:
RC
Owner of Building:
MARK TUVELL . Address: 72-850 SOMERA RD
Building Official
City: LA QUINTA, CA., 92253
By: DANIEL P. CRAWFORD JR.
Date: 4/2/98
POST IN A CONSPICUOUS PLACE