BLDG (0006-010)54218 Avenida Martinez
0006-010
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
/ 646826 B ASD ARIC 06rw i
Date f T.+ Signature of Contractor° f`+ _`""""
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 r , 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 ARGONAUT $142> CO. Policy No. WC25-614-I 15633
(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
sub* ct to the workers' compensation provisions of Section 3700 of the Labor
CU r, I shall forthwith comply with those'provisions.
'Date: & r - tAi Applicant_._ R, -;,.. ..
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) : R'J- ~+ i Date ''C
Ill
~ BUILDING PERMIT PERMIT//
- 0OCK-01'0
DATE VALUATION LOT TRACT
JOB SITE
APN
ADDRESS 54-2 its A'Vwni
OWNER
CONTRACTOR/DESIGNER/EN (NEER
JUMP" IT.A4R"M
V.ALENTlAlE 00149 U'C1lON,1.NC.
344] 8,AVMDAMAATWZ
41905 BOAR,DWAM SVITI E's 0 -
LA QUDTrA i CA 94-1253 3
.cJ`1i M DESEwr CA. 92260
(760)779-8797. MLO 25303
USE OF PERMIT
y
81,OCi.' WALL'PFR.MIT 57 LIQ. b' tJ03, CITY" STANDAk-0
6 FT. WALL 5700 Lr
NSUMNI COS'r Oar CONS'nZIUMON
1,425.00
PES'.. `s. svUmWARY
COASO'1'RUCT1ON FEE 101-000-418-000 534.1}6
1810B -TOTAL C:CtiMR.'iK1:t 031 AND i'L" CHECK
$35,00
LF.'90 PRE«P.MD RES
$0.00
/ A
RECEIPT
DATE
By
DATE FINALED
INSPECTOR
INSPECTION RECORD
' OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
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 APPROVALS
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
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
Appliances
Final
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
Utility Notice (Perm)
COMMENTS:
wFILE COPY
P.O. Box 1504
78-495 CALL'E TAMPICO
LA QUINTA, CALIFORNIA 92253 .
May 1, 2000
Mr. Richard Di Taranto
Mr. Charles Ruiz
285 Madison Street
San Francisco, Calif. 94134
SUBJECT: Parcel Merger 2000-376 on,AwnidafMartinez
Dear Mr. Di Taranto and Mr. Ruiz,
(760) 777-7000 .
(TDD) (760) 777-1227.
Your request for .Parcel Merger 2000-376 to merge three adjacent lots (APN's .774-
222-009 and 774-222-010) on Avenida Martinez. has been approved.
Please have the enclosed Grant Deed and approved exhibits "A" 'and "B for this
parcel merger'recorded with the Riverside County Recorder's Office and give us a
copy of the recorded documents for our files. Until the recorded copies are
received, our parcel merger file is final. Attached is a letter addressed to the County
Recorder for you to present to them indicating our approval of this Parcel Merger.
Should you have any questions, please call me at (760) 777-7064.
Very truly yours,
JERRY HERMAN
COMMUNITY DEVELOPMENT DIRECTOR
C rt? , Sam_zZ .
STAN B. SAWA
Principal Planner
sbs
enclosures
p:\STAN\Itr app pm 2000-376 (
FILE uOPY,
P.O. Box 1504
78-495 CALLS TAMPICO (760) 777-7000
LA QUINTA, CALIFORNIA 92253 (TDD) (760) 777-1227
May 1, 2000
County Recorder
County of Riverside
Post Office Box 751
Riverside, Calif. 92502
SUBJECT: Recording of Parcel Merger 2000-376
Dear Sir:
The City of La Quinta has approved the above noted Parcel Merger. Please.record the
grant deeds as presented by Mr.. Di Taranto, Mr. Ruiz, or their representative.
Should you have any questions, please call me at (760) 777-7064.
Very truly yours,
JERRY HERMAN
COMMUNITY DEVELOPMENT DIRECTOR
STAN B. SAWA
Principal Planner
sbs
enclosures
c: Mr. Richard Di Taranto
Mr. Charles Ruiz
p:STAN\\Itr co rec pm 2000-376,wpd
i
RECORDING REQUESTED By
ANO MIEN 2ECON0E0 NAIL THIS 9M ANO ONLENN OTNEEWINE ONM
111.11111 NAIL TAE NTATENENT'll:
sa«I 5 11 tai s 6, 5
Address
citi 41
MAIL TAX STATEMENTS TO
Nun.-T-,r n
su..I '1
AAdre" rY\ 0J ;S Gy-\
Cittya LSA* r-r. %jW .t C/i1 y ►' `
TITLE ONOEN NO. ENCN0IO NO I
SPACE ABOVE THIS UNE FOR RECORDER'S USE
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX is$
❑ computed on full value of property conveyed, or
❑ computed on full value less value of liens or encumbrances remaining at time of sale.
❑ unincorporated area -" city of Qom'`^'fi , AND
FOR A VY,.ALUABLE CONSIDERATION, receipt of which i hereby acknowledged,
7'iP Ir + -, A -r r.\ . C, >, r I e •-i. -{Z 2., I , -;-.-
U l\ ►Y-\ u r r e 6 11x1\A-,.. As J O, ,,-5-
herebyGRANT(s)-ttoo Q
L. c rG F •QQ J -ri.if' Il-n'.. 'i %1- f\ f Yl i r !` F cJ I')'1 r+Y `i- '. c. r I P -S ' ' , 1 _ Fl.;'
l. 1\ r, -,L, f r I
the following described real property in the LA- Qom,': n- Z--
Countyof ( ; z c a c _ , State of California:
Iti-I H -,\,A IS, P I aG K
Vcl
I C11 K 0
C v r - - i2E c 'CQ'e a d
This Grant Deed reflects Parcel Merger 2000-376, as approved by the
City of La Quinta on May 1,.2000.
Dated
STATE OF CALIF IA SS.
COUNTY OF ' -
On this ST' day ol. /k , in the yea d
before me e,,undersfgned.e P1gWy Public end for said Slat\ personally 1
p personally known to me
roved to me on the basis of satisfactory evidence
to be the person whose name is subscribed to this instrument, and acknowl-
edged to me that he (she or they) executed it.
.57
Signature
TARP PUBLIC IN AND FOR SAID STATE
(This .n& for official notarial strap
i .
h
EXHIBIT A..'
CERTIFICATE
OF PARCEL MERGER N0.2000-376
Record Owners
Existing Parcels
Assessor Parcel Numbers
<r
-7 --0 1G — I
7-7 4- aa ;z- -00
Legal Description of Merged Parcel .
(.o V n , 0`7 Trac, S , C A-f'n ►F - i :.
IT o qu ► fT-
APPROVED. BY COMMUNITY DEVELOPMENT DEPT
BYE AAta DATE ^ Dry
EXHIBIT l'
CASE NO. 1 1M 2 000 32 /o
EXHIBIT B
CERTIFICATE- OF PARCEL MERGER
NO 2000-376
GI-I`f OP'- I -A Pw I NTA,
APPROVED BY COMMUNITY DEVELOPMENT DEPT
BY -1.b `2AW75- DATE E5 L - C)Q
EXHIBIT F3
CASE N0. Ems- 4-1-200-3-76-
24640
Doo-3-76-
0E
MADRID
g
0
M
DEPARTMENT USE ONLY
Record Owner R. Di Taranto & C. Ruiz This Certificate of Parcel Merger N02000-376 is
Address 285 Madison St. San Francisco. Ca 9413,perebyapproved.
Map Prepared By By - A4 ` JGL IA )A,
Address Title Principal Planner
Area/District Date Mag'.l , 9nnn