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SFD (0009-050)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 291728 B Nle 08/31/2C 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 (Seca 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. (,)/- 1 have and will maintain workers' compensation insurance, as required by Sed ion 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 �T.ATE FUND Policy No. 229.00 UNIT 0004483 (This section need not be completedtifthe 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. pate: / 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 !, ' idww BUILDING PERMIT PERMIT# DATE VALUATIONLOT 0(}09wMif TRACT V381,10 l 3 DLX249 JOB SITE ' APN ADDRESS !0_9W A#3/ .I'IfI>!1. pJ1.EXM0ZA 7744'r3-012 OWNER CONTRACTOR / DESIGNER / EN (NEER 8'.I,"AULICatI.1T MAWAf.%WIff I WtLT.TAM R'U SEI ,I.. ROGERS 51-:370 AVENTMA:6k rMA s 56900 JAC" ON ST 1,AC��t371�1"I'A. CA 92253 `J.7��f."I2Ibi IL CA 9274 a,. I {760'399.1200 MI.,#k 1954 USE OF PERMIT S.tl+l'QI.E FAMY IMM -WO, SPD.PLAN :MAA PP-RA411T ]DOES Naf INCLUDE IZOCKWIALL I POW =i/ KWAY APPROACH 1 TRACT CONSTRUCTION 1,409,00 SP CiARA1 IIJC_A t3 ORT (St) _ , IM72.40 S FT. WOOD VENCE 200.0fk LF M"#,AiI" COSI' OF COJN7SMUMION )PF..� :" S'UatY CONSTRUCTION FEJT 101.000.418.000 $590,00 PLAN CHECK FU 101--000-439-318 14$5,21 MECHANICAL FEE 101-000-421-000 553.50 ELECTRICAL FLAY 101-OOG-42Z-000 1129.20 PLUMBING FEE . "' 101.000.419.000 1110.75 MONQ MOT1014 FEE - RESID 101-000-241 ••000 18.94 GRADINO FEE 101-000.423.OW. 120.00 tOZVZWPZR IMPACT FZZ 11,907.00 PRWISE PWA -W 101-000.441.345 V00.00 $9,382� 3 Q SUB -TOTAL CON#iMUC•!`3:C,1N AND PIAN CMC.R $3,414.50 1.(3...90 PRE -PAM REES $0.00 RECEIPT I DATE 'i � ` (r 1, 111 �, 1(Ji I � fIN D l I INSPECTOR 5. 9�0 INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade V (' Return Air Steel Combustion Air Roof Deck ! O.K to Wrap ��`� s7 Exhaust Fans F.A.U. Framing�� Insulation �' '-�t Compressor 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 o57 POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs 6I _ yp - p0 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 Water Piping A /O- ( Heater Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection _,2,6 OO 7 Encapsulation Gas Piping Gas Test p g Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole p - So Underground Conduit Rough Wiring Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final D Utility Notice (Perm) T4'yl 4 4 " P.O. BOX 1504 Building [� �+ ( 78-495 CALLE TAMPICO Address .. 7 d �% '1� U[Ip7hLA QUINTA, CALIFORNIA 92253 mailing Address Ti -97.0 A ©ui ri-m I q 2. z,-;*( 1.711 -i b J State Lic. City & Classif. —/ of ? Lic. # Arch., Engr., Designer 44 e -w Address ` Tel. A Q G I(_ Ise City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) t.of Division 3 of the Business and Professions Code, and my license is in full force and effec 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 that. he 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 ($500). f-.' 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 orimprovement 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 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'7 I am exempt under Sec. B. & P.C. for this reason Date Owner s 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. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (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 thg 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 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 ateMailing Address City, State, Zip �64RA9E , 13129. ISL ID G S1 -4 -FF FOA X01-4A/S APPLICATION ONLY BUILDING: TYPE"CON.StT. ^� OCC. GRP. A.P. Number ^� I 1 �J �r► Legal Description �.Ca`T k 3 Project Description tlt1J t`i 1,i 0 1. 3 Sq. Ft. No. No. Dw. Size ��A9 Stories 1 Units New Add 0 Alter 0 Repair 0 Demolition 0 r¢ A—, AN- Z Estimated Valuation PERMIT AMOUNT Plan Chk. Dep.. SC) Plan Chk. Bal. 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 9/18/00 No. 20996 Owner NameStarlight Management No. 53-980 Street Avenida Mendoza City La Quinta Tract # Lot # 13 Type of Development Single Family Residence Comments APN # 774-173-012 Jurisdiction La Quinta Permit # 0009-050 Log # Zip 92253 Study Area Square Footage 1409 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 2.05 X 1,409 or $ 2,888.45 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 / Canyon National Bank / Rose Speakman Telephone 74 -39S, -1200 - Name on the check F By Dr. Doris Wilson Superintendent Fee collected /exempted by Annette Barlow N4���Signature�vv� Payment Received $2,888.45 Check No. 05008 NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to :;oIlectthem on the District('s)(s') behalf, whichever is earlier. es,, Collector: Attach a copy of county or city plan check application form to district copy for all waivers. r q,!r• Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting ;. { ,r�»n.��:. �__.. _ ,,. �:3' ASO ��/. M•EN bOZ�. ; _�. -'CAL' 1 FO FLIY 17,A s VACANT LAND PURCHASE CONTRACT ASSOCIATION r�tr �' �s 4 ® AND.RECEIPT. FO' 'OF IrEALTORS _ R DEPOSIT j r DATE: 7 —j 100. at yr California RECEIVED FROM (n a.0("Buyer") A DEPOSIT OF to Dollars$ O TOWARDTHE PURCHASE PRICE OF 7 i Dollars $ FOR PIiCHASE OF PROPERTY SITUATED IN I COUNTY OF _ V¢ r s )dip California, ,0ESCRSED AS L ASSESSORS PARCEL q 44 — — l' ("Property"). ❑ (If Checked:) The attached Manufactured Housing Addendum is incorporated into this Agreement. 1. FINANCING: THE OBTAINING OF THE LOANS ,BELOW IS A CONTINGENCY OF THIS AGREEMENT. Buyer shall act diligently and in good faith to obtain the designated loans. A. LOAN CONTINGENCY shall remain in effect: until: (Check only ONE of the following:) ❑ (1) The designated loans are funded and/or the assumption of existing financing is approved by lender and completed. ❑ (2) days from acceptance, by which time Buyer shall give to Seller written notice of Buyer's election to cancel this Agreement because of Buyer's inability to obtain:.(1) The designated loans, or (ii) The approval of assumption of existing financing. If Buyer does not give Seller such notice, the contingency of obtaining the designated loans shall be removed by the method specified in paragraph 15: B. BUYER'S DEPOSIT in the form of—personal check, ❑ cashier's check, ❑ other, PAYABLE TO shall be depositedwith Escrow Holder, . into Broker's trust account, or ❑dilb�° TO BE HELD UNCASHED UNTIL the next business day after acceptance of the offer or ❑ C. INCREASED DEPOSIT within days, shall be deposited with $ D. BALANCE OF DOWN PAYMENT to be deposited with Escrow Holder within sufficient time to close escrow ............ $ 10 E. -FIRST LOAN IN THE AMOUNT. OF ............................:...:..........:................................$ Q NEW First Deed of Trust in favor of ❑ LENDER, ❑ SELLER; OR ❑ ASSUMPTION of Existing First Deed of Trust; encumbering the Property, securing a note payable at approximately $ per month, at maximum interest of % fixed rate, or % initial adjustable rate with a maximum lifetime interest rate cap of balance due in years. Buyer shall pay loan fees/points not to exceed F. SECOND LOAN IN THE -AMOUNT OF......................................'.................:.......:.......... $ :❑ NEW Second Deed of'Trust in favor of ❑' LENDER, p .SELLER; OR '❑ ASSUMPTION'of Existing, Second Deed of -Trust; encumbering the Property, securing a note payable at approximately per month, at maximum interest of % fixed rate, or % initial adjustable rate with a maximum lifetime interest rate cap'of .balance due in years. Buyer shall pay loan fees%points not to exceed G. ❑ (If Checked:) MANUFACTURED. HOME LOAN in the amount of .......:.....:...= .................. ; ... ........ On the terms -and conditions described irrthe attached Manufactured"Housing. Addendum (MHA -14). H..AbDITIONAL FINANCING TERMS: $ I. TOTAL PURCHASE PRICE, not including costs of obtaining loans and other closing costs ...........................$ / 71 0OQ J. OBTAINING DEPOSIT, DOWN PAYMENT, and OTHER CLOSING COSTS by Buyer is NOT a contingency, unless otherwise agreed in writing. K. IF THIS IS AN ALL.CASH OFFER, Buyer shall, within 5 (or ❑ _) days from acceptance, provide to Seller written verification of sufficient funds to close this transaction. Seller may cancel this Agreement in writing within 5 (or ❑ _ ) days: (1) after receipt of the funds verification, if Seller disapproves it; or (2) after the time to provide the funds verification expires, if Buyer fails to provide it. L LOAN APPLICATIONS; PREQUALIFICATION: (1) For NEW and ASSUMED lenderfinancing: Within 10 (or ❑ l days from acceptance, Buyer shall provide to Seller a letter from lender stating that, based on a review of Buyer's written application and credit report, Buyer is prequalified for the NEW and/or ASSUMED loans. indicated above. If Buyer fails to provide such letter within that time; Seller may cancel this Agreement in writing. (2) For SELLER'financing: Within 5 (or ❑ _) days from acceptance: (a) Buyer shall submit to Seller a completed loan application on FNMA/FHLMC Uniform Residential Loan Application; (b) Buyer authorizes Seller and/or Brokers to obtain, at Buyer's expense, a copy of Buyer's credit report;. and (c) Buyer shall provide any supporting documentation reasonably requested by Seller. Selter may cancel this Agreement.in writing if Buyer fails to provide such documents within that time, or if Seller disapproves the application, credit report, or -supporting documentation within 5 (or C] _� days from receipt of those documents. M. EXISTING.LOANS: For existing loans.to be taken over by Buyer, Seller shall, within the time specified in paragraph 15, provide.to Buyer copies of all applicable notes and deeds .ottrust,.loan balances, and current interest rates. Buyer shall, within the time specified in paragraph 15, provide written notice to Seller of any items reasonably disapproved. Differences between estimated and actual loan balances shall be adjusted at close of escrow by ❑ cash, down payment, ❑ seller financing, or ❑ Imnnnnd errounts. if anv. ;hall ho ,o.-.....,.+ -4 ,-i,•,"'A +,. a.-- • 4 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 lista Please attach additional explanations as necessary. APPLICANT W R ROGERS SITE ADDRESS 53-980 Avenida Mendoza APN 774 _ 173_ 012 LEGAL: LOT 13 BIN NO.: ��. CASE NO.: 2000-298 BLOCK 249 UNIT S.C.@V.L.Q. CHECKED BY: Leslie Mouriquand DATE: Inform the assigned Building plan checker upon your assignment to this case. The CDD Execut ve Secretary maintains a log book to track applications and assign case numbers. REQUIRED ITEM Y N COMMENT/CORRECTION Compatibility Review Case logged and number assigned Verify legal and APN information I/ Consistent with MDG on file (as.applicable MDG filing required (5 filings since 9/3/98) Consistency with street/surrounding area: Colors Materials Architecture r� Pianni, Other Requirements: p Cmm Initi Casi Exhi 13 Wth , 1/ C Is P No. it C g C tiny: ino eso ___._vy mmission ---- �.— Dev. Dept. ��`�` nditi Certificate of Occupancy Cityof .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, rhisstructure was in compliance with the various ordinances of the City regulqting building construction or use. For the following* BUILDING ADDRESS: Use Classification: SFD Occupancy'Group: -R 3 53-980 AVENIDAMENDOZA Bldg. Permit No.: 00.09-050 Type of Construction: VN' Land Use Zone: RC Owner of Building: STARLIGHT MANAGMENT. Building - Official Address: 51-370 AVENIDA BERMUDAS City: LA QUINTA, CA 92253 By: STEVE TRAM Date: 04-05-01 POST IN -A CONSPICUOUS PLACE