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05-5203 (BLCK)P.O. BOX 1504 4 • �� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: Z05--0-0005203 Owner: Property Address: 51090 AVENIDA GARRANZRENEW STEPHEN F APN: 773-061-005- 51090 AVENIDA CARRANZA Application description; WALL/FENCE LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTI-AL( Application valuation: 3333 YY 91005 CF1 PC QUINTA Contractor: Applicant: Arc hitectVO -Engineer"% _ Owner ,i Fvi LICENSED CONTRACTOR'S 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 Class: License'No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she 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 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 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.l. 1 _ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason CO UCTION`LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/28/05 WORKER'S COMPENSATION DECLARATION 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 and policy number are: Carrier - - - - - - ----------- - - - - -- Policy Number 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 be me suNect to th rkers' compensation provisions of Section 370 the Labor Code, I 11 p w' h those provisions. Date _2 Applicant:- — WARNING: FAILURE TO SECURE WO E OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this 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 application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 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 county ordinances and state laws relating to building c struction thorize representatives of this cour)�y t�entpr 'anon the above-mentioned property f�yQti es. Application Number . . . . . 05-00005203 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 3333 Expiration Date 5/27/06 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00• -------------------------------------------7-------------------------------- Special Notes and Comments ` ADD 90 LF 6' BLOCK WALL ALONG SIDE P/L AND 50 LF 5' BLOCK WALL IN FRONT PER CITY STANDARD Fee summary Charged Paid Credited Due ------------------------------------- �� Permit Fee Total 63.00 ---------- .00 ---------- .00 63.00 Plan Check Total .00 .00 .00 ..00 Grand Total 63.00 .00 .00 63.00 i LQPERMIT Notice: Document Cannot Be Duplicated Date 11/28/95 No. 13908 Desert Sands Unified School District 82-879 Highway 111 Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE APN # . 773-061-004 Jurisdiction La Quinta Owner Name Sunrose Corp. No. 51090 Street Avenida Carranza City La Quinta zip 92253 Tract # Type of Development Comments Lot # Single Family Residence Permit # Log # Study Area 113 Square Footage 1594 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 1.72 x 1,594 or $ 2,741.68 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. w Fees Paid By Sunrose Corp. Name on the check By Dolores A. Ballesteros Superintendent Fee collected /exempted by Pauline Pearson Signature 06 `1 I&MA Pl_'atn A /��. Telep6ne 346.2.840 S, (FY L '} Payment Received $2,741.68 Check No. 130 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 x_71.-04 Building S^+fO Address Owner P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO �G /fiery SLA QUINTA, CALIFORNIA 92253 Mailing Address ity ip l. Cf Ci lift top, I Z���o d �T e/7� Contractor��" , Address - yrs a� .�✓a Cit Zi ftil p��aG��- Tel. State Lic. City & Classif. 700 Lic. # Arch., Engr., Designer 6!� 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. 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 thathe 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). l: 1, 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.) 1 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.) 11 1 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 r7 Copy is filed with the city. O 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, after 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 Address City, State, Zip BUILDING DIVISION BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Lam Project Description Sq. Ft. No. No. Dw. I Size ��f Y Stories I Units New (Poo' Add ❑ Alter ❑ Repair ❑ Demolition ❑ mated Valuation PERMIT AMOUNT Plan Chk. Dep.` • (,l� Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from C Ines Rear Setback fro rop. Li Side Street e a froru��Cen7� Side Setback *m ProLine FINAL DATE FINAL I SRECTOO;p- Issued by: Date Pe Validated by: \� Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL SO. FT. @ $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER OR SEPTIC TANK POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SO. FT. @ POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEQUIP. DRAINAGE PIPING CAR P, SO. FT. TEMP. POLE WALL SO. FT. GROUT DRINKING FOUNTAIN SO. FT. @ FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation =$ FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT, B c BATH TUB GAR. FIREWALL SQ. FT. p c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1'A c SEWAGE DISPOSAL MESH SO.FT.GAR @ 3lac HOUSE SEWER INSULATION/SOUND GAS PIPING PERMIT FEE FINISH GRADING PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL , RECORDING REOUIESTED BY cm a€LOw,um, TAX STATEMENT TO "'' LANCE ALACANO a— csy a sum sa Tide carr No. 585751 _ Fw .— -J„ 15747 PAID DOC. Transfer Tax FRANK K JOHNSON Aiv. CO. Rfecorder a � ' 348916 ^' I RECEIVED FOR RECORD AT 8:00 O'CLOCK OCT 19 1995 - Awad M ala ltaawb . .rRt�aawc.wRc� illoold�r(0 T ass L"al (2dµ) 7 ®� SPACE ABOVE TUBE UNE FOR RECORDER'S NSE Grant Deed THE UNDERSIGNED GRANTOR(s) DECLAREfs) 55.00 DOCUMENTARYjYrpT�R��ANSFER TAX IStyS PU I No. un//.3 V-0 & 7R-yA1=� L? cmnputed on.full value of interest or property conveyed. or ❑ computed on full value less value of liens or encumbrances remaining at time of sale, and FOR A VALUABLE CONSIDERATION. receipt of which is hereby acknowledged. HENRY C. GRISWOLD, A WIDOWER hereby GRANT(S) to LANCE ALACANO, A MARRIED MAN AS HIS SOLE AND SEPARATE PROPERTY the following described real property in the City of La Qu i n to county of Riverside stare of California: LOTS 18 AkQ)FILE OF BLOCK 73, SANTA CARMELITA AT VALE LA QUINTA.UNIT NO. 9 AS PER MAP Iw BOOB 18. PAGE 69 OF `ZAPS. RECORDS OF RIVERSIDE COUNTY Dated October 5, 1995 _ ) S.S. before me, (or eroved to me on the basis o1 satisfactory evidence) to be the perwnpq whose nameW is/aV subscribed to the within Instrument and acknowledged to me VM he/shefte"xecuted the Sams and that by h1s1h*W#ab- signature(Kon the instrument the , or the entity upon behaN of which the psi sm 91 acted, executed IhA Instrument. WITNESS my "eadarld official 14a ////�L:�//�.,vs� Aenr- C. iswo OFFICIAL NOTARY SEAL 11:15.W LARRY A. REM :�. Notary °uv(c — Ctaton is ORANGE COUNTY W Cam►. Expires DEC 22,1995