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9806-158 (SFD)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 7 -41F Date n2.7"_7 -- �=Signature of Contractor OWN ER-BUILDER,DEE LARATION 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. ( )r 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. (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_L.should become subject to the workers' compensation p ovisions of Section `f, e, abor Cede, I sha(I,ferthwjth comply with tliQ, rovision_s,... Warning: Failure to secure Wo'fkefs' Compensation co gage is unlawful and shall subject an employer to crrim'inal penalties and ci'Ines up to $100,000, in addition to the cost of compnsation, damages as prZided 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, agehts 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.'' , ignature (Owner/Agent),-b-/", �-_�' __;rl. '"+ Date/ �`��'!Z PERMIT PERMIT# CONTROL# !BUILDING DATE / VALUATION LOT yi11��- 5 TRACT r. /f SR1797AQ ) 2 .17 $2743 JOBrSITE APN DDREss SX745 AVENLOA CARR IN7wk 774-1 1 5-12.3 OWNER CONTRACTOR / DESIGNER / ENGINEER WORLD 1yEW iUPMIrAt'i', INC Wi:3T L1) D E VCit,i7PhI I.: Nff, INC PO SOX 11287 110 1ROK i �287. PA1I;tt11. FSERT CA 9225; PALM 1';+1:5!~1cr CA, 92755 (7450)771-5571 C',IIJ.0 _V21R USE OF PERMIT W01W) fylAST".�:`.ft iia (SW') - h.filLTi ILU SVIBM4'1 i A1L .iC0 ,,41LAN CHECK 1.7115. 1375SF, PUN101T t u;t1 S N0'1' NCLtJ0H J4.(XK. WALLS Cil( KWA,. M '111 ACT CON.,1:11RUCTION 1.3 15.5* 8 JUN 2 5 1998 VC*1 tCft*ATI[0 1.73.0(f f,J.� 1:iJ1;KA?iFX,'A R (, W1' +146.490 St' sg h L� 1'. WOOD FFI NtC> 20.00L'N .i l� �y CJ � �. �A O L J I N t pe��S�e, MA", i:i� �r'�J iT ?::Yl� rt31 1r ER'MIT FEi5 S NIM RY CONN T ZUCt1C' N Ft -43 101 -MU -4115 -OW VS45, 50 fir,, N?Jf CXfltr, $495.611 ;543X74 NdiC AL FF.2, t (l t {))QCl-.:5:21-000 553.50 i; Lf�MWAL t �6 $126.95 1,1LU4IHING FHE 101-000-419-000 5127.50 :1TRCIN(3 t, O ON I;Z:r-13:I:'1rI? 1(35..(0-241-0sN) ORA'( IDG RIM 101.-11DW423-000 x20.ix) 1NFRAST,kUC TMI. FEE 225-000-443-312 a1,88S.41 NRYCISE PLAN 1 U 1-f9Uf➢-441-3,15 $25,00 1)f"P0St'f• 10!-.41f10-439-318 .!R 50.00 S(t13-';J'(:YIAL CONS'.4"I<.UMON AAND MAN C:1'JEOZ X3.329- 6 LES, 11"RE-PA11: !TES 42-59.00 ' (VI'Ai, P3+;i`thHT !I<'K1 N. 01JK'(!(4` W- $3,137X16 fjf r�. 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 Im // Exhaust Fans O.K to Wrap AP,_ 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 p (j Drywall - I t. Lath 9 4. Final BLOCKWALL APPROVALS Final 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 Sewer Connection 7 Pool Cover - 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: • ��irl�rt/ V� P.O. BOX 1504 APPLICATION ONLY Building �" �%�� CALE O Address ��n121LA QUINTA, CALIFORNIA 92253 ' t BUILDING: TYPE'CONST. OCC. GRP. Mailing Address —708— 0,9 J® A.P. Number ✓ ��/��� "`f`� City Zip Tel. f., Legal Description &) %r 1. Contractor I Project Description— Address S & Classif. I Lic. # Arch., Engr., Designer Address Tel. City IZip I State I Lic. # LICENSED CONTRAC OR's DECLARATION I hereby affirm that I "llpens d underDro ' ons PCh ptei�9 (commencing with Section 7000) of Division 3 of� e � me3s and P of o "Code 'Fd my license Is In full force and effect. NAT P.YA%' DATE OWNER•BUILDE bLARATION I hereby afti �m�� at I am exempt from th ontractor's License Law for the following reason: (Sec. 103�f.5.Business and Professions Code: Any city or county which requires a permit to consth2 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). 17 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.) I -I 1, as owner of the property, am exclusively contracting with licensed contractors to con• strucI the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law doesnot 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 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm that 1 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 r] 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 if 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 a0plicant —Date— Mailing ateMailing Address City, State, Zip Sq. Ft. / Size New IV 0 No. / No. Dw. Stories Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ tstlmatea valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS AMOUNT 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 U. Issued by: Date Permit Validated by: Validation: i r 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 6/25/98 No. 17226 Owner NameWorld Development, Inc. APN # 774-115-023 Jurisdiction La Quinta No. 53-745 Street Avenida Carranza City La Quinta zip 92253 Tract # Lot # Type of Development Single Family Residence Comments Permit # Log # Study Area Square Footage 1,375 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 1,375 or $ 2,653.75 the property listed above and that♦*build7ing r�.... ✓ l -- i aJ a y''�-. permits and/or Certificates of Occupancy for this square footage in this proposed projecfynay now be issued Fees Paid By Cashier CheckNIB/World Development Inc. `Tt ephoiD 77;1,-5571 Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Green Payment Received $2,653.75 Check No. 166178 Signature NOTICE: Pursuant of Asse 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 will begin to run fro a 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(st)(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 1 CHARLES D. GARLAND, ARCHITECT 33-163 CATHEDRAL CYN DR. CATHEDRAL CITY, CA 92234 (760)324-7146 (760)770-7025 (fax) June 12, 1998 This letter is to serve as verification for the project listed below. The trusses provided by Trussworks are in substantial conformance with the structural calculations provided for the said project. Project: 1375 Plan - Southwest Sincerely, R)J--P-1 Chuck D. Architect Garla No. C11991 p � Co3 � EXP. DTE C 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: 53-745 AVENIDA CARRANZA Use Classification: SFD Bldg. Permit No.: 9806-158 Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RC Owner of Building: WORLD DEVELOPMENT, INC. Building Official Address: P.O. BOX 13287 City: PALM DESERT, CA 92255 By: DANIEL CRAWFORD Date: 12-17-98 POST IN A CONSPICUOUS PLACE TWT 4 4 a" P.O. BOX 1504 3 _7 & On 78-495 CALLE TAMPICO ( Q"r-T— 0/ LA QUINTA, CALIFORNIA 92253 Mailing1 Address Q. �j 3 City Zip Tel. L 47 Con ctor Address City Zip Tel. Z_ Qqaa-� 3 5&4.8¢7 State Lic. City & Classif. 3 (o�� Lic. # a 5 Arch., Engr.,F Designer �( 5 --- U - 2a U q `� & City Zip State ,vt_ Lic. # ACBc5s's-sc, NTRACTOR'SDECLARATION Ifiereb affir nder provisions of Chapter 9 (commencing with Section 70oo) f Divisi and Professions Code, and my license is in full force and I 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 the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty o/ not more than live hundred dollars ($500). ❑ 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 Profes- sions Code: The Contractor's License Law does not app to an owner of property who builds or improves thereon and who does such work Nims gh his own employees, provided that such improvements are not intended or red to ale. 11, however, the building or im- provement is sold within one year of c etion, t owner -builder will have the burden of proving that he did not build or im a for the p ose of sale). ❑ I, as owner of the property, exclusively trading with licensed contractors to construct the project. (Sec. 7044, mess and Pro s* ns Code: The Contractor's License Law does not apply to an owner property who b ds or improves thereon, and who contracts for such projects with a co ctor(s) license ursuant to r ctor's License Law.) ❑ 1 am exempt,41nder Sec. .C. for thi&feason WORKER'S COMPof DECOR I hereby affirm that I have a certificate of onse C elf-insurere,, or or a certificate of Worker's Compensation Insurance, or a certified copy reof. (Sec. 3800, Labor Code.) Policy No. Company O 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 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 if 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 ord nances 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 WHITE = BUILDING DEPARTMENT APPLICATION ONLY BUILDING: TYPE CONST , ` OCC. GRP. A.P. Number -7-7-114, /' 1 0 Legal Description LD t- Z 3 Project Description Sq. Ft. Size New ❑ No. I No. Dw. Stories Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.L, mina Driveway Enc. 4 Infrastructure TOTAL REMARKS AMOUNT 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 DA1 Issued by: Validated by: Validation: INSPECTOR Date Permit YELLOW = APPLICANT PINK = FINANCE At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/Walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that 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 ' Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 1,918 S.F. or $4,296.32 have been paid for 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/Valley Independent Bank -Amanda Velez Check No. 319772 Name on the check Telephone 564-8490 Finding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Shargg MCGilvrey Payment Recd 1$0..00 $4,296.32 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this Will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the Districtfs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting / CERTIFICATE OF COMPLIANCE Desert Sands Unified School District o� o 47950 Dune Palms Road � BERMUDA DUNES O Date 11/29/04 La Quinta, CA 92253 Ln RANCHO MIRAGE (� INDIAN WELLS No. 26654 (760)771'8515 PALMDESERT d.�LAQUINTA -may ZrsOINDIO yeti Owner Power Finance APN # 774-161-002 Add 3rranza�= Jurisdiction La Quinta City La Quinta Zip 92253- Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 53760 Avenida Carranza 1918 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/Walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that 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 ' Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 1,918 S.F. or $4,296.32 have been paid for 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/Valley Independent Bank -Amanda Velez Check No. 319772 Name on the check Telephone 564-8490 Finding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Shargg MCGilvrey Payment Recd 1$0..00 $4,296.32 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this Will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the Districtfs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting / Fidelity National Title Company 72925 Fred Waring Drive Suite 204 • Palm Desert, CA 92260 (760) 341-4102 • FAX (760) 341-2076 SALE ESCROW INSTRUCTIONS Date: April 19, 1998 Escrow No.: 1519-CAH Escrow Officer: Catherine A. Hammons Broker will deposit with escrow an initial deposit in the amount of .......... S 500.00 Prior to the close of escrow, Buyer will hand you the balance of down payment plus closing costs, the sum of ... ................. . . . .. . . S 9,000.00 TOTAL CONSIDERATION ...................................... 5 9,500.00 AND, on or before May 19, 1998, Escrow Holder will be handed additional funds and/or instruments required to enable Escrow Holder to comply with these instructions, which Escrow Holder is instructed to use when in a position to procure/issue a CLTA Standard Policy - 1990 Form coverage form Policy of Title Insurance from Fidelity National Title with a liability of $9,500.00, covering the following described prop.er�lacated in the City of La Quinta, County of Riverside, State of California: I -at 12, Block 233, UNIT 22, SANTA CARMELITA AT VALE LA QUINTA, COUNTY OF RIVERSIDE, _ _STATE OF CALIFORNIA,-AS PER MAP RECORDED IN BOOK 20, PAGE 24 OF MISCELLANEOUS MAPS, lKFT14E_0FFICE OF THE COUNTY RECORDER OF SAID COUNTY. SELLER/TRANSFEROR STATES THAT PROPERTY ADDRESS IS: unimproved property, La Quinta, CA 92253 SHOWING TITLE VESTED IN: World Development, Inc., a California Corporation FREE FROM ENCUMBRANCES EXCEPT: 1. Current general and special taxes for the fiscal year in which this escrow closes, and taxes for the ensuing year, if any, a lien not yet due and payable; 2. The lien of supplemental taxes, if any, assessed pursuant to the provisions of Chapter 3.51 (commencing with Section 75) of the Revenue and Taxation Code of the State of California; 3. Bonds and Assessments with no delinquent payments, if any; 4. Covenants, conditions restrictions, reservations, easements and rights of way now of record, if any; PROBATIONS: Prorate as of Close of Escrow, on the basis of a 30 day month: - Taxes 12— �7 /'-/1S-0Z3 Z 7 h6ulp'4 1pm�tkm Continued on following page Initials: C/