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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
603857 L3 113tj/ �Ot
,Date (a �� 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 n, , Policy No. y7
A'rir l� c.fl'�,� Imo, two.,p
��
(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 noremploy any person in any manner so as to become subject to the
workers' compensation laws of California, and agreetthat if I should become
sub'�t to the workers' compensation provisions •f S ction 3700 of the Labor
C -de, I shall forthwith comply with t ose provisions.
Date: 2 I wC�C, Applicant 44 V
f
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with .all City, and ,State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
theabove- mentioned property for inspectionOpurposes1..
,S gl nature (Owner/Agent) --� Date/2 f S,
BUILDING PERMIT PERMIT "12402
DATE J VALUATION S93tltp�15&f;o LOT 9 TRACT 8114 IJ22
JOB SIT
ADDRESS 53 -US r4K1�. NW.A. �.t�3ii�ifkl�tCA APN I 15 5- .
OWNER
CONTRACTOR/DESIGNER/ENGINEER
PALM IMSl ICI.' (A. Q211.
(760)71650-9165 Cft1,#, 210
USE OF PERMIT
Sf1lGk. E Rfi.lvlU Y DWELf..IN
1hT`l"t7Ri4 L! DOES N 0_1 6tVt,'LU Z .tl,f. 317;. ei+NllL &JR ia36L
n,c kc r C%DIS RUC:".i 10 1.501.00 101F.
POROIVI'l. ,e10 58.00 317
('FARA(:.flr.JC;A$d.1yC*T 463,0V sl.
5 FT. 'WOC,4) F ENCJx ;200.() .LI'
ESTI,MAT ED COST OF COM TIZUCTION
PERAUT 17-C EST WIWARY
.FF 'D]:.t'(:),SfT
101-000-439-31.8
-c's0.W
C!'N-51'Wf(,^t1014F€F?
9() 1-IOit('f-418-0m
1-6117,50
r°2,ANNC111 CK 2E
101 -OW -439-318
$513:1:3
bvWHANNICAL FM,
101-Ot7r421-W0
460.0v
ELECTRICAL liF.
101-000-420-000
�13x.3fD
PT.T1MA IR1NC T'FF
101 nM -419-000,
ii IrJ•74
S"i ROXG M(Y.' tO:f` FEE - lRESID
101-000-241-10,P
$9:3 t
0;iUUXN0 FEE
101.-00042.3-000
%20.00
f.3,t"sVE.%3r YA 9Y?YA.C-.F VFU
5.1,90700
Pi tti.fSR.PLAN
101-1W0-341-345
$100.00
r( Y}) r(*YI'A , CNyf n -R t,.' "(')14 tin. T) PLAN t341TK
RECEIPT I DATE
DATE FINALED I INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
5 7
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
i 14.pp
5
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
1.i - t 0- 00
Drywall - Int. Lath
_y�. -sB
Final
_
S�
Final
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
_
/z- Lj - Y
$
Main Drain
Bond Beam
/2 - 10 - �'
5r
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
. / _Heater
'l
-7
Final
Water Piping
7
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
—
Encapsulation
Gas Piping
/z /
_a
Gas Test
3
vi
Appliances
`
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Vottage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
,I :Temp. Use of Power
Final
Utility Notice (Perm)
uuGv �
BOX 1504
BuildinS 78-495 CALLE TAMPICO APPLIC TI Y
Address N /A
LA QUINTA, CALIFORNIA 92253
Mailing
-
�'3'55
Tel `1 Z,65
BUILDING: TYPE'CON�S/T. t OCC. GRP.
A.P. Number �%} ► • 1� �1! T
Legal Description tom— P Iz�fiC,Z�� p/r►.1A 11.
Project Description �.
L?P - RAI. m As -fes
state LIC.�Ity
_
& Classif. // � Lic. # Sq. Ft. , , No. No. Dw.
k'aC�� Size �� (�% Stories Units
Designer
Address
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
.7060)'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. 7031.5,8usiness and Professions Code: Any city or county which requires a
permit to construct, atter, improve, demolish, or repair any structure, prior to Its issuance also
requires the applicant for such permit to rile 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 or Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars (5500).
l: 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 or property who
builds or improve$ 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 or sale.)
I II'
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
doesnot apply to an owner or property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
17 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
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 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, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions or 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 tilled 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
News Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep. --^-
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:
1 --
Date Permit
'Validated by:
Validation:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
Notice:
Document Cannot Be Duplicated
Date 12/14/99
No. 19757
Owner NameJoe W. Stemmer
No, 53-885
City La Quinta
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
Street Avenida Carranza
Tract # B234U22 Lot # 8
c(OPY(".
APN # 774-155-017
Jurisdiction La Quinta
Permit #
Log #
Zip 92253 Study Area
Square Footage 1501
Type of Development Single Family Residence No. of Units 1
Comments
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: .
y.
' v
.r
EXEMPTION NOT APPLICABLE ✓', ",
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount off,.
1.93 X 1,501 or $ 2,896.93 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/Washington Mutual BankNicky Stemmer Telephone
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Olivia Aguirre
Signature
Payment Received $2,896.93
Check No. 104629382
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
collect 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
FROM : SOUTHWEST
LAWRENCE DITCHKUS
4825 FIR AVE,
SEAL BEACH, CA 80740
PHONE NO. Nov. 11 1999 06:27PM P2
{ /
"EIVED FOR RECO p
SAT 8:00 O'CLOCK
TRA 020-015
Doc. Trans. Tax - computed on full value of property conveyed
PAID
Doc, 7cansier Tax
FRANK K. ,JOHNSON
Riv. Co. Retaor+der
APR - 81997
Recorded i, Odium neeads
of Flim" county, calit ft
t3aaoraer
Faes
$ 7.15
R. Wayne Watts, Tax Collector
- -�
signgWre of Dedartfrit f
TAX DEED TO PURCHASER OF TAX -DEFAULTED PROPIERTY r3
I l r
On wNch the legally levied taxes were a lien for Fiscal Year 1990-91 _
and for nonpayment were duly declared to be in default 91-774155017-0000
This deed, between the Tax Collector of RIVERSIDE County ("SELLER") and DefaultNumber
LAWRENCE DITCHKUS, A MARRIED„MAN _
("PURCHASER") conveys to the PURCHASER the real property described herein
which the SELLER sold to the PURCHASER AT A PUBLIC AUCTION HELD on _ MARCH 18.19�, 7�
pursuant to a statutory power of sale in accordance with the provisions of Division
1, Part 6, Chapter 7 , Revenue and Taxation Code, for the sum of $ _ 6,200.00
NO Taxing Agency objected to the sale.
In accordance with law, the SELLER, hereby grants to the PURCHASER, title free
of all encumbrances of any kind existing before the sale, pursuant to § 3712 of the
Revenue and Taxation Code that real property situated in said county, State of
Califomia, last assessed to GREEN H_QMB GARDENINQ- INC, described as follows= 77415501-7-1 _. .
Asseasor's Parftl Number
IN THE CITY ()F LA QUINTA 53-1685 Avg CAftmiA
LOT 8 OF BLOCK 234 OF SANTA CARMELITA VALE LA QUINTA, UNIT 22, AS SHOWN BY MAP ON FILE IN BOOK
20, PAGE 24 OF MAPS, RECORDS OF RIVERSIDE COUNTY.
State of California Executed on
RIVERSIDE_ County MARCH 18 1997 8y
T Collector
On MARCH 18. 1997, before me, FRANK K. JOHNSON, personally appeared P WAYNE WATTS, personalty
known to me to be both the Tax Collector of said county and the person who subscribed to the within instrument
and acknowledged to me that he/she executed the same in his/her authorized capacity as Tax Collector, and that
by his/her signature on the instrument the person, or the entity upon behalf of which the person acted, executed
tate Instrument.
WITNESS my hand and official sea[,
§§3708 8 3504 R9T Code TDL 8-19 (5.94)
/i
is,frict. Planning Review Forr»a,,�
. G 0
This form is to be used by CDD staff for review of single family dwellings in the�R�C.((Cove
Residential) District, in order to determine the applicability of compatibility, issues dr 4'
to require the filing of Master Design Guidelines by the applicant. It shall be transmitted to
Building & Safety as your corr.ectiori list.'Please attach additional explanations as necessary.
APPLICANT: JQE STEMMER,: JR.
PROJECT
ADDRESS: 53-885 Avenida Carranza
APN:. 774-155-017
LEGAL: LOT 8 , BLOCK 234 , UNIT 22 . S.C. @ V.L.Q.
CK'D BY: Greg Trousdell
BIN NO:. CASE NO. 99-158 .,CHECK -DATE:
Inform -'the assigned Building plan checker .upori. your assignment to this case. The CDD
Executive Secretary maintains a log book to track applications and. assign case numbers.
REOUIRED ITEM
Y
N
COMMENT/CORRECTION
..........:,....:...:....:.:::.:.::.::....:..:::.....:...::.:.........,.....;:.:.................
2•\ 3C L..
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,N+:\ ': ::w1 •. : a?•., v�i;v �;i' `:;.�,�`;\..•
„4\:�;::2•:,.�:;�:;�:2;:.2;:, ...�>.,�.....4 �...,•\\
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�� }:+`1GJ::.:,^i:%\\'•4..,,C'2�2: .. %...?...
.: \22;.x.: .9%�:....:.....::,: .. t....•2 ...:............,
Case logged and number assigned
Verify legal and APN information
Consistent with MDG on file las applicable)
MDG filing required (5+ filings since 9/3/98)
•1 O /
RC1\ f
Consistency Wth-street/surrounding area:•
R0�
Colors �� 5
Materials fir`
Architecture
OTHER REOUIREMENTS:
Z
The Toning. code, architectural and landscaping manuals, and/or assigned inspector should
be consulted where uncertainties arise. The completed checklist shall be maintained in the
Building'& Safety address file.
lip
1� V Y ✓
Building
Address 1
���,�(33"
•- 4th,:.
V V
P.O. BOX 1504 APPLIC TI Y
C� r2RQN �►� LA QTAMPICO
UINTA CAL 95 FORNIIA 92253
'
-
madness
3- S
�tyafZ Zlp L , Tel loV !jS
State Lic. City A tc
& Classif.7 j-� Lj -4 Lic. 8
Desigy, .,
ner
CityI Zip State
Lic. III
LICENSED CONTRACTOR'S DECLARATION
I 77hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
1 Division 3 bl the Business and Professions Code, and my license Is In full force and
ef) .
SIGIIATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractoes License'Law for the following
reason: (Sec. 7031.5.8usiress and Professions Cade: Any coy o+.coudy which requires a
Permit to. construct, after. Improve. demolish. or repair any structure. Pdor to'Rs Issuance also
requires the appi:471 for such penny to file a signed statement that he Is kcrosed pursuant to
the provisions of the Contractor's License Law, Chapter a (commencing with Section 7000) of
Division 3 of the Business and Professions Code. or .that. he Is exempt therefrom, aro the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to 8 civilPenalty of not more than rive hundred dollars (41500).
1'J 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, Busiess 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 empioyees.
Provided that such improvements are not intended or offered for sale. d, however, the b&AVkV
or improvement is sold within one year of completion, the owner-buider wig have the burden
Of proving that he did not build or Improve for the pWPOSe of safe.)
VI 1, as owner of the property, am exclusively contracting with licensed contractors to con•
•struct the project. fSec. 7011, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who bias or arploves 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
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'COMPENSATIONINSURANCE
(This section need not be competed g the permit Is for one.hundred doiars (41100) valuation
or leu.)
I certify that in the performance of thB 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, g, after making this Certificate of Exemption you should become
subjectto the workers' Compensation provisions of ale Labor Code, you must formwith
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. 3087, 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.
1 agree to comply with all city and county ordinances aril state laws relating to building
construction, and hereby authorize representatives .of this city to enter the above-
mentioned property for inspection purposes.
Signature of aQplicant Date
Mailing Address
City, State, Zip
�l Ij I
DING: TYPE'CONST. OCC. GRP.
Number git s4 - 1'—C21:_
I Description i.G' f� + it Z I q
ict Description S e -
QP - IWI M A6TI, e-_
Ft. a __ ._ it 4, No.
New. Add O Alter ❑ Repair O
DW.- — - — - -
I PERMIT I I , AMOUNT.
Plan Chk. Dep
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 Permit
'Validated by: ,
Validation:_
PINK o BUILDING DIVISION
Certificate of Occupancy
City of La Quinta
Buildingiand 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:
Use Classification: SFD
Occupancy Group: R 3
53-885 AVENIDA CARRANZA
Bldg. Permit No..: 9912-102
Type of Construction: VN Land Use Zone: RC
Owner of Building: JOE W. STEMMER Address: 42-355 WASHINGTON ST #355
City: PALM DESERT, CA 92211
By: STEVE TRAXEL
_7
/ &"hA 90-04 4« Date: 09-13-00
Building Official
POST IN A CONSPICUOUS PLACE