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9705-052 (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 257214 B 660/97 •. Date Signature of Contractor �"`��'�✓✓ "OWNER -BUILDER DECLARATION I hereby affirm under penalty ofperjury 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 therproperty„am exclusively contracting with licensed contractors to construct,the'project (Sec. 7044, ;Business & Professionals Code). r.. �. _ O I am exempt under Section ./`- B&P.C. for this reason Date,/,- �Sigofure of Owner'" WORKER'S COMPENSATION DECLARATION' ' -I -hereby `affirm under penaf,,perjury one of the following declarations: .A ) I have and will maintainca ertificate 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 Policy No. CAS. COMP %V 9; f U! 114KI, . (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 subject to the workers' compensation. provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: /1 -e•' •'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, Safetj'' • 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), *"' ` f- +`� '�"'" a`�' Date BUILDING PERMIT PERMIT# CONTROL# . 5352 DATE 1219 y VALUATION {�. �{ / q +LOT . TRACT ! 131 JOB SITE ADDRESS«1iE)I�•Ed!`;.�tVll_���J;�� 7v%�-F►�i^�N';` OWNy.ER} • , CONTt,RACTAOR /(DESIGNERENGINEER S ( y 2 p� t 37' f D { t [� i'iE LJ.�`i�. BAKE l:. itrc. c.�i�:i�i,�..iw7ri,�.tii � •' 7/ 111 AL. Yi. i)fi,.t E1111 E.IN ( li.'a�illt.i..J.ES •. •. n �y pGC ` 1873.4USSINESS CEN"1'.E12 I�8.IVE, 187-5 BU,141NI:SS C EN"11ZER 17IUVE SAN E3FRNAYU31N:i C.A. 92408 SAN.g.ERNA ,R-DWO CA 92408 • � 0a)£?F3�!-` J. CB11 1706 USE OF PERMIT S;0,5 - 'r'.•f2ivit i' .00ES ,tvL,1i I NC"t.tME T3LOCK 0 OR 1'00L .Y, • 1, 1:72 Aj::2' t�viJ:i°i I21Jij I'.it,N PtJttCki7PATIC)s fBtt�J [VX:tl:•,"�:y'y�•% tai/'LiSAF!le�CA.,l�Y"4�R' 460M(1� s ESTIMATED C'®S"�' i�.ar" G`C3NS �'� W C'r ION .91,612.00 � (XINu`!'ti[,rt;310NFRI-, 1{)1-000.418-000 $(9)330 t�{,I�jf(.�tl�f ►%;'lat; !0!-4)00-4 Y)-318 r. •is by . .. n y i 2F. N11 04ANI[ A1.111'h ,Al7.i l) J . 2F' i9 fiC"f!i!+`"AL J,+.E4 Ei:11-000 eln,-000 S1..S17 ~ F t t yN0 >Vft s I .E (Jt4 FEE- 10,Sl D 101-000-241,000 0dAti.tdtk111;Iti1-Cl(!te•�1�.3-(iE34 fi20.UU ZLL f lT titl.`� I`Jtit�' d 11 LE. VEM' 25-000-443••34 �7kt�37.sr S!^ B `!'CJ"1 �Ai.4,1°ii�iS'1" I JC 1 i'C)?�I AND S'I�AN C UP'ICk� +.t $3,'191,31 ,-:o LESS t'IZ.1 1'A1D 1 I ES ,,. _$61&1&00 - • t • RECEIPT DATE BY DATE FINALED INSPECTOR r INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS `MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Q Q7 77 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 Wali Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVAILS 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 f7Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral V57 2Pool Cover Sewer Connection 0Encapsulation 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: ,; ..TAiyl / P.O. BOX.1504 APPLICATION ONLY Building V 7&105 CALLE ESTADO Address Jrl —g00 AVL 9u,81 0 7 LA QUINTA, CALIFORNIA 92253 Neal I. baKer Enterprises Mailing Address 1875 Business Center Drive City Zip Tel. San Bernardino 92408 909-884-7241 Contractor Address 1875 Business Center Drive City " Zip Tel. State Lic. City & Classif. California B Li Arch., Engr., Desigrn.even P. Murrav Address Tel. City Zip State .3011 DC -Ila Vu I Hu 92401 Lic. _ 111/U LICENSED CONTRACTOR'S, DECLARATION I herebyy affirm that I am licensed under provisions ofjChapter 9 (commencing with Section 7000) of..Division 3.0f the Businessand Pro essions Code, and my license is in full force and effect. 4_ 28_ X SIGNATUR(Ei C 3��_� Cil/ I DATE OWNER -BUILDER DECLARATION I hereby/dffirm 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 of not more than five hundred dollars (8500). 17 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.) I. 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.) 171 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certifiedcopthereof. (Sec. 3800, Labor Code.) Policy No.W971 � Z04A49o1ppany Ca I comp ❑ Copy is filed with the city. ]Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed I if the permit is for one hundred dollars (S 100) valuation rf 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 BUILDING: TYPE CONST. R P S i d e n 0ed. GRP: A.P. Number 7731620033 Legal Description Lot 22 ( SEE ATTACHED) Project Description Sq. Ft. No. No. Dw Size 1502 Stories Sing 1 e. Units .'Single New I� X Add ❑ Alter ❑ Repair ❑ Demolition ❑ 97 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is is+,)t Sec. 3097, Civil Code.) N Lender's Name Y. Lender's Address 1 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 propelrty for inspection purposes. i 'f Signature of applicant 4-28-97 +[\{�f - Date Mailing Address 7` r City, State, ZipR!2_ A _ Q (i R BUILDING DIVISION Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 2 5a 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 3 FINAL DATE - INSPECTOR Issued by: } Date, t Validated by: Validation: I�� 9 9 39 NITA CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES r NO. PLUMBING ES IST FL. SO. FT. g, $ 2ND FL. SO, FT. @ POR. SO. FT. @ GAR. $O, FT, g CAR P. SO. FT. WALL SO. FT. (R SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET ~ y YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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. @ c BATH TUB SO. FT. p c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SU, FT. RESID ® I,/. c SEWAGE DISPOSAL SO.FT.GAR @ ?Ac HOUSE SEWER REMARKS: VENTILATION GAS PIPING PERMIT FEE 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 R 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 APPJEOUIP. 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL GARDEN WALL FINAL INSPEGTUK'S 51UNAT URE5/1NITIALS Notice: Document Cannot Be Duplicated Desert Sands Unified School District 82-879 Highway 111 Indio, CA 92201 619-775-3500' CERTIFICATE OF COMPLIANCE Date 5/21/97 No. 15555 Owner Name Neal T. Baker Enterprises No. 51800 Street Avenida Rubio City La Quinta Tract # Lot # Jurisdiction APN # 773-162-003 La Quinta Permit # Log # Zip 92253 Study Area 113 Square Footage 1502 Type of Development Single Family Residence No. of Units 1 Comments At the present time, the Desert Sands Unified School District does 'riot 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 1.84 X 1,502 or $ 2,763.68 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed ' projectrriaed y now be issued � Or j Fees Paid By cc/Business Bank of California/Neal T. BakerTelephone X909-884=7241 ffilturplisics Name on the check By Dr. Carol McGrew^ Administrator in Charge ;?? ; ;r Fee collected /exempted by Pauline Pearson Payment Received $2,763.68 Signature P) 1 QQnn4 P1AAA1t)61Vk-_ Check No. 73290 10TICE: 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 ollect them on the Districl('s)(s') behalf, whichever is earlier. o . 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 WHEN RFCOR!XO MAIL TO NSAIs T. BAKER ENTERPRISES, INC 1875 business center Dr cv San Pernardlao, Calif 92408 ci ZZ:..a a vir ESCROW NUMBER: 1765-K ORDER Numegft SPACE ABOVE THIS LINE. FnR RECORDEWS USE t MAIL TAX STATEM'jNfS TO 11NAL T. BAS . ER gNTSRPRISZS. INC DOCUMENTARY TRANSFER TAX 9 X Canm�o on mo rn,twtcpaeM —we go Dmcrry convelea aq 1875 Business Center Dr CO -p..1...11. the W%4 40.6 W **gW"bWqj S40 Bernardino, Calif 92408 GRANT DEED FCA A VALUA8tE CONSIDE RATION. 'eLUIJX Of Ofhth r, 1111 0V AC1jow1Vjnftd JOHN REGINALD muitpffy hefob%- GRANT(St to HEAL T. BAKER ENTERPRISES, INC.. A California Corporation Ift'. 1-1 1.10P.-Ity - JON,- r.17 .0 La Quicta c""y 11 Riverside upictiew as AS PER LEGAL DESCRIPTION ATTACEED HERETO AND MADE A PART HRREOF: July 12, 1989 Ir ..... ..... . 1-70AIAl 1f6(j1VqLZ /qplv/!V I h — ...... * ///JOHN RECTI filto MURPHY Of# 1tfAA i"t* LQBARCARA McCULM r;- -IC--A' A; ma ft Go %mwlje ..EYI,i. YiiYM,�Li ♦1Vit Q i 0 N PARCEL I: Late 4 and 5 of Block 29 of.Santa Carmelite at Vale La Quint&. Unit 2 as shown by Map on file in Book 18, Pages 55 and 56 of Maps. Recorda of Riverside County PARCEL II: Ltt 10 of Block 30 of Santa Carmelita at bele La Qointa. Unit 2 as shown by map on file in Hook 18, Pages 55 and 56 of Maps, Records of Riverside. County PARCEL 111: Lots 3. 15, 17, 19. 20 and 21 of Block 31 of Santa Carmelita at Vale La Quints. Unit 2 as shown by Map on file in Book 18, Pages SS and 56 of Maps, Records of Riverside County PARCEL IV: Lots 20 and 24 of Block 32 of Santa Carmelita at Vale La Quints, Unit 2 as shown by Map on file in Book.18. Pages 55 and 56 of Maps, Records of Riverside County PARCEL V: Lots 7, 8, 9 and 10 of Block 33 of Santa Catmelita ac Vale La Qeinta. Unit 2 as shown by Map on file in Book 18, Pages 55 and .56 of Maps, Records of Riverside County PARCEL VI: Lots 3, 4, 20, 21 and 22 of Block 34 of Santa Carmelita at Vale La Quints, Unit 2 as shown by Map on file in Book 18, Pages 55 and 56 of Maps, Records of Riverside County O PARCEL_IV: LOTS 20 AND UNIT 2 AS 24 OF BLOCK 32 SANTA CARMELITA AT VALE SHOWN BY LA ALTA STANDARD POI_Ir,Y 'NO. PARCEL_.I.I_ PARCEL V: POLICY 1793020 , LOT 10 OF BLOCK UNIT 2. AS SHOWN By 30 MAP OF SANTA CARMELITAT AT VALE LA PARCEL_VI_ 56 OF MAPS, RECORDS OF ON FILE IN BOOK ].E3 PAGES RIVERSIDE QUINT A 55 AND .---> R I VERS -.I DE—G0UN.T,Y,, COUNTY, CALIFORNIA. I PAPCEL_III_ LOTS 3> 15, 17, AT VALE LA QUINTA, 19, UNIT 21 BOCK 31; SANTA CARMEL. 202 OF PAGES 55 AND CALIFORNIA. 56 AS ASDSHOWNI~By MAP O FILE1a OF MAPS, RECORDS BOOK Y, PARCEL_IV: LOTS 20 AND UNIT 2 AS 24 OF BLOCK 32 SANTA CARMELITA AT VALE SHOWN BY LA 56 OF MAPS, MAP QIJ.INTA RECORDS OF R BOOK VERSON FILE I 55 AND .I 18 PAGES .I , PARCEL V: . LOTS 7, 8, 9 LA QUIT N NTA AND 10BLOCK 33 UNIT 2 OF SANTA CARMELITA ' A,_, 55 AND OF VALE SHOWN BY MAP ON FILE I N BOOK 18 PAGES MAPS, RECORDS OF RIVERSIDE PARCEL_VI_ COUNTY, CALIFORNIA, .LOTS 3, 4,-20, 211 -AND 22 OF -BLOCK 34 AT VALE LA . Q1J I NTA OF ` SANTA CARMEL I TA's" �16-:PAGES 55.,AND�56-OF =MAPS, 2 RE AS SHOWN BY."MAP ON ----�J CAL -I FORN I A RECORDS -0 FILE I N BOOK j .---> R I VERS -.I DE—G0UN.T,Y,, CM I PAGE 2 -i ow I.