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9907-106 (SFD)LICENSED CONTRACTOR DECLARATION tl 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 »..., PD eSignature of Contractor •�'f"� ..ter c 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). O 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: Carver r•� Policy No. Lr J:11`.1 a {: Ja+,�ra'1 !'ll+l.: + . (This section need not be completed if the permit valuation is for $100.00 or less). (�(p 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 y 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 s�!all fIlrthwith comply with -those pr visions. : ` lmIT`) ff t V©atel ` t. Applicant 1 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. '. : • . f . t, , 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 applicator 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) t11� �l - r' t`f L it Date�t' BUILDING PERMIT PERMI TJ,,,7t.� `TRACT DATEf ysilii�= VALUATION_ �:���lr..�.,ij LOT 4{) '.f I'IfK�!Jf1tfT.Ir,. JOB SITE :4-`47,A_`.'iNY.'i'i41 liX14 i*�- tl•@ r' . ADDRESS n- JAPN OWNER { CONTRACTOR/ DESIGNER/ ENGINEER r %r r,' r+i Ala I, _7t' r•. ♦.....,• •,• 111\1111 I1.\ ; - ` 4A1 -1V P11 Alfl+' {^1�: At 1:11M�tr (1Pl�.l`Y't) tf• 0`01 ,. ✓J law 4 a..f,. iia la.a•lfra+I.f1,>I•\.,; a�1IJ A i. /l+. l.rlra S f p 1 �e f +I1 i�tt1l.SVt'1'I� �7 �y f 4a , , l,A f ji3@!V I !\ USE OF PERMIT _ :. _D-KPIAPAT .11.•z'..1N0L iNC14111 J9sX.4.0K.WAT'"t.,i,�'t'�E'IJV,I...PLAN O-11E4iz. i� f:kS TCi�i..rki<.�;o'/'-� t�l.rs1 N:itii'!'ffkl,ta ;.:ytitJAlm���; C:1';:�t1llri.i:; i{idii•1'k'1'i!!5. •-a• •i 1 ' .Ya+. /. • N. ! t' it f,Y� - t i\! S,.'a' L, 1�1i i..i S L4UL L !'JlV t �.11%ils,H 1 J4' i • I � • PORCis'J,'AIO ii.ifcl 1 cfl•lit/11.3t•'itJr\it!'t.rit•I' •t;ic,tlt:iF� .rx�sr r „ Imo -es R!r 8 -ck+41 9" '•'+,4141 ^V !' j'R:1F(ia'i•OR I vi—t10 "N' :.. F.B'a 'a 911 4Ta. 1L.fs 1.2 t 44.83. R;, Al OrRa. l$ ..i'. Q..♦fl t. 9 t Yba,a..a N♦!i� .1'a1'+}PSI Ilt. .. Sar, i�3l i{y��it 3/6+l �6�J Ofi;gZ��d! •..• �. r'/ai p�y{� (.�;;���1((��' �iy`'�. ;r Ni.ANi.tii�t•;`k bi»i?. ,4111-fNtli.,$ ?�-it�t :4:!'k+�'! -•"'' !? TO V-4 'Y. MA_! -14T slit. It Y -i •i+ •1!)•. tit . a'ur nn0 'lt ••Y, ,\tN.!.�ti/a1b,t�. 71L 1':R. {+ A -s ! 'IY. t'UtI .Y 1 , 1�t•!. �•- � •/_.• 2 , I'•'•'°! jar fi t i t J t+t, UVt'ftt+N(.fkkk ftlj=f_Jlri1 i''•Ut1ff St�3.+lt 31*1'Rr lwrl A.Ir 111 ION OPP . PFA113 11}t.t m m I -Nit a` ��:�/`S%?f":I.i f�i.', ilii V{�•is.�.t��ii vwil,i!!Y 1 i�iCtstil:i3i 1H1.1�fY )��-1tET.!_•ilit'=�•i:� .• :r.:ti,tui . f'i»!: falitfF �;;f';' �• i;,�t-llUf3-lf teir"�,#TK •`"r,-��!',1+,>n,» w - T)F:iJIXI t'wf .Ti lml-Ar:T-r4.-V.9117 ! .. 41 H'-P01'A t. (..C)N,`ZVR i(N'10"V _ANT) PlltA\!! (1114"k ' ? '47t•C' r�t7r; 1'P tri la.l..•e it�t l,• R 1 �i OA RECEIPT DATE BY DATE FINALED INSPECTOR ', ; h' r INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING Set Backs APPROVALS , rj� MECHANICAL APPROVALS Underground Ducts Forms & Footings % Ducts Slab Grade Return Air Steel Combustion Air Roof Deck O.K to Wrapf S� Exhaust Fans 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 Drywall - Int. Lath Final ___Final Ila POOLS -SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I Gas Piping PLUMBING APPROVALS Waste Lines �� Gas Test Electric Final Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final , COMMENTS: d Final S 7 Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole 3,, ' 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) LII.L-IVJCIJ k.VIV 1 MAL, I Uri UC%,LAr%AI IU14 i nereby 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. Licens66666 % . Ric. Class Exp. D031i20( Date 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� � IPTIO;: ON FILE 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 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 BUILDING 03PERMn U7-lU6 $5BUT 10 BLK270 U25 DATE 1'j�Z9 q9 VALUATION LOT TRACT JOB SITE qpN ADDRESS OWNTROV OT ADV TV CONTRACTOR ri'wa%. �AaA'U%.i%. ram OTSADV rCwiCD AT OrYKrrD AOrrD ' e���.i� w,a+euu� vui�l.;auw �.viv it��. 51-226 AVEMDA C:ARRANZA S1-22'0 AVEMDA C;AKi' KNGN LA QUINTA CA 92253 LA QUINTA CA 92253 (760)564-3511 CBL# - 1115 USE QF-PERMIL SINGLE FAMILY DWELLING 11 AT I OT R�GLUPE BLOG G-14 11 FEE REDUCED 75% FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. TRACT CONSTRUCTION 1,506.00 SF PORCRPATIO, 77.00 SF GARAGE/CARPORT 451.00 SF 5 FT. WOOD FENCE 200.00 LF ESTIMATED COST OF CONSTRUCTION 93,339.50 PERMIT FEE SUMMARY CONSTRUCTION FEE 101-000-418-000 $612.50 PLAN C'HF.CK FEE 101-000-439-318 $128.97 ItiffCHANICAL FEE 101-000-421-000 547.00 ELECTRICAL FEE 101-000-420-000 $131.23 PLUMBING FEE 101-000-419-000 $133.50 STRONG MOT!Ow FRF - RFCM 101-0Q4-7.41-000 49.33 GRADING FEE 101-000-423-000 $20.00 PRECISE PLAN 101-000-441-345 $25.00 FEE DEPOSIT 101-000-439-318' -$250.00 DEVELOPER IMPACT FEE $1,907.00 SUB -TOTAL CONSTRUCTION AND PLAN CHECK $3,014.53 . LESS -PRE-PAID FEES -$250.00 TOTAL PERMIT FEES DUE NOW $2,764.53 RECEIPT DATE BY DATE FINALED • INSPECTOR �Vlj �� �t.� BOX 1504 l— Building��'`1 �)� �,�,, b _ 78 495 CALLE TAMPICO APPLIC.� N LY Address f i.1 �,�`"�,; �t V` -r�l�l 3' OUINTA, CALIFORNIA 92253 Owner BUILDING: TYPE'CONST. 0:;C. GRP. Mailing /� `, %, / _ 7 /� •� --, Address.51 -�-V Ax1L t � �. oty rr n - , +4., A.P. Number ^� !'Y / I City t�,j lZip Tel. ®G�{`�® � o4J � ,, `� ., v, 6IL Legal Description Contractor, lG1Y `� Project Description YiQd4% �t vb+�l� Address `J ' City Zip Tel.. State Lic. City & Classif. Lia N Sq. Ft. No. No. Dw. Arch., Engr., Size Stories-. Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. q 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 Estimated Valuation I hereby 'affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness 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 PERMIT AMOUNT 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 Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars ($500). l-, I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 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. Mech. 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 Electrical of proving that he did not build or improve for the purpose of sale.) fl I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing - 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 S.M.1. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) _ 1-1 I am exempt under Sec. Grading B. & P.C. for this reason - Driveway Enc. �•;, Date Owner ° Infrastructure 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 certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company n Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS 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 ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: r.�'p, B comply with such provisions or this permit shall be deemed revoked. ��-. a q Front Setback from C3en`te� L -i ami Rear Setback fr�nA'Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Sethi fr2n8CJbtine I hereby affirm that there is a construction lending agency for the performance of the v�+.7 work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback fron Property Line Lenders Name- Lender's ame Lender's Address ted, and is subject to FINAL DATE IC� (f This is a building permit when properly filled out, signed and validaJSPLECTdO�- 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. Issued by: Date Permit 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. Validated by: . shy• Signature of applicant Date Mailing Address Validation: City, State, Zip 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 12/28/99 APN # 774-271-022 No. 19855 Jurisdiction La Quinta ' Owner NameJack Clark, Jr. No. 54-705 Street Avenida Rubio City La Quinta zip 92253 Perm it # Log # Study Area Tract # Lot # Square Footage 1506 Type of Development Single Family Residence Comments 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 replac:ment 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 1,506 or $ 2,906.58 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 .CCNalley Independent Bank/Jack Clark, Jr.'Te lephone- Name on the check By Dr. Doris Wilson Superintendent < Fee collected /exempted by Olivia Aguirre Payment Received $4,906.58 Check No. 209506 Signature NOTICE: Pursuant of ssembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90-d8y approval period in which you may prcest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the Districts) on to another public entity authorized to collect them an the District('s)(s') behalf, whichever is earlier. Collector: 'Attach a copy of county or city plan check application form to district copy for all waiters. Embossed Original—Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting OLD REPUBLIC TITLE CO,. RECORDING REQUESTED BY: - --- OLD REPUBLIC TITLE COMPACOMPANY. 98.7516KC 108799-13 WHUNLOPAY L07AXRSTEETSLOWND' JACK L. CLARK, JR. 549350 AVENIDA HER RERA LA QUINTA, CA 92253 D z0 -- O/ 5 330'71'7 RECEIVED FOR RECORD PAID AT 8:00 AM ;. Transfer Tax AUG - 7 1998 . Co. Recorder PAOo„d8d in a*W aemme DSL a w+�MW cof. oaf ffftReoOrder cnnrr AMAtir 'THTC IrTQr� nnnnr-m tr iie r, GRANT DEED The undersigned grantor(s) declare(,$): Documentary transfer tax is $35.20 (XXX) Computed on -full value of property conveyed -,—or-!. ( ) Computed on full value -less liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of and FOR A VALUABLE•CONSIDERATION, receipt of which is hereby acknowledged, WILLIAM R. RILEY, TRUSTEE OF THE WILLIAM R. RILEY TRUST (1990) hereby GRANT(S) to JACK L. CLARK, JR., A MARRIED MAN AS HIS SOLE AND SEPARATE PROPERTY the real property in the City of LA QUINTA, County of Riverside, State of California, described as: LOT 10 AND 11 OF BLOCK 270, UNIT 25, SANTA CARMELITA AT VALE LA QUINTA, AS PER MAP RECORDED IN BOOK 19, PAGES 50-51 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA Dated April 27, 1998 State of California County of Riverside } S.S. On - 'August 3, 1998. before me, Kelly Collier personally appeared William R. Riley personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument tperson(s), or the entity upon behalf of whi h the p son(s) acted, executed the instrumen .%� WITNESS,my !h Signatur MAIL TAX Lal seal. SAME AS ABOVE WILLIAM R. RILEY, TRUSTEE OF THE WILLIAM R. RILEY TRUST (1990) ' KELLY (OILIER `Y1.. D`. LLfr fir• Cemn'l # 1057217 NOTAP`!'416W CAL1FORN� /� '1kWSi* co" (A \���FOP i.onm �.x*es May 28� 1W ..F � . - � KELLY (OILIER #1057217 LL Comm. TgRY PUBLK, . XIFORM Ri4ersi& i,aulb tV Comm Wkes May 2& 9, s area for official notarial seal) 3 RG District - Planning Review Form ' This form is to be used by CDD staff for review of single fiamily 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 Building .& Safety as your correction list. Please attach additional explanations as necessary. APPLICANT:' Jack Clark, Jr. PROJECT ADDRESS: 54-705. Avenida Rubio APN: LEGAL: LOT' to ,BLOCK 270 UNIT 25 , S.C. @ V.L!Q.' CVD BY: Leslie Mouriquand BIN NO:. CASE NO. 99-88 CHECK -DATE. Infor11 m the assigned Building plan checker upon; your assignment to this. case. The CDD Executive Secretary maintains a log book to track applications and assign. case numbers. REQUIRED ITEM.. Y] N COMMENTJCORRECTION ...... .,v..•.,.. •::m •{ v.: {:.`}v}'P '{{ti0:{''{+•.vv:•.., v; .............•{ ': •:2,+}\{•:•:•:{4•{.{•:{.?4 •}v.v:; h..,??}.'??viv?�i::IXyh{:i{n;,`'ni {{'h'�':4:{ { $p'\y{•.{\ {.,.nE`{U`..�>`•. ":v?{?W ti .�}•::.(i :; ..::.+v' `Y•'• '{•\}'?•. ` 2f.. v.\'Cj {^�':w+•\�.:�li;`h}�, Q:J\.� '}S 4 {, � }'�i;;r �� �� `\{^Y; ': •\'•.}?'}`{4;. � <}.\}..::{.. }?i, i•� `i}..^�..�i`.�}`}..�'nwi�?i{,j}\ti}:?4}�:5��•`\?�{ � ,:{�.`�, ♦ ����`r�:C?�:iiny��f? }���!1•!r:���F'S�4�\•i'i'Y+�?�ti}i?�%i�•.v1 �\�::�i?v�`i'}t�i`T.:``w�.:??L?{:iah.::`^n'{vi�`�•`{??4ti??{v::^:??}•}:•�}:{{�:•:•.`�•:�\v.•.{:•: {`i?'1vh� n\�.ti{}A;k;::i{h•::.:{{{' 4�: a per+; :n 1.'�`�:4V ,��3? iry�m,{,o-x�,.�3.` Case logged and number assigned Verify legal and APN information Consistent with MDG on file las applicable) MDG filing required 15 + filings since 9/3/98) G� 7 Consistericy -with-street/surrounding area:. Colors Materials Architecture o OTHER REQUIREMENTS: The zoning 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. ' 'Certific'ate'-�.-- of .p • �-C,f of L_ a -Q - unto. • - `, � ; Building and Safety -De artment _G 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: 54=705 AVENIDA RUBIO Use Classification: SFD ..Bldg. Permit No.: 9907-106 Occupancy Group:. R 3 Type of Construction: VN Land -Use Zone: RC Owner of Building: 'JACK CLARK JR. Address: 51-220 AVENIDA CARRANZA City: LA O,UINTA, CA 92253 '•- By: STEVE TRAXEL d Date: 09-11-00 Building Official (0 :POST IN A CONSPICUOUS PLACE �fl