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9801-079 (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 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 c6mpensation, 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. fort is reason lDatedf.2::�kSignature 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 . Policy No. 1{Ifziv:F.�I M;3^C � �i:K T1t% 17 (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 fode, I shall forthwith comply with those rovisions. ate: _?/�Applicant ���«_._ Warning: Fai ure 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 i spection purposes. y ,Signature (Owner/Agent) Date / % Z9 BUILDING PERMIT PERMITf CONTROL# DATE VALUATION ^=1 �j% f. iQLIYZi119 LOT TRACT 18 A� :\g-BlJf��O't��.3f1 �Y�1�0`B4�d�1� APN ADDRESS OWNER CONTRACTOR / DESIGNER / ENGINEER i1 7 OILS-tiIY E*R"!Y") q" S'�I..�a \.1 e. a1�. P\��/T I'1;'Ai i'�f 1=Y 111".\. ��t-f'9•`1-) f`t!i.D('' . K) BOX W, d;;t'a1 Mi7Nftl'.EFT14FEG INT D10 4:`A W`.111 INDIO (.''A. (,)2201 (760 114*7-1157 USE OF PERMIT SM fl A Y SFD- PER-NI[IT DOES 1400 NVI.IMP. 803CK WALLS 6R Nf,R.. PLAN t CHECK POI;(FION t.?F IFi:1 'S }7.M0t,K:Et) 751% FOR 1 ikA C11ti1 is lwSUAN("T:+J.i' �aq 'rRA(-I' CONSTRiJC"d101*1 1 10.€Xll SF JAN 2 3 1999 I''UiCCH/PA110 10 2.0U SF (jA1..A(3 JC1'll.>d',P0PT 5Z6 oo of rqq pp QE 0+ C ti tr kV3 MAT 0 C' W 0ity S R a. CTIOai�i �°�.RhiI Q" ��°� E, —SU .l�e��i�'b' C . E,'t)13 RUCVIC►NM, 90i -000-4I8-000 3_540.50 K AIN 0 PT�13 101 -OW -431-318 $034.61 A E'CI l.A IC'AL FEE 1 o 1. _f'r^rt) A-11 a e 4)(A) '� 4f.'•. °�1 1lra�tlF-€fij�nP-�Ilt7-��iliflnnti PLt(N-WIN(.slei31-. 101.'•000-419.000 V�1'f't�€1rJ(�? R1r:7'[4:)`1 F!?f? _ H,L5tr3 1111-tx1p-?rfi)-OYSf.'� g•9•�:! F1"z: 10.1-000-423-000 00 IN RAS'!MtIX`iURE1'FT 2"95-000-443,342 $i.'71f9,13 PRECT13F PLAN 101,000-441-345 '��'S.tit► vt f}3= f (YT At , <` CINIS-11-9;t €C" Q(_)_N A Nt-) P1, AN t.IL(K LESS PRE -IID SEL:S .0+�t10) [RECEIPT DATE BY j _ DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APP OVALS MECHANICAL APPROVALS Set BacksUnderground Ducts Forms & Footings IAAMM�l Ducts Slab Grade ReturnAir Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap FramingT7 w V F.A.U. Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath D Drywall - Int. Lath D� s� Final Final BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. 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 _ Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final FinalUtility 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 c Final Utility Notice (Perm) COMMENTS: `i`. °'>„"`}`yr,�"`+9Y'w'w' �rea..w,>�y.,,,r_:•in, A r.^• .. ., r,, r '4` t` 1�+• y�i��� F. •F"""r►> � W . 4"�,•i.,tNk." C"t?C"C>�. � Bd+M\-1�ztp�,�,,'ljei f��,`�';C:fi't �. � �«,y)t,�-Ric,. Building 7 `� Address J Owner Mailing Address •4 u�l'ItrGv P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO !M //1e Z LA QUINTA, CALIFORNIA 92253 City Zip Tel: ff��Giiy % 7i Contractor Address Zip I Tel.. btare LIC. Vlry & Classif. Lic. # Arch., Engr., Designer Address Tel. City Zip State Plumbing 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 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 dollais'($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, Bulsness 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.) ' H 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 properly who builds orimproves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) i 1 am exempt under Sec. B. 8 P.C. for this reason DateOwner -o r E' - i ci s ori 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 i1 the permit is for one hundred dollars ($100)- valuation Of less.) I certify that in the performance of thF 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 applicant Date Mailing Address City, State, Zip BUILDING: TYPE'CONST. `� OCC. GRP. i --7-7 A.P. Number / ! 9 -(-)8Z —011 Legal Description J_O'f 2- OL.4 %% w►,1 it .6 Project Description F� r Sq. Ft. ,'\ No. % No. Dw. Size (J Stories j Units New [9 Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading -Driveway Enc. In restructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: r 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: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION ATTORNEY - IN - FACT AGREEMENT I/We hereby appoint COACHELLA VALLEY HOUSING COALITION, and/or any of its authorized agents as my/our attorney-in-fact for the purpose of executing any notices of completion, waiver, of liens and/or executing contracts with subcontractors, and/or release of liens and/or handling building permits relating to that certain real property described below. All that certain land located and being in the County of Riverside, State of California; as -follows: LOT 2 BLOCK 67 OF UNIT 6 OF SANTA CARMELITA AT VALLE LA QUINTA, AS SHOWN BY MAP RECORDED IN BOOK 18, PAGE 63 OF MAPS, RIVERSIDE COUNTY RECORDS. /2-/3- q7 &,'1� 0 Date Gilberto Ochoa 16 &Log,� LS Date Maria /' La Luz Ochoa Desert. SandsXAifie&School.District Notice: 82,-S79-> Highway 111 Document Cannot Be Duplicated Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE Date 1/22/98APN # 773-082-014 No. 16537 Jurisdictions La Quinta Owner Nam- Coachella Valley `Housing Coalition Permit .# 51-275 ' Ave°Ramirez y NO. Street~ Log # Cit uinta zi 92253-: y.La Q .. p Study. Area Tract # Lot:# Square Footage 1210 Type of Development Single Family,Residence No. of Units 1 Comments kl N ,d At the present time, the' -Desert Sands :Unified SchooL> District does not collect fees on.. garages/carports, covered patios/walkways, residential additions unde'r.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 APP'LICABLE This certifies that school facility fees imposed pursuantto Government, Code 53080 -in the amount of 1.84 X 1,210 or $ 2,226:40 the property. listed above and,,that building permits and/or Certificates of Occupancy for this square"footage'inAis proposed project may now be issued Fees Paid By Cashier's-Check/Bank-.of America. Telephone - Name, Name,on the check By Dr. Doris Wilson Superintendent 'Fee collected /exempted by Ellen Patino �'� Payment.Receive,d,. %$2,226:40. Check No. -`2006714095' .: :'•; IOTICE:' Pursuant'ot Assembly bill 3.081 (CHAP 549 STATS:,1996) this will serve to notify you�ikal the 90 day approval period in which you may,protest the fees or other;payment identified will begin to riln'from the date on which the building or installation permit for this project is sssued`or'n which th,'y.are paid to the District(s),& to another public entity authorized to ollect them on the District('s)(s') behalf, whicheveris earlier. Collector: Attach a copy of"eounfy'or.city plan check application form:to-district copy for all waivers. Embossed Original- Building Dept./Applicant Copy-,Applicant/Receipt Copy - Accounting, 4 RECORDING REQUESTED, BY .----'CHICAGO TITLE COMPANY ��--� WHEN RECORDED MAIL TO IGILBERTO OCHOA & MARIA DE LA LUZ OCHOA P.O. BOX 1875 INDIO, CALIFORNIA 92201 J Escrow N0. 7741223 - F32 Order No 7741223 - SPACE ABOVE THIS UNE FOR RECORDER'S USE — CTC #7204058-K10 D Assessors Parcel No: GRANT :DEE 773-082-014-6 THE UNDERSIGNED GRAN'TOR(S) DECLARES) DOCUMENTARY TRANSFER TAXIS $24.-20 unincorporated area ` 0 Cityof LA QUINTA X0. computed on the full value of the interest or propertyconveyed, oris ❑ computed on the full value less the value of liens or encu mbraeces remaining at time of sale, and FOR A . VALUABLE CONSIDERATION, receipt of *Bich is hereby acknowled ed, THE COACHELLA`VALLEY HOUSING COALITION, 'A CALIFORNIA NON-]?ROF T -PUBLIC BENEFIT CORPORATION hereby GRANT(S) to GILBERTO OCHOA and MARIA DE LA LUZ OCHOA, HUSBAND. AND WIFE, AS JOINT TENANTS the following described real property in the City of LA QUINTA Countyof RIVERSIDE , State of California: LOT 2 BLOCK 67 OF UNIT 6 OF SANTA.CARMELITA AT. VALE LA QUINTA AS SHOWN BY MAP RECORDED IN BOOK 18, .PAGE 67 OF MAPS, RIVERSIDE COUNTY RECORDS. Dated December, 10., 1997 STATE OF CALIFORNIA COUNTYOF RIVERSIDE ) 'SS. On DECEMBER % 19.97 beforeme, PHYLLIS M. MUNSEY a Notary Public in and for said County and State', personally appeared JOHN F. MEALEY personally known to me (or proved to me on* the basis .oflsatisfactory evidence) to be the'person(s) whose narhe(s) is/are subscribed to the within instrument and acknowledged tome that he/she/they executed the same in his/her/their authorized capacity(ies),. and that by his/her%their signature(s) ori the instrument.the.person(s), or.the entity upon behalf of which the person(s) acted, executed the instrument. THE COACH ELLA VALLEY HOUSING COALITION A CAL�djORT NON—PROFIT PUBLIC BENEFIT .,CORP Otl2pp)�TI0, MEAL7=,7EXECUTIVE L , ��1n�u��1��u.�n�nlnuunnulu�r��rr� :-� PHYWS M..MUNSEY a Comm. #1067900 -Z d Notary Public-Callfomia 9 ' x . Riverside_ County . My Commission EIres� h= August 6, 199 WIT my hand %and/official seal. little 11111.315111. Signature of Notary Date My Commission Expires FOR NOTARY SEAL OR STAMP y, 1 MAIL TAX STATEMENTS •TO PARTY. SHOWN ON FOLLOWING -UNE: IF NO" PARTY SO SHOWN, MAIL AS DIRECTED ABOVE 2 SAME AS ABOVE Name Sliest Address . City, State & Dpi qtr. GD1-W/30/87bk r+ by rye ,��,( t .,f 4. n ii0i)?i 03 ,Ilrrurrfi,10 ed III.. GREENSTONE.0'" A LOUISIANA-PACIFIC COMPANY NOTE: This c..ccrlgc Limn a ,up,ns;ovs lin' svuling and is li,r emiluming pugv.scs -fly. SI:uc,l k.,::duc is lwwided by installing the required nen I ..I b;q;s F,er I(M Kl. li, :n a miniur I installed thickness. Inetallminn .d fire ."Juircd Ill I- ,I Wgs mac cidd nrom III; die Blvd ied mininilml ihickwss :rad mini........ .ceiglu per sq. li. Actual c..rernge e'ill he iull.u'nrcd hp j"I' ....... iol...mid applicati..n Ir•rhnirl......:md Iiia)' vary ,.s n.mtl .IT 111':Ii \\'ill.. l.11 siju.ilic:mily affecting fire staled R-v:duc. hailure nF the installer h. prtwide al least fire requir.•d number ..f hags per 1000 .sq. li. mid :n Team the minimum Ihirkness mac wmdl in a Irnccr installed R-c:dac. l:.nn(..Ini.... mac occur during installatinn.a :.I ."C Rau. rtvjuirinf; nn nt• than the staled nuuib,r ul hags t.i'..Inain the minimum installed thickness. GreenSlone and Cocoon are trademarks of GreenSlone, a Louisiana-Pacific company. © 1997 GreenStone Industries. Inc. All rights reserved. .-Printed in USA. RV 30M 8/97. 8-97-TT/G-A , C000011 Stalbilir_Cd 111tiulatI011 30 Ib. bad; Illy? jr.{ A ATOMIZED PNEUMATIC APPLICATION COVERAGE CHART R -Value al Nei Coverage No Adjuslment Ira misses 75°F Mean Minimum Gross Coverage Based on Maximum Nei Minimum Weighl Temperature lhitkness 2" x 6- trusses on 16- Cellos Coverage Per $(hare fool Installed, Ihr. Weighl Per in 010in a,, Insulation Mmimum Ilans Sguarn fool of Oays Itrquimd Insulation Should Nol Be Sguare Feel Rrguired PPI Installed Sguare Feel Per 1.000 Rpsislance (R) nI: Less Than: Per Dag 1,000 Sguarr. Incl Insulation Per Bay Square Ied (inches) Should Nol He Less IN phs.l R-50 13.5 20.5 48.8 1.464 21.3 46.9 R-42 11.4 24.4 41.0 1.230 25.6 39.1 R-40 10.8 25.6 39.0 1.171 26.9 37.2 R-38 10.3 27.0 37.1 1.113 28.4 35.2 R-32 8.6 32.0 31.2 .937 34.0 29.4 R-30 8.1 34.2 29.3 .878 36.5 27.4 R-24 6.5 42.7 23.4 .703 46.4 21.6 R-22 5.9 46.6 21.5 .644 51.0 19.6 R-19 5.1 53.9 18.5 .556 59.5 16.8 R-13 .3.5 78.8 12.7 .381 87.0 11.5 R-11 3.0 93.1 10.7 .322 102.8 9.7 SidBWalls (pressure filled -density 2.0 PPCF) R-13 (2 x 4) 3.5 51.4 19.4 R-20 (2 x 6) 5.5 32.7 3(16 .583 I 56.7 I 17.6 977 76.1 27.7 ly