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347332, 0106-031 (SFD)BUILDING PER MIT-DEPARTMENT;OF BUILDING & SAFETY PERMITNO. COUNTY OF RIVERSIDE 347332 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES 1ST FL. Ay 7, SQ. FT. / $ IA UNITS 2ND FL. SQ. FT. _ MOBILEHOME SVC. POR. SQ. FT. GAR.. SQ. FT. POWER OUTLET CAR P. SQ. FT. ,® WALL SQ.. FT. Q SQ. FT., ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation SWIM POOL, PVT FIELD OFFICE . NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN // I PERMITNO. 3 4 7 3 3.2 MECHANICAL FEES Job Address ". - S-/- 9dd i4�e res ' �%ee SWIM POOL, COMM WATER SOFTENER Owner 64AM�_Pe-A�,,Gtie. • VENT SYSTEM' . ❑ FAN ❑ EVAP. COOL HOOD Va SIGN WASHER TAUT Off F.C. / APPLIANCE DRYER Micro Film Fee GARBAGE DISPOS!H) 4tt7 Parcel No. FURNACE (:]UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED' k.by ' Mech.Fee Dbl $ LAUNDRY TRAY Set Backs Lot Size AIR HANDLING UNIT CFM Legal Description IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Zone TEMP USE PERMIT SVC WATER CLOSET Unit COMPRESSOR . HP Plumbing fee POLE, TEMP/PERM LAVATORY- QL7 Plan C'h/eccrr Iwi �/� 'G�•(� HEATING SYSTEM FORCED ❑ GRAVITY!.j )prn D �p AMPERES SERV ENT SHOWER O+s,> $ BOILER • � B.T.U. Registr. Fee $ SQ. FT. Ga ¢ BATH TUB l7� $ Owner/A t ; Tel. Zip J SQ. FT. (y a WATER HEATER dfi Add res Ci j 8 (/C. G. City Zip �OS,v �( •�'S •- . +. _ M.O. ❑ ,N.C. Cosh ❑ • Check Q. FT. RESID p 1'/.¢ SEWAGE DISPOSAL Am Tel. License # Frees required SQ. FT. GAR @ 3/.¢ HOUSE SEWER Address ^ City Zip Workers' Comp. yes ❑ no ❑. GAS PIPING D� PERMIT FEE Or% PERMIT FEE PERMIT FEE O>✓ DBL. TOTAL FEES MOB. HM. FEE MICRO FEE .MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE ,FEE PL MB. FEE PERMITNO. 3 4 7 3 3.2 Supp. Permit Job Address ". - S-/- 9dd i4�e res ' �%ee Space Zip 2 Owner 64AM�_Pe-A�,,Gtie. • Community /� I � y /7� ��/l! voluoti&FOr ..moi �j/ ` �'V Dote y �f Q L, '/ Dist. Off F.C. / MH Permit Fee $�. Micro Film Fee Cop $ Use of Permit //�//� /J�3—`7/—.� 4f 4d �9, �,O, (•,J /�/�,,.� r 111 Parcel No. Use No. k.by ' Mech.Fee Dbl $ Pl. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ Legal Description F Electrical Fee _ Dbl $ Zone Grp Tye Unit SMI Fee $ Plumbing fee Dbl $ Bond Amt. $ Plan No. ��� [/ Plan C'h/eccrr Iwi �/� 'G�•(� n I e j d o :B Insp �/ /C �-.�C� )prn D Sp. Insp. Fee $ Dental. Fee $ Const. Lender Branch 'I certify that in theperformopce oft ork for which this permit is issued I sholl. - not employ any person in any manner s to become subject to the workmen -s com. pensation laws of California." Address City Zip Owner Signature Builder Signature Registr. Fee $ Y iileoge Fee $ Witness Fee $ Reinsp. Fee $ Owner/A t ; Tel. Zip J total Fees $ Add res Ci j 8 (/C. G. City Zip �OS,v �( •�'S •- . +. _ M.O. ❑ ,N.C. Cosh ❑ • Check Received by Contractor - Tel. License # Frees required Sewage System Address ^ City Zip Workers' Comp. yes ❑ no ❑. T ,rZ,0r[L P (ifJ� THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: Sewer District WORK FOR 120 DAYS SHALL'A C -A E PERMIT TO BECOME VOID. # \ 1 HEREBY, AGREE THAT A� N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE TH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF"CALIFORNIA: • • _ I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN'ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284-208 (Rev. 4-771 ©s ' CALIFORNIA. 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 Signature of Contrac`tor••- r . 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 fdr 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 issuedrMy workers' compensation insurance carrier & policy no. are: Carrier Policy No. STATS FUND 046-01-0910426 ,,,(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 Calif or'n`ia, and agree tha�f, Jshould become subject to the workers' compe Satl. .�rovislons Sec 1 On 700 of the Labor Code,>I s all orthwith comply with those proyis�lo s`(�`) .ate Applica • t ---est ” "W 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 o this City to enter upon the above-mentioned proper for irk pct tion pur o; 5ieature (Owner/Agent'1' ►. Datent BUILDING PERMIT PERMT# DATE VALUATION LOTIit-; 1, TRACT $93,40.50 14 �55�T13 JOB SITE APN ADDRESS mere 471-01.1 OWNER CONTRACTOR/DESIGNER/EN INEER W it W170011USEZ DER -Mc: 974.01• ,_11nM1b3M 9140 RE.PA''3 IXECK DR,,MG1&t10 VA?• L 31 MOREWO ViuZy CA 9.1,557 V?1VF.RS= CA 92-508 (909)483.8033 COU 61125 USE OF PERMIT SPO-DOFIS NOT TNCIXIDE P001y BUICK WAI&S, OR k,R3b*LWP3Y APPROACH, ^� U '2 #TAM' C':C>fiJS't RUt:'f 1014 1150.00 OF , PORC19PATIO $9.00 5F CA.MCIIM,PrRPC)RT (SF) fl,tfi4<?20 S FT. WOOD FZWCZ ]t30. top 11F ES'E °.�5�1� COST CYb' �[;Cl1v'b"'F".�C.1C"f10).13 93,=_50 ��tt�,Y. �//('/p �.Vp'� (�yj`�� P:54ESb i9'R.I r If Es FOA It%U. - CONSTRUCTION M& 101.000.418.000 $6115'D CONS'1 PLAN CHT><T: K TSE- 102-000-439-318 8313.45 . hADCj ANICALMY. 101-000.421.000 340,0n eJ.XC'1'3UCM, € +d: 101-00"20-000 i3)I. 30 PTIUMF91'AG 191 -MO-419-00211 0.1m, . a'1'T2.OPJI0 ?40710N IFF E - R.LSI.D 101-000-241-000 ORADINO. .ck 101.000.423-000 safa,�r1 4 i'UCISF PLAN 101.000.441.345 k �140.tN1 .FEF DFV03i `:; --- - -n--- tS?ii-M-43'9-318 i, --------- l • i Pr N OEMCK $3A64.31 IL M33 1"i3Fea1',fUD rs `l 4250.00 CITY O Ir ESDUE UE NOWU' FIA'AIYCE DEPT ~ I RECEIPT DATE BY i T FIN E INSPECTOR n J/ INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE TINSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs ��� G 7 Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck_ � a'Z -�-� _ Exhaust Fans OX to Wrap F.A.U. Framing C� 1� ( ✓� Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath(C—L(- CC Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam; Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Waste Lines _ Electric Final Heater Final Water Piping Q Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection ! -®'( Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) vyr- t p9w1 ni+� •W.O. 7- _ 7 '' , } r r �:Fr k r o106. uu� Z_/ _ 9,o D we , &2m ("re x P.O. BOX 1504 APPLICATION ONLY Building —Ij11 / i 78-495 CALLE TAMPICO f A QUINTA, CALIFORNIA 92253AddrestiiltU owner, Mailing ^` Address City �) j f(AOVQ 'r` i Contractor Address t City '1 r � I Zip Tel i Zip Tel State Lic. 9~ Ip 8 Classif. 4� Arch. Engr., Designer ' Address Lic. # CityI Zip I State Lic. # LICENSED CONTRACTDR'S DECLARATION I herebyy affirm.that I am licensed. under provi$lons of Chapter 9 (commencing with Section 7,000).of_b,4 s'ion 31of the -Bus��'gq✓i sand Professuns Code, and my license is.'Inn full force and effect. .Ire N11..y� 1 /'s� •�'/��1) SIGNATURE "r' - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the 'ontractors 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. +r that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of SeCion 7031.5 by 'any applicant for a permit 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. do the work, and the structure is not intended cr 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 vork 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 comprttion, the owner -builder will have the burden of proving that he did not build or improve for the purgose of sale.) I'1 1, as owner of the property, am exclusively'c+ntracting with licensed contractors to con- struct the proiect. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builas or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant W the Contractor's License Law.) 1-7 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSA—ION DECLARATION I hereby affirm that I have a certificate o- consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified'copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ,X 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 perm: 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 beccme 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 deamed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction Ending 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 18C days. I certify that 1 have read this application and s.ate 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 representatves -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip r BUILDING: TYPE•CONST.__,__OCC. GRP. A.P. Number f� Legal Description Project Description IJ Sq. Ft.No. Size r J j Stories No. Dw. Units NewX Add ❑ Alter ❑ Rep 'r ❑ Demolition O P Estimated Valuation PERMIT ( AMOUNT Plan Chk. Dep. T: Plan Chk. Bal. I II 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 P_ rOP FINAL DA' Issued by: Validated Validation WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School,Distric_t` ... 47:=950 Dune Palms°Road=` , Notice:. {La Quinta, ,CA,92253 y Document Cannot Be Duplicated 760-771-8515 t , . CERTIFICATE OF COMPLIANCE Date 7/2/0,1 APN#'' 773-17,1-011 No. 22204 Jurisdiction La Quinta OwnerName-W. R.,Enterprises Permit #0166-031 No. 51-960, Street {Avenida-Ramirez Log # City La ;Quinta `Zip 92253 Study Area Tract # B59U5 Lot # 14, Square Footage ;1501 i Type of Development 'Single Family Residence No. of Units 1 Comments . I At the present time the Desert SandsUnified' School District does°'not`"'collect fees on garages/carports, covered patios/walkways, residential addihons:under 500 square;feet, detached accessory structures or replacement mobilehorries. It has been determined the abovi -named owner is exempt from paying school fees atahis time due to the following reason: 9 EXEMPTION,,NOT APPLICABLE This certifies that schoof facility fees:imposedpursuant to ' ...GovernmentCode 53080 in the amount of . �. ...L ' 2.05 X 1,501 ': ' or $ j,077.051 the property..listed above"and that building permits and/or Certificates ;f Occupancy for this-square footage in this proposed project may now'be issued Fees Paid,By CASA- Ed Whitson Teieh6ne 90,9-485-8033 -- \'Name on,the check .By Dr: Doris Wilson Superintendent Fee collected /exempte by Annette. Barlow Payment Received $3,077.05 Check No. Signature Fc TICE: Pursuant otAssembly Bill 3081'(CHAP 549; STATS. 1988j this will serve to notify you that the 90 day approval period in which'you mayprotest the fees or other payment identified ove will begin to run from ttie date on which the, building or installabon_peYmit for this'projed is issued or oh;}which they,are paid'to;the District(s) or to another public entity authorized to llect them on the Distriet('s)(s1) behalf, whichever is earlier, ' Collector: Attach a copy of county or city plan -check application form. to district copy focal, waivers. Embossed Original -Building Dept%Applicant Copy Apphcant/Receipt Copy - Accounting: " ' RECORDING REQUESTED'BY iMERICAN TITLE ESCROW AND WHEN RECORDED MAIL TO: NOR ENTERPRISES 9740 RIPPLE CREEK DRIVE MORENO VALLEY, CA 92257 A.P.N.: 773-171-011 Ffp.ts �m Space Above This Line for Recorder's Use Only Order No.: 17055437 Escrow No.: 014548 -JL GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $22.00 computed on tu113valui of property conveyed, or computed on tull valueless value of hens or encumbrances remaining at time of sale, unincorporated "area; [ ] City of LA OUINTA , and FOR A VALUABLE CONSIDERATION, Receipt .of which is hireby acknowledged, ALVIN E. COX TRUST i E_ OF THE BACK BAYS FAMILY TRUST hereby GRANT(S) to W/R ENTERPRISES, A GENERAL PARTNERSHIP the following described property in the City of LA QUINTA, County of Riverside State of California; Lot 14 in Block 59 of Santa Carmelita at Vale La. Quinta:unit No. 5, in the city of La Quinta, County of Riverside, State of California, as per map recorded in Book 18, Pge(s),63, of Maps, in the Office of the County Recorder of said County. BACK BAYS FAMILY TR ST By: ALVIN E. COX, TRUSTEE Document Date: STATE OFCFORNIX COUNTY O On personally appeared or pro and acknowledged to me that hi the person($) or the entity;upon WITNESS mv�md,officia II B1( )SS before: me:' 1K_�A �L�l to me on the basis of satisfactory evidriicej to=be the pers i/iMfy`ezecuted the:same in his/,,Wr/tberr;authorized capaci alf of which the persol acted;;ezecuted;the:iinstrtmenf: Jll whose name1g) iskam sunscrlDeo to me wunm 111wull—m ) and that by hislWr etr signatureW on the instrumem MlWorl # 1193752: S_4* er�: affinet aurity .. -Mail Tax Statements; to.:,, SAME AS ABOVE or Address ,Noted Below . I RECVD FOR PROCESSING �QS ASSIGNED TO .. (INITIALS) RC DISTRICT PLANNING "REVIEW FORM This form is to be ulsed. by :CD.D staff, for review hof single family dwellings in the RC (Cove Residential) District..per Section 9.'50.690 of the Zoning.Code. Its purpose is to determine: 1) that the proposed house design: floes not duplicate the same architectural style of any house within 200 feet of the applicant, and/or 2) if there- is a need for the applicant to file for Master Design Guidelines. If.the applicant does need -td -file a Master Design Guideline, please transmitted this information to the Building and Safety Department as part of your correction list. .Please attach additional explanations as. necessary. APPLICANT SITE ADDRESS R ENTERPRISES 51-960 Averiid APN - I - CASE NO:: 2001-292 J-4 BLOCK 59 UNIT S.C.@V.L.Q. LEGAL. LOT I CHECK AND APPROVED BY: Michele .Rambo DATE: 1 D Inform 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_ COMMENT/CORRECTIO.N . Verify legal and APN information I. Consistent ;with MDG applicable on -file (as I . MDG filing required.(5 9/3/98) filings since. p�Q Architectural variety the surrounding are Architec! within 200 feet'of la:. -Colors :Materials ural design features 0���� yG Q <<ss, Other Requirement . May 31, 2001 Ms. Nickie J.,Gormley City of La Quinta Building -Department 78-495 Calle,Tampico P.O. Box 1504 La Quinta, CA 92253 RE: W. R. Enterprises Dear Nickie: Please be advised that the following plans -have. been previously approved for use in the Cove g -Commission.; The=firm of W R. Enterprises has, my area of La Quinta by the Plannin permission: to use the plans only at the following locations: Plan L Q Tower Ave Mendoza / Lot 14 Block 112 Rlan BA -1 51960 Avenida�Ramirez,,: Plan.: Malibu I 53950 Avenida Mendoza P, lan". BA -1 53340 AV enid'a Mendoza Plan: Malibu l If you have any other questions, please'call me at 760/56.4-1866. LENDEL�:V, _TURES, INC. A.P. Lench, II President APL:vI