0012-047 (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.
Lic4se# Lic. Class Exp; Date
I nit
A,,
ateSSggnature of Contracto •- ..
OWNER -BUILDER DECLARATION
I hereby affirm* brideripenalty of�'pejury that I am exempt from the Contractor's
License Law for the following -reason:.
( ) I, as owner of the property, or my employee,%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 Policy'No.
EXZMPT
(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
subje Koo the workers' compensation proveions of Sect'd. 37,00 of the Labor
'C,o�r4Sa }" ith com I with tho �'rrovl ions.1 eApplicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for. a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct.,l agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representative's of this City to enter upon
the Bove -mentioned .for ln�spp:; pu s'
5i- tufa; COwri�/Agent) l Date
j
BUILDING PERMIT PERMIT#
DATE e- VALUATION LOT. 0012,04 f TRACT
9 6"
2 7aucUIow,
JOB SITE
ADDRESS
APN
52 -MS AVXWE DA, R AKit'F.Z
773,X:11-613
OWNER
CONTRACTOR/DESIGNER/ENGINEER
DY & & ARON BRLS
LEGACY 1101VM
1$-555 SAGUARO ROAD
78.355 SAGUARO ROAD
I QUI),1 fA CA 92283
X.A.Qi]xAiIA CA 92253
(760)564-7820 mal
USE OF PERMIT
S17DaPE tMIT DOES 140T MC:LUDE 81ZrK WAI..1A WOOL'&SPA OR
WUV EWA`t'' APPROACA
TRACT CONSTRUCTION l,-Al13.00 SP
PORCiVRATTO X60.00 SP
0" A.SEIC:Ai PORT (�,`�, 9,516.80
3 Ff. WOOID Frk CE 300.00 'Lip
ESTDA .' 1M) COST OF C:OWI'k2'I.j1^HOR
.109M.29
PEid'1WJC T P%X WM:tlURY
CONST RUCTION FEZ 101.000.419.000 9671.00
PI.AN CHECK FEE 10A. -WO -439-318 $556,16
PP'CCFaANICAL FEE 101-000-421.WO $62.00
CLECTR11CAL-,PEE . $120.94
PL'UMBDIG :72 141-000-419-oi3A $122.7s
STRONG MOTION FEE - Qi.Lz'.SID 101-000-2A 1-000 �tf3.Ilf
GR.A23W IEE 101 -WO -423-000 �20:0f3
DEVELOPER. IMPACT FBI? $1,907.00
PRECISE PLthlm QyI01-:. Q00-441.345 Zyt413.6��u
FEE DUOSIT 3 . 101-000-439-318-�150.U0
CHUCK
C:C)v iiC°'am AWL) PLAT
$3,570.64
4250.00
Y ..,. �Y'C3'3.AAgR b nam�:'EiEeE�3+1'1?�
NTS pseb'Mr
t
RECEIPT
DATE ✓ .
,BY/` ! j
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
oo
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
— . o [
Exhaust Fans
O.K. to Wrap
gel 10t
F.A.U.
Framing
1., p (
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 1
BLOCKWALL AP ROVALS
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
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
apt
Encapsulation
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 l�
Utility Notice (Perm)
COMMENTS:
\
\\
P.O. BOX 1504
Building 78-495CALLETAMPICO
Atirlrpcc n�/7r� 'D1-�' ,%i7'�9 /PCOTILAQUINTA, CALIFORNIA 92253
Owne"r- /
Address
Contractor
ty
State Lic.(�
&Classif.
7-7 0
Li I ty#
6&0 lw
Arch., Engr., f
Designer
Plan Chk. Bal.
Address
Const.
Tel.
S6 `lC�Ca
City
Zip
State
Plumbing
S.M.I.
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 thealleged 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 ($500).
I: 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 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.)
i7 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
In Copy is filed with the city. O 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 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
Ihereby 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 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
p)eA�S-x see,
APPLICATI;ONLY1
� I
P s
JILDING: TYPE'CONS^T. OCC. GRP.
►3
P. Number M ( 4) 1
Legal Description
Project Description 'S/�t�//��.yi//I ✓�c`•i/i7^zvCr�
Sq. Ft. 7 ('� g No. , No.
Size / �/ �j Stories Uni
NeWORP Add ❑ Alter ❑ Repair ❑ Demolition ❑
PERMIT
AMOUNT
Plan Chk. Dep.
/ .---K 0
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
r A
FINAL DATE INSPECTOR
Issued by: Date pi'
Validated by:
Validation:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
Desei tSands Un >tied"School District
' 47-950 Dune Palr ' S Road. -
t
Notice: ti.> .Lar Ouinta, CA 92253 ` `'°'`,_
Document .Cannot Be'Duphcated 760 771-8515
CERTIFICATE OF COMPLIANCE
Date :12/8/00 -APN # 773-221=013
No. 21317.
Jurisdiction -: xL- a utnta .
owner'NameRandy & Sharon Bi1Ls Permit #0012=047
,No. 52-025 w Street Avenida`Ramirez Log #
City L'a`Qullita Zip 92253 Study+A'`rea
Tract # BLK U-10 `�� Lot #' 2 ` Square Footage 117881 A-
'Type of Development' Single ;Family Residence No: of Units 1
Comments. k
At, the present ,time, the Desert Sands Unified School District does noti-collectfees on garages/carports, covered
patios/walkways, residential additions under 500'square feet, detacheii`accessyory structures of replacement motiilehomes It
has•been determined the above=named owner is`exerript from, paying school fees at.this time due to the -following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees,imposed pursuant to ; Go�e6ment Code 53080. In the amount of
2.05 Z X 1,788'' or $ 3665 40' the pcoperty:listedabove;and<tliat bail"ding .
permits, and/or Certificates. of Occupancy for. this s4uafe footage in this proposed project inay,now be issued
11�ees Paid By CC / '1 Si Bank. / Sharon Bills . �;` Tel�F one ' 760-564-7820
Name on the check - -
.
By Dr: Doris'Wilson
Superintendent`
• . Fee collected4exe pted by Annette Barlow Payment Received "` $3,665.40
Check No' 5715'1
Signature
NOTICE: Pursuant.ot°Assembly Bill 3081 (CHAP 549, STATS. 1998) this will serve• to notify you that the 90 -day approval,penod in which you may protest the fees.or.other payment identified
above will begin to ruri from the date'on which tAe:building or installation permit for this prolecfissssded orbn which they are pais to the District(s) or to another public entity authorized to
tolled them on the District ('s)(s'j behalf, whichever is. earlier. l _
:Collector: Attach & (copy of cwin4y or city plan check a`pR1lcation form to district copy..for alfwaivers.
Embossed Original- Building Dept./Applicant. Copy - Applicant*eceipt Copy Accounting
J,_
-FROM : RC BILLS
RL-;CORDiNC: REQUESTED BY:
AND WHEN RECORDED MAIL TO:
Contractors Financial Services, Inc.
670 N. Arrowhead Avcnue, Suite C
San Bernardino, CA 92401
Loan No. 20001505
FAX NO. : 760-360-8924 Oct.: 31 2000 01:32PM P1
Azo/tee z
Spare Above This Line for Recorder's Use Only
6QCiS CTION DEED OF TRUST AND ASSIGNMENT OF RENTS
773-221-013-4 Title No. Escrow No.
This ee s ,made this 30th day of October, 2000 between Randy Bills and�Sharon Bills, Husband and Wife as
Community Property, herein called Trustor, whose address is 78555` Saguaro- Road, La Quinta, Ca 92253 and
Contractors Financial Services, Inc., a Californla corporation, .herein called. -Beneficiary, whose address is 670 N.
Arrowhead Avenue, Suite C, San Bernardino, CA 92401 and Lawyers Title Company, a California corporation, herein
called Trustee,
Witnesseth: THAT TRUSTOR IRREVOCABLY GRANTS; TRANSFERS AND ASSIGNS TO TRUSTEE IN TRUST, WITH
POWER OF SALE, that property in, Riverside County, California described as:
Lot 2 of Unit No. 10, Santa Carmelita at. Vale La•Quinta, as shown by map on file in book 18 page(s) 70 of Maps, Records of
Riverside County, California..
Addendum to Deed of Trust attached hereto and made.a part hereof as Exhibit 'A".
TOGETHER WITH the rents, issues and profits thereof,'SUBJECT HOWEVER,. to the right, power and authority given to and
conferred upon Beneficiary by paragraph (11) of the provislons set forth below to collect and apply such rents, issues and
profits.
For the purpose of Securing: 1. Performance of each agreement of,Trustor incorporated by reference or contained herein. 2. Payment of
the indebtedness evidenced by one promissory note of -even date herewith, and any extension of renewal,tliereof,.In the principal sum of
$129,000.00 executed by Trustor in favor, of beneficiary or order. 3. Performance of.the EFS Disbursement agreement executed by the
Trustor in conjunction with. this Construction Deed of Trust.
To Protect the Security of This Construction Deed of Trust, Trustor -Agrees:
(1) That Trustor will observe and pi c' rm said provisions; and that°the referenoes to property, obligatlons, and patties in said provisions shall be
construed to refer to the props ty;,obligations, and'parties.set forth in this Deed of Tru6t
(2) To keep said property in sood.00rtdidon and repair, not to ramove,or.dentdish any building thereon; to,complete or restore promptly and in
good and workmanlike manner arty building which may be constructed ,damaged or destroyed t;tereon-and to pay when due all claims for labor perfornneo
and materials furnished therefore: to comply with all laws affecting said!property or requiring any alterations or improvements to be rude thereon, not to
cor emit or permit waste ° thereof: not to commit, suffer or permlt any act upon said property in violations of taw: to cultivate. irrigate, fertilize, fumigate, prune
and do all other acts which from the character or use of sald property may be reasonably necessary, the specific enuineiations herein not excluding the
general. •
(3) To provide, maintain and deliver to Beneficiary fire insurance satsfactory.ao and with loss:payable to Benaficlar . The amount collected order
any fire or other Insurance policy may be applied by Beneficiary upon any indebtedness secured herebyand in `suchdrder as Beneficiary may determine, or
at option of Beneficiary the entire amount so collected cr any -part thereof may be released to' T iuetor: Such applicati6ri-orrelease shall not are or waive any
default or notice of default hereunder or involidate.any act done pursuant to suds notice.
(4) To appear in and defend any, action or proceeding purporting to affect the security' -hereof or the rights or powers of Beneficiary or Trustee: and
to pay all costs and expenses, including cost of, evidence of tie and attornt y's-fees in -a reasonable sum, in any such action or proceeding in which
Beneficiary or Trustee may appear, and in any suit.brought by Beneficiary to,foredose this Deed.
(5) To pay: at least ton days before delinquency all taxes and assessments affecting said property, including assessments on appultanant water
stock: when due. all encumbrances, charges and liens,'with interest on said property or any part thereof, whlch' appear to be prior or superior hereto: ail
costs, fees and expeny es of this Trust.
Should Trustor fail to make any payment or to do any act as herein provided, then Beneficiary or Trustee, but without obligation so to do and
without notice to ordemand" upon Trustorand without releasing Trustor'from'-any obligation. hereof, may: make or do the,same in such manner and to such
Went as either may deem necessary,tc. protect the security hereof.-Benefi'aiary or Trustee'being authorized. to enter upon said property for such purposes:
appear in and defend any aetiem'or proceeding purporting to affect the security heieof or the rights orpowem of Beneficiary or Trustee: pay;•pt;rchade,
contest or compromise any encumbrance, charge or lien which in the judgment of either appears to be prior; crsupedor:hereto; and, in exercising any such
powers, pay necessary expenses• employ counsel and pay his reasonable fees,
(6) To pay immediately and without demand all suras so expended by Beneficiary or Trustee, with interest from date of expenditure at the amount
allowed by law in effect at the date hereof, and to pay for any statement provided for by law In effect atthe date hereof regarding the obligation secured
hereby any amount demanded by the Boreficiary not to exceed the maximum allowed by law at the'time when said statement is demanded-
REVIEW FORM
RC DISTRICT - P,LANNING
This form is to be used by CDD staff for review, of single :family 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,shalhbe transmitted to the.Buildirig and -Safety Department as your
correction list. Please attach additional explanations as necessary.
APPLICANT LEGACY; HOMES
SITE ADDRESS 5.2-025 Avenida Ramirez
APN 773 _ 22.1 _ 013 - BINNO.: .w . ` CASE;NO.: 2000-352
LEGAL: LOT BLOCK UNIT S.C.@V.L.Q.
CHECKED BY: Start Sawa. DATE:
Inform the assigned Building . plan checker upon.Atyo assignment: to -this case.! The ' CDD Executive
Secretary maintains.a log book.to track applications: and assign case nuimers ... t
REQUIRED ITEMY
N
COMMENT/CORRECTION
Compatibility Review
�►r;
Case logged and number assigned
N
>.
t
Verify legal and APN information4.
Consistent with MDG. on file (as.applicable
:.
MDG filing required (5 fil'irigs since 9/.3/98)
Consistency with street/surrounding area::
Colors:
Materials
Architecture
Other Requirements:
•
LfA 11
J
�-/ ��TY OF LA QUINTA ;SUB -CONTRACTOR LIST '/
JOB ADDRESS MIT NUMBER OWNER 3 LL5 BUILDERThis form shall be posted on the iob with the Building InsDec*Ion Card at all times in a com;picucUsl4ce. Only persons a
on this fob. Any changes to this list must be a appearing on this list or their employees are authorized to work
approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable traria Al infnrr"!a*;—., .e .......a -__ ____
Trade /Classification
_......_.........,..—.
Contractor
--mo....-0- must be completed
State Contractor's License
Classification License Number Exp. Date
le.g. A, B, C-81 (xxxxxx) (xxlxx/xxI
j0 r �-
l ♦ / r
by applicant. "On File" is not an acceptable response.
Workers ComPensefion Insurance
City Business License
EARTHWORK (C-12)/�%/�
CONCRETE IC -B) .
Company Name
C �� r �
t t f
Carrier Name Policy Number
(e.g. State Fund, CalComp) (Format Varies)
�) '.
�eyr r ,
♦ f f
Exp. Date
(xx/xx/xx)
i/ -rev
License Number
(xxxx)
/?9
Exp. Date
(xxlxxlxx)
Axl of
FRAMING (-51
STRUC7. STEEL IC -51j:
MASONRY Ic-29)
PLUMBING 1C-361 :
LATH: PLASTER IC -35)
DRYWALL (C-9):
N 3
� ��. (/ /11 % �
� 6 � /,✓�!n
6
�
- 3 �
C- 3 S�
� Da /
7 S �j � r
77lf, 7 V
(030-01
�` � � U
40/-0/
- .r--
v1ev.-� S . G99 A/0 Z1041
, _ y-:�
/� •jr
/ (v o/
HVAC (C -20l:..:..:::
ELECTRICAL IC -10). ..:..��
/
LA r,6
Ef
ROOFING (d-39V'.'.'..'sIYI
SHEET METAL IC -431
b
1/'QlEOILJt
d it
FLOORING (C-15)
4A
U
(/-rj-a
GLAZING (C=17)
INSULATION (C-21
2915'17
�°�
-�
_
2 o
SEWAGE DiSP. (6-421.
PAINTING IC -33i
CERAMIC TILE (C-54)
��ae.)G
ff�
CABINETS (C-8)
FENCING (C-13)
! t /
/ /
•
t /
/ •
/
..
i •
/
LANDSCAPING IC -271
_ �.
- z�
li✓��rniv f WC iv
t
,�6
17�
POOL IC -631
Certif,'cate of Occupancy
City of La Quinta
B-6,1101 y and Safety, Department
This -Certificate is, ued pursuant to -the requirements of :Section _1_09:_of -the Uniform Boilding: Cbde,
n q, dme.* o f issuance,.- th�$ sth . wasln coipp# ce with 11) . 56" van'dai o rdiiiances
,certifyi, gl�at�,",7qt structure
�h
of �� i c6iistructibn or. use. For the follo win
I 'City r6gula I �,ig
9,
BUILDING ODRESS:- 52-02.5 AVENID.A.AAM111R.EZ
Use Classification: SFD Bldg: Permit No.,:
Occupancy Group: R-8 Type.of Construction: VN Land Use Zone: RC
Owner of Building: RANDY--& SHARON BILLS
3uilding Official
Address: 79-m556 `SAGUARO: ROAD
City: LA dUINTA,' CA, 92253.
By: STEVE TRAXEL
Date: 05-16-01
POST IN A CONSPICUOUS PLACE