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0106-011 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of ,t�hapter 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%pate I Date f� 3=3' !r + Ig we of contraciqq -sky -"'""OAR-BUILDER DECLARATION I hereby affirm under penalty.of perjury that.l 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 IC) I hereby affirm under penalty of perjury one,of the following declarations: ' , �— -o ( ) I have and will maintain a certificate of consent to self -insure for workers' X W compensation; as provided for by Section 37001 of the Labor; Code, for the 0 -J Q performance of the work for which this permit is issued. CIO _J U ( ) I have 'and will maintain workers' compensation insurance, as required by O'U . , Section 3700 of the Labor Code, for the performance of the work for which this CL u) Z permit is issued. My workers' compensation insurance carrier & policy no. are: It oo Carrier U Policy No. C3 J (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 i Code„ I shall forthwith comply with those'proa isions. Date Applicant `Warn! ng:-Faiture'to's'ecure Worke'rs;--Colrnpensa ion `coverage-is-unla ul 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 f',''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 theGabove mentioned property for Inspection purposes. f ' Signature, (O.wner6Ag nt),� M ,.s BUILDING PERMIT PERMIT# DATE VALUATION LOT f31�^L11„;, TRACT r•�” /JC J A9�y2A �q �f 1� 20 n I L,}f'i Jr.i.iY➢5 e� °;J,:U+6� �f0 .47L.li:F.:is tA�b JOB SITE G„ Y �` ' ADDRESS53-590 APN ANW(MARAWBURZ OWNER CONTRACTOR / DESIGNER / ENGINEER RANDY tis &TARORT41C,LS LEOAC Y.glMIRS 477510 ADAMSU'9"M1> 8 $8.5550AGUARS)R OAD LN QUNI A 0-A, 922 5 3 L.A. Q[TIR:4A ( A 92.25: X760?:56,17820 MIN , USE OF PERMIT SM - tPi;Sl<"MIT DM a NOT 114C'l,;UD10..SLOCK WA L4 3�DM OR DR2V1✓'dd`AY APPROACH. (W MAKER MAJe.11141,P'EAN) PORC",HMATIO 40.60 Sty <YAC6tu�lti3Crr"t1' (3F) 9,t3'l.r4 5 F . WOOD hofrNcr. A, 0.00 .U7 ESI1AIN d;IOWT OF CONSIRUIC1110H 108,miab 1C8s RMI 1f'ER 1 i6![A a 9d C NSYTR.IR °iM ON M 101.000.41 "00 � 31.110 1#a"..AN Cf7.RM 31EE 101-000-439-31$ $556.16 We"'"ICAYa RE $62.09 X1:.MIPUC;I&1.1 R 3.C:i-Ct�:Cf S ;il Cff10 $1a0.:&� 51,t,!@IldDMO. ISIF, 101-WID-419.0, 00 11'22.3g 3TRCYNO ASO'"1.ON V08.1i 45103 101.000-241-000 $10.99 ORA DINOFRE 301-000.423.000, 120,00 PRRCI$.4r P.U04 101-000.441-315 611rA,6n FLIF. F. FI MIT 101-•000-439-318 o�ef�0:Rt7 VYJ7 T ir,'ON i:-,fJ0)rAND y71��.,.yyAyW�jC�&�f�pC.J�'E��.'. Ip J.M1L:hJ7.7 R:GkKi^�l�Jde�.T!•SiA4� �b".(d��I�0ry,44A,- y "'H�.�%fi44�Yd .•. 9,# RRIM MRS ME NOW JUN 2 2 2001 l .� l 30 P20.64 -CITY OF LA QUINTA FINANCE DEPT RECEIPT DATE, By DATE FINALED INSPECTOR o�= INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs _ Underground Ducts Forms•& Footings /f, p % Ducts Slab Grade Return Air Steel Combustion Air 'Roof Deck 8 -gip - p ( St? Exhaust Fans O.K. to Wrap _ g (_ p( SZ F.A.U. Framing �( Qj7 Compressor Insulation l3. p s?' 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 Y _ ` - o _ _ 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 Electric Final Waste Lines / 5 7 Heater Final Water Piping 'Zy� r Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection 1—/. O��. Encapsulation Gas Piping Gas Test l� G Q cS7 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) LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of k`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 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: () J 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 O'KEMPT Policy No. (This sectiori 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 $100,000; in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify•that I have read this application and state that the above information is correct: I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature (Owner/Agent) ' Date PERMIT# BUILDING PERMIT DATE , VALUATION. - , LOT20 TRACT Nix -.231 ix -.23 1 U22 JOB SITE ADDRESS x1 -&X6 Ayu{=r� APN 774-122410 OWNER CONTRACTOR / DESIGNER / EN (NEER 4775C1ADAMI 3fW41n38 78.555 fiUM,'O.ROAD LA, Qii;t@ TA CA. 92253 LA QUfI�3".CfA CA 92253 (r�Ci 5 pr1.7i�2t) (M10 USE OF. PERMIT sbyau 104'O ,Y 1W 'I..I,]NG SVP - FFR�a/jI DOES NOT MC:iaUDE SLOC K X11 dpi x, POOL. OR DRIVEWAY .APP,RO,&CH. (PV MAS EIS MALIBU Pi:.trN) TRACT CaWfRUCTION 11399,40 W? PORtiC:E•IlRr' TIO 40.00, S CiARAORICAV�ORT 07) 9,564n 51". WOOD 1171MC)? 200.00 LF id �+r$,U � �it`.iNv�i. S' G,'0AKA.R.Y CON RUCTION XTE 103 -OKI -1418-000 �tiii.(iCt 1st:AN C:HECiC ;4.M, 101.000' 4.39-319 MECHANICAL FEZ 1014 U00.4 21-000 FILECTRICP.f,,.V121f: 101.,00 _+o,1 110, 00 i3't,WITNIT' B40 FEE 101-000-419.030 xr,R.0 wa+ &lCY'i'IC71+i i '� Yt'1 .`iiia 202-OO1)w?.d1 f l C? �ifi,f3s^ 0Ii DI140Fk I01�Ci!1Ci• 3�C?€Iii 520.46 OV9110PEI iMPA.Crr I'EW, �i,91)7.U4 PRECISE, PLA14 101=1100-44I 1-34.5 £100.01) tER.17ZI'l SIT 101-000-439-318 42110.00 t, JB-TCY1"t 1, C'OM, MTXn10H .A1D 1"'.i'. AX C Y -RIC C. LESS r P 'E -PAD) M- S -$250.0-0 x°t lWt 1:''LTWfr4t..L+'S X%l NO'iAf RECEIPT DATE BY DATE FINALED INSPECTOR .O� INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings 1.O Ducts Slab Grade ' Return Air Steel Combustion Air Roof Deck —p l -(' Exhaust Fans 0. K. to Wrap F.A.U. Framing Compressor Insulation . Q Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath • - Drywall - Int. Lath 1O Z Final Final BLOCKWALL AP OVALS 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_ Water Pipingl0 Heater Final 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 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: ..��' 4.� , .. .._. -r. Y•,q„ ;h Com: - i.' ♦� _r.�.,a �'r"` = ri-I^.."+Lvw.L-r-^I"`�"tel-'�:w.i-e'.-Y..:''��•......' �T��..w.r-,,nfa..-��iE'4�f`^i'"^N'vF'�"�x�.r��i��...A[",Y•rMI"v'�-.fvr..ti"^-`+.v��C--�^`=rr•:+r'�" 4.QA 4130 a! u�� P.O. BOX 1504 Buildingh y� ,8495 CALLE TAMPICO APPLICATION ONLY AddresV �/ #� �LA QQIt A, CALIFORNIA 92253 Owner Al _ .. , Mailing ' — — — '" BUILDING: TYPE'CONST. OCC. GRP. �1 Address () "�'' f `WCLm .�a /t • /'� /�.—a 6. LTJ A.P. Number �3�a City Zip Tel. LA ( Legal Description tractor Project Description Cgn 7p L Address r �' 1-1>"L�f CS City lZip Tel_ State sit �q 8 Classif.` j , City Lic. # Sq. Ft. No. No. Dw. Size. Stories ! Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # _ LICENSED CONTRAY.TOR'S DECLARATION n licensed untleT p6ovisions Ch'apter 9 (commencing with Section Business and�dfeem Cotl_ e• and my license is in full force and 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 fo construct, alter, improve, demolish, or repair any structure, prior to 'its issuance also requires the applicant for such permit to lila 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). 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 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.) 1'1 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.) 1.) 1 am exempt under Sec. B. 6 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 n 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: it, 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. 3 I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives sof this city to enter the above- mentioned property for inspection purposes. Signature of aliplicant Date Mailing Address City, State, Zip tstlmatea valuation PERMIT Plan Chk. Dep. 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 Setbac( from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: 1 Date Permit Validated'Pby: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION a 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 6/22/01 APN # 7 74-122-005 No. • 22158 Jurisdiction La Quinta Owner NameRandy & Sharon Bills Permit #0106-011 No. 53-590 Street Avenida Ramirez Log # City La Quinta zip 92253. study Area Tract # BLK231U22 Lot # 20 Square Footage 1788 Type of Development Single Family Residence N.). of Units 1 .Comments 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 replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the fa_lowing reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 'in the' amount of 2.05 X 1,788, or $ 3,665.40 the property listed above and that buikliiig•* L permits and/or Certificates +of Occupancy for this square footage in this proposed project may now:lie issued Fees Paid By cc/EastWest Bank - Legacy HomesTelephone 7820 •r f. r Name on the check By Dr. Doris Wilson- Superintendent,- Fee ilson Superintendent" Fee collected /exempted by Juanita Green Payment Received $3,665.40 J Check No. 32-4902340548 Signature L, w NOTICE: Pursuant of Asse#ly 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 As 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 collect them on 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 waiversi. - Embossed Original- Building Dept./Applicant - Copy - Applicant/Receipt Copy - Accounting i ESCROW INSTRUCTIONS TO: CHICAGO TITLE COMPANY, licensed by the California Department of Insurance 72-980 FRED WAKING DRIVE, SUITE B, PALM DESERT, CALIFORNIA 92260 (760)568-3627 Fax {760)341-8296 Escrow No. 17057076 - E88 Escrow Officer JACKIE FELDMAN Date May 18, 2001 1. 2. 3. 4.. 5. 6. 7. 8. G to. 11. 1?. 13. 14. 15. 16. 17. 13. 19, 20, 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. -'48. 49, 50. 51. 52. On or before the TIME LIMIT DATE of June 15, 2001 PEARL J. HICKEY and JULIE ANN HICKEY, Seller (s), herein will hand you a Grant Deed conveying the property described herein to vestee named below; RANDY C. BILLS and SHARON S. BILLS, buyer (s) herein; hand(s) you herewith proceeds of new conventional loan to be procured by buyer in the amount of TO COMPLETE A TOTAL PURCHASE PRICE OF $500.00 $22,000.00 $22,000-00 which you are instructed to use when you can obtain a OWNERS POLICY, issued by CHICA a0 TITLE COMPANY, and any policy required by buyer's lender, which policies of title insurance will contain the insuring clauses, exceptions, exclusions, previsions and stipulations customarily contained in the printed provisions of such.form with liability not less than $22,000.00 describing the land in the City of LA QUINTA, County of RIVERSIDE, State of California, described as: LOT 20 OF BLOCK 231, OF UNIT NO. -22, SANTA CARMELITA AT VALE LA QUINTA, AS PEF MAP RECORDED IN BOOK 20, PAGE 24 OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF RIVERSIDE COUNTY Property commonly known as: VACANT LAND; APN:774-122-005-8, LA QUINTA, CALIFORMIA 92253 (escrow holder is not required to verify same) showing the FEE TITLE to said land vested In: RANDY C. BILLS and SHARON S. BILLS (exact vesting shall be determined prior to close of escrow, without further approval from Seller) SUBJECT TO: 1. Real, Property General and Special Taxes for current fiscal year in vrhich escrow closes, end subsequent years, including reassessments if any and including any special district levies or personal property :axes, payment for which are included therein and collected therewith and improvement bond assessments, when applicable. 2. The Lien of Supplemental taxes, if any, assessed pursuant to the provisions of Chapter -.5 (commencing with Section 75) of the Revenue and Taxation Code of the State of California. 3. Covenants, conditions, restrictions, rights of way, easements and reservations of recordl 4. A Deed of Trust, to be recorded, executed by the vestee named herein, to secure a new loan, in favor of LENDER OF BUYER'S CHOICE. FINANCING- - As specified above, buyer herein is negotiating for a new conventional loan in the amount of $22,000.00 through LENDER OF BUYER'S CHOICE. Buyer will cause to be handed you all documents and/or RECVD FOR PROCESSING O i `^1 (Wt) V' S I ASSIGNED TO RC DISTRICT - PLANNING REVIEW FORM (INITIALS) This form is to be used by C -DD staff for review of single family dwellings in the RC. (Cove Residential) District per Section 9.50.090 of the Zoning Code. Its purpose is to determine: 1) that the proposed house design 'does 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 to 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 LEGACY HOMES SITE ADDRESS 53-590 Avenida Ramirez APN 774 _ 122 - 005 CASE NO.: 2001-486 LEGAL:' LOT BLOCK UNIT S.C.@V.L.Q. CHECK AND APPROVED BY:. Michele Rambo DATE: g 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/CORRECTION Verify legal and APN information x Consistent with MDG on file'(as applicable 1� MDG filing required (5 filings since 9/3/98) Architectural variety within 200 feet of the surrounding area: Colors Materials. Architectural design features F ' C y�Bi CO 9sF l�G O Od O�rF FFlpp v Other Requirements: 'l - . -,.. ,_ : .s-� .-.:.!<..«-.�.-t--Y,ea: iC77F8„"M'.r.va..:!h=1';- +�:NKP+h✓'. a „ C;w•_ _ �. �.. .. ., .��. .... S-130 u�l'ItrCv � < P.O. BOX 1504 APPLICATION ONLY Building O 5 CALLE TAMPICO Address bAl UI CALIFORNIA 92253 OwnerMailing J(. rw 1pc 1 « L�-- BUILDING: TYPE'CONST. OCC. GRP. Address `�� v f ``�{j, `� C� 'A.P. Number!'>r/ —1 a —I �Q City _ Zip Tel. / &4- ( 1 a—�� a t` . Legal Description C ntrac or Project Description Z7 1. L t. lt 5 C Address 51--sr� n (LIL te C City Zip Tel. State Lic. City 8 Classif.�� 21� Lic. q Sq. Ft. v� No. , No. Dw. Arch., Engr., Size (�jj Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. r City Zip State Lic. N LICENSED CONTRA OR'S DECLARATION I hereby alfi hat if under p v_Ision a, er 9 (commencing with Section,'. \ 7 of IvYsion he Business andP ._ aSsiyn e d my license is in full force and effetlt. i��r OWNER -BUILDER DECLARATION TI 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, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile 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 ($500). 1-.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 .'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.) I1 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 or property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) I? 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 n 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 0 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 forwhich 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 a6plicant Date Mailing Address City, State, Zip Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Driveway Enc. Infrastructure TOTAL REMARKS AMOUNT - 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 FINAL DATE NSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION May 30, 2001 Ms. Nickie J. Gormley . City of La Quinta Building Department 78-495. Calle Tampico P.O. Box 1504 La Quinta, CA 92253 RE: Sharon Bills Dear Nickie: Please be advised that the following plans have been previously approved for use in the Cove area of La Quinta by the Planning. Commission. Sharon Bills of Malibu Ma-iagement has my permission to use the plans only at the following locations: Plan Malibu-1: C53-590-Avenida Ramirez'' Plan Malibu-1: 54-540 Avenida Rubio If you have any other questions, please call me at 760/564-1866. RES, INC. A.P. Lench, President APL:vI P. O. BOX450 " LA QUINTA *CALIFORNIA " 92253-0450 760/564-1866-.` FAX 760/564-2627 October 17, 2001 r A F Pr,.uterss c� t tes Construction Technical,Consulfdhfs; 5 PO. BOX 3922. PALM DESERT CALIr.ORNIA:9226.1-3922 TELEPHONE: 760=837 9094 FAX: 76Q=837-9924; . E-MAIL: wf:pruter.gte ret Randy C. Bills LEGACY HOMES 78555 Saguaro Rd La Quinta, CA 92253 ✓ Steve Trexel Department -of Building and Safety ! City Hall' . La Quinta, CA Re: Exterior Cementitious Wall Coating 53590AVenidaRamirez; La Quinta Gentlemen: I was asked to examine the cementitious exterior wall coating being applied to the subject residence on Tuesday, October 16, 2001. CONSTRUCTION: This one story, single family residence is wood framed on a concrete slab on grade. The framing is typical of much of the residential framing we see being installed currently. 'The studs are not true and straight and as we see too often, are producing walls that are warped and bowed. Tfje wood stud framing has been clad with a one -coat Basecoat system referred to in'ICBO ES reports as-a:CEMENTITIOUS EXTERIOR WALL COATING. Re: Exterior Cementitious Wall Coating 53590 Avenida Ramierz, La Quinta October.17, 2001 —Page 2 These systems are described in ICBO-ES AC 11; ACCEPTANCE CRITERIA FOR CEMEMTITIOUS EXTERIOR WALL COATINGS. They consist 'of .rig_d insulation board sheathing secured to the framing with wire fabric lath that is covered with a fiber reinforced cement based plaster typically modified with emulsified acrylic admix in the mixing -water. All components of the exterior coating must be combined in the plant except for sand and water or cement and water. In lieu of limited field mixing of components as set forth in Section 3.2 of the ACCEPTANCE CRITERIA, a special inspector complying with UBC Section 1701.2 or IBC Section 170.4 must be used. Although I didn't see any sacks of the prepackaged dry cementitious mixture on the jGb, l believE the plast2r%r, Rudy, said it :was Powerv�Gll. T. er se Is a sand pile on site, which I assumed was the source for the aggregate. I don't know if evidence has been furnished to certify that the sand meets the requirements of the ONE COAT STUCCO SYSTEM'S Evaluation Report. The reports of all the manufacturers of one -coat basecoat stucco systems require that the coating be applied in one or two coats to a minimum 3/8 -inch thickness with the lath embedded and not exposed. Where I could estimate, the basecoat thickness such as on the rear elevation where material had been removed by others, it appeared to be 3/8 -inch thick. Other areas nearby had exposed. lath as a result of bowed framing. The plasterer in his attempts to level the surface. has some thin and some thick plaster areas. The thin ureas will have to be "beefed up" with additional plaster..` The basecoat is hard and abrasion resistant where I could abrade it with a coin. I _was shown.one small area where someone felt that the surface was powdery and soft. There were some unhydrated cement particles that were apparent when rubbed by hand but I didn't notice softness. Misting with water. any areas unhydrated cement particles should eliminate the powdery'condition. I was told that remarks had been made that total re-Ioval of the installed system was necessary-. I do not agree with that conclusion! Presuming that the insulation board and .lath have been properly secured to the framing with the appropriate fasteners, additional cementitious coating (containing emulsified acrylic admix (glue) to provide the required minimum thickness couldbe `. applied. Since these surfaces are going to receive a mineral stucco integrally colored finish, this can be done within 72 -hours of basecoat application. After 72 hours a bonding agent applied directly to the basecoat or added to the finish coat mixing water would be required. LA QUINTA C1 TY DEPARTMENT o^ SUILUNG.& nj-7012 INSp,�TIOt�yREQUES7 `LINE X.•#7-7153 R . Y... RON B C06ttactor Pr 0106-011 iPOnS7 ON JOB IN CONSpICUOl1S PEACE INSPECTOR MUST SIGN ALL APPLICABLE SPAGES JOB ADDRESS cpI SFU - PFRMYT DOES NOT INCLUDE BLOCK WALL, POOL OR DRIVE'W'AY APPROACH - DA INSP. TYPE OF INSPECTION FOUNDATION & SETBACK FOOTING STEEL MAIN GROUND SYSTEM O! GROUND PLUMBING PRE-GUNITE DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUM8ING ROUGH GAS & GAS TEST _ HEATING & VENT- A/C ,. FIREPLACE ROOF BOND BEAM O.K. TO WRAP GROUT Q 4' ❑ 8' FRAMING INSULATION PRE -ROOF COVER No WORK NTIL ABOVE -HAS SE N SbGN�ED ' DRYWALL INTERIOR } EXTERIOR LATH/-"� POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK FINALS ELECTRICAL PLUMBING FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED TEMP POWER ABOVE APPROVALS 00 NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING Z0 39dd S7lIH D a T090V9909L bb:6t Z00Z/tt/L0 Certificate of Occupancy City. of Ca Quinta-, Building and Safety Department 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 ollowing:BUILDING ADDRESS: 53-590 AVENIDA R_AMIREZ Use Classification: SFD Bldg. Permit No.: 0106-011 Occupancy .Group: R3 Type of Construction:. VN Land Use Zone: RC ' Owner of Building:. RANDY & SHARON BILLS Address: 78-555 SAGUARO RD City: LA QUINTA CA 92253 By: KIRK KIRKLAND Date: 11=21-01 s Building Official_ POST IN A CONSPICUOUS PLACE