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9708-019 (RER)c .. C%4 W O = M 0 rn ' W� oZl� �0o J VCO W a N Z M LO N ON 0 °) CLa tr Z LO Q 0 W 0 J J mUU O a�H 't _Z ob 5 C) a J 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 r1di88 x_13-- 103V9 /ate ' i 11 i Signature of Contractor----�-- OWNER -BUILDER, DECLARATION I hereby affirm under penalty of petjury 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 bate 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. (y) 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. UVIr.17 xN.3. CO. ". 211 li0101 (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 Labor— subject to the workers', compensation provision,s�jof Se tion 3700 of the Labcar ode, I shall forthwith comply with those proviZon,0 ate:`' %Applicant Warning: Failure to secure efk rs' ompen as tion coverage is unlawful and shall subject an employee 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. PERMIT # CONTROL # BUILDING PERMIT 447t`48 -0t9 5678 DATE VALUATION ��1�.K�". LOT 1� TRACT .S. 61 JOB SITE ADDRESS 43.190 KI lK;%`, rI 1, WAY APN .t 604-342-009 OWNER CONTRACTOR / DESIGNER / ENGINEER BRIAX & JIIA N MO 11 IS C1:NrIl 12,1' C:)Cl)�L'�:i.t.., L't�;lfAil,'IvCI'I1i;1 451801311 M-4,'I`1't: WAY 1533 XO. "a"�+i 1.t�� T; '� i t . W200 1,A QU1NIA CA tit" S' SAN 13t:ltNtlliiNNO CA 92,108 USE OF PERMIT RENI D �'t.�1vl�1:iC'!"iFi�"r,1� i:sali vAit.�.U1%lAs"�i:': 152 S.i�. c�GNiiS Ic�!?1<i i3..%NUS ii.XXV1 sm♦��S♦Jlutv)t`I PEM4i..a .;HCE,SUM'MAk -_ PLAN C HUX,*K VEF If_11-f1Ps�C �i t`.a•:3i414 i"'K)t�f�'t'I�t?r'"i'oElht f�ijF; Itit.1'.aiii-f'•1f1O �t15,(Kl J'as: Af, t- �:+.s TO t • (�(9 :PZ x -�Ct� � i'.f>ts 17lJ3C"114fC jUL 1'>:): 101, -WO -420-000 s� � tc:i�tc3 rit f c#f �N a hf - fiES11) 101-006-24MAJt) �►. i ART ;N V11ntJ ar;nrt, T!tf-f3f1i} "iS-ff�•ti t In 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 ins 9ction purposes RECEIPT /Signature (Owner/Agent) Date ! J ' ;:c}xl-'C€.�'a'��1, r:�s"�n1Si';1�;�:z�r�n� �i��► �I.n�a ��i<?<':�; �.� DATE I BY Q CY 5 LL O U INSPECTOR 1 L-520144) i�a a LU '-' U Z CX Q Q Z LL t) i 2 I a nli,l)l $294,32 INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs - Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing JZWL Compressor Insulation Vents Fireplace P.L. L Grills Fireplace T.O. Fans & Controls Party Wali Insulation Condensate Lines Party Wali Firewall Exterior Lath Drywall - Int. Lath Final Final 17 ?- BLOCKWA' 'A PROVALS POOLS - SPAS Sted6 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 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 R• Final Utility Notice (Perm) COMMENTS: Notice: Document Cannot Be Duplicated Date 6/19/96 No. 14606 Desert Sands Unified School District 82-879 Highway 111 Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE APN # 604-342-008 Jurisdiction La Quinta Owner Name Century Crowell Communities Permit # No. 45180 Street Bridgette Way Log # City La Quinta Tract # 25363-1 Type of Development Comments Lot # 15 Single Family Residence zip 92253 Square Footage Study Area 230 1445 No. of Units 1 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or 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 APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.84 x 1,445 or $ 2,658.80 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. , Fees Paid By Foothill Independent Bank/Topaz Name on the check By Dolores A. Ballesteros Superintendent Fee collected /exempted by Pauline Pearson Payment Received Signature „ 12AA,12 0 AAAA r/VLJ Telephone 360-7464 Check No. 28118 $2,658.80 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting .Bin: a . ..... . . ........ City of La Quinta ......... ... ... . . ... ......... Building& Safety Division P.O. Box 1504 ........... ... ........... ..... ........ % .......... ........... I ... 1. 78 -495 Calle Tampico .......... .. ... .................. La Quinta, CA 92253 'Building ..... . ... ........... ... Permit Application and Tracking Sheet Project Addressrl� Owner's Name: (23r:�O—M A. P. NUniber: 00 % Address: Legal Description: City,ST, Zip: Contractor: Q LF:7��% Telephone: ................ .... =775M Address: Project Discription: City.ST, Zip: ........... ................. ............. . ........... Telephone: ........... ......... ............... State Lic. City Lic. Arch., Enur.. Desioer: Address: City. ST. Zip: ....................... Telephone: ............. I .............. ..................... ........ . .. ........ ...... ........ ...... .............................. .. ................................ ............................... ... .... . . . .................... ... Construction Type: Occupancy: State Lic. #: ............. ........ : ............ :1 .... . .. ... ...... ..................... Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: Stories: F# Unit� Telephone # of Contact Person: Estimated Value of Project: .. .. .... .......... I I .... ... . :-, ..... ........... . .... ..... .... ............... ....... ... ::APPLICAN ......................... ........... T,� .0. 0..T::: T.-* :3. 0 Low -...r I ... ..... . ................. - -:-:-: ... .............. ............. ............. ......................... X .............. X ............. ...... ........... ............. ::::: ....... ............ ................ . ................... ri ............ ........... . .......... .............. .. .......... .. ........ ............................................... . .................. ............... .... .............................................. .... ,X,X< ................ ............... ... ............... ... �LA W. ............ Vin -X S ......... ........ ........... F % .. X", ::I -:-:-X 1:: .. ..... ... X. -X: -X-X:::X.X.X. ..................... ............. X-:-: : . ... ........... ............. - ------ .. ...... 7 : 7 t.: �7;: z:::Ag-. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES :ST FL. 2ND FL. POR. GAR CAR P WALL ESTIMA'ED CONSTRUCTION Su FT S UNITS ROUGH PLUMB, SO. FT. •,$� 'PARD SPKLR SYSTEM SO. FT MOBILEHOME SVC. BAR SINK SO FT. •d POWER OUTLET ROOF DRAINS ,O. FT .1 DRAINAGE PIPING SO FT R DRINKING FOUNTAIN ;O FT jT URINAL 'VALUATION S WATER PIPING NOTE. Net to ca !,seo as-roceny taA rer,atron TEMP. POLE FLOOR DRAIN MECHANICAL FEES GROUT WATER SOFTENER VENT SYSTEM FAN EVAP COOL :1000 SIGN WASHER(AUTONDISHI APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT YVALL FLOOR SUSPENDED =S LAUNDRY TRAY ' AIR HANDLING UNIT CFM FINAL INSP. KITCHEN SINK ABSORPTION SYSTEM B•T U TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE. TEMIPERM LAVATORY 1 HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER y BOILER B.T.U. SO. FT. .$ c BATH TUB SO. FT. •,� c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID 0 11- c SEWAGE DISPOSAL SOFT GAR .a' '•sc HOUSE SEWER SPARK ARRESTOR GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING 3 AIR COND. SOLAR SETBACK GROUND PLUMBING' UNDERGROUND A.C. UNIT COLL AREA SLAB GRADE ROUGH PLUMB, BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAIj OTHER APPJEGUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. = plus X$ =S LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS; VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIOWSOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FFN(:F FINA1 IINSPECTOWS SIONATUREMNITIALS GARDEN WALL FINAL Notice: Document Cannot Be Duplicated Date 8/14/97 Desert Sands Unified School District 82-879 Highway 111 Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE No. 15961 Jurisdiction Owner Name Century Crowell Communities No. 45180 Street Bridgette Way City La Quinta zip 92253 Tract # 25363-1 Lot # 15 Type of Development New Residential Addition Comments onus Room APN # 604-342-008 La Quinta Permit # Log # Study Area Square Footage 332 No. of Units 1 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: Add. of Sq. Ft. to New Construction EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.84 X 332 or $ 610.88 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By Century Crowell Communities`lepho pne 381 8 Te➢ -6007 Name on the check By Dr. Doris Wilson Superintendent ' ' �' ✓i. Fee collected /exempted by Pauline Pearson Payment Received td $-6 Y'88 Signature ��a 'W L nro ( A-11- Check No. 105156 40TICE: Pursuant of Assembly 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 the 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 milect 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 waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting f A. U.�,,RTMENT OF HOUSING AND URBAN DEVELOPMENT `:�i►� ��1,��.E COMP, Serving the American Dream TYPE 1. 1 1 FIIA 4. 1 1 VA R. rILE NUMBER: 0401 -97 -1239 -NW OF LCW9ROW DIVISION 2. I I FMIIA 90 8 . UNIN FAX (909)884-0524 1�t165 S �" TREET, SUI - 8. MORTGAGE INS. GSE NO: RE : LOT -15, TRACT -25353-1 C. NOTE: This form Is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.c)" ware paid outside flie closing; they are shown here for informational purposes and are not included in the totals. D. NAME OF BORROWER: BRIAN MORRIS AND JEAN MORRIS ADDRESS: 45-180 BRIDGETTE WAY, LA QUINTA, CALIFORNIA 927.53 E. NAME OF SELLER: TOPAZ ASSOCIATES, LP ADDRESS: 1535 SOUTH °D" STREET, SUITE 200, SAN BERNARDINO, CALIFORNIA 92408 F. NAME OF LENDER: 'TOTAL FINANCIAL SERVICE, INC. ADDRESS: 74-040 HIGHWAY 111, #2.03, PALM SPRINGS, CALIFORNIA 92260 G. PROPERTY LOCATION: 45-180 BRIDGETTE WAY, LA QUINTA, CALIFORNIA 92253 H. SETTLEMENT AGENT: AMERICAN TITLE INSURANCE COMPANY SETTLEMENT PLACE: 1465 SOUTH °D° STREET, SUITE 200 SAN BERNARDINO, CA 92408 1. SETTLEMENT DATE: 07/28/97 J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 51UNMENT ;Mort a e'$ `A; VV 145.20 IDITIONAL SETTLEMENT CHARGES: re to 9.00 ins ection to FIL025363-4 ACCOUNTING JOB # 341204 IN/OFF TRACT # 341292 CENTURY HOMES CENTURY CROWELL COMMUNITIES For The Home of Your Life! DEL REY 0 LA QUINTA NORTE 18 LOTS TRACT:25363-1 PHASE 4 ORIG DATE: 08/09/95 3/15/96 - COMPLETE BONUS ROOM ON LOT 37 PER PROD ALERT - DB 5/8/96 - LOT 12 CHANGED FROM 5BR TO 3CR, LOT 14 FROM 5XBR TO 3XAR, LOT 37 FROM 3X TO 3XC, LOT 39, FROM. 4XBR TO 3XBR, LOT 41 FROM 5CR TO SXCR, LOT 43 FOMR 4XBR TO 3XBR, LOT 44 FROM 3AR TO 3XCR, LOT 45 LOT 45 FROM 3XC TO 3A PER TONY S. - DB 5/23/96 - MIX REVISED TO SHOW ACTUAL PLAN COUNT - DB 6/5/96 - LOT 42 ELEV CHANGED FROM C TO B. LOT 36 ELEV CHANGED FROM B TO C PER PROD ALERT - DB 6/11/96 - LOT 39 CHANGED FROM 3XBR TO 3XB AND LOT 40 FROM 3A TO 3XAR PER GARY W - DB 10/15/96 - LOT 40 BONUS ROOM NOT COMPLETED SO DESIGNATION REMOVED PER TONY S - DB 3/28/97 - COMPLETE BONUS ROOM ON LOTS 15 & 46 PER PROD ALERT - DB 6/13/97 - REMOVE BONUS ROOM ON LOTS 15 PER PROD ALERT - DB 7/27/97 - ADD BONUS ROOM TO LOT 15 PER PROD ALERT - DB PLAN 2X PLAN 3 PLAN 3X PLAN 5X 1461 SF 1,445 SF 1663 SF 2010 SF A 2 A 3 A I A 0 B 1 B 0 B 4 B 0 C 2 1 C 2 C 2 5 4 7 2 LEGEND: "X" COMPLETED BONUS ROOM "REV" REVERSE FROM ARCHITECT PLAN MKTG P SALES7� ANCE .jj� , _ C T URCH Lf21 ACCT VA VIOLET LOT # PLAN TYPE ADDRESS 12 3CR 45-240 BRIDGETTE WAY 13 2XC 45-220 BRIDGETTE WAY 14 3XAR 45-200 BRIDGETTE WAY 15 3BX 3AR 45-180 BRIDGETTE WAY 79-240 VIOLET COURT 34 35 3XB 79-230 VIOLET COURT 36 2XCR 79-220 VIOLET COURT 37 3XC 79-210 VIOLET COURT 38 2XA 79-200 VIOLET COURT 39 3XB 79-190 VIOLET COURT 40 3AR 79-180 VIOLET COURT 41 5XCR 79-185 VIOLET COURT 42 2XBR 79-195 VIOLET COURT 43 MR 79-205 VIOLET COURT 44 3XCR 79-215 VIOLET COURT 45 3A 79-225 VIOLET COURT 46 5XCR 79-235 VIOLET COURT 47 2XA 79-245 VIOLET COURT LAST REVISIO W E--' E-4 Q 27 -Jun -97 A=7422Sr Ig 44 A=752!SF 45 A=752ISr SCAR 46 A=8075SF 2XA 47 X8 R '7296SF W E--' E-4 Q 27 -Jun -97 CENTURY HOMES Century -Crowell Communities 0 SIGNATURE AUTHORIZATION I hereby authorize Dennis Cunningham and Century Homes to sign on my behalf for permit purposes regarding my residence located at 45_1 k _ Uet bagT- E: "y This authorization is valid through 4}u. Co , 1999_ Sincerely, Name Address 4 Phone No. 1535 South "D" Street, Suite 200 --San Bernardino, CA 92408 (909) 381-6007 • FAX (909) 381-0041