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9708-073 (PAT)U) 4 ouch r- d W o Z �O� Z co LO N ON U_ °) W Z Lo Hcc 0 LL X w — mUU O OL rn H Z_ co � r` p Q 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 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: ( ) 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. (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 Code, I shall forthwith comply with those provisions. Date: ADDlicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature (Owner/Agent) Date BUILDING PERMIT PERMIl�f�lli CONTROL# 5743 DATE VALUATION ILOT TRACT JOB SITE ADDRESS 45-24f) �Si� t�is�: �t� IAPN OWNER ICONTRACTOR / DESIGNER /ENGINEER ,e rti _j "a -♦a♦ .aa ati,l♦ ♦ fv♦.. •.ate♦a.: t]sCa,'1, ..I%,1'V1 Va P tAAKsf /a. Le_A♦:/,.,t.V,+ f' rU; wAI: ii 11 'fzi.1V 0K.axi:? S�3 {ate. (,frt tAKI-A. �_'A ylxa l (.A"!'H.EDRA,G {XIT CA x+.21 tai (760021-41495 411141,4 USE OF PERMIT 11 RCATA,1.16. 3;.f)E{ ftir .&ON �'�jj�$},�����+ PEA",S(� y 1j4?yn.)1 Y19 i. •X� �'4•\fi ~t' i.`k�{.�*`<311 A9�a.4's` .�►' PLAN CWC.% t hf; cilm-TIc 1 101-000-4184" VO (VI 4.`i'I%<: ZIG, %,iOTf014FIX -5:1 SM 101 -COD -:241 -WO SS.50 80Ft:r( t"Ai.CONSTR rMY)NANI)PIAN0TP(' . 1ajaSS PRET-I'.r IW F;rUr RECEIPTS ...} IDATA, ' ^"? BY I D1IL4ALFq A r7INSPECTOR i i14 .i5 $0.001 $104.0 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 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 BLOCKWAL AP ROVA S 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 OX 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: RAFTER SIZE AND SPACING ROOF qITCH CONTINUOUS LEDGER (SAME SIZE AS RAFTERS) • HEADER I E — SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE (SEE 50OFING NOTE ON REVERSE) - - - _tofiro�� - - - - - - 7 'T' AND 'L' STRAPS 6"x6"xl"xl/8" WITH -- -- ANCHOR BOLT (EMBED �V MIN. INTO CONCRETE) TYPICAL PATIO COVER Z• 8-/-7-97 OWNER'S NAME (4) 16d NAILS OR BOLT STREET ADDRESS % ., TELEPHONE H.O.A. APPROVAL I RAFTER SPAN: _------ __/_/ __ POST SPACING:--6?--&-- PACING:_-&/O.H. O.H. w O.H. / o r� RALL LENGTH: __________ a / OVERALL LENGTH:_-_ 6 �_______ POST SIZE: _ REAR SETBACK I SIDE SETBACK (4"x4" MIN.) 2000 P.S.I CONCRETE —�I I FINISH GRADE FINISH GRADE I Ir- I I MIN. 12"x12" FOOTING L_ J L_ J 12" BELOW GRADE L_ J PROVIDE 1" CLEARANCE BETWEEN POST AND CONCRETE NOTE: OPEN LATTICE PATIO COVERS MAY BE .ATTACHED TO EXISTING FASCIA VIA ONE 1/4" x S" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL. BUILDING DEPARTMENT APPROVAL BELOW U—STRAP OR AN( NON—CORROSIVE (4)— 16d NAILS OR BOLT U—STRAP OR ANGLE (4)— 16d NAILS OR BOLT PROVIDE 1" CLEARANCE BETWEEN POST AND CONCRETE •Rj 17" V ANCHOR BOLT (EMBED �V MIN. INTO CONCRETE) TYPICAL PATIO COVER DATE OF APPLICATION 8-/-7-97 OWNER'S NAME olQv- G, / STREET ADDRESS CITY, ST ZIP ., TELEPHONE H.O.A. APPROVAL RAFTER SPAN TABLE ALL CONSTRUCTION SHALL CONFORM GRADING RULESQ O PS 20-70 c"� °S� �TO THE PROVISIONS OF THE 1994 (FEET & INCHES) o°JA�?° �? UNIFORM BUILDING CODE. A5 Ov SUPPLEMENTAL NOTES: ' NOTE: 32" O.C. SPANS ARE ALLOWABLE FOR OPEN' LATTICE PATIO COVERS ONLY. 'LATTICE ROOF BUILT-UP ROOF HEADERS HEADERS 'DOUGLAS FIR NO. 1 DOUGLAS FIR NO. 1 SIZE SPAN Oc. SPAN 4x4 4x4 �� : • 1 • 1 / : • ©Q©� 4x6 6'-0" 4x8 1 4x8 8'-0" 400 14'-0" 4x10 10'-0" 402 17'-0" 402 12'-0" 6x8 NOTE: 32" O.C. SPANS ARE ALLOWABLE FOR OPEN' LATTICE PATIO COVERS ONLY. 'LATTICE ROOF BUILT-UP ROOF HEADERS HEADERS 'DOUGLAS FIR NO. 1 DOUGLAS FIR NO. 1 SIZE SPAN SIZE SPAN 4x4 4x4 4'-0" 4x6 1118'-0" 4x6 6'-0" 4x8 1 4x8 8'-0" 400 14'-0" 4x10 10'-0" 402 17'-0" 402 12'-0" 6x8 14'-O" .6x8 12'-0" 600 17'-0" 600 14'-0" ROOFING NOTES:' " A. 'BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN. B. ROCK ROOF: 3/12 MAXIMUM PITCH. RAFTER SIZE AND SPACING \ SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE (SEE RO FING NOTE 0,WREVERSE) ROOF PITCH' CONTINUOUS LEDGER (SAME SIZE AS RAFTERS) 1 /HEADER SIZE . q�\V ��----- I T' AND 'L' STRAPS 6"x6"xl"xl/8" WITH w v — Z (4) 16d NAILS OR BOLT Z I I RAFTER SPAN: POST SPACING:________ JJ 0. H. w d O.H. U % RALL LENGTH: ______L__ ( a / OVERALL - LENGTH:_ ____ 7_�___V_✓____ POST SIZE: 00 _ REAR SETBACK _ ______ --69x-& -__ (4"x4" MIN.) t I SIDE SETBACK 2000 P.S.I CONCRETE --moi 1 •I FINISH GRADE FINISH GRADE I I_—I MIN. 12"x12" FOOTING I L__J L__J 12" BELOW GRADE L_ J PROVIDE 1" CLEARANCE BETWEEN POST AND CONCRETE NOTE: OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO. EXISTING FASCIA VIA ONE 1/4" x 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL. NAIL RAFTER TO BLOCKING BUILDING DEPARTMENT APPROVAL BELOW I U—STRAP OR AN( NON—CORROSIVE (4)— 16d NAILS OR BOLT U—STRAP OR ANGLE — (4)— 16d NAILS OR BOLT PROVIDE 1" CLEARANCE BETWEEN POST AND CONCRETE ANCHOR BOLT (EMBED — 7" MIN. INTO CONCRETE) . TYPICAL PATIO COVER DATE OF APPLICATION�3�-2 OWNER'S NAME r t STREET ADDRESS S yo .� CIN, -ST ZIP �a TELEPHONE H.O.A. APPROVAL RAFTER SPAN TABLE 4 � 4 7 GRADING RULES S S p PS 20-70 0 c� ov zQ (FEET & INCHES) OC) O0 OC) �Q AD o� NOTE: 32" O.C. SPANS ARE ALLOWABLE FOR OPEN LATTICE PATIO COVERS ONLY. LATTICE ROOF BUILT-UP ROOF HEADERS HEADERS DOUGLAS FIR NO. 1 DOUGLAS FIR NO. 1 O.C. �. / SIZE 1 • 4x4 • 1 4'-0" 4x6 8'-0" 4x6 6'-0" 4x8 11'-0" 4x8 8'-0" 4x10 14'-0" 4x10 10'-0ll 4x12 17'-0" 4x12 NOTE: 32" O.C. SPANS ARE ALLOWABLE FOR OPEN LATTICE PATIO COVERS ONLY. LATTICE ROOF BUILT-UP ROOF HEADERS HEADERS DOUGLAS FIR NO. 1 DOUGLAS FIR NO. 1 SIZE SPAN SIZE SPAN 4x4 5'-0" 4x4 4'-0" 4x6 8'-0" 4x6 6'-0" 4x8 11'-0" 4x8 8'-0" 4x10 14'-0" 4x10 10'-0ll 4x12 17'-0" 4x12 12'-0" 6x8 14'-0" 6x8 12'-0" 600 17'-0" 6x10 14'-0" ALL CONSTRUCTION SHALL CONFORM TO THE PROVISIONS OF THE 1994 UNIFORM BUILDING CODE. SUPPLEMENTAL NOTES: ROOFING NOTES: A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN. B. ROCK ROOF.: 3/12 MAXIMUM PITCH. Desert Sands Unified School District Notice: 82-879 Highway 111 Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 CERTIFICATE OF COMPLIANCE Date 6/19/96 No. 14602 Jurisdiction Owner Name Century Crowell Communities No. 45-240 Street Bridgette Way City La Quinta zip 92253 Tract # 25363-1 Type of Development Comments Lot # 12 Single Family Residence APN # 604-342-005 La Quinta Permit # Log # Study Area 230 Square Footage 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 Signature P& , �C a �n o �► eA t �t�Q - Telephone "360-7464 Payment Received $2,658.80 Check No. 28118 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 Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE Date 6/3/97 No. 15589 Owner Name Gary &Kathleen Teager No. 45240 City La Quinta Tract # Street Bridgette Way Lot # Type of Development Residential Addition Comments onus room APN # Jurisdiction La Quinta zip 92253 604-342-005 Permit # Log # Study Area 232 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: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 0.00 X 332 or $ 0.00 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 n/a Telephone 381-6007 Name on the check By Dr. Doris Wilson Superintendent L Fee collected /exempted by Pauline Pearson Signature A e 0 e not Exempt $0'0'0`- Check 0X0'0Check No. n/a IOTICE: 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 bove 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 ollect 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 MAY 30 '97 03:46PM / CENTURY HOMES CenturyCrowell Communities SIGNATURE AUTHORIZATION I hereby authorise Dennis Cunningham &d Century Homes to sign on my behalf for permit purposes regarding my residence located at 020D�£ tT This authorization is valid through ZU,ti�� 199j 7 Sincerely, f Name Address u ►., k P. 4 aa -S 3 Phone No. 1 1535 South "D" Street, Suite 200 - San Bemardino, CA 92408 l (909) 381-6007 - FAX (909) 381-0041 P.2/3 MAY 30 197 03:47PM P.3/3 A U.61&LAOrMENT OF HOUSING AND URBAN DEVELOPMENT W TYPE OF LMKR(M DIVISION t° Emm)WA �'L E COMPANY--- 1 1 FIN 7. ( 1 FMw y - �. FAX (9091884-0524 SenviO fhe m Wicon aeons 4.1 1 VA A 16' S ' SJREET 420 4. Paz Nu em 7. 60NI !{moi •,l 0401-97-9963-NW e..IO.TGAM W& CASE ro RG: WI -14, TnnL(-69JGJ-1 C. NOTE: This form is Imnished to glue you a statement of anual seldement costs. Amounts paid to and by the settlement agent are shown. Items marked '(p.o.c)' were paid outside the closing. they are shown here for Informational purposes and -are not UwWded In the totals. D. NAME OF'BORROWER: GARY TEAGER AND KATHLEEN TEAGER ADDRESSI 45-240 BRIDGETTE WAY, LA QUINTA, CALIFORNIA 92253 E. NAME OF SELLER: TOPAZ ASSOCIATES, LP ADDRESS 1535 SOUTH "D" STREET, SUITE 200, SAN BERNARDINO, CALIFORNIA 92408 F. NAME OF LENDER: NORWEST MORTGAGE ADDRESS: 6 HUTTON CENTRE, #230, SANTA ANA, CALIFORNIA 92701 G. PROPERTY LOCATION. 45-240 BRIDGETTE WAY, LA QUINTA, CALIFORNIA 92253 H. SETTLEMENT AGENT: AMERICAN TITLE INSURANCE COMPANY SETTLEMENT PLACE: 1465 SOUTH "0" STREET, SUITE 200 SAN BERNARDINO, CA 92408 SETTLEMENT DATE 05/21/97 MAY 30 197 03:48PM P.4/3 CERTIPICATION: The undersigned escrow holder certifies that true and correct copies of this settlement statement have been mailed or delivered to the buyer(s) and seller(s) named herein. DATE ESCROW NO: 0401-97-9963-Nw NANCY WAYSZ ESC 1 ,UplrIL R r .: = ." `.. .• r�;Y _