07-1067 (SFD)P.O. BOX 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht °F 4Qu4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-0;0001067
Property Address: 81774 COUPLES CT
APN: 764-06.0-045- - -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: -386211
Applicant: Ca''t IJ4.LT0 Architect -or Engineer:
/I'r
Lic. No.: OOR SQUARE FOOT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty., of perjury that I am licensedun r Prov' ' of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Profession C an y License is in full force and.effect.
License Class: B i N 710230
,Date: to 2Contractor:
OWNER-11ILDER DECLA ON
I hereby affirm under penalty of perjury that I am exempt from'the Contractor's Staid License Law for the
following reason (Sec. 7031.5, Business,and'Professions Code; Any city or county that requires,a permitto
construct, alter; improve, demolish, or repair any structure; prior to its issuance, also requires the applicant for the
permit to file a signed.statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the.Business and Professions Code) or
that he or is exempt therefrom and the, basis for the alleged exemption. Any violation of Section 7031.6 by
any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars (9500).:
(_ j I, as owner of the -property; or myremployees with wages as their sole "compensation; will do the work„ and
the structure is not intended or'offeredfor sale (Sec: 7044, Business end Professions Code: The
Contractors' State License Law does not apply to an owner property who builds or improves. thereon,
and who does the work himself orherself:through his or her own employees, provided that;the
improvements are not Intended or offered for, silo. If; however, the building or improvement is sold within
one year of completion, the,owner-builder will have the burden of proving, that he or she did notbuild or
improve for the purpose of sale.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to�an owner of
property who builds or improves thereon,andwho contracts for the projects with a contractor(s) licensed
pursuant to the, Contractors' State License Law.).
L_ 1 I am exempt under Sec: B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that,there is-a`construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ.. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
CHRIS MICHAELS
1030 N ARMAND DR
ANAHEIM, CA.92806
Contractor:
BOVENZI HOMES
P.O. BOX 1714
TRUCKEE, CA 96160
(,530)613-1173
Lie. No.: 710230
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
--------------------
WORKER'S COMPENSATION DECLARATION
Date: 6/29/07
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.
_ L have and will maintain workers' compensation insurance, as required;by motion 3700 of the Labor
Code, for the performance of the work foe which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EXEMPT Policy'Number EXEMPT
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 -ss to become subject to the workers' compensation laws of -California,
end'agres that, if I should become ubject tohe workers' compensation provisions of Section
3700 of the Labor Code, I shall hwith. ply with those provisions.
Date: i-ZI-0 Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND,CIVIL".FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (8100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDEDTOR'IN
SECTION 3706 OF THE LABOR CODE, INTEREST., AND ATTORNEY'S'F.EES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is.hereby made to the Director of Building and Safety for a permit subject to.the
conditions and: restrictions set forth -on this 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 application,
the owner; and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Ouinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit:issued asa result of this application becomes null and void if work is not commenced
within 180 days from date ofissuance 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 county ordinances and state laws relating to building construction, and herebylautw 'ze representatives
of this county to enter upon the above-mention6d property for inspection pur s.
Date:b-24 #nature (Applicant or Agent):
r: s
Application Number . . . . 07-00001067
Permit
. . . BUILDING PERMIT
Additional
de.sc . .
Permit. Fee
. . .
1644.00
Plan Check Fee
1068..60
Issue Date
. . . .
Valuation . . . .
386211
Expiration
Date
12/26/07
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
287.00
3.5,000
THOU BLDG
100,001-500,000
1004.50
Permit
. . . ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
200.73
Plan Check.Fee
50.18
Issue.Date
. . . .
Valuation . .
0
Expiration
Date
12/26/07
Qty Unit. Charge
Per
Extension
-BASE
FEE
- 15.00
447.9.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
156.77
698.00
..0200
ELEC
GARAGE OR NON-RESIDENTIAL
13.96
1.00
15.0.000
EA ELEC
TEMPORARY POWER POLE
15.00
Permit
GRADING. PERMIT
Additional
desc . .
Permit Fee
15.00
Plan Check Fee
.00
Issue Date
Valuation
0_
Expiration
Date ..
12/26/0.7
Qty Unit Charge
Per'
Extension
BASE
FEE
15.00
Permit
. . . MECHANICAL
Additional
desc .
Permit. Fee
. . . .
134.00
Plan Check Fee
33.50
Issue Date
. . . .
Valuation . . .
0
Expirat-ion
Date ,.
12/26/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3.00
9..0000
EA MECH
FURNACE <=1.0'0K
27.00
3.00
9.0000
EA MECH
B/C <=3HP/10-OK BTU
27.00
9.00
6.:5000
EA MECH
VENT FAN_
58.50
1.00
6.5000
EA MECH
EXHAUST HOOD
6.50
LQPERMIT
M
LQYERMIT
_.4
Application Number . . . . .
Permit PLUMBING
Additional desc .
Permit Fee . . . . 21:7.50
Issue Date
Expiration Date 12/26/07
07-00001067
Plan Check Fee . . 54.,38
Valuation . . . . 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
23.00 6.000.0
EA PLB FIXTURE
138.00
1.0'0 15.0000
EA PLB BUILDING SEWER
15.00
2.00 7.5000
EA PLB WATER HEATER/VENT
15.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
10.00 .7500
EA PLB GAS PIPE >=5
7_50
1.00 15.0000
EA PLB GAS METER
15.00
------------------ --- -
Special Notes and Comments.
-4479 SQ. FT. SFD THIS
PERMIT DEOS NOT
.INCLUDE POOL & SPA BLOCK WALLS OR
DRIVEWAY APPROACH.June 25, 2007 1.:53;26
PM JJOHNSON
-------------------------------------------
Other Fees . . .
. . . . ART IN PUBLIC PLACES -RES
465.52
DIF COMMUNITY CENTERS-RES
74,. 00
DIF CIVIC CENTER - RES
9'95.00
ENERGY REVIEW FEE
106.86
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
15.00
DIF LIBRARIES - RES
355.00
D.IF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
•STRONG MOTION (SMI) - RES
38.62
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid - Credited
Due
Permit Fee Total
2211.23 .00 .00
2211.23
Plan Check•Total
1206.66 500.00 .00
706..66
Other Fee Total
5101..00 .00 .00
.5101.00
Grand Total
8518.89 500.00 .00
8018.89
Coachella Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 3.98-1.224
Project Name: Chris Micheals
This Box'For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO. AMOUNT:-
MITIGATION AMOUNT:
COMMAND. AMOUNT:
DATE:
RECEIPT:
CHECK N:
INITIALS -
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Owner's Name: Chris Micheals
Project Address: 81-774 Couples Court, La Quinta
Project Description:. 1 SFD
- Date: 06/28/07
APN: 764-060=059 Tract- #: Lot #
Type of Development: Residential xx Commercial
Total Square Feet of Building Area: 4479 sq. ft.
530-613-1173
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is.authorized to sign on behalf of the owner/developer.
Dated: 06/28/07
Signature:
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project Agreement Existing Not Subject to Fee
17620 65995 Approval . Prior to 1/1/87 Requirement
Number of Sq.Ft. 44-79 sq ft
Amount per Sq.Ft. $ 3.48 per sq. ft.
Amount Collected $ 15,586.92
By: Carey M. Carlson, Asst. Supt., Business Services
Certificate issued by: Maria L. Angulo, Facilities Secretary Signature:
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the
project Appellant, at the time of payment of school fees,. mitigation payment or other exactions ("Fees"),,of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees: Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as.herein set forth, whether payable at this
time or in whole or In part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and: up
to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject
or this. Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
1 �d CnlllpliankL' 1'61 111 lah1(.,5T() 1�ti",Ldoc .1/16/03 T
Bin'd4 `
Cky of La Quintd
Building. ex Safety Division
P.O. Box 1504, 78-495 Cale Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application -and Tracking Sheet
pet„ k.
•' .
Owner's Names Is 424c EA ty
A. P. Number: 7& ^t7 fDO �05
Address:
Legal Description' ACer /0 - TACT
City, ST, Zip: ' � Cil
Contractor. . 801 etiZ` hlrt, ME3
Telephones -.
Address: 5-6,P0 7 8 fAtm5
Projed Dwctiptiow
77
City, ST. Ztp: 1.*.. 62 a, -4A ii-. G} 2 Z5
6i . jL " (SMFIIIRe r e&kc
Telephone:L6,7 3 a) 6013 -117 3
State Lie. # : 7/0230 city lAc. #: 9 ,!�'.
Arch.,.' er: e�GCt°z.. 9e 5 yJ
Address:. tl 0 / . Palen :� f,400 D � .
city, 9, zip: PA -t -;I "s PA NZ 5 c.A• _ 122 41,
Telephone.
StaLe.Lic, #:
Name of contact Person:. Al6 0VEAPA .
Construction l)oaPaney:
Projed tnx (circle one New AMR . Alter Repair Dema:
Sq. Ft.: if q
8t&ks: 1
# Units: ' j
Telephone # ofcontad;Pam: S30- - &I 3 -103
Estlmabod value Offtojoctc
APPLICANT: DO NOT WRITE BELOW. THIS. LINE
N.
Submittal.
Req'd, •
keed
TRACi�IG..
PERMIT FEES- .
Z.
Mw SetsPWt
Check sabmitled
:O
Item
Amoant_
Structural calve.Reviewed,
ready, for corrections
Plast Check D
V.
Thais Cala.
Called Contad Person
Plan chc& Balance
Energy 'Cala.
Plans jdeked 6p '
Construction:
Flood lilain plan .
Plans resubmitted
Mechanical
Gradingplan'
3'':Review, ready for. eerreetioasiisane
Electrical
Subcontactor Inst
Gikd Contact Perwn
Plumbing
Grant Deed
Plans pick4up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for eorrectiouslissae-
.Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
•Date,of permit issue
School Fees
'
T
f/Z[C)7
13U 'IL D 14GJ .
A
C►F 9�AN� Oi:P'f. .
RRCORDING RBQU&4ktt1' SYS
Desert'Sends Escrow
AND YAM RMWRDdD MAIL T03
Chris Micheals
1030 North Amando Street
Anaheim, CA 92806
Order No. 607054368
Esa v w No. .1 038d A
GRANT DEED
THE UNDER8IGNM GRANTOR DECLARES THAT DOCUNOWTARY TRANSFER TAX 13 949S.AD and CITY S
® ooseputed on fall value of property conveyed, or
❑ computed ori full value lees.IWO or &Wt13 nbrWK= )remaining at 00 time of sale.
❑ , rporated area: ® i a Quints, and
FOR A VALUABLE CONSIDBRATION,.recelpt of wbieh is hereby acknowkdged,
Domiale Dimitri, a married -man as ha:sole;and separate property
=GRANTSto Christopher Micheals and Cynthia J. Mieheals,
husband and wife as community property with right of survivorshV
the following dumbeil,red property in the County of Riverside, State of California:
Parcel 1 of Parcel Map 34766, in the City of La Quinta, County of
Riverside, State of. California, as shown by Map on file in Book
221, Page 47 of Maps, in the Office of the County Recorder of
said County.
DW November 29 2006
Dominic Dimitri
STATE OF CALIFORNIA
COUNTY OPt �„[f �$ } t/
On �rmbar I& ZCQ(# . be ore me, F-gV;14 N _
a, notary public, penmWly appetaed ,1009mink Dimitri 18MIN to me (or p vved to me on the basis of
satisfactory evidoce) to be the peranpo whose nmeo h/pW subscribed to the within WWument and
acknowledged to me that he/aheM*r executed the same m hislWAbap sbdto iod cepacityOK and dw by
bislbadtheir signaurco an the instrument the persoq(A or the entity upon behalf of which the penono acted,
executed the' 1 11ment.
WITNESS my baud and offid sesL KEwW &QAc
Sign�ue
637044
(Seal) Coannleeton � 1
NoWv t�oc - CONOWo
LmAngeles Cou*
6MIp Comm. 6q*es l�ec 9.
Mail T= 8tatw at 1w SAME AS ASM or Address Mond Odww
2
l�
blOW10 , SpM and land PINSOi , and Mucb M DaelOn
Pdadow: awes a carload, Anuooat
*MWf x WMncadwwi%,Ibgl)w InTw"
8 November 2007
The City of La t
Oeparhnerd of Building and Sat*
78.495 Cape Tempioo
La (quints, CA 922.53
Project: SMO Family Residence for:
Michaels Family
81-774 Couples Court
The Palms
Le Quirb, Giga
Regarding; ShcturalObaervadon
To Wim It May Concern,
am a Noensed Arehitect in Ure Stare of CalHWW and the lWnaW design professional of ft noted p*d's
structural yarem.
On (his date I visited the rioted pm)ect site to provide CBC required structural oonshudion observations. i
noted during my visit only minor blocking, straying and naFmg issues that were resolved at the (bre of the vieit.
1 herby st* that tM project Is In substantial contorrnew:* with #w *%ictural doel pl Intent of ft
strudwl, dsoign cakala IML
N you have any further questions regarding this project please do not hesiM in cmtao tg me.
Ppb. tJt1b91
Charles o. Garland yob
74-64 vaseMf*. tete5 a P*n DSNK CA 9Q26a"ftw (W) 3 arfe (M) 340 M
74991 JONI DR SUITE IN PALM DESERT, CA
PHONE 760 940 3528 FAX 780 340 X728
gbgmup2k1@aoLcom
j t -. .J
(3 Utgod 0 For Review O Please Comment 0 Please Reply O Please RecyWe
• Cvmment�
l 11 ger c1 *)ne or9%na\ Copy ouv i i
-the ma;� 1 -iza dcxtA .
Certificate of Occupancy'
1�
I4
OF'T9 Building & Safety Department
This Ceriifcate is issued pursuant to the requirements of Section 909 of the California. Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 81-774 COUPLES COURT
'Use classification: SINGLE FAMILY DWELLING Building Permit No. 07-1067
Occupancy Group: R3 Type of. Construction: V-N Land Use.Zone: RL
Owner of Building: CHRIS MICHAELS Address: 1030 N. ARMAND DRIVE
City, ST, ZIP: ANAHEIM, CA 92806
By: AJ ORTEGA
Date: JUNE 23, 2008
Building Official
PAST IN A CONSPICUOUS PLACE