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0102-084, 0012-001 (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, a,d 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.] 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. Flusinnss & PrnfP..SSInnAIC Cone), ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Comae). f' ; (�) I am exempt under Section ' B&P.C. for thisireason Date f: k' 41r 1i1111I , i ... Signature of Owner tt Vv 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). %f I certify that in the performance of the work for which this peimit 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 becometk subject to the workers' compensation provisions of Section 3700 of the Labor •Code, I shall forthwith comply with. hose, provisions., / Date', ,'q / T! t' Applican/fel /u ,/; l / Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in i addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. � IMPORTANT Application is hereby made to the Director of,Buildirig and Sae y for. a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each= ats. whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180.days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon .the above-mentioned property/for inspection purposes. / � 1. Signature Owner/A ent I fI ? f 4, h l% +' U , 9 ( 9 ,) [ rt ' ��� f+ —Date, , !!_- BUILDING PERMIT PERMIT# DATEa/ VALUATION LOT��..f� TRACT ? ! �t SAM JOB SITE APN ADDRESS OWNER CONTRACTOR / DESIGNER / EN (NEER DAMA cWWII t9 EMri1`�'iSII.s 4406is G COX)RT. 1 [y } /x 94978 U3[7yurFERMiT py�p ♦ �y�� X.'N.5h9�y.6s�.Y.n7'7AY.V,a1i•V I,� Ntf3��'�i�x�v?f�'3,C,6,. `P'�i.i%.[�,.�r `>'f' � lftiB l•OU�• 3.",$� '�.�L� G'3� a;;�iP�'ii'd�P,.C;T�I3 'f'1� OWNFAUBUILDER EhrMATKO COS. ' CA? CON IMARMON 0.00 PERMS171fillu fil"L MARY _FB 09,2071*. Ui- LA U0011. F a x � Ya F1l 'i".teat""17f��J AND PLA.N MFCK $4.50 ..�rC91 LE- 33PRE-M.1) RE MIS $0.00 4.4, RECEIPT DATE/J) BY DATE,FINALED INSPECTOR �. f ^i 4; INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS ,Set Backs 4_ V7 Underground Ducts Forms & Footings �,1� Ducts Slab Grade Return Air Steel Combustion Air Roof Deck (,�i3—�( gT Exhaust Fans O.K. to Wrap s�( F.A.U. Framing �_ Compressor Insulation=?jamT. Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath eK C Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL --PPROVALS 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 _ _ _ S7 Heater Final Water Piping �1 ��`b Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection _ ST Encapsulation Gas Piping Gas Test 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) Certificate of Occupancy Cit ol Quinta La F ' y V Buildings 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 fol%wing: BUILDING ADDRESS: 50-995 CALLE QUITO Use Classification: SFD Bldg. Permit No.: 0102-084 Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RL Owner of Building: DARRIA KOSICH lel Building Official Address: 4406 HAXEL COURT City: FAIRFAX, CA 94978 By: STEVE MAXEL Date: 07-17-01 POST IN A CONSPICUOUS PLACE k LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury-tFiat 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 J J` f 401706; B CS JXTC' 9 f. 01: ,` 1/94 pa�f Signature of Contractor f fr'•{% ,� ''r�t��� !' 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 v Ii:h 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' cdmpensaton, 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. SH'A'PE FARM YOQJD-254,'39 (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: ! 1:r Applicant �• kV lila' V i.'LE,r• i Ut/' ' o. r Warning: Failure to secure Workers' Compensation coverage isqunlawful 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. r IMPORTANT Application is hereby made to the Director of Building and SSafety for a permit subject to the conditions and restrictions set forth on his application. I J 1. Each person upon whose behalf this application is made & each person at whose request acid for whose benefit work is performed under or purs�Tt(Y 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 becomesAnull 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 isiti 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. R rSi/ ature (Owner/A ent) � k E�, ��F �rf 6 il;I`' (, ' . t Date -V V .. of • l,.i ' 1 1 .1 t( BUILDING PERMIT PERMITN " 9 9 tri TRACT DATE ` , VALUATION LOT TRACT , t �(, 60 11 NKC1115 JOB SITE t j APN ADDRESS <i1.7^:J� te�i�.�lb,°A`.��1.°Ad:'V ,t 6Y7Kf f'6"'��i .�'h• OWNER CONTRACTOR/DESIGNER/EN INEER DARI l A X'048@00 Ld�1'G:�'O.RM CO2d�:C�`�UCTIOtd 4406 HAW.L. CT, 6�d3€ S 7.'AI�' TA AWE,. FA��a`�X (:A 94978 CAIU r^i�R A{ i•.�t 3C �'.�A '.s 223 (760>321-65660 CST.43 2797 USE OF PERMIT ISM. is1E V�aaf0.11 ;'Y 3XV C)INLY, T ??TZMlT ))00 h1OT YN,C.1,UDE Efi)':(7>,;;f: 'u��3.1,L, POOL & SPA t" R TRACT +f, ONSTRUC:710N 2,�bD,llt� OF C3A�a1�l�G1�.dtr.�l�l'Oi' T `SY) 11o9'Is.?0 IVIR YJlY YED COST M , L1d.KVA�lA6L°h,rOA6oJJ.7 A O.A lxT,2 a;:/014SIP,1),UIC ION FRE 103-0001419-000 PIAN E.�.H i!k �'Lt`Z 10`d -000-X8331.319 �'6Afi.d4 1+31�.•C HANICl�,1,° MIK. 101 -CIO© -421-000 ):i.�:�;7'.I;t.Ei"AL x1',I� 10,1 -000 -X12,8➢ -000 FLU1:c� YNO YEE 101-W0.419.,000, fi142.00 ;81f1,1`91� O hIt�°f'T;;.+N ITEE- IIM ID 101.000-:24 -000 $13.52 1.trUKU:3MR. i.i` PA IY9 S11907�(Yc� I�k�1�I1I�E�r9I6 /N 107 •�b0i��:yGa-3111 n�E�0.00 N 22 2001 A�''gqyyyyyl�ea���.'�,�.Ay�ryfi■ ��;y.'��(�. +�,�i(y .tAR,'30 �`MB-$"+�+4d�'.S'.G'.�+ibfJ a t '7f��IM PERd3l�`� .K"T8131 ; NOl+4� r RECEIPT DATE (( r� d BY pp DATE FINALED INSPECTOR T.16. 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 BLOCKWALL APPROVALS 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 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: ` Building"- Address— Address City ` n1 2 Co tractor Address hu. Y-1 • 44" P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 City Zip Tel. State Lic. i & Classif. `, ® City Lic. # Arch., Engr., NeW Add ❑ Alter ❑ Designer /' I o Addressrr, � l Tel. yC.itJy Z' (State (.® lu 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 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)• 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.) 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.) I'7 I am exempt under Sec. B. & P.C. for this reason Dale Owner WORKERS' COMPENSATION DECLARATION 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. ❑ 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 thg 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, atter 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 BUILDING: TYPE'CONST. CCC. GRP. A.P. Number Legal Description x Project Description 1�kt-Y t ce \,t/,/ 2 Claf2 BY: Minimum Setback Distances: r Front Setback from Center Line Sq. Ft.-� ,� No. Size t �L'D Stories { No. Dw. 1 Units NeW Add ❑ Alter ❑ Repair ❑ Demolition ❑ Side Setback from P -operty Line FINAL DATE INSFECTOR Issued by: Date Permit Validated by: Estimated Valuation PERMIT 1.� AMOUNTr o� Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. !. Infrastructure Y 1 TOTAL REMARKS nV Y tJt- >k ' ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback 'Tom Center Line Side Setback from P -operty Line FINAL DATE INSFECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION 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 '1/22/01 APN # :69-074-012 No. 21541 Jurisdiction La Quinta " Owner NameDarria Kosich" Perri it # 0012-001 ` No. 50-995, Street Calle Quito' Log, # City La Quinta zip 92253 Study Area ' Tract # Unit5 Lot # 60 Square Footage 2260 Type of Development Single Family Residence No. of Units 1 J Comments - At the present time, the Desert Sands Unitied School District does .not collect tees 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 fallowing reason: - EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the'amount of 2:05 X 2,260 ' or $ 4,633:00 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 OC - Wells Fargo Bank - Darria Kosich Telephone 760-321-6660 Name on the check t By Dr. Doris Wilson z : p ' Superintendent Fee collected /exempted by Annette Barlow. ' Payment Received 1$4,633.00 -Check No. 0725002328 - Signature.. ltl Wl FNO-.nc,CE: 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 tt-e fees or other payment identified 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 Districts) or to an Dtherpublic entity authorized to t 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 _NOV-17L2000 01:31-Pi/TRANSFORMATIONAL ARTS 797 586 2545 P.01 71 .FIDELITY NATIONAL TITLE INSURANCE COMPANY DOC « 1099-481x26 ---AECORDING REQUESTED BY: 11/02/1990 ea:eK Fea:a.ee Pogo i of t Doe r TaxRetd -Fidelity-National Title Company Raeapded In offfo.laf Raoerds Boarow No. 41000-ce. Ceunty- of Rlvorsida Ttdo Order No. 00628728Gary L. Orse Assassor, County Clerk A Raeorder (Weil. Document and When x Statement To - AAs. Dama E. Kosich Ms. 4406 Hazel Court - Ms u sae an ncmj Naem ju. .417 Rohnert Park, CA 94928 a 5'Z1 IU e D�iANT`DEED LACE "I FP i %� j * ©Z.'OOI(p t3� The undersigned grantor(s) daalare(s) Documentary transfer tax Is 935.75 I X l computed on full value of property conveyed, or ` I l computed on full value leas value of liens or encumbrances ren4aining at time of sale, I 1 Unincorporated Area - City of La Qulnta -FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged. E((een Fluhrer hereby GRANT(3) to Darria E. Kosich , an urmaxxied woman the following described reel property In the City of La Duinte County of Riverside, State of California: Lot 80 of Desert Club Tract Unit No. 5, as per Map recorded in Book 21, Pages 61 and 62, of Naps, in the Office of the County Recorder in said County. Y . sb-99s%r DATED: September S, 1999 STATE OF CALIFORNIA COUNTY OF ,AUS dW&f L -E3 ON before me, 1-67- personally appeared 6R personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/shefthey executed the same in his/her/their authorized capacityfies), and that by hls/her/their signature(s) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executedthe instrument.: . Witnessmy d and offlclal seal, C Signatu e ie e� �-. - .— Elleen Fluhrer , SMA AHLFELDT �t1@{'tta8�'a cava ry A MAIL TAX STATEMENTS AS DIRECTED ABOVE FO -213 (Rev 7199) GRANT DEED 78-495 CALLE TAMPICO LA QUINTA, CA 92253 (760) 777-7075 APPLICATION RECEIVED JAN 1 1 2001 PUBLlC 1N®iR!Cs - FLOOD PLAIN DEVELOPMENT PERMIT- BUILDING SITE LOCATION FLOOD'ZONE "AO"- DEPTH 1 COMMUNTY= PANEL NUMBER 06D709 0005 B Map Revised: 8/19%1991 APPLICANT INFORMATION SECTION APPLICANT NAME e. KaSI e APPLICANT O ADDRESS — ��i .. u cls -ZDLA t_" CA 9 2 zo (MAILING ADDRESS, NOT THE BUILDING SITE) DAYTIME TELEPHONE N0. %Gd -2 Z — G S'%/ INSTRUCTIONS 1. A Flood Plain Development Permit is required by LQMC Section 8.11.040(A). The Applicant should complete the Applicant Information portion of this application and submit it to the Engineering Department along with the required documentation noted hereon at the same time the Precise Grading Plan is submitted to the Building and Safety Department for plan checking. 2. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Building, Permit issuance • Copy of the proposed Precise Grading Plan for review and approval containing all information required by the checklist shown on the back of this application. 3. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval. Note, this approval occurs after forms for the- to west. habitable floor are set and before the Building & Safety Department authorizes foundation construction. • Submit a completed FEMA "Elevation Certificate' form to the Engineering Departnent. _ • Submit 95% relative density soils compaction certification to the Engineering Department. STEP 1 OF 2 APPROVAL STEP 2 OF 2 APPROVAL The Precise Grading Plan submitted for this application has been All requirements have been satisfied. This.Flood Plain reviewed and found to contain all data required to satisfy the Development Permit Is approved. requirements of LQMC 8.11 The proposed dwelling is eligible to receive a building permit upon satisfying all other Building & Safety Department requirements. zoo UTHORIZED SIGNATURE DAYE THORI2ED SIGNA URE DAT La Quinta Engineering Dapa nt a Quinta Engineers g D'apartn,4nt FILE: Upon Step 2 approval, original goes in "Flood Plain Development Permit" file; copy goes to Applicant F090 REV -2 7/00 City of La Quinta Me' mo • .. .. To: Tom Hartung, Director, Building & Safety a From: Ed Randall- Permit Technician Date: 03/26/2001 Re: 50-995 Calle Quito f We received a request from Dania Kosich to provide the basic information regarding her attempts to obtain a building permit for her house on 50-995 Calle Quito. Dudng the Plan Check process, all plans were submitted to this department by Gabriel Lujan (GLS Group), who also made the initial application. On 2-2-2001, we received a letter from Langford ` Construction, stating that they were no longer associated with Dania Kosich,-arid the permit associated with 50-995 Calle Quito. On 2-7-2001 1 contacted Lois Langford and asked that the Job. Copy of plans be returned to the CITY OF LA QUINTA. She stated that once, payment issues with* Dania Kosich were resolved, then the plans, would be returned. Attached are copies of the initial permit and supplemental change of contractor permit, both of which were signed and paid for by Darria Kosich. Since issuance of the latter, construction is in process, under owner -builder status. • cc: file 4 ' y LANGFORD CONSTRUCTION C'Ty ®F� LA 69308 TAMALA AVE. E� CATHEDRAL CITY, CA. 92234 2 RECD PH. (160) 321-6660 FAX STATE LICENSE:(76) 4017001-5262 SUfLD'�� �ei��4 � 7y FEBRUARY 1, 2001 City of La Quinta 78-495 Calle Tampico La Quinta, Calif. Ca. 92253 RE: Permit # 0012-001 Owner.Darria Kosich Dear: Mr. Butler This .letter -is ;in. reference -to above permit at 50995 Calle Quito, La Quina; Langford Construction would like to be removed as contractor on the job we are no longer associated with Darria Kosich. Sincerely, Jim Langford dba, Langford Construction , i MOUNTAIN ARCHITECTURE JOHN F. ACOSTA AIA P.O. BOX 6167 BIG BEAR LAIN, CA. 92315 DECEMBER 20, 2000 ` CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 CALLE TAMPICO LA QUINTA, CA 92253 Project: Single Family Residence 50-995 Calle Quito Re: Darria Kosich's Residence Truss calculation review. To Whom It May Concern, " Having been supplied with truss calculation package prepared by Truss Works in Thousand Palms and having review them I hereby state that they are in substantial conformance with the structural design intent represented by the construction documents. Please do not hesitate in contacting me if you have any further questions regarding this matter or any other concern regarding the subject project. inc rely, �QeD ARCM JOHN F. ACOSTA, 111 Jo Acosta AIA, 1. A. Ar hitect +. NO. C24055. n ` REN. 4.30.01 ��,r,ra t^t,�.• �—, � ifs � 4 _ OWNER/ BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may proter yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are, required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law' to puttheir license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the w•yrk (including materials and other costs) is $200.00 or more for the entire project, and such persons are nor lictnsed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer -and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks a: -e especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontra•-tor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless -they are performing 'their own work personally. Information about licensed contractors may be obtained. by contacting the Contractors' Stare License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. . Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78495 Calle Tampico La Quinta, CA 92253 (760) 7-7012 E ER'SYSIGNA RE/ TE 20 lur La OV DDf-%nCDTV ATNTNDCCC I (I Z- OO/ PERMIT NUMBER(s) it OWNER/ BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may proter yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are, required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law' to puttheir license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the w•yrk (including materials and other costs) is $200.00 or more for the entire project, and such persons are nor lictnsed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer -and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks a: -e especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontra•-tor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless -they are performing 'their own work personally. Information about licensed contractors may be obtained. by contacting the Contractors' Stare License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. . Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78495 Calle Tampico La Quinta, CA 92253 (760) 7-7012 E ER'SYSIGNA RE/ TE 20 lur La OV DDf-%nCDTV ATNTNDCCC I (I Z- OO/ PERMIT NUMBER(s) o O CITY OF LA QUINTA SUB -CONTRACTOR IST BUILDER JOB ADDRESS PERMIT NUMBER OWNER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous piace. Only persons appearing on this list or their employees are autho ' work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/o tY�o ance of bui rmit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. /� �j Tr fication Contractor i 'n Insurance Cit Business' cense. : _ ... _. State .Contractors License . .. Workers. Com ensat o b r Exp.Date License Number Exp. Date Company Name Classification License Number Exp.A. ate Carrier Name Policy Num e (e.g. A, B, C-8) (xxxxxx) (xx/xz'lx 0 (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) Ixxxxl (xxlxx/xx) EARTHWORK IC 12► Qw' �/ )cJ L2 Le X CONCRETE (t-81 l0 FRAMING IC 51fill ... dLY {� L fi�t/r n FLU! IN iIATI0N,;IC:'21'; . ' rlplm PT 0 of ... CABINETS IC=61:'<<>`>><> �^ X rG �V�cG nJ✓/an ct �C a A X i l I /Inn LANDSCAPING ;1C?271';:.::.-.;�- POOL (C-531 ,.I t C+ l . wm I / �W� il " I �•I/ I i l 17R" KIR " / � // 'P Is MONE NAMM gig M, ° � _�!'C�r!.�%�A � •/ / / �%�YIII�>•�L1�JIi�.I7I���1O!/l I/ %i7t� w�,,vi���ti�.ri�il��JI �'lf% ` / � _"S MOA Flow FLU! IN iIATI0N,;IC:'21'; . ' rlplm PT 0 of ... CABINETS IC=61:'<<>`>><> �^ X rG �V�cG nJ✓/an ct �C a A X i l I /Inn LANDSCAPING ;1C?271';:.::.-.;�- POOL (C-531