Loading...
0103-139 (AR)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that .1 am licensed under provisions of Chsoter 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 71441.3 I3- MC J3 pate Date :� Signature of Contra cjpr� r 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 �Apej`" am exclusive contracting with licensed contractors to construct the pfo�t (Sec. 7044Nusiness & Professionals Code). () I am exempt under Sectiorit B&P.0 16r this reason Date Signature of Owner `i WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty ofperjury one of the following declarations: O I have and will maintgWa certificate of cont to self -insure for workers' compensation, as provided for by Section 3700,) j -the Labor Code, for the performance of the work for which this permit is is ed. ) I have and will maintain workers' compensation insurance, as required by S ion 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. i +.fi`! F. Iall?dl I 142,4171 (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 wl lith 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 ofSecti n 3700 of the Labor Code, I shall forthwith comply with those pro slo s. Date: *— .Applicap4 '^ 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. P�� IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set fort- 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 representaf sof his City to enter upon the, -above-mentioned property for insp ct' n p os ! Signature (OwnedAge Date f BUILDING PERMIT PERMT# DATE / VALUATION LOT 0jt1,� ? O;% TRACT Z4,843 -W ell; 2 8912 JOB SITE � " APN ADDRESS -101 CASA, C49-210-007 OWNER CONTRACTOR /DESIGNER / EN INEER 1,VAM '1'OIll"tES Y" Ot,kl X1.4 +.:i01 1811 'R1SMON, 79-10,11 C `a.A VIX; A 0R("— 2.7050 1'ilORTAUA NVE LA (41JI1d'.-A "A !Y1253 Co*ffi,D�Al. CITY CIA 92234. �_(Oi"5t)-45fi(l C`13I# .3421 USE OF PERMIT .fEMI J'l:f.A.L. AMMON i. ETAC11ED OL}F.:S'1' liC 039 PER RJ1Y.i#' �261t�,i-2:30 OU3Ttry1ti9 CCi'f1fiT,i�i3f"'{'1t'�?'d i�ft3t�,dip A1�' ()ARAGRICARPl?RT (SP) 4,60coo F1.r.1a&D COST 01P M.NFIR.UY<•now 84,843AD CONSTRUCTION IF°EWF, 101-000-t)1-000 $16t2,00 PLM CHWX: UE 101-000..439•-318 X464.79 MEC1• NNIC;t ,L: YKV 1(A -000-421.000 $53.50 e: ZICTRI.CAL FIZZ 101.000 -420, -WO $63.25 HAMF3940 FrER 101-,000-419-000 $fQlS.6tt :JIR.b•wMOTION P1MI~ Y P.J SID 101-00-111-000 VAS MT 0 PIPIN 101.000.423.000 $20.00 20 2001 LA loOA41 SUB-W1AI.. i`CtN.y'7.'liU(1171011`i' AQ) PLAN (_"kiLZ LESS PRE-21AID FW $0.00 TOIAL PERM F 39"UN DUE NOW $1,268 -VI RECEIPT DATE. BY D INA INSPECTOR -4-*.,2 - ` II INSPECTION REC�R� OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR • BULDNG APPROVAL$ MECHAR9 CAL APPROVALS Set Backs Forms & Footings 1 �/!/ Underground Ducts Ducts Slab Grade _ Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing 411147V& 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 BLOCKMU _ 11 A ROV ` US Final 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 PLUNSMG 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 Z Utility Notice (Gas) ELECTMCAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.FA. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS - 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 3/20/01 No. 21774 Owner NameFrank Torresy No. 79-101 street Casa Vida Circle City La Quinta Tract# 2.8912 Lot ,# 67 Type of Development Single Family Residence Comments APN # 649-210-007 Jurisdiction La Quinta Permit # 0 103 -13 9 Log # Zip 92253 Study Area Square Footage 1030 No. of Units 1 At the present time, the Desert Sands 'Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 500 squarefeet, detached accessory structures or replacement mobilehomes. It has been determined the above-named°owner is exempt from payin&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 2.05 X 1,,030 or $ 2,111.50 the property listed above and that bur ling permits and/or Certificates of Occupancy for this square.footage in this proposed project may now be is.4ued Fees Paid By OC / Wells Fargo & Co. - Tod Schuch TeleFhoue . Name on the check - By Dr. Dons Wilson Superintendent Fee collected /eaem ted by Annette Barlow Signature Payment Received $2,111.50 Check No. 7377001953 NOTICE Pursuant of Assembly Bill 9081 (CHAP 548, STATS. 1 MM 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 data on which the building or installation permit for this project is sasued or on which they are paid to the District(a) or to another public entity authorized to collect them on the Districtes)(W) 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 02,-1541 THC' 1.0:19 FAX 1:7183224783 JUL-11^2000 11:03 BENEFIT ES:.ROW REC0110INc REQUESTED OY: AND WHEN IWCORDBD MAIL TO:. T.D_Desett Development 79-285 Rancho La Qui,nta Drive La Quint &, CA 92253 A.P.N.: TRA P- LEON BR'I4HM.tV ESQ. (60 F.b2 I Above This Line for Ra wder'1 Use onry � Escrow No., 513729 SHORT FORM DEED OF TRUST AND ASSIGNMENT OF RENTS -TMS DEED OF T1tU6T, mWe this SO* day of July, 2000, b"am TRUSYOR:Fronk L. Tol]esy and loam q_ Torresy, husband and wife whose address is 48110 Paso Tiempolans. La Quints, CA 92253. and TRUSTEE: Benefit Land Tide Insurum.. Company, a California Cotporadon, ad BENMCURY: T.D.Deaett Development Limited P9etlteiship, a Delaware Limited Pannanhip Witnesactii: That Tnlstor IRREVOCABLY ORANTS. TRANSFERS AND ASSIGNS to TRUSTEE IN TRUST. WITH POWER OF SALE, th91 psoperty in the, City of La Quints, RIVWSide County; State of California, described as; Lot 67 of Tract 29912 in the City of La Quints. County of Riverside. State of California, :W snore particularly divedbed In Exhibit " A r' atmebed hereto and =do a part hereof. This Note is given and accepted as s;poniorl of the p0mbase peioe, TOiGBTUBR WITH tho mate. uwaa, and pmrm r1 BUMSCT. HOWrVBR. of the tight, power and authority given to and conferred upon Amtk sry by paAphh to of the prowlebas Incorporated by rti'atew to eollaef ab4 apply such r=13. issues eod,pmfaa. FM TIM Pt1VQ33 OF SECULt1NC i.lrarlbmutne c of auk apeement of Trustor iflatlentud by rekrtm or cormhw halm. Z.N�Ymeat of the hdedMbiaia evideaN by an ptemimry � of oven disc baremldt, aid any extention of renewal nccmf, in the ptifrcW sum of i�88,000.00 to mad by 'Troost In t>tver er Benalidaq or order. 3.PayarW of nosh A9*w mum of Me then record owner of Bald propery bereaper my trorrow slam smctide y, when evidenced by utewv nae (or Howl /e WVS it is to a@oyfed. To PRtITta Tills SECURay OP THIS DEED OF TRUSt..TRUSTOR AGXM: By pts eaecgdon and delivery ofd6A Dead ofTmo and dK Role a@eond heraby. esspmvleiam (1) to (14). itol"ka, of the Aultiort Hold el cosi iecetded in Sans Barbar. C unpr JM SOaorna hersage on Ocrobu 18. 1981, ad,la all otlnr aaaaem on Oceow 30. lfbl. In rhe book and at dtn Page of Official Rams In rhe 0MC of the Labew tenofder of the county where said pfaperW It locmtad. aeerd below and oppodu die mime olwoh wAft, vh: wkhu ran an CQUIM Book &M counn hL- s� look. N+ Zwk 4"Imperial I , 301 Mteca til 331 e9aeito 713 94kryoY 468 181 Alpine 1 250 1" 167 39S madoe 144 951 San Bernardino $SO 61 $olana lies 182. Mellor led 346 Nam 9827 60 Mono 93 429 San Mndaw A333 995 Sonom 1851 689 Bunt 1143 1- kings 792 1113 Monterey 2104 378 San Joaquin 2870 31l Suuridru+ 1113 456 Crbwerw IM 132 Wee 362 39 Napa 09 66 Sill Luo Obispo l ,,r, 12 Swear 171 707 Cook" 2% 6i7 L4uar 171 471 Nevada 305 320 San Mateo 4078 820 Tdrewa 401 289 Cna Cass 3976 47 Loa Angeles 12M'as9 OntRga. Si69 61,1 Saam Bubas 1878 660 'Mniy 03 Ud Dal Norge 79 414 Madera $to 170 Placer 895 361 Same Clare 3336 01 Tulate U04 27S 1'1 Dorado 390 456 Marla 1309 339 1'luma@ 131 S sang cru -S, 1611 494 TLolumm 133 41 Fwaa 4814372 MaNpon 77 141 Rive"W 7o03 $23 Vu@o 684 $2f Veowwrn 2062. 3b4 ohms 423 188 MandoeMa 379 530 Saeranwom 4701 62 91eria 29 755 Yolo 653 245 Hun iboldt do $27 San Diego fdrias 2 Book 1%1, Page 143867 Yuba 334 486 (whith p,ovli1oa@. Me" in all eftaft are prinrod on pa8a 3 0l this 4MM11a0 bcmby arc "Nd and bcofpar=4 herein and vade_6 pas hereof as i ftw Bough see bnh herein at leggth: that ht will abut" and per(bnn aid provhioas; and'that the reftreaees m pr6perty, oWlBeeioal. and paellas in add pwiaien@ @hall to eons Ud 0 rathtf w the prop". obligation. and panic;: set forth In This Deed of Trust. Tod trl,:80 10. ST qaj PAGE 1 OF 4 Z66Ttr9SO9Z : xed i I r AS3MOi It 002 02/15J01 THU 10:.19 FAX IT185324703, LEON BRICKMAH ESQ. JUL-11-2000 11:04 BENEFIT ESCROW I PARNFR(9)•[ ] LOWED ( ) GENERAL CALIFORNIA ALIrPUMSE ACKNOWLEDGEMENT WOo4 760 P.04 STATE OF CAU MMA : COUM oF,^ Rivorside on July 7, 2000 More me,_A. ]Marshall p wwshr sppmw Frank L. et Prov Toand Je40a. A. Torres 0 Moloy 0 ramie date auu ar p ly w " M) Ube ft Pw%M0) Wboee www* wbscriQ w We widkin ' n ---Ms t ■rd VkMwWSed a me thu haWl0fty 4nolrsd tha MWis M WilpfAbek 04 by %UAW/"r siSMare(s) on dte mem rre pewnh) w dbs seder aAa bob�lf of V*M du perssa(s) sada, wwumd ft iosvuouvv. �-- :»••�••••p .� WJAp�li NANCY l AMRs'FULI. 5 Corrin jMlon 0119 PA2 , ?way prb6c • CaQfariq IL Wveslds �+h . ahGomnf=ft t d3l,lM 0MONAL i MOO de Wonnmlon bisAwk Aa readn0 i)r low. ka y piewe wabrsbk ro pemw mbog Oe f61 AiMAW1 AA% "*W v#v&%W fAssd k4f ^Adel aad remeat w AfA&fim'io anm*sr doamw. DESCRIPTION OF ATTACHED DOCUMENT Tide or Type of Document: Document Data: _ _ Numba of pees: Siaec(s) add L%u named above CAPACI WES) CLAIMED BY SIGNERM VMIVWUAL I I CORFOMTF amcERts) MEM t ]' PAAT1 O461Y ( j LtMM D ( j OEM" ( I ATroRwEY fN%fAC7 Z i TRUVEW ( I GUAROMN OR CONSERVATOR I 1 OMER SIMM IS REMESBNd' C - 5�Od bT:80 10. SL qa3 t ] R OMUAL ( ] [nRpOlt 'M oPficros) IMM) I I PARNFR(9)•[ ] LOWED ( ) GENERAL [ I A'rTOMSx-PI-FACT t ] Tutlsril M ( I GUARDIAN OR CONUMVATOR ( I OT R Z66TV9S09Z : xe3 )63MOi TORRESY Fax : 7605641992 Feb 15 '01 08:14 P02 b30t3'JYd '1°�,P►►gou Is!auo toj carsv!Vl aimaIS 'Ivm 1019WO Pn PSV Rw ss3mmia Hf � M IT 10 [moil O��I�I�II C� 1111111 1111IN I II 1 PMMO *P `:'OW&3d m "4,%)o J17vedo A'no.rJo tr"1401 i-D[k GO UVIS ENGINEERING • C A L I F O R N I A • CAMFOMIA DATE: l l PROJECT NAME: tom`) III JOB*: r7 -D LOT # i4 �7 CLIENT #: S r , 4 Ji G 4'I PLAN #: I W.T. PERSONNEL: S Z) >J Y Superintendent Name Signature Time In _ Time Out Travel Total GOUVIS ENGINEERING GROUP OF COMPANIES WITH OFFICES IN. - 4400 N:4400 CAMPUS DRIVE, SUITE A NEWPORT BEACH, CALIFORNIA 92660 (949) 752-1612 2150 EAST TAHQUITZ CANYON, SUITE 9 • PALM SPRINGS, CALIFORNIA 92262 • (760) 323-5090 5465 MOREHOUSE DRIVE, SUITE 100: SAN DIEGO, CALIFORNIA 92;21 a (619) 623-9941 FIELD OFFICES: LAS VEGAS (702) 597-2005 0 FAX (702) 597-0905 MILPITAS (408) 263-3016 • FAX (949) 752-5321 • FAX (760) 325-2863 • FAX (619) 623-0278 • FAX ('408) 263-3714 IR DESCRIPTIONe ]® HIMM EMWSHEM©■MMEM■RIMMEIRMISFEE■■■ MENEM ■■R■■ o��■■��■■■■■■■■■■■■®■■®■■■ ■■■ ■■■�■■■■m■■®■.�■■■■®■■■O®■■M, ■■NEM1110 ������■��!"���!■■■■■■■ ■■,■■r ■� ESHER ,■■■!�■■■■■■■■■■■■■■ ■ii■ G■■■■■M■■■■■■■■■■■■■■■■■ Bonn ■■O ■NEENM■M■■■■■ MINE ■■■■■EHM SEMEN MEM■■■M■■■■■■■■■■■■ii■■■'d NONE REEME M WEENEEMEEMEEMM ■Mr -.,w■■■■■■■iii■■�i■■■ ® not a• Install item as shownon Installation, not complete. Complete Installation of Rem, as shown on the approved plans Item not visible. Unable to determine if item was Installed. Verify installation. ®Condition differentplans. :• field- Newport Beach Office1.800.GOUVIS8, ext. 234. Superintendent Name Signature Time In _ Time Out Travel Total GOUVIS ENGINEERING GROUP OF COMPANIES WITH OFFICES IN. - 4400 N:4400 CAMPUS DRIVE, SUITE A NEWPORT BEACH, CALIFORNIA 92660 (949) 752-1612 2150 EAST TAHQUITZ CANYON, SUITE 9 • PALM SPRINGS, CALIFORNIA 92262 • (760) 323-5090 5465 MOREHOUSE DRIVE, SUITE 100: SAN DIEGO, CALIFORNIA 92;21 a (619) 623-9941 FIELD OFFICES: LAS VEGAS (702) 597-2005 0 FAX (702) 597-0905 MILPITAS (408) 263-3016 • FAX (949) 752-5321 • FAX (760) 325-2863 • FAX (619) 623-0278 • FAX ('408) 263-3714 IR