9910-121 (AR)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).
() J am exempt under Section B&P.C. for this reason
pate 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: Applicant
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 PERMIT#
DATE / - VALUATION LOT TRACTJOB
SITE
ADDRESS �i-�tyQ¢>t '.' .t'I(.0 _'. �i.1 ?`.it`�i..TZ
APN-31.5-00.0
OWNER
CONTRACTOR/DESIGNER/ENGINEER
7805 tiAc:ki.}'AKCa i L)
9-070 CALLE Chef' IZ, -
LAQl:IN )°rt► �:��. �:r��'�
f�►tlt.fdt7f'.�l f:'A 9`25:i.
(760),564481.2 f" BL#3 ON%
USE OF PERMIT
Ki;adt..tik "f'f'It�t, A(ft:r6410N
A►:►4*f li)'ta
estlRtiS.3�i: tt}i!'i R,'L 5�tt.w7 ;a('
N�:�ILC;kVk'A`i'is r ati;3 ildr �il�
f,P11Ililli if F91F, s1 t) MNiAkV
PLAN 4'f IFA 4 h -1i, 10 f -(00-r; 3 118 %,29 +. +"5
01N; rft,1 iC 1'"1'014 F VC, i () R)
111 (M- T6 1 000 131.50
LLEI.`1'Wt'M i�'1^l iflJ4Wj-424i-(" &B:}
PL.Ulbt81mi FEE, 1014KO-419.0(g) $.27.06
72tt 1l�j(i q.i['�'1'It +pd PFF. R '3fD 1.{t1-�fr1f)..?:!i-(Iflfi K Ft9
St 43-'Tf fT?A.1.0 )HJ�R "RV! lit.')T� Af�i-) #�) �t!� t '1T(:?{'i;
i,f',SS R1RTE-PAID f'i3T S
Ski i
V
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR C
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVA
Set Backs
Forms & Footings
/- a
(�1
Underground Ducts
Ducts
Slab Grade
_14
Return Air
Steel
Combustion Air
2�j
Roof Deck
O.K. to Wrap
Framing
�' p - 00
-' O
- (yv
Exhaust Fans
F.A.U.
Compressor
<�
Insulation
- - pct
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
_ mo
Final
—
Final
POOLS -SPAS
BLOCKWALL
APPROVALS
steel
Set Backs
Footings
.�J r
�'`1 Q� S�
Electric Bond
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
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) `"
Bin #
City of La Q • .
•: urnta
-
Building & Safety Division
P.O. Box 1504
Permit # <_ <>:
> 78-495 Calle Tampico
La Quinta, CA 92253
Building Permit Application and,Tracking Sheet
Project Address:
Q
Owner's Name: S
A. P. Number:
13- f]l -
Address:
0 PJ
Legal Description:
/to I I 1 - a d -0 J
Ciry,ST. Zip:. C4 r z Z,S
C—
ont ractor:
D�
Telephone:
Address:
Project Description: Q�
Cir .ST. Zip:
TeePI h n :
o e.
State Lic. =:
City Lic. #:
Arch.. Enur.. Designer:
Address:
00
Cite. ST. Zip:
Telephone:
Construction Type: Occupancy:
State Lic.
#
ProJect 4Pa �circleone : NewA dd n Alter Repair Demo
�
Mame of Contact Person:(
• Sq. Ft.: -7S
# Stories:
# Units: I
Telephone = of Contact Person:
Estimated Value of Pioject:
APPU '> DONCIt::``:'.TEHEL' W....."::»:::>: >?:::>:::<::
...................,.......... GhN ... fl...M[S.LIAI [ > '>:>:>' :> >> <::> <> [ > >?»::>:>.;::::;.>.>::::>::::>:::::::>::::>::::>::>:>
T ....................... 1............................................. ..................
q
Su nrirta `
b I
e#><iRee.;IIFIG::>:<?:s:>z<s<»>#'«<:>>:::::<:::;:::<.:`_`::.
R..4: d.
:<::: >
:...
pERhiTFES >>:>:> <?'```
Ptan Set>»>3»»»>>
.:. ........::.....:::::.....::::
»:: .;::;»»»»>:
... .
::.:
3.P.:1'aaGleksittimi d ....... ............
;;:;:;:;;;:;:::::.:.;::;;:;:;:;:;:;:;::>;::;;::.;:;:
.. :. ' >' >:::: >LYetii3»» »> »_>:<:>»»»>?:i<3s
�'�...................................................
::>::>:3>Aai.ount>:>:>:'»»:>`:
...... .. .............
..
......:::::.:
.
...
A
vu uuu,
Truss C
Title 2'4
$gticoE
?;.Contra
Civ Bu
Rlanning`A
:Pub:'SV ..:
H..OsA:Ap
H. Dept . -::8
Notice:
Document Cannot Be Duplicated
Date 10/26/99
No. 19515
-Desert Sands Unified School District
47-950 Dune, Pilins Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
APN #
Owner Namenomas & Rebecca Parisi
N0.78605 Street Saguaro Road
Jurisdiction . La Quinta
646-313-010
Permit #
Log #
City La Quinta zip 92253 Study Area
Tract # TR1,DC Lot # 110, 11 Square Footage 754
Type of Development Residential Addition No. of Units 1
Comments
754 sq. ft. room, patio & garage addition.
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 inahe.amqunt of
1.93 X 754 or $ 1,455.22 the property listed above and that building
Permits and/or Certificates of Occupancy for this square footage in this proposed project may iow be issuA. d .
-
Fees Paid By Cash Telephone.,,,
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Juanita Green
Signature
Payment Received $1,455.22
Check No. Cash
NOTICE: Pursuant of Ass(#bly Bill 3081 (CHAP 549, STATS. 1998) 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 frorrg the data 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
called 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 DeptJApplicant Copy - Applicant/Receipt Copy - Accounting
August 24,
P.O. Boz 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
1999
Thomas and Rebecca Parisi
78605 Saguaro Road
La Quints, CA 9225.3
oy`
Cly,
Ori. (760) 777-7000
4tlG25RE (T -DD) (760) 777-1227
DI/VG AAjo
�D
SUBJECT: PARCEL MERGER 99-358; APN's 6467313-010 & -011
The Community Development Department has reviewed the above referenced application, and
provides this letter to advise you of its approval. Enclosed is your original -grant deed (to be
recorded), along with an approved copy. Also enclosed_ are. approved Exhibits A, B, and Site
Plan for this merger; these items and your new grant, deed must.be filed for recordation by
Riverside County, along with a copy of your existing de`eds�to the property. A copy of the
revised, recorded grant deed must be submitted to the Community Development Department
along with any future permit .application(s).
Please be aware that, as the property owner,: it is your responsibility to record these
documents. The City cannot file them for recordation on,your behalf. as we do not have any
ownership interest in the property: The Riverside CountyAecorder's office can be reached at
909-486-7000. Enclosed is a letter to the County Recorder verifying approval of the merger
by the City, and requesting its recordation.
There are utility agencies which may have easements affected by this approval. The City has
approved this merger, based :,on zoning -compliance and correctness of the property
descriptions. Any potential conflicts with recorded' utility easements should be investigated
prior to any construction. By execution of this approval, the applicant agrees to indemnify,
defend, and hold harmless the.City of.,La' Quinta from any legal claim or litigation arising out
of the City's approval. of this parcel -merger.
If you have any questions, please contact me at -760-.777-7069..
Very truly yours,
JERRY HERMAN
COMMUNITY DEVELOPMENT DIRECTOR
iN- eY.
Wallace Nesbit
Associate Planner
WN/wn
encl.
----------
C: Greg Butler, Building & SafetyDpar_tment9
File; -Parcel Merger 99-358---- -
CAWrkgrp\Letters\mgr99358.wpd
C .
P.O. Box 1504
78-49`5.`CALLE TAMPICo
(7 60) 777'-7000
LA QUI'NTA, CALIF6RNIA,9225.3 (TDD) (760.) 777-1227
August 24, 1999
County Recorder
County of Riverside
P. 0. Box 751
Riverside, CA 92502=07:51
SUBJECT: RECORDING OF PARCEL.MMERGER 99-358
To Whom It Concerns:
The City of La Quinta has approved the above referenced Parcel Merger. Please allow
its recording as presented by the :applicant.
Should you have any questions, please; call. me {at (760) 777-7069.
Very truly yours,
JERRY HERMAN
COMMUNITY DEVELOPMENT DEPARTMENT
Wallace Nesbit
Associate Planner f.
WN/wn
c: File; Parcel Merger 99-358
NLw,mam,
RECORDING REGUESTED OY
All WWII aIC0100 NAIL TWIT 9M Mil ULIII lTltnnt and
SIL" •AI& IA► IT►Rl1lT TI: >i
APPROVED,6Y COMMUNITY DEVELOPMENT DEPT
Addrlu
gy /✓, wiser 6 ' Zy .¢9.
tit,. .ATE
_. Star*
�-.. _. EXHIBIT - ' �'-''
MAIL TAX STATEMENTS TO
"M"' (-Tf10MA.S PARISI
CASE'NO. �� - �E.e c; 99' • j5
West
Adore" 78 605 Saguaro Rd. � IVPM_� /tV 7Z>
`a -u L -L Quinta, CA 92253
J
TITh 01191 20 9aror 10 I „ SPACE ABOYE'TNIS LINE FOR RECORDERS USE
GRANT DEED
THE UNDERSIGNED GRANTOR(S)=DECLARE(S)
DOCUMENTARY :TRANSFER- TAX is S
0 computed on full value o1, property conveyed, or.
0 computed on full value less value of liens or encumbrances remaining al time of sale.
0 unincorporated area 0 city of _ AND
FOR A VALUABLE CONSIDERATION, receipt "of which is hereby acknowledged,
Thomas and Rebecca Parisi,_ husband and wife as Joint Tenants
hereby GRANT(s) to
Thomas and Rebecca Parisi, husband and wife as Joint.Tenants.,
the following described real property inthe
County of Riverside ; State of California:
Described as: Lot Nos . ' 110 and ,111 of ' Tract lip. 1 of Desert. Club .
Manor, in.the City of La Quinta, as per,map in
.Book 22,' Page 53, of maps.
This grant deed.refl'etts,Parcel' Merger 99-358, as
approved by the City of La Quinta.,
STATE OF CALIFORNIA SS.
COUNTY OF RiyerSid
On this 7.1r'd day of Jay in the year ,1999 rr ew F P [1.ci✓�
before me, the undersigned. a Notary' Public in and lorsald State, personally -
appeared Thomas and Rebecca Parisi
K personally known to me .
0 proved tome on the basis of satisfactory evidence
to be the person whose name is subscribed to this instrument, and acknowl• OFFICIAL SELL
edged to me that he (she or they) executed It •" GERALD T. CRNICH
Slgnatur
NOTARYUBLIC IN AND FOR SAID STATE
Comm. 1/1096287
Notary Public ='California
��. RIVERSIDE COUNTY
My Commission Expires
APRIL 28, 2000
(TWU *too ref o111cIIl notul'il goal)
RECORDING REOUEBTEO OT
An WW[s Atcololl Sun TWIT IM ASS'SSL[tl ETMtAilt tNRa
ULa un Tu tuIINL]n It:
�.�. r
sono)
AOOrM.
city_ .. .._.... .. ...........
_. suu _.............. ..- J-. . __ ,..-....._._ ...._ _..
MAIL TAR STATEMENT5 TO -
NM' rTKIMAS PARISI ,
streal
Add,&" 78 605 Saguaro Rd. .
Chis LLa Quinta, CA 92253 J -
suu
TITU Ong. S0.- EfttOe ro I ` SPACE ABOVE THIS UNE FOWRECORDER'S USE
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX is S
p computed on full value of property conveyed, or
p computed on full value less.value of liens or encumbrances remaining at,tinie of sale.
p unincorporated area p city of _ AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Thomas and Rebecca Parisi,"husband and wife as Joint Tenants
hereby GRANT(s) to
Thomas and Rebecca Parisi, husband and -wife as,Joint Tenants
the following described real property.in the
County ofRiverside ., State of California:,
Described as: Lot Nos. `110` and 111 of 'Tract No-. 1 of Desert Club
Manor, in the City of La Qui nta, as per map in
.Book 22, Page 53, of maps.
This grant deed reflects Parcel Merger -99-358, as
approved by the City.of La°Quinta.
Dated_1. 1) "'
STATE OF CALIFORNIAt SS.
Sid
RiVere ) t
COUNTY OF ^
on this 2Ird day of July in the year 1999
before me, the undersigned, a Notary Public in and for said State, personally
appeared Thomas and Rebecca Parisi
personally known to me
.proved tome on the basis of satisfactory evidence
to be the person whose name is subscribed to this instrument, and acknowl• OFFICIAL SEAL
edged to me that he (she or they) executed It: GERALD T. CRNICH
`COMM: #1096287
Notary Public- California
RIVERSIDE COUNTY
My Commission Expires
APRIL 28, 2000
Slgnelur 'off
(-----'NOTARY IIUSLIC IN AND FOR'SAID'STATE - (This ms for official noUdal .ial)
Record Owners
Existing -Parcels
Assessor Parcel Numbers
.Thomas Parisi
.646-31.3-010
Rebecca Parisi
646-313-011
Legal Description of.Merged Parcel
Lot Nos. 110 and 111 -of Tract No •1 of Desert Club Manor' in the City of
La.Quinta, as per map in Book 22, page 53, of maps
APPROVED-BY'COMMUNITY DEVELOPMENT DEPT
BY !N. i+ICS24 f DATE
.,EXHIBIT
CASE N0.
PROVED BY COMMUNITY, DEVELOPMENT DEPT
y l /11) r DATE
XHIBIT -
ASE NO.
EXHIBIT B
C
. OF PARCEL MEAGER N0.,s;
0 0
301
36 1
R OA a
(.116-313!-010 to V& -3f 3- 0/1
Lor 4or
109 Ho !�1� oo 0l r II
112
/2 -
DEPARTMENT USE ONLY
Record Owner rNQ-40:546A/ C -A 14iisV This Certificat e,6f�'Oarcel Merger No. 99-3S8 is
Address d.
hereby approve
Map . Prepared By CL -110v, 4c vr 09A1- By
Address .0. 60,K Y -A 0 v h92T.s3 TitleDate
Area/District — 'S C- P- V1, q
Lot 111' I 'Lot 110
Vacant Loi ± 5000 sq. ft.
i .
5000'sq. ft.
�I
i
i
Saguaro Road
APPROVED BY,COMMUNITY DEVELOPMENT DEPT
BY w.N>rsa,r DATE'. 81zy�99
EXHIBIT „0.1°&v
CASE NO. Ale ",.1- 99 3 8
Record Owner Thomas and Rebecca Parisi.
Address 78 605 Saguaro Road, -La Quinta., CA
Map Prepared By . Thomas Parisi
Address 78 605 Saguaro Road, La Quinta, CA
Scale /VO SCAL O
Aeaemea Parcel Na G y� 3/S • O/0 �° G y/. • 313. 0/ /
soy $1. t*.
5
LiC.
--SEPT 21 1'998 . r
TOM'PARISI
78-605 SAGUARO ..
La Quinta, Ca 92 .53
RE -ADDITION ELECTRICAL LOAD CALL
' .2;630'@ 3:WATTS PER,
7,890
GD:(2),
E
1,500 ,
-
DW .
1,500
• Small appliances (2)'
3,000
Mircowave;
1,500
Cooktop
1,500
Oven -
-1;500
Washer .
1,500
'.Dryer
5,000
-Pool future
p
=-
Landscape,future
-.1,500,
FAU-2 -
3,000..
Total.
29,390
First 10'kW@ 100%
1.0,000
Remainder @40W.
7,756 .
A/C load @ 100%
16,000•
Total Toad
33;756
Divided by 240x=
140:65 AMP
USE 200 AMP MINIMUM SERVICE