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9709-067 (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, and my License is in full force and effect. License # Lic. Class . Exp. Date 4199555 E f 1011"31//98 Date 1 -71' KI i Signature of Contractor '! :` 1/ � f•„ 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 Sidnature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one..of the following declarations: O 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. 3T ATi; FC1ND 1424573-97 (This sectionneed 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 wolkers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor lode, I shall forthwith comply with those provisions. Date: /, -r I .. ''0 'Applicant g"Zt ., 7`' -'�✓. •.1 y 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 ori 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 t e above-mentioned property for inspection purposes. Signature (Owner/Agent) //� 1 .Date BUILDING PERMIT PERMIT# COy/NTROL#4„ DATE ' VALUATION LOT 9709-067 TRACT. 6 13.8 ,. 10/21/97 $141,698.26 14, JOB SITE APN ADDRESS 50-900 CALLS OBISPO 769-012-006 OWNER CONTRACTOR/DESIGNER/ENGINEER FRANK & PATTY FERRO FOLKERS CONSTRUCTION 38960 GLADIOLUS 3.5-300 VIA JOSE P14fP1 A PALM DESERT CA 92211 RANCHO MIRAGE CA. 92270 (760)324-4128 0131 '# 41967. USE OF PERMIT 5FD - PEIIMIT DOES :NOT INCLbD813LOCA WALLS OR 'POOL. RECEIPT ii DATE / j BY•r; DATE FINALED INSRECTOR i TRACT CONSTRUCTION 2,317.00 SF PORCWAT1O 487.00 SF GARAGEICAR:PORT 480.00 SF ESTI MATE, D COST Ole CONST RM iON r 141,6":241 1'tt,.RAfff EEE SUMMARY CONSTRUCTION FEE 101-000-4.IP,-000 $38ti �0 PLAN CHECK FEH 101-000-439-318 %56.46 FEE DEPOSIT-S2Sc:.0it MMECHAN CAL FEE 101=000-4.21.000 $66.54 &ECr.R:ICAL F1EF 1.01-0100-470-000 $163.20 PLUMBING Fly 101-000419-000 $.146.75 STRONG MOTION FEE - RESID 101-000-241-000 $14.17 c3k ADINO t'Ix. E 101-000-423-000 $211.00 WRIA.STRUCI'URE FEF 225-000.14.3-342 $3.1[42.47 PRECISE PLAN 101-000441-345 $25.00 ART IN PUBLIC: PLACES - RESM 701-000-255=000 $104.25 SUB 1i71'_AL CONSMILIC nON AND PLAN CHECK 55,025.:30 L ESS VP. -'.-PAID PEES 4250.wo TOTAL PERNUT FEE'S DUE NOVO' A4,775.30 RECEIPT ii DATE / j BY•r; DATE FINALED INSRECTOR i elf INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms &Footings Ducts Slab Grade WK,Return Air Steel iA Combustion Air Roof Deck Exhaust Fans F.A.U. raming ,(6 t✓ ,t Compressor -insataIibn y3 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Pa ire II xor Lath teri - nt. Lath lj 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 %r r 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: /low 142 ®r Building Address LL 15� Owner Mailing. 12� I r, Address ., n t�Gi;Iti1ClJ P.O. BOX 1504 78-495 CALLE TAMPICO SAn LA QUINTA, CALIFORNIA 92253 CIr� lI i` �� IZip9x- 41 ITel. 1 l,Vlill lilVl @, u U4 -fib// i �S 1 Addr, ss ,...JZ V 1 tA `3_.10se— 11 i r )& Ci" �of1 Zip 1/4 Tel State ic.bI•I9� �✓ City & Classif. C� Lic. # Arch., Engr., Designer 47r%WI f � 1709 -OG7 t APPLICATION ONLY BUILDING: TYPE'CONST. _V17 OCC. GRP. 1.-. A.P. Number %(?Q 77-006 7 Legal Description e& \\ � Y ' Project Description City Zip I�'�) State xx /`' ILic.# i LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter e" (commencing with Section 7000)��o,fvision 3°of the Byu�iness.and Prbf ..ions Code, and my license is in full force and et�ecs��ltlZ�J SIGNATURE - DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 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, after, 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) or 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_1 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, Butsness 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.) II 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 doesnot 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.) 1-1 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Cc p rlsaIf su ,ante, or a cerci 'ed c Zo Sec. 3800, Labor Code.) Policy No. i C mpany 6i�S, f7 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: ff, 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 I hereby 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 ame 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 sof this city to enter . the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip Sq. Ft.f Size Z a No. No. Dw. Stories Units New . Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure a TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear P Line Side Street Setback fro t`iir i e Side Setback from ��Co''p��erty i FINAL DATE %% INSPC4CT Issued by: �DPAS> Validated by: 0 Validation: C� WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert SandsUnifed School District . Notice: 82 -879 -Highway. 1j11 Document Cannot Be Duplicated Indio; CA 9220,1 .6;19-775-3500.. 'CERTIFICATE OF,COlVIP.LIANCE Date 10/10/97 APN # 769 -072 -00.6 - No. 16158 Jurisdiction. La Qiinta Owner Name Chuck -Polkers Permit # No. 50900: Street Calle Obispo,. ' Log s City La, Quinta Zip - 92253 a Study:Area ' k Tract # Lot # Square Footage: 2317` Type of Development Single Family Residence `.; No. of Units.. 1 Comments At the present time, the Desert Sands Unified School District` "does not collect fees on garages/carports, covered patios/walkways,.residential addihons:under 500 square feet; detached'accessof 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: 4, Y EXEMPTION NOT APPLICABLE This certifies that school facility fees imposedpursuant•to. Government Code 53080 in .the amount of 1.84 X 2,31.7, or $ 4;263.28, the'property 1_isted above and that building permits and/or Certificates of Occupancy forahis•s uare footage m'this proposed project ma ,n.ow be issued Fees Paid By,,Charles Folkers Telephone 324-41.28 Name. 'on the check By Dr. Doris Wilson- Superintendent ilsonSuperintendent Fee collected /exempted byPauline, Pearson p Payment Received $4326.3.28 {... :Check No cash . Signature OTICE: Pursuant ol'Assembly Bill 3081 (CHAP.549s-rATS.4g%) this Will serve to notifyyou that the.90 day approval:period in'Which you may protest the fees or other payment identified Dove will begin to run from=the date on which the bwldmg or,installation;permit for this pr'ofecl is'sssued o� on.whioh they' are paid. to the Districl(s) or to`an6ther public entity authorized to �116ct them on the District('s)(s') behalf, whichever-is'eaniei: Collector; Attach a ,copy of county or city plao'check applie'ation form to district copy for.'alfwaivers. Embossed Original- Building`Dept./Applicant Copy-.Applicant/Receipt> ~Copy -Accounting derNo;�' ---- c ument Recorded, 0. 4 jo. -RECORDED MAIL TO: hes not. been compared with HEN RECO @; iirlrli.. :AY MOOSBRUGGER FRANK K. .-O IlNSON L535 Willow : l County.Rlecorder Sandusky; Ohio 44870 1 R!VERSIb'F C0l_WT'e,• CALIFORNIA ABC IV E IS H.: FO . RECORDER'S USE -0- "This conveyance given PACE or no -value an'.',�ran;tor received )CUMENTARY TRANSFER TAX $ ......:................................................ nothing in return R&T 1.1911" Computed on the consideration or value of property carneyed: OR A Computed on the consideration or value less liens or encumbrances remaininat time of sale. Signature of Dectarant or Agent determining tax — Firm X NO REALTY SOL 00 ITC L.Al:.M `:'D.t, ED OR A VALUABLE CONSIDERATION, receipt of which is hereby. acknowledged, NEIL KLEINE, A MARRIED MAN 10(es) hereby REMISE, RELEASE AND .FOREVER QUITCLAIM to RAY MOOSBRUGGER, A MARRIED MAN ';-'ire real property in the C; of La Qu nta - as ;State of Cal-rforrlia, described ;ounty of Riverside `LOT 86 OF DESERT CLUB TRACT UNIT N0. 5 AS SHOWN BY MAP..,sON FILE IN BOOK 21 PAGES. 61 AND 62 OF MAPS .IN THE OFFICE OF THE`COUNTY'-RECORDER OF SAID COUNTY Dated April 17, 1997 I ., NE 11/ }1G 11a.. STATE OF CAU FOR IA COUNTY OF Riverside } On 4-17-97 before me Cindy Burgin , personalty appeared el eine personalty known tome or proved to me; on: the basis of satisfactory , evidence) to be the persons) whose na e•(s) Is/a�e sc subnbetl to the within instrument and acknowledged to me that'he/sbep}iey executed the same ; in his/her,Rheir authorized capacity(ies) , and that by hisRterRhett signs ture(s) on the instrument the per'son(s):6r.the.entity.,uponhatf ,bedf,whlch CINDY BURG.IN the person(s) acted, executed the instrument. COMM: M 10,21382'. Notary Peblic-California, - WITNESS my hand and at , ; ' RIVERSIDE COUNTY. O My.Commiss on Expires, lk Signature April 22,1449 :.. . r, I :`.:, �. ) :'.r- t- (Ttsss areatia offiaal notarial seali MAIL TAX STATEMENTS T ., .. .. r .7... ..: ._, �..., zyC•C-iLt;t'Q,Say..s�3rll.�tF.'ti(sk+...'Wt'G:rrc,.;G. ^fi3ti„+:±�ain .a -.'..F n"A 4'3T - W.i^;+vJ=VT Oji'1n°fa.fRiki!BA?1V:m!�:Yait6`.l.LS;�, tY4� - . ¢ �4 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 – (760) 777-7000 FAX (760) 777-7101 TDD (760) 777-1227 Mr. Chuck Folkers 35-300 Via Josefina Rancho Mirage, Ca. 92270 Re: 50-900 Calle Obispo Dear Chuck: Please consider this as written verification for the approval of the screening of the roof mounted air conditioning unit at 50-900 Calle Obispo per our conversation Monday, February 10, 1998. The roof mounted equipment shall be obscured from view by a parapet wall constructed as follows: 1. The width shall be no greater than as required to provide 12" clearance on one side and 30" clearance on the opposite side. 2. The height shall not exceed 7" above the peak of the roof. 3. The wall shall be plastered to match the exterior walls of the dwelling. 4. There shall be an architectural detail to compliment the detail at the overhang on all three sides of the parapet. 5. You shall provide a letter from the truss manufacturer stating additional loads will be accommodated by existing trusses, prior to receiving a framing inspection by the City. Please feel free to contact with any additional questions you may have. Sincerely, Mark Harold Building and Safety Manager MAILING ADDRESS P.O. BOX 1504 LA OUINTA, CALIFORNIA 92253 TO: CIty of La Quinta Building Department 78-495 CAlle Tampico La Quinta, California 92253 DATE: 14 February 1998 FROM: Michael Wrenn, P.E. 295 East Mesquite Avenue Palm Springs, California 92264 213 220 0886 Reference: New Residential Structure 50-900 Calle Obispo La Quinta, California 92253 Client: Mr. Chuck Folkers 35-300 Via Josephina Rancho Mirage, California 92270 Subject: Engineering Review of existing new structure. On the above date, I reviewed t he above ref erenced structure in the presence of Mr. Folkers. The s tructure is at the rough framed stage on the interior. Insu lation has not bee installed. 'The exterior had received a plaster (stucco) that.did not interfere with my inspection. I found the structure to meet or exceed the intent of my structural designs. Exception: I recommended that the beam carring trusses east of the kitchen be additiona lly secured by means of Simpson A-35 clips, two each end. I further recommended a four—by—four post be installed beneath the beam on the outside wall (facing street) and that that wall be sheathed with 3/8', thick plywood. The plywood will provide additional steadiness for the four—by four post and,"addit ional shear resistance for the roof at thi s juncture. Respectf ully Submitted, Ut -6 lvc ( E CSL L--_. Michael Wrenn, P.E. TO;: Building Department: City' of La` Quinta:` 7849.5.`Clle Tampico` La Quin'ta, California 92.253 DATE: 5, .November•: 97 FROM; Michael. Wrenn. P., E. 2q East Bliesqu to Avenue', Palm �S,prh in s,=..Caforni'a' ' 92264 21`3, 220 088.6 REFERENCE:Lot 86, NIB <021/PG 061 , Desert Club Tract., Unit 5, APN 769072006 Building Permt.#97090'67 ADDRESS: 50-900, Calle Obispo La Quinta, Cali"foii a 92253 SUBJECT: Building Pad Elevation Certification. This`.is :to}`certify :that the pad elevation for the residence`s -r=' slab t'o be,. -placed upon the lot .re;ferenced' above is one—foot minimum above high, point of . curb.: ~The . finish floor elevation shall then be near one foot, six -inches. ' above;. high -'point of curb. Th-e� extra. six-inch'height id. to accommodate the one per Bent site drainage requirement minimum. Sincerely, -T t e i6 Michael Wrenn qL'— MR. & MRS. FRANK FERRO 38-960 Gladiolus Ln. Palm Desert, CA 92211 !O/I� _ - - � awe rr._ � �,es-�-� n� � ex-I"�r�--}-z'o � �o►J ►-,� 9 r'oq - obi : 90 _ rVW I A&+ ► t see�-�-ia.� LOA& a- 4 I�ipc.J.� �,� _�:' �.�.._ � ate% � L � i ►�j-l-e.�_ . " �=ot—___.-_ r in�5 jiv job As_ r