0010-112 (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
MO VIC'
Date, -i -`1'= a%".V Signature of Contractor'r_!"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 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 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:
Carver 1n
)ND Policy No.STAT-R,R, )N UP.00 UNIT 110#44V
(Thls sectlon 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=p"r"ovisions 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, Is
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 J
construction, and hereby authorize representatives of this City to enter upon ,,
the above-mentioned property for•inspection purposes.
Signature (OwnerlAgeiit �y' r�'-R'% Date'—/,)/` 7,4,1
r.
} BUILDING PERMIT PERMIT #
DATErtVALUATION LOTTRACT .
J Jjf
c�a �d4tI1 ��2e
JOB SITE
APN
ADDRESS -,M AWNWA, JUAR10
OWNER `
CONTRACTOR / DESIGNER / EN (NEER
i
t, ' A19 00VE iisMLOPMENT ik G`
;b t CA 92253
'3M�iP•AAL CA 92274
(7760)3399-1200 X14 1954
USE OF PERMIT
s F 'tom
ell
,goal
�•,�, ,S i > 7t qtr ` g l•� t•f� p �, 1y r� y �+ �
+L f-4AP�rRcMT IDOES` .�17Ur .iNC��S DFD E11,O�.°.tt."�+i�1.4.�.J��a1�ir�SY.f�.�7 ♦e �i..r�a'P.Yw4ifb;.e.RL .
TRACT CONUTRUCT1011 .441.00 OF
PIOACHIPAXIO X03 SF
� vr, Woop k'LNC'l: 200.00 fs1✓
CS�iR1seU2. 3111003.11
3MIMT"
' C(Al01Y •(1101sUCno-N
89 -1.10
YCMirfµrySUMMARY
06143[;1MION FRE 401 -M-41 8-000 %4.10
PLAN CHECK 'K& 101-000-439-31P, SS". 12
MECHAa`C3\.ve"F0.n ME 101-000-421 -000 $0,00
- 1
E,,T-FA:."Pt±t.ICW, % 101!-000,-420-000
PLUMBING R22 101-000.419.000 314t011A
M37C`)P. a ,1011014 PES - RMIND 101 -..00Q -241-t, 60 $19.3
a1r'L9,,bt. 1.0 rIF, III. . 101-000.42,3.000 $20.06
PRECIVE MW 101-000-441-345 S10010
101-000-4.39-316 .,WO69
�t q4
LESS �PAXD FM_
P0,
4250,01D
TMA.twe,`PMUTI� _ .i° S UM L Al
!R i
➢
DEC 1'2 Le,:..:
ITY Qi. LA vv
'RECEIPTDATE
aY
E I ALE
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Roof Deck
/�Q
Combustion Air
Exhaust Fans
Oh<. to Wrap
Framing
y
� l S�
F.A.U.
Compressor
Igsulation
.?f �6 ! 3
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall insulation ..
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Y/Il/ll_j S /�
Final
POOLS - SPAS
BLOCKWALL APPROVALS
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 r
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 Vottage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors
Temp. Use of Power
Final
?j�(l��d
Utility Notice (Perm)
LICENSED CONTRACTOR DECLARAI'ION
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 k Lic. Class Exp. Date 0
291728 B HAZ 08/31/2i'
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).
() I am exempt under Section B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
f hereby affirm under penalty of perjury one of the following declarations:
J ) 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:
Cartier Policy No.
STATEFUND 229-00 UNIT 0004483
(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. Eac personknd
whose behalf this application is made & each person at
who a requestor whose benefit work is performed under OF pursuant to
anytpermit issu-A result of this applicaton agrees to, & shall, indemnify
&h,Id harmles_City of La Quinta, its officers, agents and employees.
2. Ayy�p it-issued�as a result of this application becomes null and void if
work is not comm nced within 160 days from date of issuance of such
permit, or cesWorT of work for 180 days will subject permit to cancellation.
1' certify that I have read this Qpp'I cation 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 abov m ntioned property for inspection purposes.
Signat re Owner/Agent) Date �. � 4
BUILDING PERMIT rcnrviii x
DATE VALUATION LOT O0IO-112 TRACT
589,335.10
'JOB SITE _
T773-242-013
ADDRESS 52-2_35 AVENIDA JUAREZ 1
�-
OWNER
CONTRACTOR/DESIGNER/ENGINEER
CMOUNTAIN COVE DEVELOPMENT INC.
WI IAM RUSSELL ROGERS
51-370 AVENIDABERMITDAS
56900 JACKSON ST
L.A QUINTA O CA 92253
THERMAL CA 92274
(760)399-1200 CBL4 1954
USE OF PERMIT
GENERAL BUILDING
SFD-PERMIT DOES NOT INCLUDE BLOCK WALUPOOUSPA/OR APPROACH
DRIVEWAY °
e7RACT CONSTRUCTIOW _ -- 1,421.00 SF l
`4PORCH/PATIO 36.00 SF
�• 1
GARAGE/CARPORT (SF) C996.00
5 FT. WOOD FENCE 200.00 LF
ESTTMATED COST OF CONSTRUCTION
89,335.10
PERMIT FEE SUNIMARY:
CONSTRUCTIONE 101-000-418-000 $594.50
F
PLAN CHECK FEE 101-000-439-318 $500.12
MECHANICAL FEE101-000-421-000 $60.00
ELECTRICAL FEE 101-000-420-000 $129.44
PLUMBING FEE 101-000-419-000 $110,75
STRONG MOTION FEE - IiSID 101-000-241-000 $8.93
GRADING FEE 101-000.423-000 $20.00
DEVELOPERAf PACT FEE f3 $1,907.00
PRECISE PLW 101-000-441-345 $100.00
DEPOSIT 101-000-439-318 •$250.00
SUB -TOTAL CONSTRUCTION AND PLAN CHECK
$3;430.74
LESS PRE -PAID FEES
-$250.00
�. TOTAL PERMIT FEES DUE NOW
( 53,180.74 �!
RECEIPT
DATE
BY DATE FINALED
INSPECTOR
t
J u�l'�Cv
Building ,'% � �(/� (J (/1:�/�� s.,
Address
Owner r
P.O. BOX 1504 APPLICATION ONLY
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Mailing
Address / 7, Al,
City /� Zip
+ Tel.
t Y '7 t-Z,S-1-M-1470
Address ✓ ��`�L�� I
Zip ITel
State Lic.I City
& Classif. Lic. #
Arcn., tngr.,
Designer
Address Tel.
city ----------Zip e I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencirrd with Section
7000) of Division 3 of the Business and Professions Code, and my license is i• 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 whxh 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 licensad 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 rive 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 ovn 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 or sale.)
I -i I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractors 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.)
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 Compensation Insurance, or a certified copy thereof. (Sec. 3800, Lab.r Code.)
Policy No. Company
F) Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM -
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars (, 100) valuation
or less.)
I certify that in the performance ofthg work. for which this permit is issued, I shall not
employany person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT., It, after 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
ame
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
1 certify that 1 have read this application and state that the above informati•3n 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
ateMailing Address
City, State, Zip
BUILDING: TYPE'CONST. OCC. GRP.
A.P. Number el —'2,4 7—
Legal
Legal Description Z ^-T !a QL ie:7 e*. C, A r l/
Project Description
Sq. Ft. No. No. Dw.
Size X,2.1 Stories Units
New h Add ❑ Alter ❑ Repair ❑ Demolition ❑
Fe2:-r AS
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep._ -
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKSJ 41
,.
✓.
ZONE: +• BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permi ;
Validated by: ®
_ P A
Validation: SEP 2 9 =0
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
SO
RC DISTRICT - PLANNING REVIEW FORM
This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential)
District, in order to'determine the applicability of compatibility issues or need to require the filing of Master
Design Guidelines by the applicant. It shall be transmitted to the Building and Safety Department as your
correction list. Please attach additional explanations as necessary.
APPLICANT MOUNTAIN COVE DEVELOPMENT, INC.
SITE ADDRESS 52-2,35 Avenida Juarez
APN 773 _ 242 _ 013
LEGAL: LOT 2
BIN NO.: I G
BLOCK 7
CASE NO.: 2000-330
UNIT Z S.C.@V.L.Q.
CHECKED BY: Greg Trousdell DATE:
Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive
Secretary maintains a log book to track applicationsd assign case numbers.
-an
REQUIRED ITEM
Y
N
COMMENT/CORRECTION
Compatibility Review
Case logged and number assigned
Verify legal and APN information
Consistent with MDG on file (as.applicable
MDG filing required (5 filings since 9/3/98)
Consistency with street/surrounding area:
ors
Materials
Architecture
Other Requirements:
4q/
3 Z
ENZ row
PQQR
C�MMoNLA WA. �b
SEP -22-2000 02:17
CALIFORN•tA .
i%S- ASSdJCIATION
OF FLEA'LTORSO
��271 oro
DATE: at
RECEIVED FRO
A DEPOSIT OF
TOWARD THE PURCHASE PRICE OF
FOR PURCHASE OF PROPERTY SITUATED IN
DESCRIBED AS 1
1 'P. 02
VACANT LAND PURCHASE CONTRACT
AND RECEIPT FOR DEPOSIT
Dollars $
DOTBrs S
California.
ASSESSORS PARCEL e - 1 f h " .x —1 -L ^ 111Z-I'roperry I.
(11 Chocked:) The attached Manufactured Housing Addendum is incorporated into thi9 Agreement.
I. FINANCING: THE OBTAINING OF THE LOANS BELOW IS A CONTINGENCY OF THIS AGREEMENT. Buyer shell act diligently and In good lailh
to obtain the designated bans.
A. LOAN CONTINGENCY shall remain In effect until; (Check only ONE of the following:)
❑ (1) The designated loans are funded andlor the assumption of existing financing is approved b/ tender and completed.
❑ (2) __ days from acceptance, by which time Buyer shall give to Seller written notice of Buyer's election to cancel this Agreement because
of Buyer's inability to obtain: (1) The designated loans, or (if) The approval of assumption of existing financing. If Buyer does not give Seller
such notice, the contingency of obtaining the designated loan shall be removed by ilia method specified In paragraph 15.
B. BUYER'S DEPOSI the form 0
1 anal check, cashier's check, L' other •$ �VO
PAYABLE TO ,
shall be deposited with Escrow Holder, ❑ into Broker's trust account, or ❑
TO BEHELD UNC EOJNITIL the next business dgy after acceptance of the offer or '
C. INCREASED DEPOSITIwithin dais, shall be deposited with .. $
D. BALANCE OF DOWN PAYMENT to be deposited with Escrow Holder within burificienl time to Gose escrow ............ S
E. FIRST LOAN IN THE AMOUNT OF .........................................................................$
0 NEW First Deed of Trust In favor o1 -:3 LENDER, 0 SELLER: OR ❑ ASSUMPTION of Existing First Deed of Trust:
encumbering the Properly, securing a note payable at approximately $ per month, at maximum Interest of
is fixed rate, or % Initial adjustable rete with a maximum lifetime interest rate cap of %.
balance clue in years. Buyer shall pay loan fees/points not to exceed
F. SECOND LOAN IN THE AMOUNT OF...................................................................... $
C3 NEW Second Deed of Trust in favor of 0 LENDER, ❑ SELLER; OR ❑ ASSUMPTION of Existing Second Oeed of
Ttust; encumbering the Property, searing a note payable of approximately E per month, at maximum interest of
% fixed rate, or % Initial ed(ustable rate with a maximum rrfelime Interest rate cap of
balance due In years. Bvyor shall pay loan feestpoints not to Awsrod
G. 0 (11 Checked:) MANUFACTURED HOME LOAN In the amount of ........................ . .....................$
On the terms and conditions described In the attached Manufactured Housing Addendum (MHA -14).
H. ADDITIONAL FINANCING TERMS: E
I. TOTAL PURCHASE PRICE, not including costs of obtaining loans and other closing costs ...........................$ `— ' vv
J. OBTAINING DEPOSIT, DOWN PAYMENT, and OTHER CLOSING COSTS by Buyer is NOT a contingency, unless Otherwise agreed In writing.
K IF THIS IS AN ALL CASH OFFER, Buyer shall, within 5 (or 0 _� days from acceptance. provide to Serer written verification o1 sufficient
funds 10 close this transaction. Seller may cancel this Agreement In writing within 5 (or r,l ) days: (1) after receipt of the funds verification,
if Seller disapproves it; or (2) after the time to provide the funds verification expires, if Buyer falls to provide It.
L. LOAN APPLICATIONS: PREOUALIFICATION:
(1) For NEW and ASSUMED tender linenoing: Within 10 (orrJ._J days from acceptance. Buyer shall provide to Seller a letter from lender
staling that, based on a review of Buyer§ written epplleatlon and credit report, Buyer is prequasfled for the NEW andlor ASSUMED loans
Indicated above. If Buyer fatal to provide such letter -within that time, Seller may cancel this Agreement In writing.
(2) For SELLER financing: Within 5 (or ❑ __J days from acceptance: (a) Buyer shall submit to Selior a completed loan appficaticn on
FNMkFHLMC Uniform Residential Loan Application; (b}Buyer authorizes Seller andlor Brokers to obtain. at Buyer's expense, a copy of
Buyer's credit report; and (e) Buyer shall provide any 6vpporling documentation reasonably requested by Seller. Seller may cancel this
Agreement in writing if Buyer tells to provide such documents within that time, or if Seller disapproves the application, credit report, or
supporting documentation within 5 (or 0 ) days from receipt of those documents.
M. EXISTING LOANS: For existing loans to be taken over by Buyer. Seller shall, within the time specified In paragraph 15, provide to Buyer copies
o1 all applicable notes and deeds of trust, loan balances, and current interest rales. Buyer shall, within the time specified In paragraph 15, pro -Ado
written notice to Seller of any items reasonably disapproved. Differences between estimated and actual loan balances shall be adjusted at close
lir
of escrow by ❑ cash down payment, ❑ seller financing, or ❑
Impound accounts, N any, shay be assigned amt charged to Buyer and credited to Seller, (or I1 checked ❑
N. 0 Of Checked:) SUBORDINATION: Seller snancing shall be subordinate to a subsequent loan: to be obtained by Buyer. In an amount not to
exceed $ . NOTE: Buyer and Seller are advised to consu't legal counsel lO discuss theroetells and consequences of a
Subordination Agreement.
Buyer and Seller acknowledge`re�cerpl io copy o1 this page, which constittdes Page 1 of co Pages.
Buyer's Initials 1�LL_.) �� Seller's Initials
THIS FORM HAS BEEN APPROVED BY THE CALIFORNIA ASSOCIATION OF REALTORS* (C.A.R.) NO RePRESENTATION IS MADE AS TO THE LEGAL VALIDITY OR
ADEQUACY OF -ANY PROVISION IN ANY SPECIFIC TRANSACTION. A REAL ESTATE BnOKER IS THE PERSON QUALIFIED TO ADVISE ON REAL ESWE
TRANSACTIONS. IF YOU DESIRE LEGAL OR TAX ADVICE. CONSULT AN APPROPRIATE PROFESSIONAL
The copyright laws of the United Slates (17 U.S. Code) forbid the unauthorized reproduction of this form by any means, Including lacslmlls or bomputerieed
formers- Copyright G 19gyl997. CALIFORNIA ASSOCIATION OF REALTORSO
c Jpubashed and IXaefbulao by: OFFICE USE ONLY
REAL ESTATE BUSINESS SERVICES. INC. Reviewed by Broker
a suasfdrary or" CALIFORNIA ASSOCIATION OP RM7VRS9 or Designee
525 South Vagil Avenue, LOS Angeles, Calllornia 80020 Date
PRINT DATE ... ,.,T— .... ...........
TOTRL P.02
Z0 ' d Thiol
20
N �
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Cl/QCl/I AA +
TT:ZO 0002-ZZ-d3S
0
Desert Sands Unified School District
47-950 Dune Palms Road.
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515 C (0 Dag Y
CERTIFICATE OF COMPLIANCE
Date 12/12/00
No. 21329
Owner NameMountain Cove Development, Inc.
APN # 773-242-013
Jurisdiction La Quinta
No. 52-235 Street Avenida Juarez
City La Quinta zip 92253
Tract # Lot #
Type of Development ' - Single Family Residence
Comments
Permit #0010-112
Log #
Study Area
Square Footage 1421
No. of Units 1
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 in the amount of
2.05 X 1,421 or $ 2,913.05 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 CC / Valley Independent Bank / Larry Shields
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by ' Annette Barlow
\,!:"' 4��r�
Signature
Payment Received
Check No
Telephone 760-399-1200
$2,913.05
235075
40TICE: 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 the fees or other payment identified
rbove 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 District(s) or to another public entity authorized to
:ollect 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
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 12/12/00
No. 21329
Owner NameMountain Cove Development, Inc.
APN # 773-242-013
Jurisdiction La Quinta
No, 52-235 Street Avenida Juarez
city La Quinta zip 92253
Permit # 0010-112
Log #
Study Area
Tract # Lot # Square Footage 1421
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 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 in the amount of
2.05 X 1,421 or $ 2,913.05 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
I
Fees Paid By CC / Valley Independent Bank / Larry Shields Telephone; 760=399-1200
Name on the check
.p
;;^ ;
By Dr. Doris Wilson a r-
Superintendent`
Fee collected /exem ted by _ Annette Barlow Payment Received $2,913.05
Check No. 235075
Signature
NOTICE: 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 the fees or other payment identified
above 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 Distdct(s) or to another public entity authorized to
collect them on the Distritt('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