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0007-251 (SFD)—,,LICENSED CONTRACTOR DECLARATION ;9' ;' I hereby affirm_ under penalty of perjury that I am ilicensed under provisions of k� Chaptef 9"(commencing with Section 7000) of Division 3 of the Business and c w� Professionals Code, and my License is in full force and effect. ~License # Lic. Class Exp. Date I\Q� ry r /� I` 638534r oZ t,- Date Signature of Contractor J UCD OWNER -BUILDER DECLARATION TION W WI hereby affirm under penalty of perjury thaf"I am exempt from the,Contractors ~ a License Law for the following reason:.W U) Z_ ( ) I, as owner of the property, or memployees 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). _ ( ) 1, as owner of the property, am exclusively contracting,.6W, licensed contractors to construct the project (Sec. 7044, Business'&.Professionals; Code). i � O I am exempt under Section B&P.C. for this reason O N Date Signature of Owner Qi 1 z WORKER'S COMPENSATION DECLARATION o 2 Z I hereby affirm under, penalty of perjury one of the following declarations: LO O O I have 'and will maintain a certificate of consent to self insure for workers' X W compensation, as provided for by Section 3700 of the Labor Code, for the mJ Q 'performance of the work for which this permit is issued. Q CD (wI have and will maintain workers' compensation insurance, as required by OC Q Section 3700 of the Labor Code, for the performance of the work for which this d rn H permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier Policy_No. m Z .U14D 49"4009471 (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 agre that if I should become subject to the workers' compensation provisions of/Section�3700 of the Labor Code shall forthwith comply with �hose,proVIsrO % Date:' d y`-°%�3 Applicarft Warning: Failure to secure WorkersfC.ornpensafibn Covera e'is unlawful and shall subject an employer to criminal penalties and civil fiup to $100,000, in addition to the cost of compensation,'damages as proy ded for in Section 3706 of the Labor Code, interest.and,atttorney's fees. �. IMPORTANT Application is he eby 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 representativ s of this City to enter upon the above-mentioned property for inspection pu oses. r Signature (Owner/Agent) f `- ' %Dat BUILDING PERMIT PERMIT# ; DAT J/,_, V LUATION LOT ?' TRACT t �',� 's.10 7 ' BLK182 JOB -SITE ADDRESS &`�-385.AM1.t1iA.Tf MM.7, 77444-019 OWNER CONTRACTOR/DESIGNER/EN INFER t i POWMR BROK&S LENDEL V14'T`L►"ItE� . P. Q, BOY. 450 7 U-080 QWX FMADO, SUM' 204 i LA QtlWA . ;. CA .92253 J A �YJ' i,A CA 92253 "' r (760)W-1666 mu) ES9 USE OF PERMIT 1. ♦7LNGLE l`.i21Y.tJ,JJd DVS,d.11.s1..Nl} s, SY13 - PERMIT DO,W.,,S' NOT INC LUbE, BLOCK WALLS OR 1!t)OL TRACT CORTT 3UCT100 1,421.00 OF P017.MP.11TI'O 36.00 Sy (AARAGMARPORT CSP) 9,096,610 a PT. WOOD x'EWCi? 70D.00 LF 11114'�B:f' 1 Ir0.Ce'.1' 01�' S �2.�I8IM11Cnol ' yyyyp{ y�ror�44'' (y�•^� �pH,y.4)' K -ow, -o T.. YJ �? i.7he"R R T CONSTRUCTION IRE J_01 -000418.0w' $594,50 PLAN CHECKM 1(n?yi-fcC��i�3�-`��1 �� $300.3? ,y MZ HA1N1�:. LFEEEr �Vt'-�1:�'�d2-ti7�JV $60,00 fj;LECTRICAl..FEE 101--000-420-000 $179.44 PLi:TMBING b ,R 301-0000.419-000 $116).7" S l',RONO MOTION' FEE } &MD 1011-000-241-000 $8.93 c3iisAO£ FEE 101 -WO -4211-000, $20,00 ' DEVELOPER IMPACT FEE $4907.00 � PREML? PLAN kG1-1100 1-+345 S1QO.OU. .' P MM0TAL COI+ 2X1'C'11014 AND PI.AK CSE i!CIC V-1 X30.74 TMALT MH Ir—9E.9 DUE $3,160:74 • v i � RECEIPT DATEBY DAT FIN ` d(J INSPECTOR W INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS .MECHANICAL APPROVALS Set Backs Forms & Footings Underground Ducts 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 8 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 Water Piping op ' Heater Final 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 - 6-" Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power 5 Final Utility Notice (Perm)If I L11( COMMENTS: P.O. BOX 1504/ D 7B-495 CALLE TAMPICO APPLICATIO OY C'J AddresBuildins 61�?OUINTA, CALIFORNIA 92253 Mailing Address City 4S' _o 14 q:bI&J-rA r&4-. /A�,i State Lic. City & Classif. . �-�� 'a�S' Lic. # Arch., Engr.,} J� - Designer �C�-� F{ ' c'- f tM� (212oo 1 r City ZipState 4 .7 2 Lic. # CONTRACTOR'S DECLARATION I he eb affirm tha�(/ICENSV m cen ed under provisions of Cti plat 9 (commencingwith action ,We J ise eu�jr���anQ f, )es4ldn� � a„Tnd my license is in _ orce and ' OWNER -BUILDER DECLARATION I hereby atf rm that I am exempt from the Contractor .License Law for the following reason: (Sec./7031.5, Business and Professions Code: city or county which requires a Pe rmit to co Strutt, atter, improve, demolish, or repair y structure, prior to'Bs issuance also requires theapp8cant !or such permit to lite a Signe statement that he Is licensed pursuant to the provisions o! the Contractor's license Law, apter 9 (commencing with Section 7000) of Division of the Business antl Professions Cod or that. he is exempt fherelrom, and the basis for the alleged exemption. Any violatioSecfion 7031.5 Dy 'any appllcanf !or a permit subje s the applicant to a civil penalty o! no ore than live hundred dollars ($500). I.: I as owner of the property, or my a ployees with wages as their sole compensation, will do� the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and P/blessions Code:, The Contractor's U'cense Law does not apply fo an owner of property who builds or improves thereon and who does such work himsel! or through his own employees, provided that such iinprOvemenfs are not intended or offeretl !or sale. Il, however, the building or improvement is sold within one year of completion, the owner -builder will have Ilia burden of proving that he did not build or improve for the purpose of sale.) 1'1 1, 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'] I 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, Labor Code.) Policy No. Company 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 pemtil is for one hundred dollars ($100) valuation 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. Date Owner NOTICE TO APPLICANT: IF, after making this Certificate of Exemption you should become subject fo 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 t 1 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 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. 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 a0plicant Date Mailing Address City, State, Zip WHITE = FINANCE ILDING: TYPE'CONST. OCC. GRP. t. Number —1-74- /moo""' - oot )al Description tot- -! �G-e. /eZ 1 - eject Description `FA -44 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Cente%Line Rear Setback from Rear'Prop. Line Side otckfrorh Sttrreet Setback from Center Line ��Property Line FINAL DATE INSPECTOR Issued by: DatePermit Validated bv:_ a YELLOW = APPLICANT PINK = BUILDING DIVISION Sq.=.Ft. ) p Size' / 1 No. t Stories No. Dw. Units NewX. Add ❑ Alter ❑ Repair ❑ ".Demolition ❑ t Estimated Valuation PERMIT !% AMOUNT G> Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure ' TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Cente%Line Rear Setback from Rear'Prop. Line Side otckfrorh Sttrreet Setback from Center Line ��Property Line FINAL DATE INSPECTOR Issued by: DatePermit Validated bv:_ a 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 7/28/00 APN # 774-034-019 No. 20785 Jurisdiction La Quinta Owner NamePower Brokers No. 53-385 street Avenida Juarez City La Quinta Tract # Lot # Permit # Log # zip 92253 Study Area 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 •.t Fees Paid By CCNalley Independent Bank - Thomas Buffin Telephage 564-1866 Name on the check r a� By Dr. Doris Wilson t � `�;, � <,., y Superintendent b '4 4,ee collected /exempted by Ellen Patino Payment Received Check No. 216599 Signature ZU k 40TICE: Pursuant of Assembly 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 tun 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 JUN.27.2000 8:03AM COMMONWEALTH RECORDING REQUESTED BY; CHICAGO 'TITLE COMPANY COMPANY .. 9876KC 207056356 WHUNL 00 Rqg ND �OWND' LA STE1�5; William Thomas Bid £in P.O. Box 134 La Quinta, CA 92253 SPACE ABOV GRANT DEL, D r N0.687 P.1i1 CERTIFIED To BE 6 TE,j CJPv 6F vi94: 'cuj(Jv'J6JlS` L'nIJ I r NE FOR RECORDER'S USE The undersigned grantor(s) declare Documentary transfer tax is .;28. Al0 (XXX) Computed on full value of property conveyed, or ( ) Computed on full value less liens and encumbrances remaining at time of sale. ( ) Unincorporated area; ( )'City of and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, THOMAS AQUINAS COLLEGE hereby GRANT(S) to WILLIAM THOMAS BUFBIN, an unmarried man DII& La Quinca Partners II the real property in the City of LA QUINTA, County of Riverside, State of California, described as; Lpt 7, Block 182, Unit No. 18„ Tract Santa Carmelita at Vale La Quinta, as per map recorded in Book 19,.Page(s) 31 inclusive of maps, in the office of the County Recorder of said County, Dated May 9, 2000 State of California County of ' o urr } S. S. On before \►c personally appeared personally known to me e) to be the person(s) whose name(s) i-a/are subscribed to the within instrument and acknowledged.to me that be/e/they executed the same in h�e,'he/their authorized capacity(ies), and that by 1+i�Vtheir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument, WIVESS my hen andof ficial seal. Signature MAIL TAX STATEMENTS TO: same as above THOMAS AQUINAS COLLEGE me/Title r BY Q me/T tle CRA A NOWGOMS0 r s C40rftw 0 111;1160 V**J0 c4Lrrn, N my c*TM bpu AA ago, 230) (This area for official notarial seal) RC DISTRICT -PLANNING REVI W�RM 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 Lend,-- T -- SITE SITE ADDRESS 53-385 Avenida Juarez AP.N 774 _ 034 _ 019 BIN NO.: - -fl-10 CASENO.: 2000-258 LEGAL: LOT 7 BLOCK 182 UNIT S.C.@V.L.Q. CHECKED BY: Greq Trousdell DATE: 7- 2 12 Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive Secretary maintains a log book to track applications and assign case numbers. REQUIRED ITEM Y N COMMENT/CORRECTION Compatibility Review Case logged and number assigned �0 Verify legal and APN information VVI 60,17 go, 000 OQ� . Consistent with MDG on file (as applicable MDG filing required (5 filings since 9/3/98) Q P Consistency with street/surrounding area: � D�� Colors C Materials Architecture s'Atit At �T' y Other Requirements: /o 1 7' 1 '0" , I r T,.,,-.,...� its-��.ic�`:��:�i : �r=,`'i��/� Wl!_!;� S225�' '_LUDING: TY)E*C0NS_`. 7, U" 0. G R P. 1A.P. Number Legal Description---, Project Description 71_1 City ity Lic. If' Sq. Ft. No. No. Dw. A rc h.. -Size Stories Units "i-s4ne; New Ct Add 0 Alter 0 Repair 0 Demolition 0 Address Tel. —777— .City lZip State -! (..t. I IN LICFNSEA CONTRACTOR'S DECLARATION I hereby affirm that I am ­­4� under Provisions of Chapter 9 lcornmencing 70D1: BusifiEss,-a"ci-professi.om gc�riand my license !E intueloce and poria, DATE Estimated Valuation ,I he:,"v I e).err,r-: from the Lav: for Inc following and P,o;&>s.c% Cox: An, 013 o cCu':)- .:JCh -eo';"es a -i m;.:"`E. C&mi.kZk. C: S::-: ,.+F, Prior 10 ftS iSlUarCe also PERMIT ANA, LINT ,,e, a.l: fo",S'cli, perral to fire a s-CnE,-' statement ma; he is hzens&c pursuant to s f Lew. Cf; -_'Pic: R (cornme.icinp with Section 7000) of .) .16 Co va-111's License -V and i"olessions Cocr (1: ma: he is exe�.P: theefrom• and the basis 4 ' E, aDph--ai; to; a psrrmi� Plan Chk,. Dep. I `C 21`�7':v:1- 1;4`1.1, ), v.vauo- o' Se- ',:, 1 71' b, I CA': to a c"'!! pe'ary C! nor �,:,e via, s,r racweo oona,s (s 560.1, su� cc:r the a.'D� I. as owner 0! the pproperty, or my emnloyees witfy trial: soft. compensation will Plan Chk. Bal. o . work., k., and the structure is no! inlenoe.i or ofiere 3 tor sale. (Se-. 7044. Saisnest and ;t Pforess;ons Code' The Contractor's License L2 does not apply 10 an W.'e, 0' P..."elly who Const. oul;os or improves lherex) and who odes Such work himself or thr000ri his ow,i employees, si,viced Ina; such improvements are nor rnienced of offered for sale It. the building Mech. o: ­P,civemeni is sold wl:nin one Year of compIauor, the owner-bvilvei wR! have the burden Electrical of provfng that he did not build of -p.-ove for the purpose of sale.) I. as owner of the property, am exclusively contracting with licensed contractors to con. Plumbing s::uct I he project ;Sec. 7044, B.j;incss a.i' Profession! Code: Trie CoWfhclo!'s License Law ooeFno; a�lpfy to an owner of property who buPos o.* Improves tnerea.i, anc who contracts lot S.M.I. such pfoj,c Is with a comtectot(s) licensed pursuall to the Contractor's License Law.) I am exempt under Sec.,. -B. b P.0 for this teaser. Grading Driveway Enc. -E C:cpi 't wc^ it;o 1­ic cof co:v; r. rlaiebv !orr-bne.— TOTAL CEFIII=ICITE 01 EY-I­TJ0f,,* FRcf' V,!,- n:;, E r. S - C S z�' i Z) I; I I, E u Fi 1; 0 PEMARKS f7r)a-_ r":- nee,: no: DE COM.Ileled it Ih& is to! 0 -le hunovej colla -5 (1100) va.lual'on ce li!: : ; re:: p,dc,manzE of inz v. 0,,, tot which !his oerr:.;; is issued. I sha!l not emtp:oq a.i, pets, r, in any manner so as to become SuLijec; (C (tic Cornpensation Lavas gf Ga:?o. ria N01WE 71�- APKIC-.7' 1; alle, fmal,p In: Ceruljca:c 0' E,e-C:inr yov sho';c become ZONE: BY: I,& V':'!1c"* CC"';1r_..'.:-1­ C:: 0, Ire La:�.: ...+._, yor -:1 S.Zri 01 It'! ;,erld: ri'a ct."'n— k,inimum Setback Distances: --Front Setback from Center Line Rea. Setback from Rear'Prop. Line C31;Sl F.Un-TION LENDING LCE?:r,N Side Street Setback from Center Line I --a V!pl there * a co.—truc rid! lendino agency for tne performance of the Jsfr (.,7 C'v.""cjdc S' d I _'Ck frorTt Property Line Lancers c.gd:e5s. INSPECTOR d, and is subject to el V� Itit! is budding permit �rier. properly WleC out. sipn(d. And validate FINAL DATIC exp . ah:)n it , o:1, lhe,eunde! 5 suspenclEo io, 160 days. I c D an- E121C that the above in!ormalior. is correct. Issued by: certify that I have read this ap-plicailon ate Permit I aofcE to COMP15, with all city and c(-in:y o!dir,anccE a�' 51alt Ia.,E relaun� Ir, buildmg 1,.7, co.isiruction, and hefe�)y aulho;ize te­!e'enzativeE -of tilis city to enter the above- .Mpnt,e,6: pip, Validated by: ,e,ly for u.S,.CC:i Valiclaii 0 �• oO © 50 SO O O _ t W S• SO 3oe/ So moo' X06 30 Bo. 1G �t BLO CK -D a m f ,tl O 3o ' 000opo° 5o So o S PO o So IS So o w 0 6� Of A J e A < V 01 Q rZZZ wa ° o O tp Ob /7� a yt a SO SO O -'Jo JO SO O $o n a 29.99 BL CK 60 - /Ot b a Sae/ 5 So Se So � SO ✓UAR£Z 660 —'- o W ,y 9• ` O pLQ ,� I m SO So SO Jo SO Se SO 79. -y i No.o So So O - AVEN/DA + MADERO - w ° / pBtB ts'h So y 50 SO O S• ,SO Se SO S• SO 3oe/ So moo' 7RA 02 BLO CK -D a m f ,tl L ocir o08Q,so ' 000opo° J e A < V 01 Q rZZZ wa ° o O tp Ob /7� a yt 30 SO SO O -'Jo JO SO O $o So a 29.99 O G. A VEN/DA 50.023¢/ y� iA CARMEUM AT VALE LA OU/NTA UN/T N0. /B RSB / 30-3/ DATA ON 89./92 o "e So o So 7RA 02 - 089 -D L ocir ' A < V 01 Q rZZZ wa ° o O tp Ob /7� a o 30 30 W TRA 020 - /Ot b a Sae/ 5 So Se So � SO ✓UAR£Z 660 —'- DATA ON 89./92 Certificate of Occupancy City of La Quinta Building 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 following: BUILDING ADDRESS: Use Classification: Occupancy Group: SINGLE FAMILY DWELLING 53-385 AVENIDA JUAREZ R3 Type of Construction: VN ..Owner of Building; LENDEL VENTURES Building Official Bldg. Permit No.: 0007-251 Land Use Zone: RC Address: 78-080 CALLE ESTADO, SUITE 204 City: LA QUINTA CA 92253 By: STEVE TRAXELL . Date: 12-15-2000 POST IN A CONSPICUOUS PLACE