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9905-201 (SFD)LICENSED CONTRACTOR DECLARATION -1; by affirm under penalty of perjury that I am licensed under provisions of Cthapter 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 Y ; Qiti�a� 02/29/20( ,,�� 'Datel-l* ignature of Contractrr7,�� 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. tyI 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. STATF.11JN10 (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, 1°shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ag pee that if I should become subject to the workers' bompensatlp%p4rvisions of Section 3700 of the Labor Code, I shall fq with comply with those provisions. Date2e&1J 1 Applicant ' (-�' `.'`t- / / 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 applicators 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 hereJ)y'authorize �epreseptatives of this City to enter upon Signature (Owner/Agent) t Date BUILDING PERMIT PERMT# DATE VALUATION LOT TRACT $911,549.70w4 L<T,I,.I919 U1,) JOB SITE Jf ADDRESS DQ �� .. f + r APN (!! 774.151-001 R OWNER CONTRACTOR/DESIGNER/ENGINEER 'Lf,.'NDEL W911M,'ES � I., EN E L V'f;N71,,MES PO BOX 430 NC7 BOX 430 LA QU1NTA CA 42253 LA, QUIN5`57A CA, 9233 i sails MA 859 � USE OF PERMIT NOLF, A 911.1' 1�31,Y 41 LING r A Sn, )- KRN'T W0,UDVS BLOM WALLS AND AS silo WK Q14 f L -ML PI.'iMOT DOES NOT f. ICK-11JU8, POOL + a 1 SES #'C3RCifr7�AT°[ ("� 20.60 Sr. €3ARACiOMRPOR'I' ` Sif).0(i SF 6 Ff. \YAC. 1. 50.00 i„,F. 5 FT. WOODFENCE 1ZI).t00 LI`A y /A d- ,0;STINLAIMM COST t. F CONST RUCTION 91,549.70 CONSTRUCTI-ONM' 1101.-000-41.8•-11QiD Sli94_16 1W, QN-W CWCK :FET;I, V49.80 FU DEPOSIT 101-di00439-318 --$2150.00 MECHANICAL FMi 101 000_X321-000 $47.60 ELr3Ct'f.O.C`'AL 1-hh 101-000-420-0041 PLOWING FEE � wf2"l-000-41;�-061f) SrJI ;:5 STRONG RIE'rTION FEE - RESM 101 -OW -241-000 $S.m G3zFt€)410 i JUS 101-,0(20423.000 S1210.0i) I1VI'.RA3T.K tC#'U" FM 225-000-443-342 $1,92,46 PITICrA,PLAN 101-000 41x1-3clg $100-00 5(.1'A- (Y_rKL L:O�'�"'1�ff:1(. ION AND PLAN CHECK $3v474 62 LESS PRE-PAW'I ER'S 4250M TOTAL PERMIT .VEES DUE NOW $3,224,62 r. RECEIPT DATE BY DATE FINALED INSPECTOR C INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck - - Exhaust Fans O.K. to Wrap t Z S - F.A.U. Framing oW 7 Insulation Compressor Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath/�• Drywall -Int. Lath (- Final FinaLi BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs •,23 _ gt Electric Bond Footings — - Q_ 57 Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines qg Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans - -p D577 O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection .L Encapsulation Gas Piping Gas Test 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: A' . P.O. BOX 1504 Building'' t f 78-495 CALLE TAMPICO APPLICATIO NLY Address S –7�/ U /`�l/� •lr LA QUINTA, CALIFORNIA 92253�� OwneF �n Mailing BUILDING: TYPE'CONST. OCC. GRP. � Address �. ,J�( �. t y `. ., 7-1 , ! ' ' J' A.P. Number City fV 1 +ti % %`± Zip Cl `L :. c, '`� Tel. 'is { �� (. (c Legal Descriptions Project Description _ Contfactor Address – _ //City Zip, Tel State Lic. } (-• & Classif.<:� �� .a^�� ` City Lic. # Sq. Ft. 1 ,( Size `1 No.No. Dw. Stories !' Units Arch., Engr., New p Add ❑ Alter ❑ Repair ❑ Demolition ❑ Designer Address Tel. City Zip State Lic. # . Ct Gt REGI G i i8kn LICENSED' CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with tion 7000) of Divisic 3 of the, Busjness and Professions Code, and mylicense is ih full folce and effect. V�.;,� 1x._x.. :._. �V�.'a"1• t: "".,,r f tr+ `ty !n +/ SIGNATURE_ee+ A.•-. ! r'' el.t'_M <•I� t "' .- - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractafs License�Law for the lollowing reason: fSec. 7031.5.Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also rh requires e 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) 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 five hundred dollars ($500). 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, Buisness and 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.) Estimated Valuation , PERMIT AMOUNT ) Plan Chk. Dep. a `. Plan Chk. Bal. Const. Mech. Electrical Plumbing I 1 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 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 S.M,I, Grading Driveway Enc. Date Owner Infrastructure 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. O Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM f WORKERS' COMPENSATION INSURANCE REMARKS (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: If, 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. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line 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.) Rear Setback from Rear Prop. Line Side Streei,setback from Center Line Side Setback from Property Line Lender's Name I it FINAL DATE Issued by: Validated by: INSPECTOR Date Perm 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 applicant Date Mailing Address Validation: APR •i• 4 1999 , City, State, Zip WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION %}Lj 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 6/10/99 No. 18875 Jurisdiction Owner NameLendel Ventures No. 53-750 Street Avenida Juarez City La Quinta zip 92253 Tract # BLK199U19 Lot # 24 Type of Development Single Family Residence Comments APN # 774-151-001 La Quinta Permit # Log # Study Area Square Footage 1,414 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: i EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.93 X 1,414 or $ 2,729.02 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed projgq± Mm y now be issued" ,k I. Fees Paid By cc/Union Bank of CA/Lendel Ventures, Inc. T phone 564.1866rt Name on the check f Y By Dr. Doris Wilson"`ti='- Superintendent Fee collected /exempted by Juanita Green Signature f` Payment Received Check No $2,729.02 6527741 NOTICE: Pursuant of,4ssembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to rLkf from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. .Collector: Attach a copy of county or city.plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting M l4 RC District - Planning Review Form This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential) District, in order to determine the applicabitity of compatibility issues or need to require the filing of Master Design Guidelines by the applicant. It shall be transmitted to Building & Safety as your correction' list. Please attach additional explanations as necessary. APPLICANT: LMII' vsT=S, INC. PROJECT ADDRESS: 53-750 Avenida Juarez APN: LEGAL:. CK'D BY: BIN NO: . 774-151=001 LOT 24 , BLOCK 199 . , UNIT 19 , S.C. @ V.L.Q. Fred Baker See Building CASE NO. 99=57 CHECK -DATE: Inform. the assigned Building plan checker upon your assignment to this case. The CDD Executive Secretary maintains a log book to track applications and assign case numbers. REQUIRED ITEM Y N COMMENT/CORRECTION }`iY•%};:'}C�{;,:?}4:•.:.�Q}.:.;}i.•`v.\.Y!Y::}:i::iA'f:\i\;.Y•i\\:•.\.:.+;.•Y::.:r�.LY?:.i•..Y.ilC'?M.A1 .`.\R.\�..}i\.\\..:��\�,.4.�.3.\°,r.+.}}.f:."4:..;,.:..4:F�::{N\\.4.:}.^.::}'•v.i`.}(..:,••\.:}...i.n•,..Y:v\Y.t:::.h{\`i.\,.`•.:..;}.}::`\•".::\?{:?? :$C:.W:,i..•?ti:Y•;Y•.��hx+'}.i:.a:•:.{:iti.Y4:}ti?•:4•v. �.i,?v`:...Yi,:,`.,.}i;•...n.v4:..3�i,>:�?•:ki\n:?::`i}\aA�;4.:?.:,.'?\;�:»4?.;•'M:;rY1v ti:\ 611 Y.i?Y:.:Yn"t4:i?K.``�Y.'E�`::.,4.<;•°:.\Yii:.::E:v.4i.Yv:�}.. ;•�;':i{. ii.s:vt(..fn?.::\ti:h\:`�,Yv�::::�.??i?ni.n•Y?:l:•`r.�'i.f:.:\W}`i.�:.\�:4Y:2?+;.i.\ $•`n•4;:.x�,}`?. Case logged and numberiassigned Verify legal and.APN information Consistent with MDG onlile (as applicable) MDG filing required (5+ filings since 9/3/98) Consistericy ,with-street/surrounding area: -NNW DATE¢'- Colors Materials Architecture ; OTHER REQUIREMENTS: The zoning code, architectural and landscaping manuals, and/or assigned inspector should be consulted where uncertainties arise. The completed checklist shall be maintained•in the Building '& Safety address file. PLAN: MA -1 4/9/99 ATTIC VENTILATION ATTIC AREA: 1,414 SQ FT + 510 SQ FT = 1,924 SQ FT 1924 SO FT = 300 .6.41 SO FT REQUIRED 8 VENTS - 14" X 18" VENTS 8 X 1.17 SQ FT X 1.5 SQ FT = 14.04 SQ FT LESS 50% VENTED AREA = 7.02 SQ FT ACTUAL NET TOTAL SHOWN 7.02 SQ FT PLANS SHOW 8 VENTS I 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 ollowing: BUILDING ADDRESS: Use Classification: SFD Occupancy Group: R 3 53-750 AVENIDA JUAREZ Bldg. Permit No.: 9905-201 Type of Construction: V Land Use Zone: RC Owner of Building: LENDEL VENTURES Building Official Address: P.O. BOX 450 City: LA QUITA, CA 92253 By: STEVE TRAXEL Date: 03-07-00 POST IN A CONSPICUOUS PLACE