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9809-098 (SFD)
LICENSED CONTRACTOR DECLARATION hhereby 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..ClassDate t1/30199 11 y6atel Q/ 6 Signature of COntfact0l C—Exp., Moo ^ . . y sr 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). 'r ( ) I, as owner of the property, am exclusivelycontracting 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: Carrier T /±Y wyD Policy No. 229-93 U7+00 {SM (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,4 I shall not employ any person in any manner so as to become subject to the worker"s' compensation laws of California, and agree that�if=,l should become subject to the workerscomp nene sation provisions of'Section 3700 of the Labor Code, I shall forthwithcomply�with those �� se provisions..% y15ateft'4 �? wR / Q Applicant . c, 1�-� _ ✓ ef' 1 7_ 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. f j, S gnature (Owner/Ageni �_ / k Dated': �f .1� ' ; BUILDING PERMIT PERMI9809409 CO``NTROL#pp,� DATE VALUATION 599,617.70 LOT 18 TRACT V+� Ago V Jr JOB SITE rte. -854 W.r7X10A JUAR ��i- APN 7 74-151-007 ADDRESS OWNER CONTRACTOR / DESIGNER / ENGINEER vYa,iiCAUT)1.i. i %fAi1, fir! laTf-�i, k-DT%f SAA r A I IIr? .i' QU1NPA CA 92253 I" BOX 5415 LIV OUINI'A Cj 92253 CANYON LAKE CA. 912587 (7130),771-5452 CB1Af 1784 USE OF PERMIT :SkD - PriiRM(T DOES 140'i INI Ci DE BLOCK WALL OR POOL ,I,tbAi.0. CON-113RUCI.A.ON 1,617.00 SA. i'ORCif/N.A.TiO 150.00 3F 918THIIATAF111D COST Of IM l MI6. FEE, SUNX1\" ARY C0NM ,(UCV101Q Elvis 101.000.41"00 U319.50 PLAIN CARCK, FFR E t„ �f-4'��?;ol'')." 101.000-43.9.31.8 - 250.©9 MECHANICAL ` L i Tf $93.50 ELEC'1IUCAL FEE l O L 000-420-000 $130.12 $V4,75 ST11040 McsT10;4 M. , atISID 1 101 10 30_'941400 GRADING EM 101-000-12,1000 �hu.tsU Im,RwrRi m"fLIRE:i"'EE, `t 225-0W-44-342 3n,29ts.53 MiC,I.R.Pl -AN 1011 0W-441-345 515.(111 '!L CONS'3 RIJC'I ON ANC1 P ,AN cii- Cx. $3,7A&18 l l a �E&S PRE-RAWFEES -$250.00 OCT �-2 6 1998 $3,496,18 ' �9OF A rTin, RECEIPT DATE BY; DATE FINALED INSPECTOR ft s INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms 8 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 & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam / ,S 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 ¢ Q S 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 t IF Final Utility Notice (Perm) lt- 23 Q S'7 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 10/26/98 No. 17915 Owner NameRichard L. Swalve No. 53-854 Street Avenida Juarez APN # 774-151-007 Jurisdiction La Quinta City La Quinta zip 92253 Tract # Lot # Square Footage Type of Development Single Family Residence Comments Permit # Log # Study Area 1,617 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 1.93 X 1,617 or $ 3,120.81 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/Bank of America/Richard Swalve lfelephonek .771; 5452 Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Green Payment Received $3,120.81 Si Check No. 2012644173 Signature �i g �s/rilii/O, Oo._� NOTICE: Pursuant of sembly 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 rom 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 Dislrict('s)(s') belialf, 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 May -18-02 O3:O2A October "20, 1998 City of La Quinta Attn: Building & Safety Dept. 78-495 Calle Tampico La Quinta, CA 92253 Re: Property Located at 53875 Avenida Diaz La Quinta, CA 92253 Dear Sirs: P.O1 I am the owner of the rental property noted above. I am writing to you to inform you that the owner of the lot directly behind our property, Mr. Richard Suave, has indicated that he wishes to build a block wall between our properties. Mr. Suave has agreed to remove the present wooden fence as well as acquiring all of the necessary city permits to build this wall on the property line. Mr. Suave has, agreed to accept all reponsibilities and liabilities regarding the construction of this wall. If there are any questions regarding this letter, please call me at ( or Mr. Suave at ( Sincerely, illard R. "Kurt" Cummings Nov -02-98 11:49A SWAIVE BUIIOERS 909 244 9584 P.03 r October 22, 1998 City of La Quinta Bid,),. Department 78495 Calle Ta mpico La Q inta, CA 92253 .e. Property Line Valli. To whom. it may concern: Ferrixido and Vary Castaneda who reside at 53-848 .Avenida Juarez, La Quinta, CA 92253, hereby grant permission to Waive Builders Gen.-T&I Contractors to construct a bloc, avail between ow adjacent lots. Femando Cast.aneda, Date , Castaneda Date Dec -30-98 02:18P SWAIVE BUILDERS VW- .301 ',IC) UC, -%;0,Lm� [PaTo Bid id On m,61", �aelbv . ve'vWw" . *Sam 909 244 9584 REPM Of NELD COMPACTIOIN TESTS TESTED FOR:. SHAPON PROJECT: SwALVE'CONS TRUCTION LA- (XTINT-A, CA P-02 DATE December 07, '1996 ... ................ 'North weet corner of house pad OUR REPORT NO.: 0-13-b022, TEST DATA: (1) Fine co medium grairled sand. witt, asu-relates OPT, M -')IST, South east Corner of ha�-lse pad South west corner of house Dad ... .......... .. . ...... .... ,NOTE$, TSPLRF-OPJAEDFf4RAq Wl02P22-9l&ASTMD30!7.Gajpj) -COM . M . a . LPIN, S(T*g SPOWN- L&-,, per cum toot EA C N LENT: 0 t of (17 MIA' rERIAL .... ............. 3 C r'8'U R S E T£sr - — ------- -- I ... -- 4. JE"' 6 EENT I — 1 SOIL ID 14.!�Y�Ap�tL� OA"BAUrA LA6 DRY DE14SITY vmr'ER 'wry I (4)WrNY AEP.10FNT 1 90% 1144-n .............. . ON F, G. -L'4 104. 4 90. -D I - .0 10 IS J,os AD --�O. 5 -t - . ... . . . . . . .... ............. S. .. 216.0 ki .. ... ..... . .............. 6 . 0 . ..... . ........... srioc . .......... N. House pad ... ................ 'North weet corner of house pad - -'.. —= . . . ......._..............,_...•._........_ . . ... ... ............. . N'Orth east 6,vrnar a-rjugo pad ...................... South east Corner of ha�-lse pad South west corner of house Dad ... .......... .. . ...... .... ,NOTE$, TSPLRF-OPJAEDFf4RAq Wl02P22-9l&ASTMD30!7.Gajpj) -COM . M . a . LPIN, S(T*g SPOWN- L&-,, per cum toot EA C N LENT: 0 t of (17 MIA' rERIAL weipt cr,�navlmurrdvj 3 C r'8'U R S E dem ObMIA 11 0 vt�lEiw oy n(l ft'mw. 4. JE"' 6 EENT (i) ASTM S. OTHER tocadvra A ILS't INSTRUMFNT.- REMARKS. PSI d.d riot monj�—or.the nattriaj pja�.e:mant_ TECHNICIAN, juarl. Nunez .... . ...... ..... .. . .. ......... .... . ......... A. TRW MiUl TK C VP, v rfl," WS. PERCW (0VPA�N DOES NO! (: T QF FRF$ i�n— ZUS I r,cic ?lair E. TURE VTKI STANDARD COUNT M - ADJUSTMENT DATA m: ResPe(gUily SV61ni2ted, Prolo,xsJonal Sej,vice jndLr:;ft;pS, sorvlca lrtjv5!7jC-G, -'rte. - 42,24Q Greon Way, ;(Jite 0 ' Palo) 006M CA qZ! 1;1 - Pito" 6101341.5790. F2m 619134 t-5794 MetroScan /Riverside (CA) Parcel : 774 151 007 Pos Int POR. S1/2 SEC. 12 T6S.R6E. RefAPN : 000 000 000 Owner : Effertz Ambrose Jr/Carolyn Cather Land : $7,778 CoOwner —, ' a '- Struct Site : *No Site Address* t/ Other Mail : 13108 Moorpark St #2 Sherman Oaks Ca 91423 Total : $7,778 Xfered : 11/16/93 Doc # :457600 Exempt Price : $500 Full Deed : Grant Deed Type LoanAmt Loan % Imprvd Lender IntTyp % Owned : 100 Vest Typ Tax Area : 20-015 Use : R04 Res,2 Or More Residential Units 97-98 Tax : $257.20 Plat : 19 Map Grid Census : Tract Block Ow.nerPh S T R Q Tenant Ph Bedrms Stories Acres :.11 Year Built BthFull Fireplace : No LotSgFt : 4,791 Street Type : Paved Bth3Qt Pool : No Bldg SF Waterfront BthHalf : RmAddtns : No AddOnSF Gas Service : None CntlHt : No AddPkgTyp GarSgFt Water Source : Developed CntlAIC : No Roof Type Gar Type Sewer Type : None Agri Preserve 774-I5 OH POR. S1/2 SEC. 12 T6S.R6E. 7P.A.OPO- 020-050 —, ' a '- • 020-06: 020--69 t/ ASSPSS«V' w 51$ o+x• OK C76 C76 I ARROBA n �I ZAO � ' 20 G — 3 .. i __oPf /'=�/00' 1!/� ®2 2! ®2 ?3 O2 (/4 T 2JO ®2 OS O.Pl4 0PJ'p0 1 2/ ® ° I 2/O /� ° V 0 2/ O e _ ..... • a .. e m _ -QYSA, Q © 5 v 20 ® ,O 5 20 @5 , 20 O ©5 ^ O 5 O S © O o � /9 © Q 6 � 1�(Z)' 6 U/52o/54/e Oj 5� 7 /6 O ® 7 0 / m /e O 7 i I' P O ©' o.l 7 Gn17 ®6 /7 O ; ®R /7 O ®B /7 © B i .Y B © 2 o ®' /6 Q 9 ` /6 9 t /6 O9 ®9 �O.Pf4 /! ®/O W p15 rRA W /! (l l0 j /S �. /O I V i. IO IO W v 07G.03C n •J t - aPsr • .___I n >-A @// i /A O @// - S -/s - CACLE - -- CM/La ON -11—/. [> S•.. /P 20 cn/9 lu .. ....� ' SANTA CARMEL/TA AT VA_E LA OU/N7A UN/T NO. /5 MB /933- 34 . •• UN/l N0.22MB 2f1120 I 2 2 Q V i '—,�•„-��'�� ASSESSOR'S MAP SK 774 PG /S RIVERS/DE CIX/Nrr, CALIF The Information Provided Is Deemed Reliable, But Is Not Guaranteed.