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0006-069 (SFD)LICENSED CONTRACTOR DECLARATION 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 533670 B le o ate OG 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 . ( ) I am exempt under Section B&P.C. for this reason Date Lo 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 OOLDIN RAOLI± Policy.No. AT C 32"7,3'"4.06 (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 o he Labor C fie, I shall forthwith comply with those prom iops. ,Bate: G"�' es 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`cest 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. Sjgature (Owner/Agent) ///✓ � � Date i ( © BUILDING PERMIT PERMIT# ; DATE VALUATION LOT 0006-069 TRACT JOB SITE ADDRESS s4 -42,s fw Alidl.b�jmiLTmmi��'yN/ APN V 33 OWNER CONTRYACCT7tOR / DESIGNER / EN I ER 4Ttf1r1 LL PAt..1V DESEJ2T CA 192211 060)345"7186 CBIA I USE OF PERMIT 3MJ"C1IX YAWLY lam: S I NC SFD* PIRMIT DOr_'; NOT IMCLUDE SLOCK WALLS OI2POOL ti TRACT CONSTRUCTION 1,771,00 SP POR.CF3tPATIO 23.00 SF GAPAGUCARPOU (sF) x,702,40 5 Ff. WOOD MCE; 200.00 LP _ 1'140TKAM COST OF CeOMM17CIIJON 106,900.20 PERA+. T FEE :fit%f1WA.zdY CONSTRUCTION Fft 101.000.418.000 56634.00 PLAN CHECK FEE 101.0004'39-318 $552.34 MECILMUC.+ L PER 101-000-421-000 S60.00 VACTPUCAL FEF 101-000420-000 $134.37 PLUMBING FEE 101.000.419.000 $116175 E ' STR0140 MOTIOTI PEE - RZSID 101-000-211-000 $10.69 C RARING FUR 101-000-423-000 $20.00 DLVELOPER IMPACT FE PRF/CISE PLAN 101-000.441-345 $104,60 C" FES.', DEPOSIT 101.000.439-318 -$2$0.00 SUB -TOTAL C:OWSMITUX"TO1S'AMt!P� ,yA�3�t.�3* �pC7S ,: $3�,,5655.3p5� f LE Iii .c-.fwGs'*P,rai�.+ r PS 4-450.00 T ( RAS T T3ti RT FUN IDUE NOW 5 ,.15 A —TT RECEIPT RECEIPT DATE _a DATE B DATE FINALED INSPECTOR vp-- INsPEC-rIOW 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 - tj Exhaust Fans O.K to Wrap ,c -GD c✓ F.A.U. Framing Compressor Insulation cel 7 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath` wwl Final 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 I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping -J -� 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 COMMENTS: Final Utility Notice G / (Gas) ELECTRICAL APPROVALS Temp. Power Pole -57 Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final � ✓l / Utility Notice (Perm) f 1 F Building Address .0 Owner T44 P.O. BOX 1504 APPLICA 14N ONLY 78-495 CALLE TAMPICO 2-61 LA QUINTA, CALIFORNIA 92253 ./- (AR /C I v V OL. J_ Mailing Address � CityZip4? ) Tel Contractor Mech. .,Address Electrical Plumbing State Lic. I City . r3 -3 & Classif&10 Lic. # 1)3-7 Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION /effec hereby affirm that I•am licensed uncle��ryyrovisions of Chapter 9 (commencing with Section 00) of Divisiol�` oof/the Bus/i1�/'ess%ap�%otessions Code, and my license is in full force and t. ./L%y//• /:��✓iA ��. SIGNATURE''/ DATE e� " 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 which 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 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). Ell 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 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.) 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.) 11 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that,l have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insuranc , or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company r7 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 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., H, 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. 1 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 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 readthisapplication 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. a Signature of a0plicant —Date— Mailing ateMailing Address City, State, Zip BUILDING: TYPE'CONST. OCC. GRP. A.P. Number ZJ 2- 9 Legal Description Project Description S� D /" lR . fAM Lr A'5 S �/-I2 � FsSE.vHo L.Jd R Sq. Ft.' -�A� No. 1 No. Dw. Size O Stories Units New CPC Add ❑ Alter ❑ Repair ❑ Demolition ❑ �vrzc- A Estimated Valuation PERMIT C AMOUNT Plan Chk. Dep. I _ Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS 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 Permit Validated by: Validation: WHITE = FINANCE 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 Date 5/30/00 No. 20490 CERTIFICATE OF COMPLIANCE APN # 774-232-019 Jurisdiction La Quinta Owner NameMark Tuvell No. 54-425 Street Avenida Juarez City La Quinta . zip 92253 Tract # Permit # Log # Study Area Lot # 8 Square Footage 1771 Type of Development Single Family Residence No. of Units 1 Comments Fees paid by CC# 54649 for $3,627.61 + Cash $3.00 = $3,630.61 "PER Jesse @ the City of La Quinta: address on the certificate is wrong and can not accept it. Made corrections, from the fax sent on 6/1/00** 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: f EXEMPTION NOT APPLICABLE '�•s:� .f This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 2.05 X 1,771 or $ 3,630.55 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 See Comments/1st Bank/Mark Tuvell Tele�h'one , Name on the check r V ! By Dr. Doris Wilson = r. J, Superintendent Fee collected /exempted by Mary Ann L. Borja Payment Received $3;630:61 A Check No. See Comments Signature NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. . . Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting Jun -01-00 04:06P Facilities Services 760 771 8522 ofli0 0 o cio � SEIIMUOAOUME6 AAUCM) MMAGE d UMAM WELLS a PALM DESEW Y • LAOIMIfM ♦p UIOIO LO Desert Sands Unified School District 47-950 Dune Palms Road • La guinta• California 92253 • (760) 777-4200 FACILITIES SERVICES (760)771-8515 FAX (760)771-8522 FACSIMILE TRANSMITTAL SHEET TO: FROM: Jesse Jimenez Mary Ann Bods. COMPANY: DATE: City of La Quints Building 6/1/00 4:07 PM Department FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: 777-7011 2 PHONE NUMBER: SENDER'S REFERENCE NUMBER: 777-7012 RE: Address correction on Cert 20490 for Mark Tuvell ❑ URGENT 0 FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE NOTES/COMMENTS: Hi Jesse, Per your request, I have made corrections on Cert 20490 for Mark Tuvell. I will be sending you the embossed original in the mail, to your attention. Thank you for catching the error on the certificate. Please feel free to call me at the above phone number, if you have any questions. Thu 5 � M D$ce Technician l'V WA P.O1 MAR. -29' 00(WED) 14:37 FIRST SW TITLE TEL:6265644162 Southland title ColDonllon ...c�_ 9�- ootc a 2Nfat�!'sfs0ptstr 1 ��o 53-- ee��eiaeae �e�eea ae.�ate.lo )1QCOtuslrlrtit�QU£1TLGBY; P 1 0/ = poo f Ter Paid Nsoerepe dsd III Ef11e1o1 Ileaerds 9ouchlrn4�flllu Company cowity of itiversids Darty L, ores RB Ann wllENCORUlCDMAIL TO: Assessor, Catmty Clerk 1 NoWdor M.u1F— 2. — A P.T4.:'19 k — ;)•�-a•- -D\C� ea►� oMa 7,7- t- taw Ordcr No.: 2-104094.52 E9crnW Nn,: 00170330 RI: �� n /� EtGRANT DS!VD T}iG 'IAX {5 SL0. 90 6c C('lY 3 �IN17o5J�b ORANTUR(S) DCCLAIIZ(9) THAT AOCUMVNTARY TWIS11G1I IN computed oa fWl velpe orptuperty conveyed, or 0 computed ou full value Icst vnluc 0171191ij or egcumbrelices temultllgg el time of rule. G uNncurporuted rte& 0 city nrLo Qutnto AND FOW A VALUABLE CONSIDERATION reaelpt or wlstrh Is hereby &ckng-McdBed, Joseph Ko&oburki alga known as Jogoph Kaucibucki, Jr., air hip oole anti aepardte property ?tetchy GRANr(S) it,. Noulettt L. York, en unmet vied woman the rollowins dcseribed teal pruporty In the County orwycr&Itle, stere Lot 9, In Black 261 or Sumo Carmelita at Vile Lo Qwinlo, Urdl No. 24, as eltown by msp'on lilt In Pook 19, pagrs 44 and 45 of mops, records urA)vcrsldc County. , icph 1abUcld Document Dale; lnubruory 16, 2001) STA�T'T�IE OB CA1F0 NIA )SS A/Ly 7 �efaro r personally eppeetB� ' vv.W--ii• ic.wv ww personally known to Me (or proved to me on the bush or 3ael3N%:IUry thence) [u bcpcnnn(s) *boar tt&rtte(t ' rc subscribed to wIN Inrtrumenl end acknowledged to me e/they executed Ute %ulttc in er/llttir suthnrized cipartlytwa), utid [lint by t rgicir elgneture(:) on the inotruntonr the person(a) or the c[ttity upon behalf of W blclt the peraotn ucred, executed die Inwuvplenr. 11 TNM my bond and ofneiul 4eel. B1rl11tT11 AC --K j2zt kit,AN Nrit2 Catf1111(dolfi (77451} Moltslr Pwtlo • Cqp ) Signa � Anpelm County sial seal. MAILTAX S7oTEMEWA To. SAME AN AbuvL• or Writs Noitd Bela. Imt Our Ad res CUy is Mott On vywrw at' P 002 T � ' i n U L5 M1 �L 0 Z00 'd 1368 D6 9Z9:131 OS3 NHISHHHOS IS1 . 8011 (Q3M) 00 ,6Z- '1IdW 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 MARK TUVELL/SUNROSE CORP SITE ADDRESS 54-425 Avenida Juarez APN 774 - 232 - 019 BIN NO.: CASE NO.: 2000-210 LEGAL: LOT 8 BLOCK 261 UNIT S.C.@V.L.Q. CHECKED BY: Stan Sawa DATE: 3 C7 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 V Verify legal and APN information v Consistent with MDG on file (as applicable N -k MDG filing required (5 filings since 9/3/98) W A Consistency with street/surrounding area: Colors Materials Architecture V V ',j Other Requirements: -OAK d�v)t ►,,�, ra,a* Ire, VV\ 6�wt/� (c��'A�' ►1 ` •'V � V1o� AU,ow-t-� i,�, verb t��+z�- . 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: 54-425 AVENIDA JUAREZ Use Classification: SFDD Bldg. Permit No.: 0006-069 Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RC Owner of Building: MARK TUVELL Building Address: 72-850 SOMERA ROAD City: PALM DESERT, CA 92211 By: STEVE TRAXEL Date: 09-26-00 POST IN A CONSPICUOUS PLACE