Loading...
9909-165 (SFD)LICENSED CONTRACTOR DECLARATION,(, I hereby affirm under penalty of perjury that l am licensed under provisions of Chapf6r 9 (commencing with Section 7000) of Division; 3 of the Business and Professionals Code, and my License is in full force and effect. License #q Lic. Class - Exp. Date Cif HCI Date Signature of Contractor r OWNER -BUILDER DECLARATION'.—' I. hereby affirm under penalty ofperjury that I am -exempt from the Contractor's License Law for the following reason: y 1, as owner of the property, ormy employees with wages'as ttieirlsole 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 c. /• G Signature of Owner �^' s%� ' ' e WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty. of perjury one of_'the following declarations: ( ) .l have and will maintain,b certificate of consent to self -insure for workers' compensation, as�.provided 1for- 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. arei Carrieres+ppTry �. �p p'� Policy No. ry ") (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 subj7t tto the; Wdrkers' compensation provisions'of Section 3700 of the Labor Code, I shall forthwith comply with those provisions,.% 1 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. 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 fo'cancellation`. I certify that I have read this;application and state -that the above information is correct. Iagree to comply.'with all .City, and State laws relating to the building construction, and hereby By representatives of this City to enter upon the above-mentioned property for inspection purposes. ' Si nature (Owner/A ent) 1 ��' - ~ •� ✓ ' Date C; r" PERMIT# r, BUILDING PERMIT DATE VALUATION' (spaLOT TRACT' �'• a. i,JOB SITt ADDRESS 51*440AVENIDAVE LASCO APN %/'Tj*&W. ' OWNER CONTRACTOR/DESIGNER/ENGINEER 83 7$0 Air' i4L'£ A tlIT 44,6 " 4570.6 N4.ONIvC E aI' S"?. 3 G ' IN010 C.A. '92201 C [Rq�DIO/!q p9X.201, 7 USE OF PERMIT - SWCILEF.AMILY"bWE,,I;TING S.T'1'i � I.�i:'!�d'i j .: �P`xei4fl�' :i��5� sYC)�' i:23r�iri:f i�+1s �T,Cw�� ��i�'►i.:L O� PiW:`�6.r, . ' '3`iutC:'.i' CONSTRU "1TON 1,20.00 S . PO.3.'fCa'fli1zA. (0 i1=i,i)4 S €+ARAQFYCARPaJWl' - d .• :'iiMATED L"ON "f OF: CM.V. :JC1 2 ;>s52.20 PERMIT FEE E SFJ.ib1MAR , CCJN:t'13(i3L' ri(DIN FEE 101444-4e18-.00 b�1.ANf".Q¢f0_,—',9ffF -W-439-31§i AIECU'A NICAI, 071 F.ttfi'i iiC-AL.FME I4S-OC90a12t�i�Cl1j4 �li.4S•�0 , RL1-tt4UMNO FH81.f9.4' 4JCi-4I -i344 Si2Ff:7 . TrRf)We 4 TA01•tr,:)N FFr!, ,. R9��iC1 9.0 I -Mf) -24'i 0 GI' AMNO F13' IEVIELOK,.P UAP4C;'i I 1; t;�u`?• PRFC.WR:P14N Iqt=i14!?-A4.P.- 5 !b:itrll#1ti • ,,•dry , 1xt r� A'�ry^ s'{ It g� p' pr �Y{� ` •' �Yi/l^Sy-7i.a'�,.1,i�,-�.t�i iJ.Yd'l:Jl��7,��1i YAIVLi'S',trf'1.1�7 Y�'{f14r4..1\.. c. a.� e .p,?tr Y�i..f,�l LES s �: � -�>EUD F ca.r..a I'OTAL PERMYf FEl.', »ilot,'NOW. RECEIPT DATE BY 'N 7f DATE FINALED 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 Combustion Air Roof Deck _ j — X Exhaust Fans O.K. to Wrap 6- a0 -OB 9% F.A.U. Framing -Gtr Compressor Insulation sur $ Vents Fireplace P.L. Grills Fireplace T.O. i Fans & Controls Party Wall Insulation I Condensate Lines Party Wall Firewall Exterior Lath 1-3—CTO Drywall - Int. Lath hA' E Final Final C.°' 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 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. �pO Appliances Final Final Utility Notice (Gas) ELECTRICALL'APPROVALS Temp. Power Pole 0-5- Q 4 s -7 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: I rl i . RECORDING REQUESTED BY AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHERWISE SHOWN BELOW, MAIL TAX STATEMENT TO: Rogelio Villicana Villicana N8m° Amelia Villicana � af54-700 Avenida Herrera • stere La Quinta, CA 92253 Zip %) �( Title Order No.12 6A U " O"1—L, row No. C� � H of Document' Recorded on b G as No-. G Has not been compared with original. GARY L. ORSO -County Recorder FIVERSIDE COUNTY, CALIFORNIA SPACE ABOVE THIS LINE FOR RECORDER'S USE T 360 LEGAL (1-94) . Quitclaim Deed -2,-10 iv THE UNDERSIGNED GRANTOR(s) DECLARE(s) DOCUMENTARY TRANSFER TAX IS $ • —0— ' ❑ unincorporated area ® City of La Quinta Parcel'No, 773-065-006 ❑ computed on full value of property conveyed, or ® computed on full value less value of.liens or encumbrances"remaining at time of sale, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Norberto Botello Cortes and Maria Guadalupe N. Botello, Husband and Wife as Joint Tenants hereby REMISE; RELEASE AND FOREVER QUITCLAIM to Rogelio Villicana Villicana andAmelia Villicana, Husband and Wife as Joint Tenants the following described real property in the , City of La Quinta county of Riverside , state of California: ' LOT 6, BLOCX 69:1--OF,":UNIT 9; OF•'.SANTA- CAhMEtj-tA':AT VALE= Lii-==Qi1INTA:; AS' SHOWN BY MAPS-FIL ED' IN. BOOR '18;':'PAGE 69= O'F:MAPS---RIVEASIDf'COt1NTY RECORDS. r Dated — I 911,4 / C1 q STATE OF CALIFORNIA COUNTY OF Riverside } S.S. On before me, Magdalena H. Slater a Notary Public in and for said County and State, personally appeared Norberto Botello Cortes aria ua aupe N"lotelio personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) isfare subscribed to the within instrument and acknowledged to me that hefshefthey executed the same in hisawrRheir authorized capacity(es), and that by his�heir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNEtSICmy * and official sea /..? Maria GuadalupV :. MAGDALENA H. SLATER . Commission # 1183985 -m Notary Public - Cariforniac Riverside County MyComm bP1rESMoyl7,?DC121 . (This area for official notarial seal) MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE Name Street Address city & State L rJ "r C ' `J < < dy � M74 THIS ATTIC HAS it :IV s Is 5� 0 VIV A i fit_ � � s ���'� t ! R' ✓ : -t•� . , �' r i.,� r BEEN INSULATED T0: This attic has been insulated to the R -value indicated above, with Cocoon;' the high -efficiency insulation. Made from a minimum of 80% recycled materials, Cocoon is scientifically formulated to deliver greater efficiency per inch than other insulation materials. R -value is a measure of resistance to heat flow — higher the R -value, the greater the insulating poN If you would like to add more insulation tc your home, contact your Cocoon authorized dealer. RESIDENCE ADDRESS: INSTALLED BY: " -77101c ander, Unit ##1 I-4 22#41 BUILDER: _ CERTIFICATION: This is to certify that attic insulation has been installed in conformance with the coverage chart recommenda- tions on the opposite side of this card using i��bags to cover/�sq..ft to tain an R -value of -:5—rx. INVALVR'S AUTHORIZED SIGNATURE- DA ' i r I TM Cocoon Stabilized Insulation 30 lb. bag Manufactured By: , ' GREENSTONEE.- R -Value at �� • LOUISIANA-PACIFIC COMPANY 75°F Mean NOTE: This coverage chart compensates for settling ' > c •1.� and is for estimating purposes only. Stated R -value is 30.6 Minimum Weight Temperature provided by installing the required number of bags O „ per 1000 sq. ft. at a minimum installed thickness. - n Installation of the required number of bags may yield rmore than the specified minimum thickness and minimum - weight per sq. ft. Actual coverage will be influenced • conditions and application techniques, and -ary as much as 10% without significantly .' .r ng the stated R -value. Failure of the installer to ' e at least the required number of bags per - q. ft. and at least the minimum thickness may ' -in a lower installed R -value. Compaction may Lb Bags Required during installations above R-30, requiring more ehe stated number of bags to obtain the Required Per um installed thickness. Square Feet Per 1,000 4GreenStone Less Than: and Cocoon are trademarks of 1,000 Square Feet . Insulation GreenStone, a Louisiana-Pacific company. © 1997 ATOMIZED PNEUMATIC APPLICATION COVERAGE CHART R -Value at Net Coverage No Adjustment for Trusses i f 75°F Mean Minimum Gross Coverage Based on Maximum Net 30.6 Minimum Weight Temperature Thickness to 2' % 6' Trusses on 16' Cenrs Coverage R-20 Per Square Foot Installed The Weight Per .' .r To Obtain ar Insulation Minimum Bags Square Foot of Bags Required Insulation Should Not Be Square Feet Required Per Installed Square Feet Per 1,000 Resistance (R) af: Less Than: Per Bag 1,000 Square Feet . Insulation Per Bag Square Feet (inches) Should Not Be Less Than: (lbs.) R-50 13.5 20.5 48.8 1.464 21.3 46.9 R-42 11.4 24.4 41.0 1.230 25.6 39.1 R-40 10.8 25.6 39.0 1.171 26.9 37.2 R-38 10.3 27.0 37.1 1.113 28.4 35.2 R-32 8.6 32.0 31.2 .937 34.0 29.4 R-30 8.1 34.2 29.3 .878 36.5 27.4 R-24 6.5 42.7 23.4 .703 46.4 21.6 R-22 5.9 46.6 21.5 .644 51.0 19.6 R-19 5.1 53.9 18.5 .556 59.5 16.8 R-13 3.5 78.8 12.7 .381 87.0 11.5 R-11 3.0 93.1 10.7 .322 102.8 9.7 19.4 .583 56.7 17.6 GreenStone Industries, Inc. All rights reserved. i f Printed in USA. RV 30M 8/97. Sidewalls (pressure filled -density 2.0 PPCF) } 8-97-TT/G-A 30.6 R 13 (2 x 4) 36.1 3.5 51.4 R-20 .' .r If. (2 x 6) 5.5 32.7 30.6 .917 36.1 27.7