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9811-117 (SFD)f� LICENSED CONTRACTOR DECLARATION 'fes - •-!2M- I 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 04 W Professionals Code, and my License is in full force and effect. O =) ch License # Lic. Class_ Exp. Date � w 4732I�� 1(,,� v;(, Z ate /0-1lxSignature of Contractoript1 r'- ~ C:) OWNER -BUILDER DECLARATION Wa I hereby affirm under penalty of perjury thi t l am exempt from the Contractor's U) License Law for the following reason: f Z_ ( ) 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). c'') () I am exempt under Section B&P.C. for this reason LO N Date Signature of Owner O0 U Q 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. IV) I have and will maintain workers' compensation insurance, as required by S'dction 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. %�"'�1ta'1iON, T INS Cts "(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 Sectio 3700 of the Labor Code, I shall forthwith comply with those provisions' ' Date:! --e Applicant / r i 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 compe'nsatio`n, damages as provided for in Section 370 1.6 of the Labdf.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. gnature (Owner/Agent) 1 • — Date% -A2 77/ BUILDING PERMIT PERMIT# DATE VALUATION ILOT 5 TRACT R74, C�1O 1-2 Q- (76 JOB SITEY r A /� ADDRESS 5.2-140 A..VEIrtXIDA `��ii�kiSCO APN C 77�-,i�3-p34;i OWNER CONTRACTOR/DESIGNER/ENGINEER BUILDWO ffORl7ONS 3011: SrrK0 C';,`PJS`r1;.UCT10f! 42-600 COOK STkEFr SUTfER.20 78-545 STARyorr LANE PALM OC SE RT CA. .02211. BEAMUDA DUN ES CA M01 � t7fiEi)3t+U-Sl i8 C'SL# IM2 USE OF PERMIT >f'Ai�1ii 5' 11V+TELi. Ib,a �,41WCILEAr %7D.. PWOWT DOE 'a' NOT INC LUDE Dl.omi WALL OR POOL I � �A `DEC 10 1998 A!<tll.! �.'I�JiV II�iJIlLtJlV l,VJtl.tJC/ti:1P' PDXC IPPA IC) 11.00 SI. _ _ UARAWCAtt(`OR 1' 461.0 S.ir L Vz (XM.T 0r, �.`C NS I'la�iC"-I0..N, �`•.3ft'�i3",.1l.l�I Myyy� k �Y�1 �j .,jlpt�j[ {H� � �lq'i,�i'D PIP.RY C:QI4&r1t1iG.V10N FM I0.1-000.418-000 . -/�i�/(�1/t��-eq4��';�i R/r y!/El�! (R� 39-3 At�i;[:f�.MiC:.AI, .�Z� i U i �Cift�-d2 fl-ii(hi $5�. tai f!Lk'i?` R1C'AI. F1".Y 101 -tit 420-000 5131.32 ul,rffvl yT•fc t�"f•t. 1014Y -419-000 gt7� ► ;1 t�r�►�ty lbiCY "IC�t1 F'Iaa • 13 :tC) lot -000.241-000 $1..0,W t;1tAi�:llui� .Irtir;is 10 i-fiG(I-9 i�-�� �.2u.wl iNFR.AS'1JtU(73 rRJ- FFE 2254M-443-342 52.2418.51 PRE'CI; FPf:.gM f 4-(}(3f1•".1_34S $iiTi)Iff1 A..R'r .IN PUBLIC PLACES - R2E SIC- ".0I-000.255"-000 S1,TW!'CFf'A , CON-SIAUCTION AND P'f,.AN CH f:C K 84 ;" 5 LESS PRE -P r,i`�:FEES 4250.00 TOT. Ai„ .i.'IN.iIiM# C FEES DUB NOW Sr3.607.15 ' e RECEIPT DATE BY 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 —( — - Exhaust Fans OX to Wrap F.A.U. Framing Compressor Insulation 3_ Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final6-4 — 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 f ff 917 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 sV 2,112 Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels k Exterior Receptacles a G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) —( — COMMENTS: IIED °O`acs j w RANCHO OMIRAGE r Desert Sands Unified School District RANCHO MIRAGE ` INDIAN WELLS a 4j_g50 Dune Palms Road • La Quinta. California 92253 • (760) 777-4200 PALM DESERT ♦ LA pUINTA �a �O INDIO L� October 21, 1998 Joseph R. Sitko, Executive Director Building Horizons -•42-600 Cook Street,. Suite 120 Palm Desert,. CA'92211 ' Dear Mr. Sitko: Desert Sands Unified School District hereby waives the payment of Developer Fees for the Building Horizons Project located at: 52-080 Avenida Velasco, La Quinta APN. 773-225-004 M1..,'.a•.• 52400 Avenida -Velasco, La Quinta APN 773-22,57005. :. 52-120 Avenida Velasco, La Quinta APN 773-225-006 If you have any questions and/or concerns, please don't hesitate to contact me at (760) 771-8516. Sincerely, PIT 40 - Peggy Reyes Director of Facilities Services RECORDING REQUESTED BY Lawyers Title Deed recorded November 19, 1998. AND WHEN RECORDED MAIL T0: Building" Horizons, Inc. 42600 Cook Street fl• 120 Palm Desert, CA 92211 Space Above This Line for Recorder's Use Only • A.P.N.: 773-225-005-9 TRA #: 020017 Order No:: 03-429313i20 Escrow No.: 2-26790 1} 3 Ot123 GRANT DEED'.' THE UNDERSIGNED.GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $11.00 X ] computed on full value of property conveyed, or ]compute -'d on full value less value of liens or encumbrances remaining at time of sale, unincorporated area; [ X ] City of La Ouinta and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, KAREL NOVAK; Trustee of the Kids Trust U.D.T. December 4, 1997 hereby GRANT(S) to BUILDING HORIZONS, INC., A CALIFORNIA NON-PROFIT PUBLIC BENEFIT CORPORATION the following described property in the City of La.Quinta, County of Riverside State of California; Lot 5, Block 74 of Santa Carmelita at Vale La.Quinta, Unit #10 -as per map recorded in book 18, page 70 in the office.of the County Recorder of said County. ✓• c!.6°�� co? IGI�y,7(0 BF • p o Karel Novak, Trustee of the Kids Trust U. D.T.`December 4, 1997 B ' ' FS E F�eppyoF Y 0 , INC, Document Date:. November 12, 1998 STATE OF CALIF¢�NIA )SS COUNTY OF ���25 On before me, personally appearedvete, e (or proved to me on t basis of satisfactory evidence) to"be the person(s) whose name(s) is/arc-subscribed. to the'within instrument and acknowled d to a .that he/skeltli ecute he me in his/herftheir authorized capacity(ies) and that by his/herklukr signature(s) on the instrument the persons) o e ry-/upo half which th ers n(s) acted,, executed the instrument.. WITN m at ci seal. 1' Sig ature L. LAINgE "pFQLOQAN offlGYtArI3tar�149 ''nn vl NOTARY PUBGC CALIFORNIA VI Riverside County My Comm. Expiree Aprll 18, 2000 Mail Tax Statements to:', SAME'AS ABOVE" or Address.Noted Below Certificate of Occupancy 1% 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 ol%wing:BUILDING ADDRESS: 52-100 AVENIDA VELASCO Use Classification: SFD _ Bldg. Permit No.: 9811-117 - Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RC Owner of Building: BUILDING HORIZONS Building Official Address: 42-600 COOK STREET # 102 . City: PALM DESERT, CA 92211 By: STEVE TRAXEL Date: 7-19-99 POST IN A CONSPICUOUS PLACE CertainTeed 0 Builders Statement InsulSafe°4 Fiber Glass Blowing Insulation InsulSafe"'4 has been installed with the THER,1AAL PERFORMANCE—ATTIC BLOWING APPLICATION manufactuer's recommendations to In accordance with the chart below, you must install the minimum number of bags N? N? vide a value of R �usin per 1,000 sq. ft. of net area for each R -Value listed. bags of insulation to covert The, maximum net coverage must not exceed that specified for each R -Value. square feet of area at a minimum g p thickness of nches. The installed insulation must be at or above the specified minimum thickness for ZZ–C,, each R -Value. - • Failure to install the required minimum weight per sq. h. of insulation at or above ll taller Cont ctor Is' n).-.. the minimum thickness will result in reduced R -Value. Tlis product should not be mixed with other blown insulations or, the thermal Compny Name ;5 a _claims will become invalid. or -/0 Date Builder (sign) Company Name Date Batts and Blankets R -Value Insulation Thickness (in) 38 10, 12 30 8'/., 10 25 8 22 6'/, 21 5y, 19 6'/, 15 49 13 34 11 3'// Fiber glass batts or rolls have been installed in accordance with the manufacturer's recommendation to provide an R -value of. ' in the ceiling,, --2L in the exterior walls, in the. or or cr 1 space perimenter. I scatter Co tractor (sign) Company .Name 6 -io - 99 Date Builder Isigni Company Name I),Ilc' Coae No. 30.24.233 R•VALUE BAGS P 1000 SQEFT. 1;�AXIMUM SQ. T. PER BAG MINIMUMMINIMUM POUNDS PER S1Q. T. THICKNESS Tu obtain a Thermal Resistance (R) of: Bags per 1000 $q. ft. of net area: Contents of bag should not cover more than: (sq. fl.l Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 60 36.5 27 0.986 » 49 .29 .6 34 0.800 44 26.4 38 0.712 161L 38 .22 .8 44 0.615 14'/. SO 18.0 S6 0.485 12 26 15.5 65 0.418 10'/: 22 1.1.1 77 0.353 9 1911.1 90 0.301 7y, 13 7.7 129 0.209 II 6.6 151 0.179 44. R -values are determined in accordance with ASTM C 687 and 518. Complies with ASTM C 764 as Type 1 insulation. "R" means resistance to heat flow. The higher the R -Value, the greater the insulating power. To get the marked R -Value, it is essential that the insulation is installed properly. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. FLAMING ADJUSTMENT To compensate for framing members the number of bags per 1000 sq. rt. of net area should he reduced as follows. loist Size frn•1 Bags to deduct/lobo sq. ft. foists 16" O.C. Bags to deduct/1000 sq. it. foists 24" O.C. 1 t 4 11.5 0.1 2z(' 0.8 0.5 2 c N 1.0 0.- 2 10 I.:S 11.9 1998 Cenaineed Corporation 10/98 BOY2 and GIRLS CLUB Client: BUILDING HORIZONS Joe Sitko (760) 340-474-8 Project: SINGLE FAMILY RESIDENCE Address: 52-100 Avenida !VOW= La Quinta Job-, 96-178 Date: 18 November 1998 lIg'Iny 01uffre-4-4 STRUCTURAL AND CIVIL ENGINEERING DENISE R. POELTLER, INC. 73661 Highway 111 • Suite G • Palm Desert, California 922 TEL. (760) 779-0405 • FAX (760) 779-1317 - �_