0006-304 (SFD)! y
LICENSED CONTRACTOR DECLARATION:,
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
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
S tSiil 13 0W0/2t
ate Signature of Contractor
OWNER -BUILDER DECLARATION r
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 tfie• 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 Signatufe of Owrier
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 OOLDRN RAOLE Policy No.. NWC 322374-04
(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
sulbject to the workers' compensation provisions of Section 3700 of the Labor
de, I shall forthwith comply with those provisions. ,
ate: 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. rr
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.
ignature (Owner/Agent) Date
.-
�- BUILDING PERMIT PERMIT#
DATE VALUATION LOT OW6-304
TRACT-,-
f
$11.4,540.00 ,13
; �` `'
BLK303
JOB SITE
APN
ADDRESS 740 AV.FNWA Vf.%ASCO
474,-284- M'.
OWNER
CONTRACTOR/DESIGNER/ENGINEER,
14AMIUVELL
SUNROM CORI)C'.Ed 10-9
72-850 90MERAI2D
39723 GARAM Imo; MMI C
PALM Dplsua CA 92260
PALM Dn'U'T
CSA
92211
(760)345-7186
CRLA
1137
USE OF PERMIT -
'I'f13EF M3LYD1)JM1,WG
SM, P9RM1T DOn NOT INC L.UDE BLOCK WALLS OR. POOL
TRACT•C6NSTRUCTION 1,907.00 SP
PORCHIPATIO • 33.00 S1+
QAR.AOE/CARPORT (SIS 3;702.40
3 For. WOOD PENCE s 30.00 LF
ESTMATED COST OF CO.N14"I VC.".1: 0.N
111.4, 40AM
MOM 'FEE .SUWAA3t Y
CG;NOTRUUTION IEEE' 101-000.418.000 8692,00
PLAN CHECK FEE 101-000-439-318 068.88
N8CHMICAL FEE 101.000.421-000 USA
f •-
��
a,f o
EL'WTRICAL VER 101-000.120-000
PLXIMMIG �E 101.000.419=000 $116:9$
ST1 ONO MOTION FEE-,RES1D 1101-000,241-000 $11.49
ORADINO FEE 101.000-413.000 120.00
�&e
<r
DEVELOPER IMPACT PEE $1,907.00
PRISC1SE PLAN 101.000-441.345 V60.00
FEE'DEP051T `" azzr n.. 101-000-439-318 •$X30.00
��
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SUi-T%.. 4.vNa1JMNORAND 1."1059.7
LESS PRE :PAID 3�,,:
-x;250.00
TMAr PkRWT FEFS DUE NOW
$3,345,71
RECEIPT
DATE BY i
DATE FINALED
INSPECTOR
.l
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Forms & Footings
Underground Ducts
Ducts
Slab Grade
_ _
Return Air
Steel
Combustion Air
Roof Deck
- ®O S-(
Exhaust Fans
O.K. to Wrap
-00
F.A.U.
Framing
Compressor
Insulation
— (?d
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wali Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
to zory
Final
Final
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
PLUMBINP
APPROVALS
Gas Test
Electric Final
Waste Lines
Water Piping
Heater Final
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
L I CYO
Encapsulation
Gas Piping
Gas Test
Q�
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
B
Building �/-1- ! J
/-I A RIA T( je or_ /_ L
Q
P.O. BOX 1504 APPLICATION ONLY
78-495 CALLE TAMPICO V
LA QUINTA, CALIFORNIA 92253
Mailing
Address
City Zip Tel.
Contractor
u.J>> r OAP.
Address
-7 z
City Zlp 2 ZGG Tel. P 6,q
P,��M DART 3 --r�
State Lic. / City
& Classif. 7_3 3 to 7 U Lic. ff 3',
Arcn., tngr.,
Designer
Address
City IZip ISt to
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is In full force and
effect.
SIGNATURE DATE
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).
l: 1, 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 1, 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.)
1-7 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
Ihereby 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
n 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., If, 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.
CONSTRUCTION LENDING AGENCY
1 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.)
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 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
ateMailing Address
City, State, Zip
BUILDING: TYPE'CONST. OCC. GRP.
A.P. Number-? 71 2g Y - 0 3 6
Legal Description k of 13 13+-K 3a 3
Project Description .' F D
If
Sq. Ft. /90-7 No. No. Dw.
Size tswa Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep. c` j�-
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure r
TOTAL �tj
REMARKS
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line t
Rear Setback from Rear Prop. Line y
1
Side Street Setback from Center Line
Side Setback from Property Line
q "
FINAL DATE
-- INSPECTOR
Issued by:
Date Permit
J
Validated by:
- ' •
Validation:,-� +
t. �t
aJs 1 I
�� • `�
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
009
�1
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 7/13/00
No. 20715
Owner NameMark Tuvell
APN If 774-284-030
Jurisdiction La Quinta
e Permit
No, 54-740 Street Avenida Velasco Log #
City La Quinta Zip 92253 Study Area
Tract # Lot # 13 Square Footage 1907
Type of Development Single Family Residence
Comments
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 •'� `
� i t•
This certifies that school facility fees imposed pursuant to Government Code 53080 in theount of ,
2.05 X • •1,907 or $ 3,909.35 the property listed above and that buil'dg
permits and/or Certificates of Occupancy for this square footage in this proposed project may, now be issued'Wi,l
r `•-
Fees Paid By cc First Bank / Mark Tuvell Telephone 345-7186
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Sheryl Ammons
Signature
Payment Received
Check No. 54862
$3,909.35
OTICE: 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
bove 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
ollect them on the Districtfs)(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
RECORDING REQUESTED BY:
®L! REPUBLIC TITLE CO.
AND WHEN RECORDED, MAIL TO:
Mark F. Tuvell
72850 Somera Rd.
Palm Desert, CA 92260
/O'c" U Gu —Ue =�
ASSESSOR'S PARCEL NO.: 774-284-030
TITLE ORDER NO.: 502714-13
ESCROW NO.: 5951 -DS
DOC N 2000-130735
04/07/2000 08:00A Fee:26.00
Page 1 of 1 Doc T Tax Paid
Recorded in Official Records
County of Riverside
Gary L. Orso
Assessor, County Clerk 8 Recorder
1111111111111111111111111111111111111111111111111111111
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PAGE
SIZE
DA
PCOR
NOCOR
SMF
MISC.
JIM ' s ORANGE COUNTY
+•6 i,.uar"'' My Comm. Expires Mer'. 20, 2002
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COPY
LONG
REFUND
NCHG
EXAM
Gran r
cl re that DOCUMENT TRANSFER
The undersigned Gra to (s) de a a R
TAX IS:
$ 38.50 .County $ City 2u.
xx computed on the full value of the interest of property conveyed, or
_computed on the full value less the value of liens or encumbrances
remaining thereon at the time of sale.
—Q-R_trarisfer is EXEMPT from tax for the following reason:
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Rosemary M. Hezlep, as Trustee of the Rosemary M. Hezlep Trust dated August 12, 1997
hereby GRANT(S) to Mark F. Tuvell, a married man as his sole and separate property
all that real property situated in the City of La Quinta County of Riverside, State of California, described as:
PCP
I
Lot 13 of Block 303 of Santa Carmelita at Vale La Quinta, .Unit #28, as shown by map on file in Book 19, pages 59 and
60, Records of Riverside County, California and the Southern 1/2 of Lot 14, Block 303 of Santa Carmelita at Vale La
Quinta, Unit #28, as shown by map on file in Book 19, pages 59 and 60 of Riverisde County, Califorina.
Pursuant to Lot Line Adjustment No. 89-062, as approved by the City of La Quinta.
Dated April 3, 2000
STATE OF CALIFORNIA,
COUNTY
before me c Zr'/-I ,b,
Notary Public, personally appeared
personally known to me (or proved to me on the basis of satisfactory evidence)
to be the person(. whose name is re subscri e o e within instrument an
acknowledged to me that he they executed the same in his4/their
authorized capacity(er/, and that by his eir signature(* on the instrument
the personf*, or the entity upon behalf of which the person(4) acted, executed
the instrument.
WITNESS my h nd official seal.
Signature
MAIL TAX STATEMENTS TO:
Mark F. Tuvell - 72850 Somera Rd., Palm Desert, CA 92260
a
Rosemary M. Hezlep, Trustee
a
<•t;;:°�.N-• DONNA L. HOKANSON-
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COMM.#1576900 n
NOTARY PUBLIC - CALIFORNIA ---I
JIM ' s ORANGE COUNTY
+•6 i,.uar"'' My Comm. Expires Mer'. 20, 2002
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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 SUNROSE CORP.
SITE ADDRESS 54-740 Avenida Velasco
APN 774 - 284 - 030 BIN NO.: CASE NO.: 2000-2.32
LEGAL: LOT 13
BLOCK
303
UNIT S.C.@V.L.Q.
CHECKED BY: Stan' Sawa 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
Compatibility Review
Case logged and number assigned
Verify legal and APN information
Consistent with MDG on file (as applicable
MDG filing required (5 filings since 9/3/98)
Consistency with street/surrounding area:
Colors
Materials
Architecture
Other Requirements:
��. /
of OccupancyCertificate� r
City 'of La Quinta
Buildihg 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. ADDRESS: 54-7.40 AVENIDA VELASCO
-Use Classification: SPD Bldg. Permit -No.: 0006-304
Occupancy Group: R3 Type of .Construction: .VN Land Use. Zone: RC
Owner of. Building:, MARK TUVELL Address: 72-850 SOMERA ROAD
City: PALM DESERT, CA 92260
By: STEVE TRAXEL
l
Building Official
_.m
Date: '.12-19-00," II
POST IN A CONSPICUOUS PLACE