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0106-091 (SFD)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 #��..y ae Lic. Class Exp. Datte��yry try /bate 2 2 - .Q L 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 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: Carver 1TATE Yl3ND Policy No. 10.90912 (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 of the Labor Code, I shall forthwith comply with those,provisions. y Date: `2 - 2 - : 71 Applicant ''...1 L . .' 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 if, 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 L. the above-mentioned property for inspection purposes. Signature (Owner/Agent) f t- Date- BUILDING PERMIT PERMIT# % I DATE ! / VALUATION LOT SR. itpl TRACT 22 ' 1 UX, 8 V I JOB SITE APN ADDRESS OWNER CONTRACTOR / DESIGNER / EN (NEER 81715 US HMI -MAY 111 81 -7 1 5.9wT 11:1 eND10 CA 92201 Nalo CA. 92201 (160)324R0515 MAIC USE OF PERMIT GL SPI) , ttJU'NOT 1NYLi3EP470" 81-DrX VIR11, JirvGd-AV YyPMJ>CH-75 %,013CUNTOAP Yb<.fiECK 14%FOR .MLL IPIA, PlOdfl-ITU OF SAMt PLA14 TYPIE'. TRACT 0014 TRUCTIC)N 1,��D3.tS0 lj� CAazAGMAIPziRT 4490 St, V.&UNI ,"!C COS'f OF i:ONI 'r' 1I34;'3;; 014' 101a73.30 CO STPki1MON 101- 9 101.000.418 -OW PLAN CHECK VEE 101-000-439-318 FEE DEPOSIT 101-000-439-318 VS0.00 MXCH.Fa.1+i 1CA,L VJ: 9 IM -0 W -4 2`f-000 091 Do 1ILECI '1f� Ci ALF , 101-000.4.2f1.600 $136.00 PI"Ui5RDINCE M 'I 01-000-419-8100 . $ OA.00 `3TROW0 Fa1rJ1'ION F)IF - RE211) 101-000-241-000 $10.13 OR-4Di$30 rtt•E .101.000-4-23-0(h) 09 D9VFLOPr R IMPAC T FE r,,,. f1mr.00 101-000-441-345 $ff14.iW Y14AND PLIU4 CHEM LE0 M -PAID 100. 4250.00 FEB 0 8 20. 02 `�,�` L X'1 N�iCYKES �?VE NOW MoM ® a: RECEIPT DATE BY �^ DATE FINALED INSPECTOR moi'/ / t- % — _ �� INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs piL Underground Ducts Forms & Footings Ducts Slab Grade v Return Air Steel Combustion Air Roof Deck y Exhaust Fans 0. K. to Wrap p 2-- F.A.U. Framing — —0Z_— Compressor InsulationVents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final 42 / O2 , 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 I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines p2_ Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral _ Pool Cover Sewer Connection . 1 ` D `tom Encapsulation Gas Piping Gas Test Appliances Final 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 Final Utility Notice (Perm) �� COMMENTS: ,0�' zed 6 / uGl'jtrGv P.O. BOX 1504 APPLICATION ONLY Buil ing78-495 CALLE TAMPICO Address `71-)U5 Cpnflj< Solao A, �N- LA QUINTA, CALIFORNIA 92253 Owher - I Mailing HAUL f�P, 10 BUILDING: TYPE*CONST. OCC. GRP. Address k1 A.P. Number 773-2-57LOD/ City Zip Tel. Ii,� 2-2_-;3 #160 32-k-jj-:�51 Legal Description LOT ?7, Contractor -p(, Project Description�� CI h1o', 1"I V'r d /to Address._ City zip Tel. _11v91o! I C A740, - State Lic. City & Classif.Lic. # Sq. Ft. i� -1 �'?, 'A ).3 %.I'fNo. No. Dw. Arch., Engr., size Stories Units Designer New 0 Add 0 Alter 0 Repair 0 Demolition 0 Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that f ithamBlicensed under Provisions of Chapter 9 (commencing with Section M ) I ba 7 v 1663 -1 Is and Professions code, and my license Is In full force and . I. ' 411J.AJ IT71,11 —01 SIGNATURE . DATE OWNO�'BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation reason: (Sec. 7031.5.Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repiilr any structure, prior to its Issuance also requires the applicant i6ir such. permit,.to. rile a signed statement that he is licensed pursuant to PERMIT AMOUNT 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 Plan Chk. Dep. subjects the applicant to a civil penalty of not more than Iiiat hundred dollars ($500). 12 1, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044. Buisness and n Code: The Contractor's License Law does not apply to an owner of property who Const. f'.."s.'aloS , #nproves thereon and who does such work himself or through his own employees provided that such improvements are not Intended or offered for safe. It, however, the building' Mech. or improvement is sold within one year of completion• the owner-buUder will have the burden Electrical of priivijg 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- Plumbing struct the4go ,yject. (Sec. 7044. Business and Profess - ions Code: The Contractor's License Low does not to an owner of properly who builds or improves thereon, and who contracts for S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Low.) 0 1 am exempt . under Sec. B. & P.C. for -Vs reason 4 Grading Driveway Enc:. Owner Date Infrastructure 4 WORKERS' COMPENShTIOiCDECL4A.R.ATJ1cN . I I [Al t ' I hereby affirm that I have a certificate of,cbnsent�,Ot'seil- nsuie, or, a certificate of Worker's Corn a, or a certi Mqtau Bunce, Ahe 3800, Labor Code.) Policy No mpany f91'T,1T,_ ft . :,,n copy is filed with the city. 0 Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKSV LJ WORKERS' COMPENSATION INSURANCE 0 U I (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) . Z _/ T V* Icertify that in the performance of thV work. for which this permit Is Issued, I shall not . -1 ;A= employ any person in any manner so as to become subject to the Workers' Compensation A Law I California. L 5WINPA Oat Owner Date "'; ; NOTICE TO APPLICANT: H after making this Certificate of Exemption you should become ZONE: BYE Subject to the Workers' compensation provisions of the Labor Code, you must forthwith Comply with such provisions of this permit shall be deemed revoked. Minimum Setback Distances~. —Front Setback from Center Line --Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the Side Street Setback from Center Line work for which this permit g issued! see. 3,097 Civil CTe-, Side Setback from Property Line Lender's Name Lender's Address I1 5 t,!LJZ4 T i ""Vilil ...! %._V, This is a building permit when properly filled out, I signed and validated, and is subject to FINAL DATE INSPECTOR expiration ifwork thereunder is suspended for 180 days. I certify that I have read this application and state that the above Information is correct. Issued by: Date Permit 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 p; operty for inspec. . n purposes Validated by: Signature of applicant J W _.,i, —Date 2--5- 0 1 -Mailing Address; Validation: City, State, Zip v N r t Z 3 i ,WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION A 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 2/7/02 APN# ; 773-251-001 No. 22923 Jurisdiction La.Quinta Owner NamePaul D Gelio Permit #0106-09'1 No. 77-265 Street Calle Sonora Log # city La Quinta Zip 92253 Study Area Tract # BLK 8 U1 Lot # 22 Square Footage.. 1703 Type of Development Single Family Residence i No. of Units 1 Comments Tract Construction 1703 s.f Paid in Combo w/Cert. 22924 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: r EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 2.05 X 1,703 or $ 3,491.15 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/ Valley Independent Bank -Paul G. Delio Telephone; 760-324-8515 Name on the check �- By Dr. Doris Wilson Superintendent r Fee collected /exempted by Nicola Wong Payment Received $1,491.15 l Check No. 261985 Signature 1 ala NOTICE: Pursuant to Assembly Bill 3081 (CHAP 549,AT . 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 buildin installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to called them on the Distrid('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 Order No.s 102631 ' ,. E;scrow-No., 6-6632 *' Loan No. ,FIDELITY NATIONAL TITLE INS. CO., WHEN' -RECORDED MAIL T0: .!t Paul Delio 4 ►- c4 g t� "81-715 Highway 111 }E �� Indio, `:Calif . 92201 �5 =' t ix epi t. • + SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO:• DQCUMENTARY TRANSFER TAX $........44:00 1(.............................._.� ...... Computed on the consideration or value of property conveyed;.0,3 AS Shown above •••,•. Computed on the consideration or value less liens or encumbrance_'s remaining at time of sale. Signature of Declarant or Agent determining tax —Firm Name P CORPORATION. GRANT DEEDf FOR, A VALUABLE CONSIDERATION, receipt of which •:is hereby acknowledged, T.P.M. HOLDINGS,'_INC. A NEVADA CORPORATION, a corporation organized under -the laws of the State of does hereb-i GRANT to 'PAUL G. DELIQ, A SINGLE MAN . the real property in the City of County of RIVERSIDE State of California, described as MSEE EXHIBIT "A" ATTACHED, HERETO Dated May. 14 1990 ' _ T 2.M HOLpiwac STATE OF CALIFO IA Iss. + r COUNTY OF i • rj Dated May 14, 1990 TPM HOLDINGS STATE OF CALIFO IA /� � Iss COUNTY OF /�/�%P.1GClXre On M, before me. O, BY . the undersr ned, a:Notary Public in and for said State, personally appear- YER President ad UnIt ioruaa dills-*> proved to me on the basis of satisfactory By evidence) t be the persons who executed the within instrument as . Secretary �— President and -� , �.,,�:: CF ^r. cr•hl. i•tCl� � 123. on behalf of 7�'M 4_J_I�-C�� _ C:Yi: �r1 LPut3the corporation therein named, and acknowledged to me that such cor• " 01 ' , (,p res fah poration executed the within instrument pursuant to its by laws ora,q, resolution of its board of directors.Ar WITNESS m nd 'd official se Signature(This area for official notarial seal) 44 ($/$Q� i MAIL TAX STATEMENTS AS DIRECTED ABOVE 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 per Section 9.50.090 of the Zoning Code. Its purpose is to determine: 1) that the proposed house design does not 'duplicate the same architectural style of any house within -200J061 -of the applicant—and/or-2) itthere iss-a-need-for the--applicant-to-file for Master Design Guidelines. If the applicant does need to file a Master Design Guideline, please transmitted this information to the Building and Safety Department as part of your correction list.' Please attach additional explanations as necessary. APPLICANT Paul Dello - SITE ADDRESS 77-265 Sonora APN 773\ 251 - 001 CASE NO.: 2001-561 LEGAL: LOT 22 BLOCK UNIT S.C.@V.L.Q. CHECK'AND APPROVED 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 Verify legal and APN.information .Consistent with MDG on file (as .applicable MDG'filing required (5 filings since 9/3/98) Architectural variety within 200 feet of ` the surrounding area: Colors Materials Architectural design features v Other Requirements: .6r Gv'O�IPfVI� fz�l�� CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED DATE BY ` ,�G-nl5t G2�i�(t:D - IJE() C11991 ARCHITECT, INTERIOR, SPACE AND LAND PLANNING STRUCTURAL CALCULATIONS 2. August 2001 City of La Quinta Department of Building and Safety 78-495 Calle Tampico La Quinta, CA 92253 Project: Single Family Residence for: P G D Development 77=265 Calle Sonora La Quinta, California Re: Review of Truss Manufacturer's Truss layout plan To Whom It May Concern. 1 have been provided a set of the truss calculations prepared by Trussworks of Thousand Palms, California, for the noted project. Based upon my review of the layout and calculations I am hereby stating that find them to be in substantial conformance with the design intent of: the structural .calculations and drawings as generated by my firm. If you have. any further comments or questions related to this or any other matter concerning the noted project please feel free to. contact me. ' ED AR�h� Sincerely, l D. No. 119 1 D - Q' Charles D. Garland, Architect OF CAL 35-25 DATE PALM DRIVE, SUITE 151- ❑ CATHEDRAL CITY, CA 92234 ❑ PHONE/FAX. 76013247146 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 ADDRESS: 77-265 CALLE SONORA Use. Classification: SFD Bldg. Permit No.: 0106-091 Occupancy Group: R-3, U-1 Type of Construction: VN Land Use Zone: RC Owner of Building: PAUL G. DELIO Address: 81715 US HIGHWAY 111 City: INDIO CA 92201 By: KIRK KIRKLAND Date: 10-18-2002 Building Official A POST IN A CONSPICUOUS PLACE