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9810-049 (SFD)LICENSED CONTRACTOR DECLARATION 1 -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 743867 12/31/99 Date r 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: Cartier Policy No. (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 .✓-� „Date: Applicant - Warn i _377TT-1 C J ng: pplicant 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 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. ,Signature (Owner/Agent) �T t /✓�- Date ? BUILDING PERMIT PERMIT9010-40,119 DATE 1 ✓t4^ VALUATION 31",372.4(1 LOT 161 TRACT f JOB SITE ADDRESS 7i9+�il 16195 AVE.70DA LA TORR S APN 7619-144-0(M OWNER CONTRACTOR / DESIGNER / ENGINEER 14lO°.LLQ L7fwV1?1.EJPM:"T#",'INC WORLD T3f V1'1.,C3PN1Ehr1', INC PO EXXX 13287 1013OX 13287 PALM DESEWl' C.'A 92255 PALM, 138st"W1' (:A 02255 (7 20)77.1-5571 C RL# 5028 USE OF PERMIT SINGLE NAMiLY DWELLCNG , t , SM - PERM -IT DOES NOT !NC1,iJDE BLOCK, WALL OR,.k OO1, MAR 0 51999 flYtii:.i CONSIRUC710N Z998.00 SF PORCIMPATIO 487.W SF ✓ ®F LA QUIN11 k1AkA(J1YCAfU-k)R:1' 93y.4m) CF 6 FT. Wt,XA)FEWX 2(0)mO LF t f..`i:1' INIAT M Ct3ST OF CONS-TRIT C` 10N 189,371.9a PE" il' Fi+F SaJ11fMARV C10N8'rR.0 ;`1'1(_YN FEE 10149M-418-000 ,!i}s('11A7:1CA1, rr t 101.0m.121-000 El LCF10C;AJ. FFE t01-000-420-000 $2�A.21 11LUM INO r FJz 101-000.419-000 $11OX") ST0,0NO i\40TifYN 11 F - 1417811) 1f)'10)()-741-(1(1(1 $19 94 fill MANCI 11iM, 101-DO0.421-MG 120.00 f:NHtA:sTXUk;'(VPX— I. -EE, 225-000-44:1.342 54,0110.91 PRECINE PJ AN 101-11(10-40-345 A17`f` tf�F fttfftf.lf" Iu+f,Af"F�,'3 _ �1;'tifT.' 7f#i-fiflll.7R`.4)(1(1 4+272 nl i I Yil3.1-1131�0�111' 101 VJO-439.318 4250100 :`C:f6'� Tryll Al. (70NS"f1UJC!110N ANn PLAN iN-WX K. $6,tti( 026 LESS T'1t.f',-PAID FUS -$250,00 'AYFAi.. PERNi'ff VI4 EN i OIU NOW S6,:350.26 RECEIPT DATE BY DATE FINALED INSPECTOR R A r . e INSPECTION RECORD OPERATION DATE. INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings A .4T Ducts Slab Grade Return Air Steel Combustion Air Roof Deck .. Exhaust Fans O.K to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath 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 I I 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 —(—Q Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) A4 14 37 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: n P.O. BOX 1504 Building 7U /� / �" 78-495 CALLE TAMPICO Address v / A✓6 ' (1 r–A&sLA QUINTA, CALIFORNIA 92253 Owner j /i . . " . _ _ I Mailing I Address City lZip ITel. C_U1kf/–JQ Zi� Tel. iZ771-:5DI ate Lic. City BtCla sif. Lic. # Arcn., tngr., Designer Address V—�4/ 1194j1e 6V)w Tel' Cittyy Zip} State / Iii iko 7vfis�d fJ Lic. # 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. 7031.5:8usiness 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). I] 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.) 1*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.) i? 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby 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 F1 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-thg 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., 11, 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 I 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 it 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 Address !' City, State, Zip eild , ") iv� APPLICATION ONLY BUILDING: TYPE'CONST. OCC. GRP. A.P. Number '�* . A/5 —4" V�. Legal Description "too -1,6 Project Description 5-/" q. Ft Size eAftj No. No. Dw. Stories / Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum_,Setback Distances: .J i r1Y OF LA QUINTA Front Setback from Center Line tr Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date I Permit h Validated by: ' Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Y Notice: Document Cannot Be Duplicated Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE Date 3/5/99 APN # 769-144-004 No. 18423. Jurisdiction La Quinta Owner NameVince Cascio Permit # No. 78695 Street Log # City La Quinta ave. Torres zip, 92253 Study Area Tract # Lot # Square Footage 2998 Type of Development Single Family Residence No. of Units 1 Comments 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: A ' EXEMPTION NOT APPLICABLE "' ^ This certifies that school facility fees imposed pursuant to Government Code 53080 in the am' oturii'of 1.93 X 2,998 or $ 5,786.14 the property listed above and that building ! 'A permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By cc/Valley Indep. Bank/World Development Telephone 771-5571 Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by �driana Gauto Signature Payment Received $5,786.14 Check No. 183186 NOTICE: Pursuant of Assembly Bill 3 81 (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 dale o 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 ' REC0ii111N(G IiEQUESTED 81 FIDELITY NATIONAL TITLE INSURANCE till 2'74825 RECORDING REQUESTED BY: Fidelity National Title Company RECEIVED FOR RECORD Escrow No. 1606 -CAH AT 8:OOAM O'CLOCK Title Order No. 305887' When Recorded Mail Document JUL -.2 1998 and Tax Statement To: ••-® Mr. and Mrs. Vince Cascio PAID Drc. Transfer Tax Recorded in Official Records 52370 Avenida Juarez La Quinta, CA. 92253 f „� Of Riverside county, Californi Recorder ! :�_.,:,•�:�.�-,r--•.. Fees $ : 769-144-004 GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE " 4 (0 The undersigned grantor(s) decl Documentary transfer tax is 38.50 [ X ] computed on fu value property conveyed, or ( ] computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area City of • FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Paul J. Scott and Elizabeth -E. Scott," Trustees of the Paul J. Scott and Elizabeth E. Scott 1996 Revocable Trust, established February 6, 1996 hereby GRANT(S) to Vince Cascio and Cynthia M. Cascio, Husband and Wife as Joint Tenants the following described real property in the County of Riverside, State of California- Lot alifornia-Lot 161, of Desert Club Tract No. 5, as shwon by map on.file in Book 21, Pages 61 and 62 of Maps, records of Riverside County, California. , DATED: June 15, 1998 STATE OF CALIFORNIA COUNTY OF Riverside ON June 30, 1998 before me, Catherine A. Hammons personally appeared Paul J. Scott, Trustee and Elizabeth E. Scott, Trustee --------------------------- personally known to me (dr/0rkikh l/tb/rhA/dd&e`WiA/ 6f,1shf&aUdVy/k/ii'd4eh6ki to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that fid/hdid/hhey executed the same in h(d/filo/their authorized capacity(ies), and that by VS ltidr/their signature(s) on the instrument the person(s), or the ent" upon behalf of which the person(s) acted, expiWed th§ instrument. /. i Witness my hap(Xar"ffioal seal. 1 i Paul J. §colt, Trustee r 5�v l oe>/cu Elizabe% E. Scott, Trustee i'``=^`�j r.i, Cornrn�ss�ii, Exp MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 9/94) GRANT DEED Dear Builder: PUBLIC WORKS CLEARANCE LETTER FOR CUSTOM HOME LOTS Prior to issuance of a.building permit, you will be required to obtain clearance from the Public Works Department for one, or mores of the following: 1. Verification that rough grading is complete, and the pad elevation certifications prepared -by a licensed surveyor, or engineer, are on file in the Public Works Department. 2'. Verification that infrastructure improvements and other required tract improvements are complete, or sufficiently advanced to warrant building permit issuance. 3. Prepare an engineered grading plan that provides for on-I-ot storm water retention, and have it checked and approved :)y the Public Works Department. • Tract 26524 (Estancias) • Tract 26769 (Mountain View Estates) 4. Prepare an engineered grading plan that provides for building pad grading in accordance with the existing soil-- report and tract grading plan, and have it checked and approved by the Publi'-- Works Department. • Tract 28034 (South Valley Estates). FOR INTERNAL USE BY DUBLIC WORKS DEPARTMENT TRACT: 005C-�Z" LOT: / (62, F:%PWDEPTRDOCSIFORMS\PW CLEARANCE LETTER.ss _WON IN f,"►/fin t "JA �. 4 11 R JON TANDY 37630 Medjool Ave. Palm- Desert, CA 92211. Z ,-Pffice (760) 772-7192 k.ECIAL INSPECTIONFax (760) , 772-7193 Pager (760) 776-3338 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED Cl REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ . ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCAY72 C)e� 1 —D' i REPORT SEQUENCE NO. TVP�OF S^ CTURE PERMIT NO. DA lINSPdCTOR DAY OF WEEK M�`ATTERRII'YY.•DDEES�STIpN ARCHITECT HRS. CHARGED ��---••• ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL`�V D�Lv� CONTRACTOR ` SUB CONTRACTOR A��'�� G Lj e—VJ c W 600 NeCZ c,,S- o0lallEr S71-1 01S� kz _. 1cx / is O(W q C) w (- i e COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE 0 PAGE OF �• CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE. GOVERNING BUILDING LAWS. SIGATURE OF REGI RED INSPECTOR -7297. Z& d 6&SC 7,S-, TE F ,REP RT REGISTER NUMBER ccupancy 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: 78-695 AVENIDA LA TORRES Use Classification: SFD Bldg. Permit No.: 9810-049 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RM Owner of Building: WORLD DEVELOPMENT, INC Address: P.O. BOX 13287 Building Official City: PALM DESERT, CA 92255 By: STEVE TRAXEL Date: 8-11-98 I POST IN A CONSPICUOUS PLACE