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0208-241 (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 !hd _136siri6Bi and ! Professionals Cdde`.and my License is in full force and effect. Llcense# { ';r Li�Class Exp. Date r Date - Signature-ofContractor ~y• • , elj�,. -•.,� 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,•BusinessroJfessionalsode fj r. I, as owner .af the (Qperty, am lusively contracting with licensed ,co tractors to.,•con'struct`thb�project (Sect 7044,/13usiness &Professionals Code). i . .. (/. O 1 am'exempt'under Section"`�B&P.C.:for this reason + y. Signature of OvV er t ,r�il.� l` WORKER'S COMPENSATION DECLARATION I hereby affirm under. penal%of perjury of the following declarations: ( ). I have and will mainta•I�i`ecertificat ,6f consent to self -insure for workers' compensation, .as provided for by Section 3700�f the Labor Code, for the performance of the work for which this permit is issued. ( .J 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 �pe'rmit is issued. My workers' compensation insurance carrier & policy no. are:. Carrier _ Policy No. 4 (This section need not be completed if the permit valuation is for $100.00 or less). e,), 1 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 provesions of Section 3700 of the Labor Coder l'shall forthwith comply with those provisions; Date: 1 'Applicant t !' n. �. ts') �4 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 'upori 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'tlie•City'of La Quinta,.its lofficerS,"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) e�S �� +' -/'%� Date9 Gr BUILDING PERMIT'- :Ei .'PERMIT# DATE :^ VALUATIONr LOT 'f 4 TRACTRIX a 65 TJ6' .. �• - ' ' � ;JOB SITE.i ADDRESS 5�_ 4 A .11Mk �A.�i',d�ulA.1;%.70 APN 1773-084-0..11 OWNER * CONTRACTOR/DESIGNER/EN INEER a ....1, i1.C. RY PU,CMAK ' �iSAl�'� E2/13�CL1�)3�ri x 2790 VNIUMMARD, :taAUAWR.WOS . ., i C USE OF PERMIT F,Kmu;y DW PQ,rySy.�H(r►��J.yT�.fyq}(�7iE?..s J' fi4C ,VPZt,�;t-OCK i'�:i! LTt POOL OR �isso� �Sj•'p..y.srp l'✓,lN 1.�Y� �' J1'R-�S".i/fiA1,'S S.I O 411 1,520,00 f TRACT CO;AI:STRWC`A 01 kap . i��klt!C;1•i�l�.i4'Pl�v ` ' . 44:19,Off "f'' / .413.00 Jig { F.Gr FAM C4a'Nr i'If X. MIC71�k� PXKW ' Y ffUh0"RIP Go:a1S` MICTION FRE 10!-%10-418a000 �t14f4,50' PLAN CIIECr FEE 101..000439-316 $535.98 FEE DEP(AIT 101- P0439.318 4=00 ' M2CHAN-ICA1, PEP: f (i1 r0(3d3-X21-4�J0 �Sd,Sfd V%ZQ'u'itICA1,.FU 101000.420-11=0 -P1;t1MHJ-NQ FRE 103.5100,419.000 STEcil;�f iul�Jl'1�?N R1<I RESID 1014000-M-000 $10,12, :.' 13It ! 31?1131�?Z 101-000-123-000 ven C?PFA IMPACT FEE, SZ405M 1 RECISE PI AM 1-345 $1t3r�.t�fl sm -TC)°!i`A.a.�Y�'�IRT.fC:�;1C3g.ME) pi�.y,F",yy3}}�:��tN�� ?����".7yI��:�yq��(��yy����,55 ' low .5.11.69".F`6`Tm .L'dS.0 is {����iy�f1y "1 250, V'1r' LLy `M'T'", d: ��n0.1�t1�3%& �'`.9J'.S �.!t ti`sa•.i OW ♦ . • + a $31757,01 Lr�� SEP 3'0 2001 • A RECEIPT FINANCE D _TIS ..,• BY �f D2 f INT. INSPECTO$� INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel IVCombustion Air _Roof Deck Exhaust Fans O.K. to Wrap . F.A.U. Framing u3 Compressor Insulation. Vents Fireplace:,'. L. Grills Fireplace.T:O. Fans 8 Controls Party Wall`Insulation - O3 Condensate Lines Party Wall Firewall Exterior Lath Drywall -Int. Lath Final // Z�3 �`'1 Final POOLS -SPAS BLOCKWALL APPROVALS 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 Waste Lines20- O2� Gas Test Electric Final Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Sewer Connection �_'? Pool Cover Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: 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) CERTIFICATE OF COMPLIANCE `jtFIsc Desert Sands Unified School District " zo�cso 47950 Dune Palms Road . ¢ 9ERMUDA DUNES r Date 9/30/02 • - La Quanta CA 92253 RANCHOANWEAGE't:J f � .INDIAN WELLS ti No. 23669 (760) 771-8515 `�� P",A QUINTy INDIO .. , Y •v Owner Rory Putman APN # 773-084-011 Address 2790 Vincentia Rd Jurisdiction La Quinta city Palm Springs -Zip 92262 ' Permit # Tract # - y Study Area: Type Single Family Residence No. of Units 1 Lot # No. Street "S.F. , -Lot ,# No. Street S.F. Unit 1 14 51460 "Avenida Vallejo 1580 Unit 6 Unit 2 Unit? Unit 3 }. Unit 8 , Unit 4 Unit 9 Unit 5 Unit 10 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 (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: . EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to. - Education Code Section 17620 and Government`Code 65995 Et Seq. in the amount of $2.14 X 1,580 S.F; or, $3,381.20 have been paid for 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/Chino Commerical Bank -Wales Miles Check No. 3256 Name on the check+ .Telephone 760/771=4824' Funding. Residential By Dr. Doris Wilson - Superintendent •� 4r a Fee collected /exempted by Monica Guillen $3381.20 '- $o.00 Payment Recd Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), 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 building or installation permit for this project is issued, or from the date onwhich those amounts are paid to -the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT. VALID if -Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting -RECORDING REQUESTED BY, y, WHEN RECORDED MAIL THIS DEED AND,, UNLESS OTHERWISE SHOWN BELOW,' MAIL TAX STATEMENTS TO: WALLY- S . ' MILES P.O. BOX 604 LA QUINTA, CA 92253 A.P.N. / /3—Vi54—V11-7 Quitclaim Deed The undersigned grantors) declare(S}. Documentary transfer tax is $ ( ) computed on full value of property conveyed, or , (, ) computed on full value less value of Fliens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, wa1 ly S. Mi le s; a single man ` do hereby, REMISE, RELEASE AND QUITCLAIM to wally .S. Miles, a .single man' AND Rory..G. Putman, a married man' -as his sole and separate property` the real property in the City of La Quinta , County of, Riverside , State of California, describedas LOT 14, BLOCK 65 OF UNIT NO. 6, SANTA .CARMELITA A. T VALE LA, QUINTA, IN THE- CITY HE-CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA,•AS PER MAP RECORDED IN BOOK 18, PAGE 67 OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF RIVERSIDE COUNTY ' a r f M STREET ADDRESS: 51-460 AVENIDA VALLEJO (unconfirmed) LA QUINTA, CALIFORNIA 92253 a• Dated 7 Z �10 Signature of rantor State of CalifRRmia ) County of K iye YS i e- ) S.S. C1Ai�e(le '�I�IM1�(� On � " fore me, N personally appeared jmagm S . iS f .I personally known to me'(or proved to me on the basis of satisfactory evi- dence) to be the personI whose nameis / subscribed to the within instrument and acknowledged to me that he / s / twexecuted the same in his / / eir authorized capacity, and that by his / )Ker / OFFICIAL SEA' tvr signatures on the instrument the per3ony, or the entity upon be- .. Coco C ICHELLE RA half of which the person acted, executed !Ne instrument. OMM #1246380 Notary Public - California RIVERSIDE COUNTY WITNESS my hand and official seal. My Commission Expires xv, �� DECEMBER 20, 2003 Signature MAIL TAX STATEMENTS TO, / Form 3196-8 (Rev. 5-94) This Document provided by Commonwealth Land Title Insurance Company jl C. Rory G. Putman 2790 Vincentia Road Palm Springs, CA 92262 Work Phoner(760) 772-2630 k July 22, 2002 City, of La. Quinta Building & Safety Department ' 78-495 Calle Tampico. La Quinta,.CA 92253 ' I t - g, To Whom.It May Concern: ; This.letter is authorization for 'Mr. Wally S. Miles'to act as agent for me. to construct:itwo (2) houses in the city of La Quinta as an owner -builder. The two lots are decribed as Lot•#9 on Avenida Diaz and Lot #14 on Avenida Vallejo.' If you have any questions.concerning this letter, contact, me at the above-mentioned telephone number where I can be reached during normal working hours. Thank you -for your attention toc;this matter. Sincerely, Ror G. Putman Owner -Builder 1 I t Save Money Right Out Of The Box If you have an air conditioning system that was put in before the Department of Energy established new efficiency standards in 1992, chances are its SEER (Seasonal Energy Efficiency Ratio) is relatively low—so your cooling costs could be a lot higher than they need to be. Now the good news: Every one of today's Heil® home cooling products, including the Heil 10- and Heil 12" High Efficiency Air Conditioners, meets or exceeds the government's minimum energy efficiency standards. These units could shave 40 to 50%* off your summer cooling costs! ' Savings percentage based on national averages; may vary according to efficiency, of current unit and installation. What's Under The Hood Heil 10 and Heil 12 High Efficiency Air Conditioners feature proven compressors as well as a coil made with copper tubing and aluminum Fins for more durability and efficiency—so it takes • All models feature top -performing compressors for reliable operation— a reciprocating compressor on most 10 SEER models and a scroll compressor on all 12 SEER models. • All condensing. units have been 100% run tested. • All coils are 100% leak tested at three different checkpoints. • Hot discharge air is directed up and away from plants and shrubbery. These units come in 1'/ -ton through 5 -ton capacities. We can provide you with a customized system that's an exact match for the size of your home. less energy to keep you comfortable. The coils' fins are coated with a tough acrylic finish even before the coils are built, giving them extra protection— so they give you years of trouble-free operation. And the condensing unit is painted with a triple - step process; that endures all kinds of weather, and resists --orrosion, too. So your unit keeps looking great, season afte- season. Built Better, Bucked Better Heil 10 and Heil 12 High Efficiency Air Conditioners come with 5 year limited warranty' on the corepressor, coil, and all other functional parts. Also, your dealer can give .N� you Full details on the HELP® 6° .." ° Q (Homeowner's Extended Labor Program) extended warranty, which gives you a choice of 5 or 10 years of additional worry -tree protection. FIN I P •• a -:�� I'D \I t See published i�arraniy for complete c --tails. O Reliable Compressor's Most 10 SEER models' feature a reciprocating compressor while most 12 SEER models feature a scroll compressor. All condensing units have been 100% run tested. © Copper Tube/Aluminum Fin Coil Resists corrosion and lasts longer than aluminum tube coils; also delivers greater efficiency. Coils are 100% leak tested at three different checkpoints. --4) Prepainted -Fins -Provide: - additional corrosion resistance; also resist fading and bleaching, so they look good for years on end. O Galvanized Steel Cabinet Finished with a triple -step paint process for the ultimate in corrosion resistance and weatherproofing. 0 Top -Discharge Design Vents hot air up and away from plants and shrubbery. O Coil Guard Protects coil from accidental damage. fR fllustrations and photographs in this brochure are product models may vary. As part of its commitme Comfort Products reserves the right to change spec without notice. All Heil air conditioners use EPA -a will continue to be manufactured in the U.S. until 2020. 10 SEER.., NAC018AKA 24x241/4 x 26'/2 NACO24AKA 26 x 243/4 x 26'/2 NAC030AKA 26 x 243/4 x 26'/2 NAC036AKA 28 x 243/4 x 26'/2 NAC042AKA 32 x 243/4 x 26/2 NAC048AKA 28 x 29'/4 x 32'/4 NAC060AKA 32 x 29'/4 x 32'/4 12 SEER` _... NAC218AKA _ .. _.. .. 26 x 243/4 x 26'/2 NAC224AKA 26 x 243/4x 26/2 NAC230AKA 26 x 241/4x 261/2 NAC236AKA 32 x 291/4x 32 3/4 NAC242AKA 34 x 293/4x 323/4 NAC248AKA 38 x 291/4x-321/4 NAC260AKik 38 x 291/4x 321/4 All systems tested and listed by the appropriate testing agencies. �F •a 1 �� IF FpCII CFHII FD %lama ZEWME906 HEA77NG & COOLING PRODUCTS NACO/NAC2 Series m 2000 International Comfort Products A member of the United Technologies Corporation family. Stock symbol UTX. Applicable to 12 SEER units only w b ".". C -.,y enwmrva w Semac E+ � 650 Heil Quaker Ave. • Lewisburg, TN 37091 w%vw.hed-hvac.com • 0 Part No. 421-123001-00/Printed 05/00 CITY OF LA -QUINTA SUB -CONTRACTOR LIST - Y 6c7 lArt 6�,S n ii _ ' ✓Tim- BUILDER 0/5 JOB P.DDRESS R PERMIT NUMBER i OWNER This form shall be posted on the job with the Building Inspection Card at all times in a consbicuous place. Only persons appearing on this list or their employees are authorized to work on this job.' Any changes to,this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance.- of building ,permit:.For each applicable trade,` all information requested belovv'mu'st.be completed by applicant:.: "On' File"isnot an"acceptable response. - Traria / f las0ii atinn Contractor :'.... IcL .. :.. :..• State Contractor's License Workers Compensation Insurance :::;:.. Cit'.Business _ License.:"±: { Company Name , Classification (e.g. A, B, C-81 License Number (xxxxxicl Exp. Date~ (xx/xtt/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number ' (Format Varies) �Exp..Date . (xx/xx/xx)' License Number (xxxx) Ezp.•Date Ixx/xx/xx) ` . EARTHWORK.IC,.. I'..' 1 d + i7 S � G -; - .S - /c9�.E cJ - % - 00 J 3 o -9 3 t � CONCitETE.1.0=8) <::::>: ?°s :. — t til C, - f' oL 9, 3 c� 5 `� �� ..a z/ l 5 %9 T C !c �.J� - -170 i�1-D0o aG�/ - - / Q / 02� p0� F.RNM.:: G:;IC:...l::':'```. � -so /JS )NC _ 31 -o v .� v- a U 0 U / 0 i a ��l� a- 0 "G c• MA' NR '(P- S ' - % �. - y3 ,� o� �I. _ � l.v � _ s �� /J l// l E - v o o a i�/ 6 / 0 0 a- / -o PLUM,BIN(3 C=361:<:`;.>:: <`, I. ,� EdJ-H ,i/GU�- / �- g C' 3 --3/-CH $7fi%� w/�-'/% %-�aC�-2%G�%0 �0 i; 0 - 0�L/ LATH,:I?LASTER. IC: 36). ; .' S n1 � Ed - �N U✓A1� o _ = o • _- S • i - a a-iy-� DiiYWALL: 1.C. -96-6-H— �q OtiSiN 60 G -/ oZ. r�-%`/.3" :?! ��/ �/�'-�©0 �6y-�� -1-L Q'41 /h c1 jHVA..C..IC;.20):.; v`/l AIS -.2�x� D/S . . :.::.:::.:.::..;:..:::.:;;.. .=�//� I I ,✓ I D 0 0 �l i - •Z Q I I 3 G. - S � D o a -11-&o-03% 9_ 5 `C v � y d /J S' % D b E .. . _4'05/to 3 i _ > HEET METAL°- FLOORING IC ! rj /r/U�✓ �/•�� �'/ aLAZINt� IC -171 C"r>/J7�Qi G��J�/ /!Z/�� C- / �J -6� l __- - ... • .. NSULATION'.: S M - c i� k - 'ao • .. `,1. - - - I L 2: SEWAGE DISP:IC=421>`;'. - Oji.? h r /-c_ c=am /-1lgT.41W �S S � -I S -a �% o 0 U -p � 2- �.. - ivy 7i4�C /- v� PAINTING.;IC=331;:>:� > :< ,Q /? / S ��J ��%NTS • _ C .� 7 _ 3 ' 3 d :6 r o o�o�' � 3 — .s T �v/ �/� � � � • Odd •6 9 5S 6 -% 0 z —/ / ....::::. . CEi;AMIC TILE:.(C ).>; :. / �-/E - . = - o j . CABINETS 1C 61 /1Q C FENCING' /G ` r .. I:ANDS.GAPING'..tC271:::;`<:: %%(���� Q POOL 1C.53)... j OWNER / BUILDER INFORMATION.' Dear Property Owner: An application fora building permit has been submitted in your name listing yourself as the builder of the property improvements specified. f For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to,be signed by property owners unless they are personally perforrning,their own work. If yourwork is being,performed by someone other than yourself, you may protect yourself from possible liability if that person applies,for the proper permit in his or her name. , Contractors are required by law to licensed and bonded by the State of California and to have a busiriess. license from the City or'County. They -are also required by law to put their license number'on all permits for which_ : they apply. F - If you plan to do your own work; with the exception of various trades that you plan'to subcontract,'you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any, persons other than your immediate family, and'the work (including materials and other'costs) is $200.00 or more for the entire project; and such persons are not licensed as contractors or ` subcontractors; then you may bean employer: If you are an employer, you must -register with the State and Federal Government as.an employer and you are subject to several obligations including State and Federal income tax* withholding, federal ,social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may, be financial risks for you if you do not carry out these obligations, and these risks are especially serious with , respect to worker's compensation insurance. For more specific information about your obligations under. Federal Law, contact the Internal Revenue Service (and; if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under`Statt Law, contact the.Department of Benefit Payments and the Division of Industrial Accidenti. r . If the structure is intended for sale, property owners who are not licensed contractors are allowed to performiheir,= work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. y A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building ' permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property,. owners unless they are performing 'their own work personally. Information about licensed contractors maybe obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. - Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification 'is returned., ' a Very truly yours, 4 CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico > La Quinta, CA 92253 s r - (760) 777-7012 ;k C • FAX: (76 ) 7, .7-70 � �`f., _ �Z=_ OWNER'S S ATUU/DATE . PRbPERTY ADDRESS PERMIT NUMBER(s) F 4 i Certificate of Occupancy of.Building &Safety Department This Certificate is issued pursuant to the requirements of Section '109 of the California Building Code, certifying that, at the time of issuance, .this structure was in compliance with the -provisions of the Building Code and the various ordinances of the City regulating .building construction and/or use. " _ BUILDING ADDRESS: 51-460 AVENIDA VALLEJO Use classification: SFD BuildingYPermit No:: 0208-241 Occupancy Group: R-3, U-1 _ Type of Construction: VN Land Use Zone: RC Owner of Building: RORY PUTMAN Address: 2790 VINCENTIA RD. ' City,' ST, ZIP: PALM SPRINGS " By:KIRK KIRKLAND l a'� Date: 7-2-2003 i .Building Official-./ POST IN A CONSPICUOUS PLACE - 4 i Certificate of Occupancy of.Building &Safety Department This Certificate is issued pursuant to the requirements of Section '109 of the California Building Code, certifying that, at the time of issuance, .this structure was in compliance with the -provisions of the Building Code and the various ordinances of the City regulating .building construction and/or use. " _ BUILDING ADDRESS: 51-460 AVENIDA VALLEJO Use classification: SFD BuildingYPermit No:: 0208-241 Occupancy Group: R-3, U-1 _ Type of Construction: VN Land Use Zone: RC Owner of Building: RORY PUTMAN Address: 2790 VINCENTIA RD. ' City,' ST, ZIP: PALM SPRINGS " By:KIRK KIRKLAND l a'� Date: 7-2-2003 i .Building Official-./