Loading...
0002-439 (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 # Lic. Class Exp. Date 21917 28 B ,� 0&31;20( tDate 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. (y) 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 Policy No. .STAiii lirAM, =01-14131. (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 proV6neof Section 3700 of the Labor Code shall forthwith comply with,tho`se provisions. Date:A -fit Applicant a#'".� � 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. 1%i nature (Owner/Agent) Date 'rl y' f/ 7 BUILDING PERMIT DATE VALUATION ��:� LOT PERMIT # j -002-439r TRACT Bvm U21 JOB SITE - ADDRESS +405 AVENiIDA. VALL O IAPN 774-082-0M OWNER CONTRACTOR/DESIGNER/ENGINEER STA IAAIC3PT NIA1`Nhf;,EivlDTf INCWILLIAM RUSSENI—ROGER. S 110 WX 3578 31900 JACKSON Sr PALM DESERT CA 92261 ITIFRM.Al. C•A. 92274 (760)19()-1 ^00 CTIL0 1954 USE OF PERMIT SIIv6LL F/tMILY DWELLING 11QRc: VPA..r1C) 3.5.06 8F 0AXAC, /CARP(_)K ' 500.01) SP I Fr. We )0T 1 FLENC'E 200.0) LF 1 3911251.30 i'I+;d2I1 lY FEE SC.fMMA►It V CONSTRUCTION FEE*. 101-000-4113-000 3594 Nl P1. Ari f l�ti t"t.' # f�F i f11-tN)f1-A i9_ i i R f 5fin (1^ ,NIEC71IA*N1CAL. :"T� "s t.0:. C'JO Q2i C!1!1 160.00 &,Ec klkI mf;l;a 1171 i!i)G- i2f}-1/011 &LZ9.,A PLUMBIM-k FEE 1!f I-(1aU-41+) 4!!W S1.10.75 GR Ar)rNG M47 1()1-11{16-473-01)0 T10 00 I:TI V3i10P0, i 11VACI' F C 1'itt%AS1: PLAN I01-000-141-345 ?ItM1.Ui) FEI: 0111P0.10V t01 -W) -439-_;1H 42144) W ST)it-1,Y)'AF-CO?NKFR!lK71.'10t'JnMr)PI-tlN VMECK S141111�6 L :S9 PRETAIADITE, 1250.00 't'C)iAL I'i+RMIT I"PF.44 Dirk:t�f3.�l� RECEIPT DATE BY `4 s DATE FINALED INSPECTOR r� INSPECTION.RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs ,1. , Underground Ducts Forms & Footings 3' �=- Ducts Slab Grade Return Air Steel Combustion Air Roof Deck l/ -gyp_ V0 Exhaust Fans O.K. to Wrap q— 11 - Oo F.A.U. Framing q -17- Compressor Insulation _ If- oa Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath -a _ D - Drywall - Int. Lath L{—as _ as Final Final « a BLOCKWALL APPROVALS POOLS - SPAS steel ° Set Backs Electric Bond Footings 4 -A I - oa 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 Y-7- oD Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) pad ELECTRICAL APPROVALS Temp. Power Pole _ (0 Underground Conduit Rough Wiring Law Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: 0002. - 43� r . • . �.,_..-_ . 2 �i� _ L �� �' . P.O. BOX 1504 ( 'LiddingJ J 78-495 CALLE TAMPICO AICATI. 141-7&LYS AddresS t �! .� LA QUINTA, CALIFORNIA 92253 /l Owner v ?•f-� ,10 te k tC Lt - 111 tJ fA 6 iH •=1.J 1 BUILDING: TYPE'CONST. OCC. G P I Mailing ,� Address p ;Sys +ter t` A.P. Number 7-7 Q- Ci L C G U City Zip Tel. Ufll-i�1 l�� 2 1 `1 Z 2Co i %(� - CDCa I - Legal Description l K • 1 �j �; N I T I Contractor Project Description I .-+ 1'J • K . IZ Colo►= r.- AGaress City Zip Tel. T-PrA)1 ra 1) 1- 17 0 a State Lic. City & Classif. rf _ % Lic. # Arcn., tngr., ` Designer LCN)CP Dr -Irl) 1 »(+A f t ti Address Tel "1 ST7a i in -- a tj . /,G 6 Co Cityr Zip State I -n Q U (,J T 1-a LIC. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am.lice'n'^sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3?of,the`Bustfiess and Professions Code, and cense is in full force and effect. ect. GNATUR - 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). 1: 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.) I I 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.) it 1 am exempt under Sec. B. & P.C. for this reason Dale 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. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundred dollars ($1100) 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: It, alter 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 Ihereby 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. 1 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 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE Issued by: Validated by: Validation: INSPECTOR_ WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Sq. Ft. Size Z 1 No. No. Dw. Stories Units Newp Add AltFEB 2 5RE@W Demolition ❑ 0 01 Estimated Valuation PERMIT AMOUNT ed Plan Chk. Dep. % r✓ r 0 Ca Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE Issued by: Validated by: Validation: INSPECTOR_ WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION 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 3%20/00 APN # 774-082-020 No. 20186 Jurisdiction; La Quinta owner NameStarlight Management Inc. permit # 0002-439 No. 54-405 Street Avenida Vallejo R Log # City La Quinta Zip 92253 Study Area Tract # B224, U21 Lot # 8 Square Footage 1421 Type of Development Single Family Residence No. of Units 1 f 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: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.93 X 1,421 or $ 2,742.53 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/Larry Shields Teleph' 6he'.%760-345-0012 Name on the check By Dr. Doris Wilson r,5 '' tom; 2. 4 Superintendent Fee collected /exempted by Mary Ann L. Borja Payment Received+ z: $2.742 53• T r s!` w Check No.• 209775AAd ; Signature J 4L V 1. NOTICE: Pursuant of Assembly eill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the Disbict('s)(s) behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant , Copy - Applicant/Receipt Copy - Accounting 11 SALE ESCROW INSTRUCTIONS THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS - READ IT CAREFULLY! TO: COMMONWEALTH LAND TITLE COMPANY Escrow No.: 9655KC 72855 Fred Waring Dr. ,Date: 02/18/00 Suite A5 Page: 1 Palm Desert, CA 92260 (760) 836-3726 Escrow Officer: Kelly Collier THE ESCROW HOLDER IS COMMONWEALTH LAND TITLE COMPANY WHICH IS LICENSED BY THE CALIFORNIA DEPARTMENT OF INSURANCE. Buyer, or his agent, will hand you or cause to be. handed you upon signing of these instructions a deposit in the amount of.......:.... ..... ..........$ 500.00 Buyer will hand you additional funds prior- to closing in the*amount*of..........$ 830.00 Proceeds from loan to be procured by uyer (First .Trust Deed) ....................$FHA MAX TOTAL CONSIDERATION $ . 133 , 000+.00 and any additional funds and instruments required. from me to enable you to comply with these instructions, whichyou are to use on or before June 1*6, 2000, and when CHICAGO TITLE COMPANY can issue a StandardyPolicy of •Title Insurance Owners form, with liability of $133,000.00, on real property in City of LA QUINTA, County of Riverside, State of CALIFORNIA viz: Commonly known as: AVENIDA VALLEJO, LA QUINTA,'CALIFORNIA 92253 Lot 8, Block 224, Unit No. 21, -Tract Santa Carmelita at Vale La Quinta,'as per map recorded i, -n Book 20, Page(s) 22 inclusive of Miscellaneous Maps, in the office of the County Recorder of said county. Except any reservations of record of minerals, oil, gas, water, carbons and, hydrocarbons. i Showing title vested in: ANDREW LOPEZ and PAMELA LOPEZ, husband and wife -Free from encumbrance except: A. Current general and special taxes for the fiscal year in which this escrow closes, and. taxes for the ensuing year, if any, a lien not yet due or payable. B. The lien of supplemental taxes, if any, assessed pursuant to the provisions of Chapter 3.5 (commencing with Section 75) of the Revenue and Taxation'Code of the -State of California. C. Special improvement assessments, if any. D. Easements, rights, rights of way, covenants, conditions, restrictions.and reservations of record. E. Deed of Trust to record in -the amount of FHA MAX, in favor of.a lender to be determined. 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 W. R. ROGERS SITEADDRESS 54-405 Avenida Vallejo' APN 774 - ' 082 - 0 2 o BIN NO.: �3 CASE NO.: 2000 -lac, LEGAL: ILOT -8 BLOCK 229,4 UNIT 21 S.C.@V.L.Q. CHECKED BY: Stan Sawa 'DATE: 512 ' 00 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 COMMENUCORRECTION Compatibility Review Case logged and number assigned �. Verify legal and APN information V Consistent with MDG on file (as applicable O, MDG filing required'(5 filings since 9/3/98) Consistency with street/surrounding area: Colors Materials Architecture OX • fOIrbVtACA. WU m aye. Other Requirements: A- 00 - SdAAM J 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: Use Classification: SFD Occupancy Group: R 3 53-405. AVENIDA VALLEJO Bldg. Permit No.: 0002-439 Type of Construction: VN Land Use Zone:' RC Owner of Building: STARLIGHT MANAGEMENT INC Address:. P.O. BOX 3578 City: PALM DESERT, CA 92261 By: STEVE •TRAXEL Date: 06-09-00 Building Official T POST IN A CONSPICUOUS PLACE