Loading...
0011-031 (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 VDate� ;� "' °� Signature of Contractor Sr 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 employeejwith 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 3.700 of the L_ abor Code,. for the performance of the work for which this permit is issued. (e) 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. 729.00 UNIT 90M4021 (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. Qate: b �" 7 • �� Applicant ./r.dr 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 bove-mentioned property for•,inspection purposes. $Ignature, (Owner/Agerit dy`. "=,}� Date V � BUILDING PERMIT PERMTk ; DATE ) VALUATION LOT 0011 -WS. TRACT 14 T111) JOB SITE + APN ADDRESS OWNER CONTRACTOR/ / EN (NEER L3iM? T RIC.IaMi:3309, JR 113$ 9rm s9TR,ti��'�"C' APT B. 561900 7AC MNr'k3T BA14'1", MONICA CA 0403 11MIRMAL C A, 92274 (760)3.99 ,1200 r—At* 1X954 .i a' USE OF PERMIT OLVE FANMYQTkTQ S.rDNA42TER Parr 3•!):Il :KIG!17' r NOT It�CLUM B' ,£Chi:�C.LM-1G` 01ADWKWAY APPROACH, . tiAi'.. •: / •� r TRACT C014STRIJCTION Pd' RC1y IPATIO a'th,0lg SP 0ARAOFUCARPOE2T (SY.) %MKIf0 a 3 FT. WOOD nNCZ 'JD0.00 JJ7, XVX=Xr= COST OF CONUMUCMIDN PED -MIT FIM, OCIMMARY CONOTRUC!'3C►N IEEE • 1.601.000.438.000 094,10 PLAN C H' V K M, 101-000.439-3113 060.12 MEClimicm,F3t;1;+= 101-I00-421-000 $0100 ZL-E IR1VAI: Me', .,, 1(1'j�t1���Q-tx17a $129.44 1°L1JM• BIND FBI 101-iJ00-419.0 X1 $110'7a S'a'1I0M NI37`ION !+E&-RESi%6 101-000-2140 $tx 0 ORADINO RE 101.000.423.0 0 $20.00 DEVBLOPER. IMPACT IME .P'A;1WISE PLAN 101.000.4414345 MOM FEE DEVOM C MM-TWAL {:O;niMUC:T:IOW AND PLAN C BWK V-4,43034 LIUM IM -PAID FF219 4250100 TOTAL 'M'iSYbAd .LMaf S D#1J1+ NOW tbe7��¢"6irry'V RECEIPT DATE BV DATE FINALED INSPECTOR INSP`6C ON R ORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Bac_ Forms & Footings __ _ Jy�/� �_ Underground Ducts Ducts Slab Grade v %!` Return Air SteelC _ o b do musn Air Roof Deck �_� 7 - O/ t.�7 Exhaust Fans O.K. to Wrap �_ _�• O ( S% F.A.U. raming_ Framing--- C Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wali Firewall Exterior Lath Drywall -Int. Lath Final Final _ ��p POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Water Piping / _ Heater Final Plumbing Final Plumbing Top Out 111 Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test � Appliances. - Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Z Id ! 57 Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final �� S Utility Notice (Perm) �� ©� -07 I -C i Building Mailing Address City Zip Contractor f %/ • W Address D P.O. BOX 1504I r 78-495 CALLE TAMPICO APhICAT ONLY LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE'CONST. OCC. GRP. /1tvtYEj r� A.P. Number %'%4- 161, Old -0 Tel. 7 %�` �G Legal Description I c+ `'� -4 2 J / Project Description State Lic. City & Classif,).„��}�� Lic. # Arch., Engr., Designer Address Tel. r I •tY �'° City IZip , IState el -7S :. Lic. # LICENSED CONTRACTOR'S DECLARATION clhereby 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). 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.) 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 contractors) licensed pursuant to the Contractor's License Law.) F) I 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 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 ihV 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 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. o mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip r<` F Sq. Ft. /U Size / `( t No. No. Dw. Stories Units New* Add ❑ Alter ❑ Repair ❑ Demolition ❑ _1/PI/ ww" /� /'s S t � Estimated Valua 1 PERMIT AMOUNT Plan Chk. Dep.i Plan Chk. Bal.' _ v Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS f 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 INSPECTOR Issued by: Date Permit Validated by: Validation: 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 11/20/00' t APN # 774-163-011 { No., 21,233 Jurisdiction La Quinta Owner NameLeslie T..Richardson, Jr. Permit # 0011-031 No, 53-940 Street Avenida Vallejo , Log # City La Quinta Zip 92253 Study Area Tract # Lot # 14 Square Footage 1421 _ 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: EXEMPTION NOT APPLICABLE . This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 2.05 X 1,421 or $ 2,913.05 the property listed above and that building . permits and/or Certificates of Occupancy for this square footage in this proposed project maynow'be issued .Fees Paid By CC / Canyon National Bank / Larry ShieldsTelephone 760-399-1200 Name on the check By f Dr. Doris Wilson - Superintendent Fee collected /exempted by.. Annette Barlow Payment Received $2,913.05 • YL�LQ w �/` .. Check No. 05484 , Signature t NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the ;O -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 District('s)(s') behalf, whichever is earlier. - Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting uui-lr-uu lut lu,ja RECORDING REQUlEVED BY CHICAGO TITLE COMPANY '`'AND WHEN RECORDED MAB. TO (" 'LESLIE T. RICHARDSON, JR. 1138 9TH ST. APT. E SANTA MONICA, CA 90403 �. r, u 1 DOC ss 1999-385214 08/27/1999 08:004 Fee:5 00 Page 2 of 1 09% 7 Tax Paid Recorded in Official Records County of Riverside . Gary L. Orso Assessor, County Clerk b Recorder 1 �� 1111 ! ! !II li 1 I M S - V PP4E SUM 011 ve011 NMOR SMP MIS-. Escrow No. 97057017 - F2e _ Order Ego ,-$7us'loy LA R Ltear j wko r+eru_no -x c ` aua ntb A ATT Ylt?�'7'1 r►ssessox•s Pardel No: THE UNDERSIGNED GRANTOR(S) DECLARES) % DOCUMENTARY TRANSFERTAX 13 $7.70 r[b Cl I� ❑ unincorporated area ( Cityof LA QUINTA T V (`} computed on the full value of the interest or property tong}%!, or is 0 computed on the full value less the value of liens or encumbrances remaining at time of sale, and FOR A VALUABLE CONSIDERATION receipt of which i hereby acknowledged, XOUROUS11 ZEHTAB-TABRIZ1, A SINGLE i � hereby GRANT(S) to JR. LESLIE T. RICHARDSON, A SINGLE MAN the following described real property in the City of LA QUINTA County of RIVERSIDE , State of California: LOT 14 OF BLOCK 237, SANTA CARMELITA AT VALE LA QUINTA, UNIT 22, AS' PER MAP RECORDED IN BOOK 20, PAGE 24, OF MAPS IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY. Dated August 17, 1999 S7A7E OF COUNTY M3 ��-- ) SS. On 9 before me, a Notary Pubuc in aKd for setd County and Shiffe, Personally appeared KOUROIISR ZEHTAB-TABRIZI k I ROUROUSH ZE1rrAB - BjjIs2 ;a► personally Mom to nu (pr proved to me 0n the basis,01 UddacwyY - evidence) to be the persons) wvhose names) leen subscribed to th6 tvttlyrt tnatturrtent artd aetrnodoo cot tit ?tysits/tltey exe�ciroed the ssrrte in hUJher/rttetr sutharftrad ppachyQes), std mat by ttls/hsrAhetr siansture(s) on etre irtserwrtent the personal, at the andty upon -behalf of which lite psmon(s) acted, executed the instrument. MARYELLEN TAFRATE my hand and oNlctal seat. NOTARY PU13LIC OF NEW .JERSEY My Cammisslan Explre3 .Juste 4,2= Date y Goirnmisslan res MAIL TAX STATIMAENTS TO PARTY SHOWN ON FOLLOWING UNE IF NO PARTY SO ' - •' zr� o.-;- FOR NorasUL cty SHOWN, MAIL AS DIRECTED ABOVE Name Strest Address City, State & ap GE" -x/70/07a - - 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 SITE ADDRESS 53-940 Avenida Vallejo APN 774 _ 163 _ 01.1 BIN NO.: !i/ CASENO.: .2000-337 LEGAL: LOT 14 BLOCK 237 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/CORRECTIQ,N Compatibility Review Case logged and number assigned V Verify legal and APN information \J Consistent with MDG on file (as.applicable MDG filing required (5 filings since 9/3/98) Consistency with street/surrounding area: ' Colors Materials Architecture \ ' �l 0� Other Requirements: 04 -bb o�. �o Cit 'f La Quanta y Building and Safety Dep'artm e-nt 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: 53-940 AVENIDA VALLEJO Use Classification: SFD Bldg. Permit No.: 0011-031 Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RC Owner of Building: LESLIE RICHARDSON, JR. Building Official Address: 11389TH STREET APT E City: SANTA MONICA, CA 90403 By: STEVE TRAXEL Date: 04-19-01 POST IN A CONSPICUOUS PLACE ALMS UNDERGROUND CONSTRUCTION, INC. 38703 Vista Drive, Cathedral City, CA 92234 760-324-1911 Office 760-324-9541 Fax 760-578-1510 Cell Almsunderground@gmail.com CA Lic. 482180 C '-/Z, �2- Y . 20 l� C_ l y ver=.. t 4-�o, we ave C '87e rt�� n v r �'► e le s 4 -" 3 y 5 Ave.'- _ J � '1�� Sewe f Sewer Laz"�erc� ��Pea�rs - 'o be OL pp r•ox , 7 / t ✓ L-+lti O(- h�6ty\ �o le eo-s-t . oc b Y\ A L/e RECEIVED 'JAN 2.5 2016 CITY OF LA QUINTA COMMUNITY DEVELOPMENT q4 AT E R ESTABLISHED IN 1918 AS A PUBLIC AGENCY O/STRIG� COACHELLA VALLEY WATER DISTRICT POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711 DIRECTORS: OFFICERS: JOHN W. McFADDEN, PRESIDENT STEVEN B. ROBBINS, PETER NELSON, VICE PRESIDENT GENERAL MANAGER -CHIEF ENGINEER TELLIS CODEKAS MARK BEUHLER, RUSSELL KITAHARA ASST. GENERAL MANAGER PATRICIA A. LARSON JULIA FERNANDEZ, SECRETARY DAN PARKS, ASST TO GENERAL MANAGER REDWINE AND SHERRILL, ATTORNEYS June 14, 2004 File:1112. Buddy Yessayian La Quinta Real Estate Post Office Box 1511 La Quinta, California 92253 Dear Mr. Yessayian: Subject: 53-945_Avenida Vallejo Account No. 606124,271.0.5 In response to your inquiry, this district does riot.'have available information regarding the completion of actual hook up to our sanitation collection system for the above -referenced property'. In researching our records, we found that the subject property has met our sewer requirements. It is the homeowner's responsibility to connect'their pipeline to .the sewer lateral. If you have any questions please contact Rosie Anacleto, Customer Service Representative, extension 2420. RIA:ra bc: City of La Quinta Post Office Box 1504 La Quinta, California 92253 Yours very truly, Richard Shonerd Customer Service Supervisor . TRUE CONSERVATION USE WATER WISELY \NATEq ESTABLISHED IN 1918.AS A PUBLIC AGENCY O/STRIG1 COACHELLA VALLEY WATER DISTRICT POST OFFICE BOX 1058 - COACHELLA, CALIFORNIA 92236 - TELEPHONE (760) 398-2651 - FAX (760) 398-3711 DIRECTORS: OFFICERS: JOHN W. McFADDEN, PRESIDENT STEVEN B. ROBBINS, PETER NELSON, VICE PRESIDENT GENERAL MANAGER -CHIEF ENGINEER TELLIS CODEKAS MARK BEUHLER, RUSSELL KITAHARA ASST. GENERAL MANAGER PATRICIA A. LARSON JULIA FERNANDEZ, SECRETARY DAN PARKS, ASST TO GENERAL MANAGER March 23, 2004 REDWINE AND SHERRILL, ATTORNEYS File: 1112. Jenny Jones Tarbell 78-450 Highway 111 La Quinta, California 92253 Dear Ms. Jones: Subject: 53-945 Avenida Vallejo Account No. 606124,271.0.5 Iin response to -your- inquiry, this district does not have available information regarding the completion of actual hook up to our sanitation collection system for the above -referenced prop6rty. In researching our records, we found that the subject property has met our sewer requirements. It is the homeowner's responsibility to connect their pipeline to the. sewer lateral. If you have any questions please contact Rosie Anacleto, Customer Service Representative, extension 2420. Yours very truly, Richard Shonerd Customer Service Supervisor TRUE CONSERVATION USE WATER WISELY N1 AT E q ESTABLISHED IN 1918 AS A PUBLIC AGENCY O/STRIGI COACHELLA VALLEY WATER DISTRICT POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711 DIRECTORS JOHN W. McFADDEN, PRESIDENT PETER NELSON, VICE PRESIDENT TELLIS CODEKAS RUSSELL KITAHARA PATRICIA A. LARSON September 17, 2003 OFFICERS STEVEN B. ROBBINS, GENERAL MANAGER -CHIEF ENGINEER JULIA FERNANDEZ, SECRETARY DAN PARKS, ASST TO GENERAL MANAGER REDWINE AND SHERRILL, ATTORNEYS File: 1112. Buddy Yessayian Post Office Box 1511 La Quinta, California 92253 Dear Mr. Yessayian: Subject: 53-945 Avenida Vallejo Account No. 606124,271.0.4 In response to your inquiry, all sewer requirements for the above -referenced property have been met. It will be the homeowner's responsibility to connect their pipeline to the sewer lateral. If you have any questions please contact Rosie Anacleto, Customer Service Representative, extension 2420. Yours very truly, /ov- Steve Robbins General -Manager -Chief Engineer RIA:ra bc: City of La Quinta Post Office Box 1,504 La Quinta, California 92253 rci