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0011-038 (SFD)LIC NSED CONTRACTOR DECLARATION 4l 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. bate Date t2-'��ignature 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). O 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 wokers' 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 GoLrpl�1 ftFai Policy No. ` (This section need not be completed if the permit valuation is for. $100.00 or. less). ( );,l 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 p v'gions of Section 3700id�he Labor /Code, I shall forthwith comply with those rov(sions. A Date: Applicant .�/i'�°: Warning:.Failure.to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $1.00,000, 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 atp.� 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. l,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.,,-, property for' inspection purposes' 7 Signature (Own4r/Agent) Ale'1.1 Date571 ��✓ PERMIT # BUILDING -PERMIT DATE VALUATION LOT iZ�-�i TRACT . <<.•�p` 1j )))�,.�I//�y a` 5� y�� y'.9(�,�+• '(fey �y < (F7v -xo(g Y'C�Wu.L - Q� A�'iA.4CO..iVtil 6I6�P JOB SITE _ ADDRESS 54-60 Aqr MA VAYe:{.ai -J0 APN 174-2..81-018 OWNER CONTRACTOR/DESIGNER/ENGINEER 1 "n. avVoil, . .. SUNROM COF:P311.Kilom 76-' 5 LO1 �4 xR X3 a�O RC PX>A 13 'i r CA 971211 PAL�rl;f FZM' -- CA 92260 .(760)145.-7196 C31,0 1.137 USE OF PERMIT sty 'PH M.AXFER TUV4 ..L A PLkK P,ERVIT nOM NOT INN:L1TE0%•6.c.0CK. VroAL4 K?r3L SP -A OR. MMMAY ARPR0ACK TRACT CC`l1vFOTRUC'FION OF 'OAR AGUCARPaRT ft tj ;.42R.00 5 Fr. 'WOOD F LINCE• M.00 LFA F vnwA m $:`ofc1Fr osr C,i.one Yinano,11- .1:137,162.10 .. MUM M 9UMMARY COMTR1,dMON FEE 1033 0"'1.8.000 $661.50 l''►,AN CjiFZ C ME 101-000-439-318 $530.2 [9K DYPOSIT 101 _000.439-� 18 _32501Q9 MMIANICA.#.. OW $53. SDI a R ECTRI AL ME'. 420- W Pi.•1.)3aFBdNCi "St 161-000-41.9-000 ` , X315.13 , STROWO MOTION JM:- WID 101.000-124f-000 SIOMA MADIN'U V= -000-423-000 �au.Qe DFv'GTEjI PER IMPACT.4+1w:Fr PF'2c1SF4 -245 410.0 Pt, Sr..i -TMAL. COW&WlAO.ni'AM PLAW C"HWX . . $3,S47.36 : 1P4:10 TOTA16 094M ):,Vn WE r~lM� 7. DEC 052000 4T 0 Qt- L A QU�� A .. RECEIPT DATE (t % BY/ DATE FINALED INSPECTOR OPERATION A DATE I INSPECTOR OPERATION DATE I INSPECTOR 1191 BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings_ , Ducts Slab Grade Return Air Steel Combustion Air Roof Deck ' Exhaust Fans O.K. to Wrap s F.A.U. Framing 'o s'T Compressor Insulation —pt 1LIC Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final3 / /Q 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 I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines / q 7 - 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 —p Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole - pd 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) f '/ 038 Building4- _�05 �( Je' Address J /`7 '4 ��Itrcv P.O. BOX 1504 78-495 CALLE TAMPICO R L.L 6 TO LA QUINTA, CALIFORNIA 92253 1 I #1� 1< . 7-UVEt- L -- Mailing 7� - p Address ,,, t >_ �� i2 Sn4 A 11 F'. City Zip Tel. P£ierRr Ir Z2 1 f Z GU-O2_77'� Contractor �^ sLJtiRl%sG of ppRP, ..__'z5 Z457S ,0-"-t FRA R a. City Zip Tel. ��L•�-I ! r5.6e State Lic.^� 'l City & Classif. � 3 3 (V Lic. # Arcn., tngr., Designer Address CityI Zip I State I 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,Susiness 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 (8500). 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, Bu/sness 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.) 1'7 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION Ihereby affirm that I have a certificate of consent to sell -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3900, Labor Code.) Policy No. Company r71 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: 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 if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. 1 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 (,ity, State, Zip 0_,,� APPLICATION ONLY BUILDING: TYPE'COLN�ST. OCC. GRP. A.P. Number Legal Description 4e 7- i3/ -)c 30 Project Description -5,/" /'�A'ST6�'Y_ J UVACL L A t a� Sq. Ft. No. No. Dw. Size Stories Units New ❑f Add ❑ Alter ❑ Repair ❑ Demolition ❑ i `4- Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 4, 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 INSPECTOR Issued by: Date Permit Validated by: r)MO Validation: NOV Q 3 2non .•ITY 1— LAQUIN • WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sauds Unified School District 47-950 Dune Palms Road , Notice: La Quinta, CA 92253 s Document Cannot Be Duplicated 760-771-8515 r CERTIFICATE OF COMPLIANCE Date 12/5/00 APN # 774-281-018 No. 21281 . Jurisdiction La Quinta f ,. Owner NameMark Tuvell Permit # No. 54-605 Street Avenida,Vallejo Log # City La Quinta zip 92253 Study Area Tract # Lot # 6 Square Footage 1787 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 , 1,787 or $ 3,663.35 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 / 1 st Bank / Mark Tuvell - Tetepliine 76.0-345:-7186 Name on the check' " By Dr. Doris Wilson Superintendent " Fee collected /exempted by Annette Barlow, Payment Received $3,663.35 r „ Check No. 57142 Signature' (�1 NOTICE: Pursuant of Assembly Bill 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 Distdct('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 RECORDING REQUESTED BY: AND WHEN RECORDED, MAIL TO: s Mark F. Tuvell 76995' Florida Avenue Palm Desert, CA 92211 HJJCJJVK0 YHP4iCL;IVV.. ! /4-401-U 10-4 - I 1 I UI IUCI 01VI ICU VI a11wI kJ) UC1i101U II ILII U 1 vvvv m_"IN g TAX IS: TITLE ORDER NO.: 508732-13 $ 24.75 •County $ City xx computed on the full value of the interest of property conveyed, or ESCROW No.: 6539 -DS _computed on the full value Jess the value of liens or encumbrances remaining thereon at the time of sale. a G GRANT DEED _OR transfer is EXEMPT from tax for the following reason: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Lorraine N. Wolfram, a Trustee of the Wolfram Family Trust dated -July 9, 1990. hereby GRANT(S) to Mark F. Tuvell; a married man as his sole and. separate property all.that real property situated in the City of La Quinta County of Riverside, State of California,' described as: Lot 6 in Block 306 of Unit No. 28, Santa Carmelita at Vale La Quinta, as shown by map on file in Book 19 pages 59 and 60 of Maps, Riverside County Records. Dated October 24, 2000 - STATE OF CALIFORNIA, COUNTY OF ti ON before me Lorraine N. Wolfram, Trustee Notary Public,, personally appeared personally known to me (or proved.to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and r acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed . the • instrument. ` WITNESS my hand and official seal. Signature r MAIL TAX STATEMENTS TO: (This area for official .notary seal) Mark F. Tuvell - 76995, Florida Avenue, Palm Desert, CA 92211 i 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 sUNROSE CORP SITE ADDRESS 54-605 Avenida Vallejo APN 774 _281 _ 019. 'BINNO.: CASE NO.:' 2000-346 LEGAL: ' LOT 6 BLOCK 306 UNIT S.C.@V.L.Q. ` CHECKED BY: Fred',,Baker DATE: 117.9/2000 Inform the assigned Building. plan checker upon, your assignment to this case. The CDD Executive Secretary maintains a logbook to track applications and assign case numbers. a REQUIRED ITEM Y N COMMENT/CORRECTION Compatibility Review Case logged and number assigned Verify legal and APN information Consistentwith MDG on file (as.applicable MDG filing required (5 filings since 9/3/98) V1 ROVED BY COMMUNITY DEVEIOPMENT'DEPT 1B1T Consistency with, street/surrounding area: Colors Materials Architecture CASE NO. Other Requirements: 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'regu/ating building construction or use. For the following: BUILDING ADDRESS; 54-605 AVENIDA VALLEJO Use Classification: SFD Bldg. Permit No.: 0011-038 Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RC Owner of Building: MART( TUVELL Address: 76-995 FLORIDA AVE. City: PALM DESERT, CA 92211 By:. STEVE TRAXEL Date: 05-03-01 Building Official POST IN A CONSPICUOUS PLACE