The URL can be used to link to this page

0102-021 (SFD)U) 1— N t) W ouch CY Lr) Lu r OZr` coo 0- H� LIJ Lu a. U) Z co U0 N p N U °) dQ Z Cr `r Q, O X W;,�= m Q�U d tl 0) � Z cb r` d Q' W [:9 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. Clan�s--s--�� exp. Date ate ) -- r Signature of Contractor •rte? l �" 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. (r)'' I have and will maintain workers' compensation insurance, as required by jion 3700 of th'� ' Labor Code, for the performance of the' work for which this e�,mit is issued. My workers' compensation insurance carrier & policy no. are: Carrier � j � 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 employany person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become sub/ ct to the workers' compensation p ovisions of SEFction 3700 of; the Labor Code, I shall forthwith comply with those provisions,./,, gate: 0 5- �d Applicant"%rte Warning: Failure,to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalti: s 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. t. IMPORTANT Application is hereby made to the Director of Building and Safety f..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 i 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 authorlize representatives of this City to enter upon /thebove-mentioned propertyfor inspection purposes.ture (Owner/Agent) �. -a ye- . _Date• " A••/ •,.r- -....- T: a 'i .. BUILDING PERMIT PERMIT# DATE VALUATION LOTTRACT 9'c3i3 1.'1.4D ! RIX, 165 :717 JOB SITE ADDRESS 5,;2�Q APN 44-4444 AVE KDA DIAZ It" M.=1_01 1 OWNER CONTRACTOR/DESIGNER/EN INEER LEMARD M. MlEMER L-001VI A M..1t1MER 41BYX 2$16 USE OF PERMIT y �9±pf�.F'IiCO`J.V.tA l' OL'1E� AIK]'i' ii'��L1fl7E 13b.!�tC'�'4�'.1,.1..;isdl�t�t"+1_.ftyk;J"�'ff;a��a.'ii" �1'`i�t�.�2.��9.t•1 '1`1iACT cows- a?1G':11oN. 090.00 LSyT{� 140R[:11IPAToO 97AID SY'' N&fftAOFICARPORIT (166) 9'"0'00 3 FT, Vd'OODFLT'f CE xfiiL00 I..P c01.1sy1'mi0n.av"RIP; 101.000.418.000 $635.00 i,'JLAN' a.=H'C+C:&; Pulp i i1 Ci(ki--# 19- 3 $ 3 33. E MWIWHCALIATZ L,LE,C RICAt, IYE Z01.-(iik� d21.1 fa�YC $a�<.I.i:s .: lmf.�lJ�iV113+10 k;atl 32?'�v.G;flf1�l b�►wCffh $'!'1.�,�4 P RCYNO, M0710N?ZE-ICE-= 14x1 C4Jf�- � i3difi R9.�'0 .f5AD fi M.1�J1�t90�1L=t :3w{1t`�3 � t,t10 r1#.rY' PF.R.IitdRAC1 PRE ;,40 :fii1 MEMO PLAA 101 -0*0441-341 M0.00 k'`%�t£ �f�P?i�li1'y � 411-f,1Qt�"t��r••;3 9 £S �'�%Sak. (i!i i �. W y 9 A ND PIAN MM cp 1=1117 1.Pr%'1F11�PPV11D EMS 4250.00 FEB -06 20101 TOTAL 1`7ERMT1,S: IIF, Tic; w 1$3 RECEIPT DATEf �%� Y r11-1/`1 DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR ; djng okdr`1 r — 7.X0 Address '7 ner Mailing Address City Add ty lZip T4hf 4 4 auk& P.O. BOX 1504 Ve J 78-495 CALLO LA QUINTA, CALIFORNIARNIA 92253 State Lic. c, City 8 Classif.'s 5- d �_l _ �,� Lic.# Arch., Engr., Designer a_ Address Tel. Cit Zi State �/ ), it Ta p Lic. # LICENSED CONT��CTOR'S DECLARATION I hereby affirml�at I am licensed under, orovisions of Chapter 9 (commencing with Section 7000) of Division of the Business and Prof ssfons Code, and my license is in f II 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 thealleged 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.) 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 doesnot 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.) 11 1 am exempt under Sec. B. 8 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 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 subjectto 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 1 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 sof this city to enter the above. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip APPLICATION ONLY BUILDING: TYPE'CONS—T.1 OCC.. GRP. A.P. Number l -I � — -:� Q Q — Q'' Legal Description Project Description '5� As191,91 - //A G �Q s Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add O Alter ❑ Repair ❑ Demolition O PL -mint rm u_�-c _ A<, S3 •Co(5S Ao Cq-(li *j Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. `Jc) 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 �t Street Setback from Center Line d Setback from Property Line FINAL ATtfa INSPECTOR Issued by:-Permit- 4 Permit 4a;,IueByd 6yr Validation: WHITE = FINANCE YELLOW = APPLICANT r PINK = BUILDING DIVISION Mn Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 Date 2/5/01 No. 21620 Owner NameLeonard M. Meier CERTIFICATE OF COMPLIANCE APN # 773-282-011 Jurisdiction La Quinta No. 54-720 Street Avenida Diaz City La Quinta zip 92253 Permit # Log # Study Area Tract #- Lot # Square Footage 1590 Type of Development Single Family Residence No. of Units 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 1,590 or $ 3,259.50 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/Barbara Meier Telephone Name on the check ,%-1 _ , By Dr. Doris Wilson Superintendent Fee collected /exempted by Ellen Patino Si1; nature / Payment Received f .•$3,259.50- t Check No. 241403249 40TICE: 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 ibove will begin to tun 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 bllect 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 JAN 26 2001 15:12 FR FNT pjECCf0WG REQI'+-7a1E..J dT FlDEJTY NX -1 cc rr RECORDING REQUFSIP.D BY AND WHEN RECORDED MAIL TO: Leonard M. Meier Barbara J. Meier 909 890 3609 TO 917607739289 C� df 'DocNment Recorded a P!o. 0MV (-Z. hac- . •cit beenn, co.—.pared --mith original. FRAN!" K. JOHNSON County r acorder NiVEflSi►7C CG_N'Ty, CALIFORNIA A.P.N.tj773=282=011&012 TRA 11: 020017 Order No.: 549369 P.04/04 Above This Linc for Rccordees Use Only . .. Escrow No.: 2,32301 GRANT DEED THE UNDMMGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $58.30 Icomputed on full value of property conveyed, or computed on full value las value -of liens or encumbreneev remaining ai time of sale, unincorporated area; [ ] City of La QuiAta_. and FOR A VALUABLE CONSIDERATION, Receipt of,which is hereby acknowledged, ' Janice Ann Via hereby GRANTA Leonard M. Meier and Barbara J. Meier, Husband and Wife as Joint Tenants the following described property in the City of La Quinta, County of Riverside State of California; Lots 12 and 13, Block 165, Unit No. 17, Santa Carmelita at Vale La Quints, as per map recorded in Book 19, Pages 19 and 20 of Maps, Records of Riverside County, Qd fornla. Janice f= Via Document Date: „hkoa tuber 6. 2000 STATE OF CALIFORNIA )SS COUNTY OF lDs_ja4gaut,e.s ) On Aie.�ew�lei, rdt;i antro before me. K��1.a.�� bl..�.�w�sta.._ tt�o..w a�.btie Personally sppca:ed 06 (or provcd to me on the basis of saosfaotory evideacc) to be the parson(? whosc rmmc(* istm sobscn'bcd to the within hatrumcmt and aclmowledged to me that hdshelthey cxctaaW the same in bk&cddwk authorized capacity(in) and that by his&cridwir a4naure(4 on the instrument the person(* or the entity upon behalf of which the persan(*acted, executed the InstZm -t WITNESS my band and official seal. This area for official notarial seal. Mail Tax Statements to: SAME AS ABOVE or Address Notes Below ** TOTAL PAGE.04 sole 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 ' EONARD ME I ER SITE ADDRESS . 54-720 Avenida Diaz �APN� - 29 2-- al fyLEGAL: LOT /Z ff '1 3 • CASE NO.: 2001-390 BLOCK �UNIT % S; C.@V.L.Q. CHECKED BY: Grecs Trousdell 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/CORRECTION Compatibility Review Case logged and number assigned Verify legal and APN information Consistent with MDG on file (as.applicable MDG filing required (5 filings since 9/3/98) Consistency with street/surrounding area: e / -/ ` � Colors ��I� oA 00, D $' toe Materials p�1 urf,� I I oe� ,O , Other Requirements: eye, \o�y 0 . . t L . >1 ( v° 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: Occupancy Group: SED 52-720 AVENIDA DIAZ A 3 Type of Construction: VN Bldg. Permit No.: 0102-021 Land Use Zone: RC Owner of Building: LEONARD M. MEIER Address: By: STEVE TRAXEL Building Official Date: 06-01-01 POST IN A CONSPICUOUS PLACE