0108-225 (SFD)U)
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LICENSED CONTRACTOR DECLARATION
I hereby affirm ynder penalty of perjury that I am licensed under provisions of
:i 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
78954.0 B 1.Fa '9
ate p �^ Signature of Contractor4✓^� �v
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.
4I have and will maintain workers' compensation insurance, as required by
on 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 STATE FUND Policy No. 04400,00;6,0:1,°7
(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 sh
.9ulcLbecome
subject to the workers' compensation provisioS of Section 3700 the Labor
Code, I shall forthwith comply with those pr6visions.
Date: ,• - T Applicant if f �`.
/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 isr,uance 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 fo Inspection p rposes%' '
V; Signature (Owner/Agent) -� +'�� Date•242-- `3� •u'-�,/
BUILDING PERMIT PERMITk
DATE VALUATION LOT' TRACT
1tP7,3l�e.�f1 10 BLK 169
JOB SITE
APN
ADDRESS 52,045 A'iIOMM'Z IAZ
71113-311-015
OWNER
CONTRACTOR / DESIGNER / ENGINEER
AU, AMEMCM .1.10 E BUMEM'S INC
ALL ANSWC i HONS BUUZ' INC'
'76995 FIX)RIDA AVE,Ula
+ 6995 19,0KWA A AM
;RALM. i31::SKIRT CA 92211
PA.T.M DES})it'1° CA 92211
(760)2.00.02'17 MIA 63'; 3
USE OF PERMIT
MN GURAMUff 1C3Y�'.��'J"O
SPO a IDT 10, M9 -A5 ER TUVELLA R PI*.1LMIT LX)ES NOT 1'Alr..LUD9
13W01'K %V,AL1A P001 ;SPA OR. T312MWAY A.PPROACR
T:tC:l�." Cle+iYS 13RUC 1 OA ty / OnG a7rd
0ARAGMAiI2PORT . 430.00 SI?
5 FT, W4iC?D PENCE 200.00 'LF
�
EVETMIA.`3.ED COST OF C:ONS'nWC110H
107,162.10
(X)I4 ±# i 13.1 ti:'1`ION ME 101.060-418-00.1 0671150
I
PLAN CHECK FILE 1€11-000.439-318 0*24
FER DEPOSIT 101-,000-431)-'318 4250.00
i�ttErfix�irry�y,t* ICA[7.�Y1t?J% 1-:3E;1r:42�1-It;4[0�0
51 R*55.50
17rIA"O T F�+..I�.�•L• L FEE f, 01-000-420.000 rS1 _t.9, dS
PLUM SINO f -TZ 101-000 419-000 $114.15
72
STRONG MOTICM FE - RESID 101-0007241.000 SM72
RAT)nlO I PW, 101-1000-1423-000 320.00
DAFE PER IMPA±:G"P FE.Ei 1,�1A7.AP
PRYC°ISE PIAN 101-000.44'1.,.34:5 $104.00
` f+
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M.
OCT 09 200OF: LA QUINT1
C FINANCE DEPT --
7•
RECEIPT
DATE
BY r
DATE FINALED
INSPECTOR
?^ r 77 1
.%@•r
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Forms & Footings
Slab Grade
_1,, t%
I "'
_
r
Underground Ducts
Ducts
Return Air
Steel
_C
Combustion Air
Roof Deck
y2 ? D (
Exhaust Fans
O.K. to Wrap
Framing
_ -0
_
Compressor
Insulation
%ZL ���
Vents
Fireplace P.L.
7Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
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 LinesLO�
Water Piping
(
57
Heater Final
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Seaver Connection]
Gas Piping
/LQ /® /
l_
S'
Pool Cover,
Encapsulation
Gas Test
C) —
7,-,-_z_/E77
Appliances
Final
COMMENTS:
w
Final I 0A
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 =2--a _ lU L
Utility Notice (Perm) 3-5.2
Notice:
Document Cannot Be Duplicated
Date 10/9/01
No. 22564
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
Owner NameAll American Home Builders Inc.
APN# 773-311-025
Jurisdiction La Quinta
Permit # 0108-225
No. 52-945 Street Avenida Diaz . Log #
City La Quinta Zip 92253 Study Area
Tract # BLK 169 Lot # 10 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 / Cashier's Check - Mark Tuvell Telephone `;
Name on the check
. F
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Annette Barlow
Signature ULv Vu W
Payment. Received
Check No. 60445
$3,663.35 -
NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) 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 DistrictCs)(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
'.111�01NG REQUESTED BY:
Re�Max Real Estate Consultaats/Escrow
Division
AND WHEN RECORDED MAIL TO:
AND MAIL TAX STATEMENT TO:
AJl American Home Builders
76894 Florida Ave.
Palm Descrt, Ca. 92211
Order No.
Escrow No. test)
Parcel No, 773-311.425-3
Z-
COPY of Document ReCOrded on
( as NU. �_;'�;L3
has not been compared iNith original.
FRANK K. JOHNSON
County Recorder
RIVERSIDE COUNTY CAUTA
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DVCLARE(S) THAT DOCUMENTARY TRANSFER TAX IS $4. "" see PCOR and CITY $
computed on full value of property con4eyed, or
computed on full value less liens or encumbrances remaining at the time of sale.
unincorporated area: OR JX City of Le Quinta and
FOR A VALUABLE CONSIDERATION-; receipt of which is hereby acknowledged,
Diane K. Sedin, an unmarried woiman
hereby GRANTS to All American'Home Builders Inc., a California Corporation
the following described real property in the County of Riverside, State of California:
Lot 10 in Block 169 of Santa Carmelita at Vale La Quinta, Unit No. 17, as drown by map on fife in Book 19, pages 19 and 20
of oups, Records of Riverside County.
Date August 9, 2001
STATE OF CALIFORNIA }
COUNTY OF (00 }
On 3-0o / before me, the undersigned, a Notary PuNic in and for said County and State,
personal) appeared Aisne K. Sedin personally known to me (or proved to nie on the bash; of satisfactory evidence) to
be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledgi:d to me that he/she/they
executed the same in his/her/their authorized eapacity(ies), and that by his/her/their signatu,e(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my d officia! seal.
sti,tor7#12-402177
N
SignatureNaf�ubJrrnloRiversids
County
AMIDEPARTIVIENT UINTA
ANG & SAFE
OF K
777-7012
�INSPECTION. REQUEST LINE
x61,77-7153
Owner ALL �I HOME! BUILDERS, INC.
- I
Contractor
Permit Number t \'
s POST ON JOB N SPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 52.-445 AVENEDA DIAZ
SFD - LOT 10. MASTER TUVELLA -PERMIT DOES
NOT INCLUDE BLOCK WALLS, POOL/SPA OR
DRIVEWAY APPROACH
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING .� .
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB f _-
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALvABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- AJC
s FIREPLACE
ROOF 7 -rl i
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION G
PRE -ROOF
i
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNE
l DRYWALL INTERIOR -
EXTERIOR LATH
POOL PRE PLASTER
I POOL FENCE & GATE
SEWER SEPTIC TANK Q —,;21.
FINALS
FINAL GAS TEST Z -115110 -dr. W&011�
HEATING - AJC
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER'"""
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:
SINGLE FAMILY DWELLING
52-945 AVENIDA DIAZ
R3 Type of Construction: VN
Owner of Building:. ALL AMERICAN HOME BUILDERS,
INC.
—T—.4, /4M47
Building Official
Bldg. Permit No.:
Land Use Zone:
0108-225
RC
Address: 76-995 FLORIDA AVENUE
City:
PALM DESERT, CA 92211
By:
Date:
RICHARD KIRKLAND
FEBRUARY 20, 2002