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0108-225 (SFD)U) (V • �. O co �aU-) W C Z coo O• o H� J IW— a U) Z M LO N ON U 0) CL Q Z LO - Cc 0 0 J J mUU O � 0, q,j- Z_ cb 5 CY Q J 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+ ' L7CiJ::1- \.JdAL f..:\D,I�E ►DFl� �!I'3LW�1Ajjl S.I.M.'Ly�lryili1rAT )iyvyjJ4 :^-�'�Q .E.��rWi� l.-]�.G�^.S .C?Jii+I .G".Ci14'6i 11T'�1, CMS 1l '�3 117E .f OW �'9./•�7 �i. �i'�/ 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