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08097 (SFD)Building Address W125 Diaz Owner John Nelsen Mailing Address City Zip tractor City jZip State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. Qum&. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City _ Zip State 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,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). O 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.) O 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 pursue to the Contractor's License Law.) ❑ 1 am exempt under Sec. _B.P.C. for this reaso __ r J Date -- I '6�9Owne 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 O 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 I herebyaffirm 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. 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-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip ' i.. .. Vt No. 48097 BUILDING TYPE CONST. OCC: GRP. A.P. Number►Q..9413 Legal Description 1 F► Project Description c s► 0=31ing :9,p;.fi-tn 4A 1-1. -14 *61-4 A_0A 44 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 6,%x19© Permit Validated by: Validation: Sq. Ft. 266ci Size No. Stories No. DIN. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 193,027 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 299.57 Const. 612.50 Mech. 53 ,50 Electrical C Plumbing 157 50 S.M.I. 5_ Grading 20,00 Driveway Enc. 20,00 Infrastructure 287..49 TOTAL VIOLS 3A92 -M. REMARKS :9,p;.fi-tn 4A 1-1. -14 *61-4 A_0A 44 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 6,%x19© Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS A.C. UNIT 2ND FL. SQ. FT. SLAB GRADE YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POR. SO. FT. ® HEATING (ROUGH) STORAGE TANK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS ROUGH WIRING DRAINAGE PIPING CAR P. SQ. FT. FOUND. REINF. 90 GAS (ROUGH) WALL SQ. FT. METER LOOP DRINKING FOUNTAIN. SO. FT. ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED BOND BEAM LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET` COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER FIRE ZONE ROOFING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE MESH ,r INSULATION/SOUND 3 �� 1 STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK j#/,4;M,0 y%* GROUND MB G .wa UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ROUGH WIRING DUCTWORK ROCK STORAGE FOUND. REINF. 90 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ =$ - LUMBER GR. FINAL INSP. >.n FRAMING FINAL INSP. ROOFING �jj,�/ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWAL,L�,t �/ �Q LATHING t bylt O MESH INSULATION/SOUND 3 �� FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Desert Sands Unified School District � C�RTg;;(d "A2TV OF PAYMENT OF CV -`VATS IDO ;U�-;+�i�SCHOOL FACILITY FEES TO: l ' 1 �,� ( ,1 ��1 ► \'I DATE: This is to certify hat VU Vr) w I I Ur I developer of which is located at - within this District, has paid school f cility fees imposed pursuant to the aud�o� t . at d b� � o rumen Code ectiott 53 80 in the M un�tf covering a total of squ a feet of ( ) residential or'�j /� ( ) industrial/commercial 'development and that building permits for 1 Q this footage in this development may now be issued by your jurisdiction. 9 &4"M . �� for DESERT SAN -S UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 I q ��/ESTABLISHED IN 1918 AS A PUBLIC AGENCYn,0��esj�Tq G� "�-, � ®R�`Glo COACHELLA VALLEY WATER DISTRIC�Tre4� POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-371'1' 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 November 18, 2003 File: 1112. Janice Cinq-Mars 54-125 Avenida Diaz La Quinta, California 92253 Dear Ms. Cinq-Mars: Subject: 54-125 Avenida Diaz Account No. =;.r: In respbnsel your -inquiry, this district does not have available information regarding the c6mpletion_ 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. Yours very truly, Richard Shonerd Customer Service Supervisor RIA:ra bc: City of La Quinta 'Post Office Box -1504. La Quinta, California 92253 TRUE -CONSERVATION USE WATER WISELY ESTABLISHED IN 1918 AS A PUBLIC AGENCY COACHELLA VALLEY WATER DISTRICT POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711 DIRECTORS: OFFICERS JOHN W. MCFADOEN, PRESIDENT STEVEN B. ROBBINS, PETER NELSON, VICE PRESIDENT GENERAL MANAGER -CHIEF ENGINEER TELLIS CODEKAS JULIA FERNANDEZ, SECRETARY RUSSELL KITAHARA DAN PARKS, ASST. TO GENERAL MANAGER PATRICIA A. LARSON REDWINE AND SHERRILL, ATTORNEYS September 29, 2003 File: 1112. Tom Murray . Becker and Becker 78-575 Highway 111, Suite 200 La Quinta, California 92253 Dear Mr. Murray: Subject: 54-125 Avenida Diaz Account No. 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. RIA:ra bc: City of La Quinta Post Office Box 1504 La Quinta, California 92253 ., Yours very truly, ar Steve Robbins General Manager -Chief Engineer TRUE CONSERVATION USE WATER WISELY ' COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL Received Fro Address: .. c Account No. / -Service Address Vh' oter(e) W 41f A / 0 O Backflow(e) ❑ House Laterals) O DetectorCheck(s) D Meter Surcharge Sanitation Capacity Charge 5 k 0 O W.S.B.F.C. ❑ Temporary Construction Meter 0, Tum on Charge O Uncollected Account - Name O Inspection Fee -Tract - Fee - O Plan Check Fees Water I Sewer - Tract - ❑ Bond Payment - A.D. - Bond . Assmt. O Customer Deposit O Other Remarks: � W --,5V 0 ❑Copy to: Cash � Check Money Order K G.A. Code TOTAL S $ 60,7 00 6 �.s Water Service Cashier. Y CVWD-438(11189) RECORDING REQUESTED BY SnWART Ti"LE CO .r� AND WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN BELOW V • - MAIL TA% BIATEMENT TO: 1 _ Name John Nelsen Street TOT4-5 Ironwood Drive C' O Address Rancho Mirage, Ca. 92270 J city d d v u A Oy State ~ Z S O MAIL TAX STATEMENTS TO a c W cc Nae grantee, same as the above CL Street Address 3 _$ city If A� sure -- - - TITLE ORDER Na87861—A ESCROW M64 0 5 4 — I R SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ 92.40 XD computed on full -value of property conveyed, or t ❑ computed on full value less value of liens or encumbrances remaining at time of sale. ND unincorporated area ❑ city of AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, RICK L. RUFFALO, SANDI M. RUFFALO, DONALD A. BROWN AND MARY A. BROWN hereby GRANT(s) to. . hn W. Nelsen and Jimmie J. Nelsen, Husband and Wife as Joint Tenants the following described real property in the County of Riverside State of California: e attached exhibit for complete legal description Dated Jan. 22, 1990 STATE OF CALIFORNIA Ss. COUNTY OF 0 L U-erj t clC On this D day of ^ LLG in the year 19 , before me, the undo igneda No y tic in and_ for said State, o ,Ily appeared �-- i � �. �1 A_ Vlrb..YlknewI4404RO (or proved to me on the basis of satisfactory evidence) to be the person_ whose name ', Q" subscribed to the within instrument, and acknowledged to me that the executed it. WITNESS my hand and official seal. �J NOTARY PUBLIC IN AND 1 r I CO -441 (REV 4/85) OFFICIAL TEAL IRENE .�,,.l•I E. RING NOTARY PUBLIC - CALIFCRN:A - PRINCIPAL OFr'm W RIVERSIDE COUNTY ME Cammintar, EW StpL 14, ISSO (iris area br offload notarial seal) TAX STATEMENTS AS DIRECTED ABOVE. 4'73'73 EXHIBIT "A" PARCEL I: Lot 6 in Block 256 of Santa Carmelita At Vale La Quinta, Unit No. 24, as shown by Map on file in Book 19 Pages 44 and 45 of maps, Records of Riverside County, California. PARCEL 2: Lots 21 and 22 of Block 151 of Santa Carmelita At Vale La Quinta, Unit No. 16, as per map recorded in Book 18, Page 99 of Maps in the office of the County Recorder of said County. PARCEL 3: Lot 14 in Block 159 of Santa Camelita At Vale La Quinta, Unit No. 16, as shown by Map on file in Book 18 Page 99 of maps, Records of Riverside County, California. '�r'rr>i7`�''Sr�r'+r, .rw�-a.npv-•-.....� _ a•-�.r-.+.-ate.-,7_.�-s��,;r,�. .._.. �J;"�- �'a�-i�%'. ::f �(:_ �:-r-: QUALITY BLIND BY DESIGN DESERT M (WINDOW TREAT 74831 �relis `lr: G�•, S,,if S: ? Palm Desert, California 92260 4:.. CUSTOM WINDOW FASHIONS (619) 773-5055 LIVLI Q� ;`PLS EASE BE APPLIED O A ADVISED: 25.00 N HOME ESTIMATES WA SURCHARGE ITH H b LESS THAN 3 BLINDS ORDERED.` Customer Name: Date: �!- Address: Salesman: City, St, Zip: E• r "�; rte: -'.. " r.. Home Phone: Work Phone: REMARKS: Customer agrees to pay minimum of $4.00/window if installer has to remove existing window treatments in order to install blinds or a surcharge will be determined at installation time for drilling wall surfaces other than industry standard sheetrock. All orders .will be varified by "Blinds 4 Less" order desk; delivery dates are not guaranteed by any shipping company. Therefore no installation can be scheduled prior to our receiving blinds and/or materials necessary to install any blinds and accessories. Customers will be contacted by phone for installation elates. , N. All freehang blinds cannot touch window frame to work correctly. The' allowable shortest length window is from 3/8 to 5/8 inch above window sill. - "Customer agrees to accept the window measurements on this order" I have read the above statements of release and agree to its contents: Price Total Discount Disc. Total Tax': Installation Totq ---_ Deposit N $ / Balance Due $ rj� . 6 -3 (X) , . >> \ . c' �c s-. Date: Customer signature (s�) are rrl, uired on (pages 1 & 2) of contract. Page 1 ROOM WIDTH 'LENGTH MOUNT DRAW MATERIAL COLOR VALANCE PRICE j. 2. 3.6. 4. —l': / 1 7.;j / .,� r f .. 1 7 8. ;1: • 9. REMARKS: Customer agrees to pay minimum of $4.00/window if installer has to remove existing window treatments in order to install blinds or a surcharge will be determined at installation time for drilling wall surfaces other than industry standard sheetrock. All orders .will be varified by "Blinds 4 Less" order desk; delivery dates are not guaranteed by any shipping company. Therefore no installation can be scheduled prior to our receiving blinds and/or materials necessary to install any blinds and accessories. Customers will be contacted by phone for installation elates. , N. All freehang blinds cannot touch window frame to work correctly. The' allowable shortest length window is from 3/8 to 5/8 inch above window sill. - "Customer agrees to accept the window measurements on this order" I have read the above statements of release and agree to its contents: Price Total Discount Disc. Total Tax': Installation Totq ---_ Deposit N $ / Balance Due $ rj� . 6 -3 (X) , . >> \ . c' �c s-. Date: Customer signature (s�) are rrl, uired on (pages 1 & 2) of contract. Page 1