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0007-075 (SFD)
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.'Class / Exp. Date'fit � Date Signature of Contractor OWNER -BUILDER D5CLARATION I hereby affirm under penalty of perjury that I arri 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: PQ_ 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 workers' 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: Carrier 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 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 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. . Date: Applicant 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. T' 1: Each person upon whose behalf this application is made & each personndat t 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 authorize representatives of this City to enter upon the above-mentioned propertyfor rspec( on purpose. Signature (Owner/Agent) Date r PERMIT# ' BUILDING PERMIT . DATE �w VALUATION �` _LOT��"�? TRACT JOB SITE ADDRESS 52-950 .A.VF.MDA.IrMIA. APN 77 338 ' D. OWNER CONTRACTOR / DESIGNER / EN INEER JOB W. 8'S"r iV2kA O '.EY2WI%LDMI 42453 v�A�rGs�oi� �'��s LAQWAilA, CA 92253 USE OF PERMIT VD -PERMIT OES 'NOT INCLUDE k LXJCK l'd.Eil..i.,S OR POOL.. r TAAC.T CONSTRUCTION 1,409,00 sP GARACII`!C'A,RPORT (SF) 0, 172.40 5 FT. WOOD PENCE 200AW LF ?�tq��"`�lil�.:`i:�1? +�C3a�` OF CONSWR U'�S` 0.0 8S 39 ,10 q �. � �p �'6 [y'pyo,�q g 2 P11-RMT P11-RiVL T TIER, 9u YA.CV.t bl.bY. II� CONSTR.0 T1OA1 101-000-418.000 $590,00 PLAN 6HECK.. M 101 -(?Cllr) -439-318 $495.21 11AP.Cll l'!+NICAL TARE 101.000-421-000 $5150 ZI..F'.CTR1f o'.AJ..M1a 101.0011 -420 -WO $12910 P%LIMP+ING FU 101.000.419-000 $110.75 S` ROM MOTION PUS • RESSID 101-000-241-000 .$3.0.4 C111ADINO .FEE. • 101.000.42-OC1CD $20.001 Jf FIVEI..OPPIR IMP_AC"f MEV. PRi?C11ft PIAN >. 101-9007441.345 $100.00 I:EN DEPOSIT � 1014000-439-318 .,$a30.t1i1 'c�`c�T-'IV.rAL CIEf&l:W�:�C1C $3,41430 $rptLES13f':'A17JFEW 750.130 3°C)'ir'.Ali.-PYR'MS'I' 7�'i+�ES.17"i7E1' OW $,3,16460 :0 � .20 - • '�; RSG �'°�; s RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings �f�_ � Underground Ducts Ducts 3 Slab Grade a Return Air Steel Combustion Air Roof Deck -d O S Exhaust Fans O.K. to Wrap 4x0 F.A.U. Framing IfCompressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 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 Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Water Piping 7Heater .53 Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection - 's,- do Encapsulation Gas Piping Gas Test 2 ( cam Appliances Final COMMENTS: Final Utility Notice (Gas) 6� 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 Utility Notice (Perm) ` ^ '.. � yam. /.�ol ✓� 1 ✓ Building Address 9?4. a 4 " P.O. BOX 14 78-495 CALLE TAM TAMPICO LA OUINTA, CALIFORNIA 92253 Owner (fie10 r-171`1 z %. p BUILDING: TYPE CONST._ Addres 33) +"'�iAt✓�, �i Ai�'� 7'i A.P. Number JIM (y Lo -x.1(0 S2,. '! T� Legal Description Contractor �.� Proct Desc iption F Address ✓l� i City Zip Tel. State Lic. City & CIassif. Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION I helab affirm that I am l!lcensed�ulnde—Nytsgtons of Chapter 9 (commencing with Section 7000) of '4fsfon 3 f the BLsines� and'Professibns Code, and my license is in ful cob effec / �t,,JJ SIGNATU(•� DATE OWNER -BUILDER DECLARATION I ereby 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 rile 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 (5500). 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, 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 orimprovement 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.) II I, as owner of the property, am exclusively contracting with licensed contractors to con. Sir 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.) i ] I am exempt under Sec. B. & P.C. for this reason t Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a c ifi d c py th¢rebI. (Se 00, Labor Code.) Poli No. Company n LL``// ^Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundred dollars (E f 00) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any person fn any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: IL alter 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. 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 a0plicant —Date— Mailing ateMailing Address City, State, Zip APP LIC O L LLIOCC. G P. vl fav Sq. Ft. Siz 6Stories No. 1 No. Dw. — --�' J Units New" Add ❑ Alter ❑ Repair ❑ Demolition ❑ "A `-J Mr Estimated Valuation PERMIT OUNT _�, Plan Chk. Dep. v Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL L CJ REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Set)ack from Center Line Side Setback from Property Line i FINAL DATE INSPECTOR F; Issued by: Date Permit f f Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING f)IVISION Desert Sands.Unified School District, 47-950"Dune Palms Road Notice:La Quinta' `CA 92253 Document Cannot Be Duplicated 760-771-8515 t ,. . CERTIFICATE OF COMPLIANCE - 7' - µ Date' 8/7/00. ,. APN A 773-334.011 No. 20848 Jurisdiction La Qutr_ta r } -Owner NameJoe Stemmer "_Permit # "` r No. '52-950- 'Street ,Avenida Villa, Log # _ 'i `City La Qizinta Zip 92253 ~Study Area e -Tract # �- Lot # Square Footage 14C9: - r.Type of Development' Single Family Residence ; No. of Units I �.: .. 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 1,409' or$ 2,888.45 i 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 CCNalley Independent Bank - Vicky.Stemmer Telephone 3W-9375 t Name on. the check By Dr. Doris Wilson - o� - Superintendent Fee collected /exempted by Ellen Patino Payment Received h; ,$288II.45 ' .. f. Check No. 227243 Signature' = f 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 me.- protest the fees orother payment identified ` c above will begin to run from the date on which the building or instillation permit for this project issssued or on which they'are paid,to the Oistrids).or to�another public entity authorized to r• ♦ collect them on the Distrlct('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or cityplan. check application form to district copyfor all waivers. Embossed Original -Building Dept:/Applicant Copy- Applicant/Receipt' ` Copy- Accounting z . Sent b,y4:,-. Jun -07-90 03:35 -RECORDING REQUEST.,b BY: CHICAGO TITLE CONPPi y CtWWAY 9959KC " ' 207,056930 ww0B R D �0�6 D' L , L JOB W. STEWSR, .^- and VICKY STEMMER j• 77$05 bELA.WARE SLAM PALM DRSERT, 044 421111 : Cron 76E�, 25H338. 3458141. Page .2 Pape 1 of 2 Dog T Tax Paid. ;V Reoordod lei Offlolal Reoord9., V County e4, NtYorr`Ide Oary 6, orso Assessor, County.Clerk 8 Recorder 1111111111111111111 till 1111111111111111111 ThF, undersigned gzrtor (a) declares) . �ia.C)• h � Baxy t-ransa mcument.. tax i5 $17.60 (XXX) ComptxCecl c,n j ull value cf Vfbo u:�t:ty oonveyeci, or ( ) Computed onlull value less liens and encumbrances remaining'at time of sale. ( ) tinincorpurat�'0d area; City Of and FOR A VALUABLE C01.7$ZomTION, receipt of which is hereby acknowledged, � THCM7ASAQUINAS COT4201P herftby MANT(S) to. CK as Jos ia. Z;TEMMRR, JIZ; and VICKY. STFs�M[9R, hxlsbRnd and wife /`as Joint fe�nt•a alae .real. property in the, City of,.LA QUINTI►, County of Riverside, Stateof California, r� Araroariberf "at Lot 16, Block 198, °11nif. No. 15., 'Tract Santa Carmelita at Vale La Quinta, as per mar ✓ recorded :in Bonk 15, paile(s) 92 incluslve of msapsa, in th•a office of. the Gounry Reco'zdez- 4-6 of 196jar County. • Dated May 16. 20014 State of, ralifo3cnia - THOMAS AQUINAa COLLEGE County of AMJ(ta On wb\.c. _-- _ _- --•personally appeared BY Gr i11M a G a Tit .0 pereonallyk~ nown t, me ( — t� to bet ame/Ti.tle the person(s) whose name(s9) 4-s/are subscribed T to the within instrument and acknowledged to x, me that m/th ex-eruted the same in Me /thei.r authdriaed capacity( 6 , anti t that. by We4 i /emir signature(n) on thfa instrument the perton(m), or the Pntity up,)n0 behalf of which th person a) acted, executed � a ift"WkM— f the insatrumen.e. MdCaaommom Amu =I WITNESS my hayid ancj official seal. Signakaare (.E'R! .�j+, _ (This area fur official notarial near) MAIL TAX STATEMENT T0: , ame nn n.bovr # �r ••. ' WMU d62.10 4102- 8T -M.0 . . , J iL-26-2000,12:12F. FROM California Land Title Association: . Your " Ref , ` ` _ t . SCI-MDULE A ' 9959 -KC TO:5642627 .; �f A. N „ P: 2/5. Interim Binder Form A . �• t Liability: S $16, 00o;oo. Order. No.207056430 F03� Dated: JUNE, 2', 2000 4 at 7': 30 AMA. Fee: $ $462.00 .This Binder is addressed to:.'^ ' • `-: �, - JOE W . ' STEMMER , 'JR ` and? VICKY STEMMER : 77855 DELAWARE PLACE PALM -DESERT, CA. 92211 of Policy to be issued: Standard Coverage Extended Coverage r -Form ..CALIFORNIA.'LAND TITLE ASSOCIATION STANDARD COVERAGE POLICY t =:f- •* .'4.. Nime'of party in whose favor an estate, intZrest or.lien is to be created:. A purchaser from the vestee shown in Paragraph 3 of this Schedule A a _ r it 2' -"_The estite or -interest in the land described or referred to herein is: ,. A FEE . 3 Title to tiie estate or interest covered hereby at the date hereof is vested in:' ' JOE W ; , STEMMER ; JR. and. VICKY STEMMER, HUSBAND AND WIFE, AS JOINT, TENANTS 4. Thi land referred to herein is situated in the State of California, County of. RIVERSIDE'. and is described as follows: y• -• •{;�L'OT E r4•�h.; .. - ^:,� �, 1. 16BL�OCK_1_48._�:' vOF_.'St-N_T-A.yam-C. .A�R�MEL.I_T�A ATp. V'A':.L_. E�,y _. �#.. .LA_QUINTA, UNIT 15, IN�TH6 CITY OF" LA QUINTA;'COUNTY, OF_'RIVERSIDE, STATE OF'CALIFORNIA;: AS_ PER. MAP .RECORDED;INzBOOK`y - r .. 2'8, PAGE 92,,—OF_MAPS,_„IN„THE;:OFFICE;OF THE zCOUNTYzRECORDER -OFzSAID COUNTY. ' { SA-02/23/WAA - CHICAGO TITLE • INSURANCE COMPANY. JUL-25-2002- 12:14P FROM: T0:5642527 ` P:5/5 4 1 -HO •' ' 'till I It z * 0-.14 2 J H y CYSENNOWER ORNE ° y /A+'enitlo SorroJ � t1 a - h h +q - AV£N%OA MART/N a• ° EI o a' "4 1 a BLOCK 1 't 4. y pp7(;c q BC C tv N3 ru p (5) S s ® ' c 'c r �p p v " ® � 2@ r 0 t1 a - h h +q - AV£N%OA MART/N a• ° EI o a' "4 BLOCK 1 Z 4. y pp7(;c q BC C tv N3 ru p (5) S s ® SM 'c r �p p v " ® � 2@ r •,ISN c � o b 7 � w y M w ti ��, ®! / 9 1,45 iv sa sn A+ �. t1 a - h h +q - AV£N%OA MART/N a• ° EI o a' - t AV£N/DAI IV t MENDOZA "4 BLOCK ~' Z 4. y pp7(;c q p v s ® ©ok 'c r �p p v " ® � 2@ r •,ISN c � o b 7 � w y M w ti ��, ®! / 9 iv sa sn A+ �. /46 - t AV£N/DAI IV t MENDOZA AVENIDA ia� V/LL A ;i '3. •- :aS ,n,, t Sw 1 -- .BLOC � -ti � .• :.7 � ° gal i" v 0 �cb p. � �IFL N b b •N= e h .. w atr / B -` AVEN/OA NAVARRO �• (_� b� _ v "4 BLOCK ~' Z 4. y pp7(;c q p v s ® ©ok r �p p v " ® � 2@ r •,ISN c � o b 7 � w y M AVENIDA ia� V/LL A ;i '3. •- :aS ,n,, t Sw 1 -- .BLOC � -ti � .• :.7 � ° gal i" v 0 �cb p. � �IFL N b b •N= e h .. w atr / B -` AVEN/OA NAVARRO �• (_� b� _ v (A "4 9000 r �p p v " ® � 2@ •,ISN c � o b v � w y •► w ti ��, ®! / 9 iv sa sn A+ �. (A 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 reglzire 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 ekplanations as necessary. APPLICANT JOE STEMMER SITE ADDRESS 52-950 Ave_ riida Villa APN 773 - .6 BIN NO.:. CASE NO,:. 2000-285 LEGAL: LOT 16 BLOCK, 148 UNIT k 15 S.C.@V.L.Q. CHECKED BY- Fred Baker 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 f Case logged and number assigned Verify legal and APN information APPROVED BY COMMUNITY DEVELOPMENT DEP Consistent with .MDG on file (as.applicable • DATE - -24� cel EX MDG filing required (5 filings since 9/3/98) ASE NO. Consistency with street/surrounding area: Colors Materials Architecture Other Requirements: r I City of La Quinta Buildin_.and Safety,Department0 .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 - comp/iance with the various ordinances. of-the,City regulating bui/ding: construction or,use. For:the following; BUILDING ADDRESS: -52=950 AVENIDA. VILLA Use Classification:- SFD Bldg.. Permit No.: 0007-075 Occupancy ,Gro,up: �R 3Type:'of Construction:.' VN Land Use Zone:.. 'RC Owner'of.Building: :JOE W. STEMMER JR 'Address: 42=335 WASHINGTON4355 City: LA QUINTA, CA: 92253 sy: STEVE TRAXEL - Date : 12-11-00 Bu:ildi.ng Official POST IN A CONSPICUOUS PLACE