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9801-153 (SFD)
LICENSED CONTRACTOR DECLARATION I hereb;r 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 # ,� j Lic. Class Exp. Date /ate' -37/) f Signature of Contractor OWNER-BUILDER,DE LARATION I hereby affirm under penalty of perjury t t 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 & ProfPssinnRls Coda) 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&RC. 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. ()() 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 �provis�io�ns of, Sec 'bn�of the Labor /`Code, I sha I,fort ith comply with t . ose. rov s,o Date: ' 7 Applicant W rk rs' Compensation overs a is unlawful and Warning: Failure to secure�, owe p g shall subject an employer to criminal penalties and civ, fines up to $100,000, in addition to the cost of comp ne sation, 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. f 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 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 th a above-mentioned property for insp6ction purpov-sem e ✓ .���,/Signature (Owner/Agent). Date• / PERMIT# BUILDING PERMIT CONTROL# DATE - VALUATION LOT :980145.3 TRACT 860.7- 6®7- l S42,608.70 16 BLK 93 JOB SITE APN ADDRESS 52-130 Ai�'.�s'� INA VILLA 'i7� �3A-46i1i OWNER CONTRACTOR/DESIGNER/ENGINEER WORW DEV1rLOPN[ENT WO&L;l3 DEVELOPNIENT PO BOX 13287 PO iRO;C 1.3267 I._A. QUINTA C 1# 9:2253 LA QUINTA CA 4.",253 M4)772-1919 rlBG# USE OF PsnP.41T r.: StD-.PERWT DOES NOT INCP,UDE BLOCK WAILI 8 OR POOIL � 3 TRAM, CONSTRUCTION 1,300.00 8F OR J. 3 1999 P©RCTWA:T10 GA1d..AGE/C RPOR.T 462.00 SON �.® 6 FT.. WOOD FENC Z 200:00 L1 � 01jiNTA 1a INATED COST OF CON 4TRI101ON �12,t►41A.7t9 P'EREt1!`T FEE SUMMARY CONSTRUCTION FEE 104-000-4,18-000 $563.00 PLAN CECK FEE 101.-000-439=318 $477.48 ' :MECHAMCAL :!" EE 101-900-421-000 W-00 FIL C R CA1, 1- . t01-000-42.0-000 $e118.24 P1111JIM ING IF E $ 7.21:50 STRO140 MOTION FEE - RE90 '101-000-241-000 $8'26 GRADING- 101-00041,37000 5.20.00 51°]FRAS`tRUC 'UR'e Flirt. :225-00"43-342 .11RECIS.E PLAN 1'q1-ttoo- i ti-3�f5 2S.tii� .SUB -TOTAL CONS'fRUC"QON A.ND PLAN CHECK LESS PRE-PA113FEE, S 42-50,01 TOTAL PERMIT FEES SUE Now RECEIPT DATE BY DATE FINALED INSPECTOR INSPEC'YION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings) _ _ Ducts Slab Grade Retum Air Steel _v _ _ _ _ Combustion Air Roof Deck �' Exhaust Fans O.K. to Wrap _ F.A.U. Framing 7f Compressor Insulation ,/ y,"t— Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath _ C �� a 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 Waste Lines� Electric Final Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection �� Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) r ELECTRICAL APPROVALS Temp, Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Furfures' Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power t . c Final Utility Notice (Perm) -Occu anc = Ceirt�fica te,.,of : . Ci of La Quanta. s Building and Safety Department OF This -Certificate issued:pursuant: 'to the requirements of Section ' 109 of the Uniform Building Code, certifying that, at the tirne of issuance,, this structure was in compliance with they various ordinances ,4 of the Cityregulating building construction or use: For the fol%wing: BUILDING. ADDRESS:. 452=130 AVENIDA VILLA = ` Use Classification: ..SINGLE .FAMILY DWELLING Bldg.. Permit No,: •9801-153 - - Occupancy Group:. R-3 Type of Construction: VN Land Use Zone: RC Owner of. Building.: WORLD DEVELOPMENT Address: ,PO BOX 13287 T City: LA QUINTA, CA., 92253 By: DANIEL P. CRAWFORD.JR. Date: 6/8/98 p:. Building'Official r + ; POST IN A CONSPICUOUS PLACE,. ,�k' - ' .t qui-�s-3 u�lcicv P.O. BOX 1504 APPLICATION ONLY Building 78-495 CALLE TAMPICO Address SZ - �� l/eLG LA QUINTA, CALIFORNIA 92253 Owner Mailing BUILDING: TYPE'C-O�•�NST. •� LCCC. GRP. Address A.P. Number i 73—.23 4— 607 1��� 77P Legal Description ractor Project Description ty State Lic.City I -7G/5j 6 7 Lic. # �v & Classif. Arch., Engr., Designer Address Tel. City IZip I State I Lic. # LICENSED CONTRACTOR'% ECLARATION I hereby affir t ehl•am licenaedtler�lrov�ls Y�hapter 9 (commencing with Section 7000) of ivis o 3 of ifie rugines and.Profdssioe o e, and my license is in full force and effect. GNATUR i DATE OWNER•E•.,I,L•GER DECLARATION hereby affirm that I am exempt from the Contractor's License Law for the following rgason;�Sec. 7031.5,Business and Professions Code: Any city or county which requires a =s the 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 o! not more than five hundred dollars ($500). 1"11 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.) I l 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 pursuant to the Contractor's License Law.) 17 1 am exempt under Sec. B. & 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 F] 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 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. Date Owner NOTICE TO APPLICANT: ll, 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 1 hereby 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 ame Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. 1 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 sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip Sq. Ft. 1300, 0 - No. Size ✓ V0, Stories Newt' Add ❑ ' Alter ❑ 1 No. Dw. Units Repair ❑ Demolition ❑ /4 l'L O Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 25�•c�o Plan Chk. Bal. Const. Mech. Electrical Plumbing S S.M.I.' Grading t Driveway Enc. .Infrastructure JAN 2; 7 i998 TOTAL REMARKS i v � "9 ZONE: BY: Minimum Setback Distances: Front Setback from enter Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION DesertSands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201. \ 619-775-3500 CERTIFICATE OF COMPLIANCE Date 3/13/98 t APN # 773-234-007 No. 16719 Jurisdiction 'La Quinta Owner NameWorld Development Penmit # W _ 52 ,130 Avenida Villa , No. Street � / Lig # ` . ' City La Quinta zip 92253 Study Area Tract # Lot # {Square Footage 1300 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 he amount 1.93 X 1,300 or $ 2,509.00 the.property listed above and that wilding permits and/or Certificates of Occupancy for this square footage in this proposed project may no`v be issued y Fees Paid By Check/Jim Snellenberger Telephone 772=1919 Name on the check - - By Dr. Doris Wilson , c� r Superintendent , 4 Fee collected /exempted by Rosita Jones Payment Received ; $2,509.00 Check No. 1217 Signature -� NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 9D -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the Dislricl('s)(s') behalf; whichever is earlier. - r - Collector: Attach a copy of county. or city plan check application form to district copy for all waiivers. Embossed Original- Building Dept./Applicant Copy Applicant/Receipt Copy -Accounting ' ' SALE ESCROW INSTRUCTIONS �` BUYERS COPY TIIIS DOCUMENTWILLAFF 4 CT YOUR LEGAL RIGHTS'- READ IT CAREFULLY! .' T0: COMMONWEALTI•I.LANO'TITLE COMPANY Escrow No',: 97.6964KC { •72855 Fred Waring Dr." Date: 10/29/97 Suite A5 ..Page: 1. Palm.Desert, CA -92260 (760) 836-3726 ' .Escrow Officer: Kelly Collier TETE ESCROW HOLDS IS COMMONWEALTH LAND TITLE COMPANY WHICH IS LICENSED y' BY THE CALIFORNIA DEPARTMENT OF INSURANCE. - 'Buyer, or his agent, will hand you or cause to be.handed you upon signing of these instructions a deposit 'in the amount of.: .$ 500.00 ' Buyer will`hand you additional funds prior to closing in the amount•of........... $ 7,500.00 TOTAL CONSIDERATION $ 8,000.00 ,. and any additional funds and instruments required from me to enable you to,comply with these instructions, which you are to use on or before November 26, 1997, and when OLD REPUBLIC TITLE COMPANY can issue a Standard Policy of Title Insurance Owners form, with 'liability of $8,000.[0, on real property in City of LA QUINTA, County of Riverside, State of CALIFORNIA viz: Commonly known as: APN 773-234-007, LA QUINTA, CALIFORNIA - LOT 16 IN BLOCK 93 OF SANTA CARMELITA'AT VALE'LA QUINTA; UNIT NO.'11','AS SHOWN BY MAP ON FILE IN BOOK 18, PAGE 75 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA - , Except any reservations of record of minerals, oil, gas, water", carbons and hydrocarbons. Showing title vested in: t WORLD DEVELOPMENT-, INC.,:A CALIFORNIA CORPORATION - Free from encumbrance except: , A. Current general and special taxes"for the fiscal year in which"this,escrow closes, and taxes for -the ensuing year, if -any, a -lien not yet due or payable. B. 'The lien of'supplemental-taxes, if any, 'assessed pursuant to the provisions of Chapter 3.5 ,(conmencing with Section 75) of the Revenue -and Taxation Code of the State of California. C. Special improvement'assessments, if any. 0, Easements, rights, rights of way, covenants, conditions, restrictions and reservations.of record. CHARLES D. GARLAND,,ARCHITECT ' • Y '" '' 433-163yCATHEDRAL CYN DR:'' ,,.18 4 �A\w��,; CATHEDRAL' CITY; CA 92234 � c ��c<` - '•' (760)324-7146.: : • T, t a \ \ - (760)770-7025 (fax) . „ , •, ' . is ,�� ����� .. *. • , • ♦i•. f. , i `� 1• •af • � � •` � a # k r � SR v`i: �. \iii?? \ • * i '• ... , . - �'� ' ` r[ r `,. 19 February, 1998. City of La aQuinta • M, :,Dept. of Building'and Safety - Y w:=;>%1: 78-495 Calle'Tampico La _Quinta CA" 92253 4 ; � � , � \„ Vii' k +' � ,. - . , ,. s ,-•+`b ,... � - ^ b -` r , pk - . \`k` .�.A .t' • '+_. - '"1 x' .7 - ,i fir•- •�. r• . ik'tivi'vtit\?:i.i.\ � i !1. ' , ,y t. � yr. • To Whom it May, Concern, ... F ;_ • a« - , 1 �?•. Y it •t � Y ,Y � �i+ . - a .. k •�;.. `. - << ; I have reviewed.a copy of the truss calcs .for this project,,a 1300 model y jor.World Development, Inc., on`Villa;,in La Quinta, supplied to me and:: ;,prepared by Trussworks'of Thousand Palms, CA. `I found them to be m�"� ' v 4 , , ,substantial conformance with the design intent of the structural #calculations and plans , \ p >• ar r'' nl `'.i Ti:\j+:?4� \ �. , - '7 of A � E 1. - � 0..,• 4 ,. -� • •� , S, D. G �i` - Sincerely,. MW A. \ t U . • z•`�.:;;?.: , , . + �, � N EXP. DATE �Q , �, - �!'° i 's t• r 0. Charles D, Garland, h, ,' OF C Architect*d — ,,, 4. .c:7 .. ,1 • LLL �• kv:•i?:vi:v - xv; .:..�} \ r. � }, .• �' � '"d'' rpt ' 4 t\\•}4{•: '. le r .. _ f. .. . - , � :ems V .. 'Y t ' , 'h, y kr ,, v.v 1n,\\� :) � •if4 -' -,. .. s .• ' • + .. � A.. r � w' k • 4-y r,, ' il•. , � - ;� ; ; T �. t r," ` r*.c d 37 ... k .'ryhr • k , s� � F ,.. •a. :, 8 � i. • ' PERFECTION AC ELECTRIC 74807 Gary Avenue Palm Desert, CA 92260 F r License x/389928 C-10 '• JOB NAME: Single Family Residence for:. World Developement ` Plan #2 1.300 Sq. Ft. ELECTRICAL. -LOAD CALCULATION: H.V.A.C. Loads ( at 100% Load) 220 Volt .- 2 -circuits 30 amps each 30 AMPS Other loads Lighting circuits 1300 square foot X 3• Watts per foot.-- 3900 "WATTS .Small .appliance circuit 2 circuits at 1500 watts each = 3000,WATTS ` .Disposal .800 Dishwasher' 1200 Laundry' 1500 F.A.U. #1 `.' - 1500 • , -Garage door. opener outlet '` - -800 Total Loads L T = 13,'500 WATTS Calculation: `First 10 KW at 100% = 10,000 WATTS Y Remaining 35.00 watts at 40% _ 1,400 WATTS Calculated Load:_ 11,400 -WATTS AMPS = 11,4.00 watts/230.volts _ 50 AMPS ' Total "Demand Loads (AMPS) with -(1.) 100% "Total H . V . A. C." _' 30 AMPS = 80 . AMPS . Use 100 AMP service & meter per N.E.C. #8 Uf,fer water & gas ground'contineous to••alh. MAS' -29-98 FRI 15:01 WESTERN IISULATION FAX NO, 9096888186 N U WEDUO0TERN INSULATION, INC. 4311 Latham street, itivard4s, CaRforala 92501 - (909) 686.6760 (909) 686-8788 Pax INSULATION CERTIFICATE a THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE; TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT; TRACT! PHASE: 3 CUSTOM HOUSES TRACT #:75285 LOT# SITE ADDRESS' -52-130 VILLA, LA QUINTA, CA ------------------------------------------------------------- EXTERIOR WALLS: MANUFACTURER: JOHNS -MANVILLE THICKNESS: 3 5/8 "- R -VALUE: R-13 CEILINGS : BATTS 4 MANUFACTURER: GREENSTONE IND. THICKNESS: 10.3 R -VALUE: R-38 _ GENERAL CONTRACTOR: WORLD DEVELOPMENT LICENSE NUMBER: - BY: ; TITLE: , t • DATE: INSULA` ON QQNTRACTOR: WESTERN INSULATION, INC. LICENSE NUMBER: 481278 BY: cc TITLE: --ProductioYi Manager DATE: 05/29/98 -