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LICENSED CONTRACTOR DECLARATION '
I hereby affirm under penalty of perjury that I am licensed under provisions of
GNapter 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 %
333670 q B � 6..../i_�
Zate / - `' Signature of Contractor
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.
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.
1/iJ)M, A'ii hJ+ti011.: Y.V Y7 51 Jd1r•.7 r4,
(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 370 ?of the Labor
Code, I shall forthwith comply with tho a provisions.
Efate: �' ' tr 7' Applicant—
Warning:
pplicant G�u
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 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
Zbove-mentioned property for inspection purposes.?
Signature (Owner/Agent) Date! 1 7
BUILDING PERMIT PERMIT#
_
9.812-$18
VALUATION ��'� LOT TRACT03.80
DATE11261
JOB SITE
ADDRESS .53-36 A 'NIDA. HERR EAR
APN
.
OWNER
CONTRACTOR / DESIGNER / ENGINEER
scNROSE CORPORAJAONS1�ra
c�S�17 CORPO�r:.A'1�TON
12-850 SOINIERIV R.D.
12-850 SOMECc.A Itis.
PALM DE'SEEtT CA 92260
PALM DESf:WF CA �2260
f'Te O)3�15-71Rti CBIA 1137
USE OF PERMIT
8NOLE 4I MU3 DWELUNG
VD - %k,i2tV1IT 1: OES NOT rN'( UDE iii"K ti JkU.S 0 P001,
;
• 6
r ,
- TRiFAC i CONS111-UC £'td: N 1,73 ..00 SF
... C?F�T{.FIC;i�i:�112!'a)f�T �192.tT0 SN'
�5' r. �' 1�ri=•a
yy�g;. +�+ �cy�9;� �yg �,��{ 1ay.�e.i�rif��i�
C'e7:fYMUCr[QN k'Er 1.01. -000 -418 -WO 5653,50
PT,.AkW ?SEC .F i(Pi-f)()li rS�9-3DB 55.117.49
,.M DUOk31 101.-000-439-3,1° 41M.00
P 9XI—iAr ICAL M, 101 -000 -421 -ow 353.50
�,.. 'ELEM-WCAL FEE ;101-000-420.000 S133.96
pi'll"WrIP40 IFFE 101..m -At 1.9 -OM S i 33, Sf s
ST1d(aM N1900N Fes: - tM'Sm 10.11 -NO -241-M $10.31
GRA,U11VC11%6 101-000-423-000 $Gt►.tk)
14YR.ASTRVC.'TURE T:'FE 225-000443-342 x? �33•(i4
PR0":Y1Vlpi AN 1011-W-441-345 $100.00
ART ltd ;P1;BLW' PLA03S - USAID 70.1-000-255.000 $25.0
;111111 r{yr�t.CnNS'±'�tiJC�1'1'r�l A?
4;.t,01 ox
LESSpI..S�l`S 1111,-W-i'AIT)PE�E'S,
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I-.gP.a�i3.W
°1 fAL :1'1~;ltidi'1'C FR" l3Qi1+: NOW
S3,760.3f
RECEIPT
DATE
6
DATE FINALED
INSPECTOR
N
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F11 LF.A.U.
Framing
i
Compressor
Insulation
_
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wali Firewall
Exterior Lath
Drywall - Int. Lath
Final
—�
BLOCKWALL APPROVALS
Final
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I
I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
j
Pool Cover
Sewer Connection
t Q
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
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 -
Utility Notice (Perm) Z --s{ -
COMMENTS:
L
ciffE
Desert Sands Unified School District
J -w . 47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
CERTIFICATE OF COMPLIANCE
Date 1/13/99
No. 18238 Jurisdiction
Owner NameMark Tuvell
No. 53-362 Street Avenida Herrera
City La Quinta zip 92253
Tract #
Type of Development
Comments
Lot #
APN # 774-084-007
La Quinta
Permit #
Log #
Study Area
Square Footage 1,732
Single Family Residence No. of Units 1
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
1.93 X 1,732 or $ 3,342.76 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 ,
.f
Fees Paid By CC/1st Bank/Mark Tuvell 'Telephon'e=
1334Name on the check r i
By Dr. Doris Wilson�-
Superintendent
Fee collected /exempted by Juanita Green
Signature
Payment Received $3,342.76
Check No. 49050
NOTICE: Pursuant of !), sembly Bill 3081 (CHAP 549, STATS. 1996) 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 Irrom the dale 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 Dislrict('s)(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
;1L0 REPURL! (; 11 n.L c
RECORDING REQUESTED BY
AND WHEN RECORDED, MAIL TO:
Mark F. Tuvell 16
72850 Somena Rd
Palm Desert, CA 92260
%q/,�200
ASSESSOR'S PARCEL NO.. 774-084-007
TITLE ORDER NO: 114138-13
ESCROW NO. 4542 -DS
GRANT DEED
PAID
Doc Transfer Tax
15g • 3& 2 Ave gaURA'
428001
- RECEIVED FOR RECORD
-.AT .2:00 -P.M.-- - -
OCT = 2 1998
Pecorded in Official Records
of Rrversroe County. California
Riv. Co. Rawrder Recorder
TWS SPACE FOR RECUNutm a vat UNi r
T he undersigned Grantors) declare that the DOCUMENT TRANSFER
TAX IS:
$ 12.65 County $ City
xx computed on the full value of the interest of property conveyed, or
_computed on the full value less the value of liens or encumbrances
remaining thereon at the time of sale.
OR transfer is EXEMPT from tax for the following reason:
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Katherine E. McElmurry, Trustee of the McElmurry Family Trust dated May. 18,-1990
hereby GRANT(S)°to Mark F.,Tuvell,'a-married man as his sole and separate property
all that real property situated in the City of La Quinta County of Riverside, State .of California, described as:
5
Lot 18 in bokck 226 of Unit 21 Santa Carmilita at Vale La Quinta as per map recorded in Book 20, page 22 of maps, in
the office of the County Recorder of Riverside County, State of California.
Dated September 11, 1998
The. /roc E/m u fry /Ii li' /fyU
STATE OF CALIFORNIA.
COUNTY OF ! ,'i e- r
ON < /G / s ri� , before me _;Gherine E..: McElmurry, Trustee 'moi
Notary Public: personally appeared
proved to me on the.basis of satisfactory evidence)
to be the person�pfwhose name(sEl%re subscribed to the within instrument and
acknowledged to me that he/she/they executed the same in hiV5r 1Ae r
authorized capacdy(WZf. and that by h er eir signature94 on the instrument
the person(;f, or the entity upon beha ch the person(6) acted, executed
the instrument.
WITNESS my hand and -official
sea[
Signature
MAIL TAX TAX STATEMENTS TO
w
SARAH ROHDE
Commlalon A'10m2ol
Notary PUt•9c — Coilfomlo
Los Anpeips County
i My Comm. Exp;res Apr 12,WO
(This area for -official notary seal)
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: 53-362 AVENIDA HERRERA
Use Classification: SFD Bldg. Permit No.: 9812-218
Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RC
Owner of Building: SUNROSE CORPORATION
Building Official
Address: 72-850 SOMERA RD.
City: PALM DESERT, CA 92260
By: STEVE TRAXEL
Date: 7-8-99
POST IN A CONSPICUOUS PLACE