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0010-111 (SFD)� 0 C� O 5 M L �Z� O.c HCID LUa U) Z LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Ghapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # k Lic. Class Exp. Date 3 ,•,Date Signature of Contracto�.� 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' compe�satiga, 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 .c Ion a Labor Code, for the performance•of the work for which this pe mit is issued. My workers' compensation insurance carrier & policy no. are: Carrier Policy No. ' STA x"19 i! UNIT 0009493 (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,Idns of Section 3700 of the Labor trode, I shall forthwith comply with thossp p67 IS ns ; Date: ^ • Z Applicant "ti , , A - �...+ � V.,�`� ` � `� 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, indemnity & 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 property- fo inspection purposes. �,Signature (Owner/Agb.t), %�� , �' • `" ? Date BUILDING PERMIT PERMIT/J DATE i VALUATION LOT t��,i"1 TRACT JOB SITE i APN ADDRESS 53-460 f•S.'V'MIDAIIPVR A ' 1714-08"72 OWNER CONTRACTOR /DESIGNER / EN INEER 1d1MWAIN COVE MMOTti"T • IX Rob`i3ESrI LROK31+ RS LA Q1J0M4k CA 97,253 TIMMMAT, CA 92274 C760)399.1200 M.e.rt`I 1SiS4 USE OF PERMIT HOC3:fXFlti�, *°CB••PKRNJT bOV°.w TIOT IN LITDIP St.A(_XWPJ,;dP00U1;PM. J1:.R.PPi RO Cm I C TRACT CONTFRUCTION 1,499.00 SF 5 .OOD V1.9 200..30 LP QA. PIA02 MOM S1r i 4 ESITU .4.MID f.,OST Ole COIWA 'UC710K 150vSMUY OX)Mk�U iA(N SEE A1a{00-4qd.0M. N 1 Nt { n 101-000-418.0M. ME RANICAL nZ 1 X41 -f 00-42140 OOPY.11JUDW0 �',I..�:ir'f'h:t�'.t41,,i�i�� 1%1••Qf3�••�2ta�t300 �}et�?.�0 FRE 101-000-419-000 m *1 0:7q TrCsi O MOV00 MY, . P-T.91n 1 G1-000-241 -000 $91A 101-000423.000 V10.00 OA%¢xfcA�R.3rINGE1Y�R•i ;l Qe R.+.'Cr �'L.�Oi�.u+l: }..•'+tY.�,l�i.f:!' �LPi .y J'Y4�J.QQ ' PREC UM PLAN 101 -OW -441-345 1P_Z09POSI 101.-000-439-318 ��asQ.aQ OUB-'170TAL CO`MI-1C°3.10M AWD .P�LA 1.7L91"n�••!IrtYF.C%qqK s:3�41Qn),.3l0 �YY3��y�t fgt TOTAL I�WMMMS DUE NOW $3,164M RECEIPT DATEBY `iia Dygr�rE N INSPECTOR r?s 4,,�cr Cf� :. INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings�' _ D _� Ducts Slab Grade Return Air Steel Combustion Air Exhaust Fans , _ Roof Deck 0. K. to Wrap S/7 F.A.U. Framing ,� —497 Compressor 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 il./?8 O �* Ori 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 _ �/ �/f LB� Heater Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Sewer Connection /��p0 aT, Pool Cover Encapsulation Gas Piping Gas Test Appliances _ Final COMMENTS: 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) / t --p-- - i 1 t I 0 P.O. BOX 1504 APPLICATION ONLY Building �78-495 CALLE O Address 53-4rDp ``1AiLA QUINTA, CALIFORNIA 92253 Owner lI..,�JJ `r f�MAJ 4,04 AV C BUILDING: TYPE'CONST. OCC. GRP. Mailing ' �¢'e Address �j " VQ 0011/f1� �j A.P. Number % �i ©ti T -� moi' . 7,4 City Rr `+/�� '� S`j ��j�. / Legal Description "Len f'3 PL It, 2.:-G. State Lic.I City & Classif. Lic. # Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm t I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 orlhesiness and Professions Code, and my license is in full force and effect. 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, after, 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 thathe is exempt therefrom, and the basis for the alleged exemption. Any violation or 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'll 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 or 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 1 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 contractors) licensed pursuant to the Contractor's License Law.) 11 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION Ihereby 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 n 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: If, after making this Certificate or Exemption you should become subject to he 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. 1 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 Project Description Sq. Ft. No. No. Dw. Size ci Stories Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ ZOM ,timated Valuation d 1 PERMIT Gf AMOUNT Plan Chk. Dep.---�--. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS 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 P , IIIValidated by: QCD 2 9 2000 Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING ; NG DIVISION a Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 10/12/00 No. 21085 Owner NameMountain Cove Development No. 53-460 Street Avenida Herrera City La Quinta Tract # Lot # APN # 774-084-072 Jurisdiction La Quinta Permit #0010-111 Log # Zip 92253 Study Area Square Footage 1409 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 1,409 or $ 2,888.45 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may nowibe issued Fees Paid By CC / Valley Independent Bank / Mr. Shields '. lelephope Name on the check 7 — By Dr. Doris Wilson Superintendent L Fee collected /exempted by Annette Barlow Signature 74 n�2 wl.' Payment Received $2,888.45 Check No. 227454 JOTICE: Pursuant of Assembly 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 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 Districtfs)(s) behalf, whichever is earlier. Collector: Attach a copy of county or city plan check apoliation form to district.copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Alfplic`ant/Receipt Copy - Accounting p : SEP -22-2000 '02:16 / 1 .01 ��ss acR, ••A�:� .,�{�#�FO :,SIE,':: *HASE)1hI'C OJtri r tc, DATE:at L California, RECEIVED FROM � • i("Buyer") A DEPOSIT OF Dollars S DollTOWARb THE PUE OF FOR PURCHASE OF PROPERTY S ATED IN n COUNTY OF CellforMa, DESCRIBEC AS ASSESSORS PARCEL d CJ ("Property'). ❑ of Cliocksd:) The attached ManulacWted Housing Addendum fe incorporated into this Agreement" ' 1. FINANCING: THE OBTAINING OFTHE LOANS BELOW IS A CONTINGENCY OFTHIS AGREEMENT. Buyer shall act diligently and in goad faith to obtain the designated loans. A. LOAN CONTINGENCY shall remain in effect until: (Cherie only ONE of the fogovAng:) ❑ (t) The designated loans'are-funded andlor the assumption of existing financing is approved by lender and Completed. LJ (2) days from acceptance, by which time Buyer shall give to Seller written notice of Buyer's election to cancel this Agreement because of Buyer's inability to obtain: (1) The designated loan% or 0i) The approval of assumption of existing financing. If Buyer does not give Seller such notice, the contingency of obi 'ping the designated loans shall be removed by the method Specified in paragraph 15. St. BUYER'S DEP 7 in ft term o1 personal the.'J cashier's check, ❑ other S PAYABLE TOit J1 Ic i ' shall be deposited with Escrow Holder, = into Broker's trust account, of C TO BE HELD UNC SHED UNTIL the next business day ager acceptance of the after or C. INCREASED DEPO within dayll.shall be deposited with S D. BALANCE OF DOWN PAYMENT to be deposited with Escrow Holder within sufficient time to dose escrow ............ S E. FIRST LOAN IN THE AMOUNT OF ..... .................................................. . . ........... ....S C NEW First Deed of Trust in favor of ❑ LENDER. ❑ SELLER; OR ❑ ASSUMPTION of Existing First Deed of Trust;' encumbering the Property, securing a note payable at approximately $ per month, at maximum interest of % fixed rate, or % initial adjustable rate with a maximum lifetime interest rate cap of %. balance due In years. Buyer shag pay loan fees/points not to exceed F. SECOND LOAN IN THE AMOUNT OF ...................................................... . ........ ...... S ❑ NEW Second Deed of Trust in favor of ❑ LENDER, f1 SELLER; OR ZI ASSUMPTION of Existing Second Deed of Trust, encumbering the Properly, eacurtng a note payable at approximately S per month, at maximum interest of 3o faced rate. or % initial adjustable rate with a maximum lifetime interest rete Cap of at,, balance due in I years. Buyer shall pay loan feesilpolms not to exceed G. ❑ (If Checked:) MANUFACTURED NOME LOAN In the amount of .................. . ............. • , ............5 On the terms and ednaitona described In the attached Manufactured Housing Addendum (MHA -14). H. ADDITIONAL FINANCING TERMS: S L TOTAL PURCHASE PRICE, not including costs of obtaining loans and other Closing costs ...........................S J. OBTAINING DEPOSIT, DOWN PAYMENT, and OTHER CLOSING COSTS by Buyer is NOT a contingency, unless otherwise agreedin writing. K IF THIS 1S AN ALL CASH OPFER. Buyer shall, within 5 (or;?days from acceptance, provide to Seller written verification of sufficient funds to close this transaction. Seller may cancel this Agreement In writing within 6 (or L.1 __) days: (1) after receipt of the funds verification. if Seller disapproves it; or (2) atter the time to provide the funds verification expires, if Buyer tails to provide it. L. LOAN APPLICATIONS; PRECIUALIFICAMON: (1) For NEW and ASSUMED lender financing: Within 10 (or❑_) days tram acceptance, Buyer shall provide to Seller a letter from lender stating that, based on a review of Buyer's written application and credit report, Buyer is prequalified for the NEW andlor ASSUMED loans Indicated above. It Buyer falls to provide such letter wftNn that time, Seller may cancel this Agreement in wriling. (2) For SELLER financing: Within s (or CJ _) days from acceptance:'(a) Buyer shag submit to Seller a completed loan application on FNMA'FHLMC Uniform Residential Loan Application; (b) Buyer authorizes Seller andlor Brokers to obtain, art Buyer's expense, a copy of Buyert. credit report; end (e) Buyer shall provide any supporting documentation reasonably requested by Seller. Selley mann cancel this Agreement In;writmg:•if Buyer tails to provide such dddriinents within that time, orlf, Seller drsapproves'the application, aradif report, or supporting documentation within 5 (or �) days from receipt of those docunionts. r M. EXISTING LOANS: For existing loans to be taken over by Buyer, Suitor shall, within the time specified in paragraph 15, provide to Buyer copies of all applicable notes and deeds of trust, loan balances, and carni It (merest retes. Buyer.shag, within the time specified in paragraph 15, provide written notice to Seller of any items reasonably disapproved. Differences between estimated and actual loan balances shall he adjusted at close of escrow by (I cash down payment, = Seger financing, or 7 Impound accounts, if any, shall be assigned and charged to Buyer and credited to Seiler, (or it checked:) ❑ N. p (H Chocked:) SUBORDINATION: Seller financing shall be subordinate to a subsequent lean. to be obtained by Buyer. to an amount not to exceed S NOTE: Buyer and Seger are advised to consult legal counsel to discuss the details and consequences of a Subordination Agreement. Buyer and Seller acknowledge receipt of Copy Of this page, which constitutes Page I of Pages. Buyer's Initials () Soler's Initials (� (� THIS FORM HAS BEEN APPROVED BY THE GAUFOrWIA ".TION OP REALTORS° (C.AA.). NO REPRESENTATION IS MADE AS TO THE L E A VALIDITY OR ADECUACY OF ANY PROAIVON IN ANY SPECIFIC TRANSACYtON. A REAL ESTATE BROKER IS THE PERSON oUALIFIED TO ADVISE ON REAL ESTATE TRANSACTIONS. IF YOU DESIRE LEGAL OR TAX ADVICE. CONSULT AN APPROPRIATE PROFESSIONAL. The Copyright Inws of inu LOW States.(17 U.S. Code) Inrt:iJ:he ursuthnrized reproduction of this form by any means, including facsimile or computerized forma's. C_X•nyht n tM-1997. CALiFOANIAASSWATION OF REALTORSO Putltlahetl 811d Distnbulad fry. r OFFICE USE ONLY M REAL ESTATE BUSINESS SERVICES, INC. I Reviewed by Broker 1 a subdAgano crtne CAUFORNYI A44S10CAA77ON OF AE4LTORS6 ' or Designee - 525 South Virgil Avenue, Los Angeles. Callfonia so= Gate PRINT GATE'9WYER'.S COPi ... _ ..._ ....,...................u.....i.. Aug 000+0110111V ono r1C1hnCIT Nt rL1 A Pusew 1 OF 41 REVISED 1 OJ96 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 require 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 explanations as necessary. APPLICANT MOUNTAIN COVE DEVELOPMENT, INC. SITE ADDRESS 53-460 Avenida Herrera G CHECKED BY: Greg Trniisdgl DATE: Inform the assigned Building plan checker upon your assignment to this case Secretary maintains a log book to track applica ions and assign case numbers. �ZrL /-I A- 2 - The CDD Executive FORIAM110"" REQUIRED ITEM APN 774 _ 084 p�2 - 0 BIN NO.:' CASE NO.: 2000-329. LEGAL: LOT 13 BLOCK 226 UNIT S.C.@V.L.Q. G CHECKED BY: Greg Trniisdgl DATE: Inform the assigned Building plan checker upon your assignment to this case Secretary maintains a log book to track applica ions and assign case numbers. �ZrL /-I A- 2 - The CDD Executive FORIAM110"" REQUIRED ITEM Y N COMMENT/CORRECTION Compatibility Review Case logged and number assigned Verify legal and:APN information Consistent with MDG on file (as.applicable MDG filing required (5 filings since 9/3/98) ost 001- Consistency with street/surrounding area: olors 6 erials p o U Ar it cture y �� GP Other Requirements: D 2 Certificate of Occupancy City of La Quinta Building and Safety Department 14 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: SFD Occupancy Group: . R 3 53-460 AVENIDA HERRERA Bldg. Permit No.: 0010-111 Type of Construction: VN Land Use Zone: RC Owner of Building: MOUNTAIN COVE DEV. Address: 51-370 AVENIDA BERMUDAS City: LA QUINTA, CA 92253 �.� By: STEVE TRAXEL t *4. Date: 06-15-01 Building Official POST IN A CONSPICUOUS PLACE