9806-226 (SFD)'LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter, 9 (com'mencing with. Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect:
License # 7: • Lic. Class Exp. Date
J P.
is 3i'3
tJ�ii1
.Date 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 3700,6f 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. o��a f1
VLY Lt+P TS tl`r� CO S\��JlI Irt--141!9
(This section nee not be completed if the permit valuation I for $00.00 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 agreejthat if I should become
subject to the wolkers' compensation provisions of Section 3700 of the Labor
Code,ks all Xfowithcomply with those provisii, s./fLDate`Applicant � 1- ++ �
�,
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 l 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 for ins Vection ptir oses.
,Signature (Owner/Agent) Dater e o.
BUILDING PERMIT PERMIT# r
DATE VALUATION LOT TRACT
aj qua —
217% 234.10 z24
JOB SITE"t
APN f
ADDRESS
47-669 VLk FLO,REINC
64.3410-025 e
OWNER
CONTRACTOR/DESIGNER/ENGINEER
CANA.T?AY COEt4PANY -
CANADAY &. CO1'vi1'A%."Y
1. 70B R00 KHOL LOW DKiVE;.SU C 208
i -5-7e0 BROO:HCiI.[,OW Dk1VE,,S1JffT3 2208
SANTA .ANA CA 92-705,
SANTA ANA CA 92';-05
(714)751-9151 CK10 4485
-
USE OF PERMIT
+1'i'A` a V y it WIf V YN Y' t 1 WlOfr' .
.TVD PLAN 5320 - POAM DORS NOT INCi, JEJE'BLOCK WALLS OR POOL„
(joe-sT vAouSL AryraNEG -f,+g 1-tu>a'
TRACT. CONSTRUCTION Z933.0 Sly
POR 04 PM71 10 3X00ST,
CrARAGP.iGAR1�t3R3' _ 612.00 SP
J!"S'UNL IATED COST OF CONS'CflWC"Ci YN'
17412:44.10
PET1`fiUT FEE S'Q.ii131\iARY
CONS{ RUCTION.FET J01.060-4.113.000 $909:01)
t'.£. V CHECK FES 101.000-439-3113 5762.50
N113C;HANICAL F l O1-000-421-000 $98.50
LI EC1R1'CAL E'ETs 101 -000 -420 -OW $1811.00
FILUNiBMT FIE 101--000-419.0(11)
STRONG MOTION Fh..,li - RESt13 101-0()0-241-000
C:RtilitNa-n's 141-0011-423-000 $z4.f10
iN1+RAS'MUCT(AW FEE 2254M-443-34''2 `63,8661,51
ART IN PUBLIC PLACES €ZFSt'.0 701.-M)t)-235`-400 $190.59
F68Dj losrr ' `101-Utf(t•43n- i8 4250.01)
' 11
GUNS1 'TION AND PLAN CIREC1�
�6,2i!i.t7
LESS PR'E-PA.1:1aFEES
42,10,00
AUG 2 6'998
TOTAL PERNIt < FEES DUE NOW
$5,96.6.47
RECEIPT
DATE
BY !
DATE FINALED
INSPECTOR
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
OX to Wrap —9
F.A.U.
Framing s
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall 12
Exterior Lath
Drywall - Int. Lath
a — f
Final
Final
BLOCKWALL A PROVALS
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVAL
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
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test �?-3
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 00
Utility Notice (Perm) ,�
COMMENTS:
w 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 ' 8/26/98 APN # 643-110-025
No. 17586
Jurisdiction La Quinta
Owner NameCanaday & Company ` Permit #
No. 47-665 3 Street Via Florence L,g #
City La Quinta zip 92253 Study urea ,
Tract # Lot # - Square Footage 2,933
Type of Development' Single Family Residence - No. of Units 1
At the present time, the' Desert Sands Unified School District does not collect fees on garF- es/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 fie amount of
1.93: X 2,933 or $ 5,660.69 the property listed above and that buildlnl},;��
permits and/or Certificates of Occupancy for this square footage in this proposed project may'now'belissued
Fees Paid By ' CC/City National Bank/Canaday & Company,-'14Tel F!�one
Name on the check
By Dr. Doris Wilson
tF,r
Superintendent
Fee collected /exempted by Juanita Green Payment Received $5,660.69
Check No. 01058611
Signature A,
r
OTICE: Pursuant of Ass bly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protes: the fees or other payment identified
bove will begin to run fro thedate on which the building or installation permit for this project is sssued or on which they are paid to the Distrid(s) or to eiother public entity authorized to
olled them on the Disci a)(s') behaK, 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
i��,,,ti,,-y r� P.-� •- ,,,�.` - .cw ro . .� , .,�,. Y�.�W�.�i�+�)� f`tirw�t'llj-y,,,ti. ,t.,`yf ,tti�L lv�.�1-. y'�,+''+3^a!� N
s
47— 16065 P.O. BOX 1504 APPLICATION ONLY
Building 78-495 CALLE TAMPICO
Address 47—Via Florence LA QUINTA, CALIFORNIA 92253
Owner
- Canaday & Company/LLQ, LLC
Mailin
Address 1570 Brookhollow Dr., 0208
Santa Ana 21p 92705
Canaday & Company
Address
1570 Brookhollow Dr., #1208
>anta Ana -92705 714/751-9151
State Lic. City
& Classif. 591561 Lic.# 4485
ArchDesig ergr Len Nobel Company
VC Uss Box 16606 TV 14/559-4305
"Irvine ZI�►2713 Lict#
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 at 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 that. he is' exempt therefrom, and the basis
for
thealleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than live hundred dollars (8500).
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 o! 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.)
IA 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.)
I'] 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 C Qrtf�p�I s8ho 1 nca Cr 'ge�tfietl co thereo B bo
Policy No. JLJ 'w 1 1 7Fcj,4Ty/ 7 PY VII l Qf 1�IJ•
pa
r7 Copy is filed with the city. O 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
employany person'in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: I!, atter 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
1hereby 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 -of this city to enter the above.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
ILDING: TYPE'CONST. O•:C. GRP.
I. Number 643-110-025
)al Description Tract 26152, Lot 224
eject Description Single Family Detached Residence
ZONE:
BY:
Minimum Setback Distances:
Sq. Ft. No.
Size 2,628 Stories
1 No. Dw. 1
Units
New ❑ Add ❑ Alter ❑
Repair ❑ Demolition ❑
N
Side Setback from Property Line
FINAL DATE
INSJECTOR
Issued by:
P
Date Permit
Validated by:
Estimated Valuation
Validation:
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech. :
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
r
Infrastructure
s
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
INSJECTOR
Issued by:
P
Date Permit
Validated by:
�A p
Validation:
MAY 0 7 1998
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION �ITYr OF Lia QUINTS
ESI/FME; Inc.
Structural Engineers Date 5-8-98 B R.R.W.
1921, East Carnegie Ave., St. 3 J --- -_ _. _. _.:.____......_. Y -
Santa Ana, California 92705
Company: CANADAY AND CO. _ _ _ Project Name :' " South -Shore On
Address : 1570 Brookhollow Drive, St: 208 Lake La Quinta "
Santa Ana CA 92705- E S I / F M E Job No.: 298-8436
Contact : Steve _Sante _ _ Project Eng.: R.R.W.
Phone : (714) 751-9151 FAX : ' (714) 75_1-9152 PH..: (714) 261-1811 /Fax 261-8506
X_IPhone, Conversation. lField Meerg I_. __JMeel'g @ Client's I IIn-House Meeting
City of is Quinta
Department of Building. and Safety
78495 Calle Tampico
La Quinta CA. 92253
RE: South Shore On Lake La Quinta
Plan R2 /LOT 224
47-665 Via Florence^
To Whom It May Concern
We have reviewed the truss drawings and calculations by Truss V6rks for the above
reference project and find them in substantial conformance with the structural framing
plans prepared for submittal to the City Of La Quinta .
TrussWorks
P. O. Box 626
Thousand Palms, CA. 92276 5
Ph. ('760) 343-3461
Fax ( 760) 343-3491
• Qa0FE5S�pN
Ramon R. Woncr, II, S._E.2345 ` No S23a5.
k. W
°C Exo 12.31#11
c.c.: Steve Sante >�
78-995 Via Trieste `rye r-Uctu�°�'���'
La 'Quinta, -CA. 92253- OF CAuF�`
ie: ML042498.WK4
Certificate ofOccupancy.-,Ciof La QurntoY
.
Building ���and Safety Department of
.. 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: 47-665 VIA FLORENCE
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9806-226
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: CANADAY AND COMPANY Address: 17480 EAST 17T" ST. #106 .
-City:_, -
- . TUSTIN CA,92780
By: STEVE TRAXEL
Date 07-09-1999
- Building Official
o
4/8/2015 Property Detail Report
Property Detail Report for:
47665 VIA FLORENCE, LA QUINTA, CA, 92253-2131
Owner Information:
DIGITAL M A Pi, 0eywdrappim
PROOUCT„
Owner Name:
ABDELNOUR, DIANE L
Assessed Year:
2014
Mailing Address:
47665 VIA FLORENCE, LA QUINTA, CA,
92253-2131
Property Tax:
Vesting Code:
COMPANY/CORPORATION
Improvement Value:
Phone Number:
Location Information:
72.81
Total Taxable Value:
Legal Description:
LOT 224 MB 227/077 TR 26152
CA HOMEOWNER
County:
RIVERSIDE FIPS Code:
06065
Census Trct/Blk:
APN:
643-110-025 Alternative APN:
0.21
Map Ref:
Twnshp-Rnge-Sect:
- - Legal Book/Page:
Assessor Lot SgFt:
Tract No:
Legal Lot:
224 Legal Block:
Land Use Desc:
Lot W/D:
Subdivison:
Res/Comm Units:
1
County Use Code:
Last Market Sale Information:
0.2614
Sewer Type:
Sale Date:
12/31/1997 Sale Price:
Calculated Lot SgFt:
1st Mtg Amount:
Sale Doc No:
479709 Price Per SgFt:
1st Mtg Int Type:
Transfer Doc No:
097679 Price Per Acre:
2nd Mtg Amount:
1st Mtg Doc No:
2nd Mtg Int Type:
Sale Type:
Deed Type:
GRANT DEED/DEED OF TRUST
Title Company:
CHICAGO TITLE CO
Lender:
VALLEY INDEPENDENT BANK
Seller Name:
CANADAY & COMPANY,
Property Characteristics:
Building Area:
2,936 Total Rooms:
Construction:
Living Area:
2,936 Bedrooms:
3
Heat Type:
Garage Area:
Baths:
4
Air Cond:
Basement Area:
Fireplace:
Roof Type:
Parking Type:
No of Stories:
1
Roof Material:
Yr Built/Effective:
1999/ Quality:
Style:
Pool Code:
Tax and Value Information:
Assessed Value:
$530,343
Assessed Year:
2014
Est Market Val:
Land Value:
$144,180
Property Tax:
$7,015
Assessor Appd Val:
Improvement Value:
$386,163
Improvement %:
72.81
Total Taxable Value:
Tax Exemption:
CA HOMEOWNER
Site Information:
Assessor Acres:
0.21
Zoning:
Land Use Code:
Assessor Lot SgFt:
9,148
No of Buildings:
Land Use Desc:
Lot W/D:
/
Res/Comm Units:
1
County Use Code:
Calculated Acres:
0.2614
Sewer Type:
Calculated Lot SgFt:
11,387
Water Type:
045121/1
26152
$1,620,000
VAR
CENTRAL
CENTRAL
TILE
163
SFR
R1
$586,666
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