9906-008 (SFD)�\-4 LICENSED CONTRACTOR DECLARATION y' �{•
,, I' hereby affirm under penalty of perjury that.l am licensed under provlsions.of
H °,,Chapter 9 (commencing with Section 7..000) of Division, 3 of the Business and
ry W `✓' Professionals Code, and my. LicenseJs in full force and effect.
O "� M License # Lic. Class Exp. Date
LLJ -13,33670
Z F --Date'; 2 i Signature of Contractor+ —^� --• �"'r =�
J V OWNER -BUILDER, DECLARATION
W LU I hereby affirm under penalty"of perjurythat I am exempt from the Contractor's
~ a License Law for the following reason: ;
Z_ (") I, as owner, of .the property,'or my, employees -with wages as their sole
compensation, will do the work, and the structure isnot 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).. 4
ce) O; I am exempt under Sections, ; B&P.C. for this reason
LO
"N DateSignature of Owner
0.
WORKER'S COMPENSATION DECLARATION
�: Q ,
j;�..Z I hereby affirm, under. penalty of perjury one'of.;the followin11. g.declarations:
p (,) I have and.will maintain a certificate of consent to self insure for workers'
< LU compensation,- as provided" for," by, Section-3700:..of the- Labor Code, .for the
D J. Q performance of the work for which this permit is issued
I have and will maintain workers' rompensation - insurance, as required by
CU•:
Q Section 3700 of the Labor. Code, for the performance of the work for which" this
L f— perrnit is issued.`My workers' c1.ompensation•insurance'carrier',& policy no._are•:
Z Carrier Policy No.
U' dlolu u�' ,1 ?l e0i:i f�}pv`C: `32X,:N
J (This section need not be completed.if the -permit valuation is for $1,00.00 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 agree that ifI should become
subject to the "workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith-cornply witt).ftse provisions.
`Dater,. I —14- i Applicant 1 / �,� ...
Warning: Failure to secure WKkers' Compensation coverage, is unlawful and
shall subject an employer to criminal penalties and civil fines up t6'$100,000'in
ZYaddition 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
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 permitissued as a result of this applicaton agrees to, &"shall; indemnify
-&7hold 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. 1'^.'agree to" comply with all. City;: and State laws relating "to the building
construction, and hereby authorize representatives of this City to enter upon
/ebove-m.entioned'p rope rtyfor inspect ion purposes
Signature (Owner/Agent)• . =--1 - -Date',,' l r i s
PERMIT#
BUILDING PERMIT'
ga��t►
TRACT
DATE' VALUATION•• LOT
3f�J..3�
JOB SITE yy
ADDg9SS �i�y9.P.iT �J'F{�► o 3�e'ti
APN C4�p gp
YP 7�5 �DAgV^�
OWNER
CONTRACTOR / DESIGNER / ENGINEER
t ! A' Yl 't t 1'+il'rT'A !"'PJ
Fii tb' •..der.` n - ar ( t
,,Cit i:)'11't)11�'COOP 115 i`d!�� U-1. 971"H' :.
viz v'i'S 1 SCI�✓►�.�,A KI),
W.A. IDYFIL04
Pn.UK;,7ESES 'J•e"<
K
".�-,.-,.•,_, •. ,.
USE OF PERMIT
�ailvC;LN �°.11.��d.11.,,� 1.3W1+i..l�l.�'t�.i
^,.•-. _ _ T _ ,
11•x., D ,. L4. WAT DO.9N"•i40 NXIODE Bi'.,C, CK. W ALUS OR PCXTL
CUSTOM ;i'
,.
a'a"7Re.�..a�tiE't�3`IS:3 ��3,U0 u�:r`•
'
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. • V's ,rI ll'�RV cII A.,4_s+s7 f� wr c#61 ,"•tiYJ i.; 8`kJl`t. •
,9 ry �� �•},,
t - r8 jam.. J'�dC_>.f7 .'70
X- (I;,,.S.RJ��R 4 S! AI+jILJ V4J L1.C,)����iY Rte. .. .. x.
d'J• .. ,"uw'+�'
C'CtNS'3I" I "'PIOl I'M i!,tJx-000-418: "- • vi, 41413.so
9�7,•o-i+1'.3 C #�1*(..?>", F7'��r 'Li'1�, !'ji�Qt�..tYA��+,�+�, ,; .', Vii; 3dY"
.
�
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avk ..
3v�a`.(•JfFil'aT4.`r1Y,4"�F�. _ - �l?.x t�Cti�-�3��-�i�e� $ti;� '¢ti
�., �, � ..� k �, , •
E:L ElC- f IIs i6"`r'1➢I N i.t.. 1 ? .
•'_ +�,'1`d/Jtvf� ���rJ.�d�3'.w ��• I. ��sLa3� $f)!, 00J=•234t1 •
<.41RAivjING FF -Ji kff.i. c,Qv<= c►i $26:00
F1.f t IN Vllt9f. JK,'' SI! ,A,CTi„ . tZ%iryEl 701 KN) -;2--i54,'00 3�t�
` 1,y `q (. ( Cr/• T"x pry �T -yq 7 1 �.� `? �..
i'7!' $`54,�•?^/'SLe-�rW �;'r11,��.147. Uir.110N 'MID 1��,r_�Y,��? ��5✓ECK
� ..• •
'5'51 7567.i
S' VRU-PAv111 "EER
4 1,000, 00
r$01A4A•iG.rt`.IP,I+.MIT M' MH3i1NF)UE N 4:Y'V
.14, +7'6,75 `.
RECEIPT
DATE"
BY
BATE FINALED-
INSPECTOR
>Y
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
57
Exhaust Fans
O.K to Wrap
_ !1U
F.A.U.
Framing
t.
Compressor
Insulation A, r
v ' ����-
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
_ -
Drywall - Int. Lath
%4:wQ
3
/ �f G•u-/.
Final
Final
- ! - exx i
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
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
?! S
Encapsulation
Gas Piping
Gas Test
- _ Cyv 17
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas),
/
< STs �� ;��.•�
ELECTRICAL APPROVALS
Temp. Power Pole
3 ST
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)
}
4_ �
Building ,
Address �
Owner � l
�. I
4 4 "
P.O. BOX 1504
jj 78-495 CALLE TAMPICO
V 1 A • L I N D'A (L ( LA QUINTA, CALIFORNIA 92253
Mailing f I
Addressc- CO,11�
/.,�- �� ! v v -T C �-� f�' (� til �i�i I-1
City Zip Tel.
`=-ter. --\i iLl:. GUI
Contractor II 2��v . rc3-(`) `i4
Address /- J
City ! p
'-i Zi �p Tel.
State Lic. City
& Classif. `j�(Lic. #
Arch., Engr.,
Designer Cc t T ,- V% V--)1 G A\I-001 T fC 1.�
Address CTel.
14 :2L /-\L C '?Lc;•I'q
Cit / Zips. q l State (�
f��h � .1 Ttt �L�i 42SL,—') Lic.#�f
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under Provisions of Chapter 9 (commencing with Section
71X)0) 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 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 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 live hundred dollars ($500).
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
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.)
"1, 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
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 (E 100) valuation
or less.)
I certify that in the performance of thg 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 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 it 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 applicant Date
Mailing Address
City, State, Zip
::�(l (0 (0 - 00 g.
APPLICATION ONLY
BUILDING: TYPE'CONST. GCC. GRP.
A.P. Number (C-- 3 I e- ( u -,C- 2 `✓
Legal Description I i -,>CT - 2S -2S9 r -��"
Project Description �St: gar r, • t --)f c r
I L4 E F !- c , t: r
REMARKS
ZONE: BY:
Minimum Setback Distances: ®,
Front Selo`11�C�Iter Line I
Rear Setback from"y -ar Prop. Line
Side St?Q0e&4k?Wenter Line
Side Setback from Property Line
FINAL DATE AP(
Issued by: Date Permit
Validated by:
Validation:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISICN
. 1 1
Sq. F`4,,
Size 4 1IiZ �+� 1
No. No. Dw.
Stories I Units l
New' Add ❑
Alter ❑ Repair ❑ Demolition ❑
C -:Z : E L.
- V U tQ5 I G S -� t Z7
Estimated Valuation
PERMIT
AMOUNT
t
Plan Chk. Dep.
' , ono —
Plan Chk. Bal.
t
Const.
Mech.
r
Electrical
-
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
t
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances: ®,
Front Selo`11�C�Iter Line I
Rear Setback from"y -ar Prop. Line
Side St?Q0e&4k?Wenter Line
Side Setback from Property Line
FINAL DATE AP(
Issued by: Date Permit
Validated by:
Validation:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISICN
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
Date 8/5/99
No. 19149
CERTIFICATE OF COMPLIANCE
APN # 631-810-025
Jurisdiction La Quinta
Owner NameRichard & Victoria Crund
No. 48-810 Street Via Linda
City La Quinta zip 92253
Tract #
Type of Development
Comments
Lot #
Single Family Residence
Permit #
Log #
Study Area
Square Footage 4,167
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 replF-cement 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 4,167 or $ 8,042.31 the property listed above and.that build'ing'.
permits and/or Certificates of Occupancy for this square footage in this proposed project may now bei -,sued
Fees Paid By cc/KeyBank National Assn/Dick & Victory Teiephone345,7186
Ehand-SainasS9918n the check f
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Juanita Green
Signature
Payment Received
Check No
$8,)42.31
7211675750
NOTICE: Pursuant of As f mbly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 9G -day approval period in which you may protesi the fees or other payment identified
above will begin to run frffn 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 District('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
-19-99 11:20A
`4Ur"iG �F QiU B� r
Firs; American title Company
AND WHEN RECORDED, MAIL TO:
Richard A. Grund
1543 NW Woodbine Way
Seattle, WA 98177
ASSESSOR'S PARCEL NO.: 631-810-025-8
TITLE ORDER NO.: 21 19654.
ESCROW NO.: 18442-001
GRANT DEED
P.02
RECEIVED FOR RECORD
AT 8:00 AM
Ip I JAN 12 1999
ansf-of TOC
. qscordet %coro.r
Fws =�
THIS SPACE FOR RECORDERS USE ONLY
The undersigned Grantors) declares) that the DOCUMENT TRANSFER
TAX IS:
3
211.75 County $ City
xY computad on the full value of tht 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:
-7KA- D Zp
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
James F. Gunn, as Trustee of the Tuchschmidt Family Trust dated July 14, 1992 /�•,``'.1
hereby GRANT(S) to
Richard A. Grund and victory A. Grund, husband and wife as joint tenants ~
all that real property situated in the City of La Quinta
County of Riverside , State of California, described as:
Lot 7 of Tract 25237, more completely described as per Exhibit "A" attached hereto and
made a part hereof by this reference
��a r
Dated — November IQ, 1998 ........
r' Yl t 55 1 }
STATE OF GA6F-AR41A,
COUNTY OF -5-r- L-�)Ltl 3 _ } ss.
On-_ Afo V e -M h CI- 11-,` 15 1 , before me
Notary Public, personally appeared
�i►-fti�c �' ( r c--Y�q c: -
personally known to me (or proved to me on the basis of
satisfactory evidence) to be the person(s) whose name(s)
Is/are subscribed to the within Instrument and acknowledged
to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/their signature(s)
on the instrument the person(s), or the entity upon behalf of
which the. person(s) acted, executed the Instrument.
WITNESS mycchand
��and official seal.
Signature KtA.-✓
MAILTAX STATEMENTS TO:
James Gu rustee
MONICA MCANIII 11
s! uxiscou NY
19Y CM04Mit:N E(P. NAIL f
Richard A. Grund -1543 NW Woodbine Way, Seattle, WA 98177
NAt/ E AGGRESS
f'hif .—,or oMcw ,•ot.ry sea)
cm. STATE s ZIP
, 19-99 11-20A
P.03
118,12
LOT 7 OF TRACT NO. 25237, AS SHOO RIVERSIDEP ON FILE
ICOUNTY, BCODK 228
8NIAGES
95 THROUGH 99 OF MAPS, RECORDS
EXCEPTINO'THEREFROM ALL OIL RIGHTS, MINERAL RIGHTS, NATURAL GAS
RIGHTS AND . RIGHTS TO ALL OTHER HYDROCARBONS, GEOTHERMAL HEAT . AND TO
ALL PRODUCTS DERIVED FROM ANY OF THE FOREGOING SUBSURFACE
RESOURCES. TOGETHER WITH THE PERPETUAL RIGHT TO DRILL, MINE,
EXPLORE AND OPERATE FOR AND TO PRODUCE, STORE AND REMOVE ANY OF THE
SUBSURFACE RESOURCES ON OR FROM SAID -LOT, INCLUDING THE RIGHT TO
WHIPSTOCK OR DIRECTIONALLY DRILL AND MINE FROM LAND OTHER THAN SAID
LOT, WELLS, TUNNELS AND SHAFTS INTO, THROUGH OR ACROSS THE
SUBSURFACE OF SAID LOT, AND TO BOTTOM SUCH WH=PSTOCKED OR
DIRECTIONALLY DRILLED WELLS, TUNNELS AND SHAFTS WITPIN OR BEYOND
THE EXTERIOR LIMITS OF SAID LOT, AND TO REDRILL, RETUNNEL, EQUIP,
MAINTAIN, REPAIR, DEEPEN AND OPERATE ANY SUCH WELLS OR MINES, BUT
WITHOUT THE RIGHT TO DRILL, MINE, EXPLORE, OPERATE, PRODUCE, STORE
OR REMOVE ANY OF THE SUBSURFACE RESOURCES THROUGH OR IN THE SURFACE
OR THE UPPER FIVE HUNDRED FEET (500') OF .THE SUBSURFACE OF SAID
LOT.
PUBLIC WORKS CLEARANCE LETTER
FOR
CUSTOM HOME LOTS
Dear Builder:
Prior to issuance of a building permit, you will be required to obtain clearance from the
Public Works Department for one, or more, of the following:
1. Verification that rough grading is complete, and the pad elevation certifications
prepared' by a licensed surveyor, or _engineer, are on file in the Public Works
Department.
2: Verification that infrastructure improvements and other required tract -improvements
are complete, or sufficiently advanced to warrant building permit issuance.
3.. Prepare an engineered grading plan that provides for on -lot storm water retention, ;
and have it checked and approved by the Public Works Department.
• Tract 26524 (Estancias)
• Tract 26769 (Mountain View'Estates)
4. Prepare an engineered grading plan that provides for building pad grading in
accordance with the existing soils report and tract grading plan, and have it
checked and approved by the Public -Works Department.
• Tract 28034 (South Valley Estates)
30
FOR WTERNAL USE BY PUBLIC WORKS DEPARTMENT
OtIC L.AYC wpN E�
TRACT: 05232 _
LOT)
F: MS%PW CLEARANCE LErr8; ss
COMMENTS:
4
7-09-1999 2:45PM FROM PREST"VUKSIC"ARCH 760+7795395 P.2
ENCLAVE MOUNTAIN ESTATES HOMEOWNERS ASSOCIA'11ON
July 9, 1999
Mr, and Mrs. Richard Grund
C/o Grund & Co.
1115 No. 970' Street
Seattle, WA 98103
Re: 48810 Via Linda - Lot 7
Resubmittal of plans
Dear Mr. and Mrs. Grund,
The Enclave Mountain Estates Architectural Committee has reviewed and approved your
submittal of drawings for. your residence subject to the following comments:
1. The Committee approves the use of a photocell for the front entry
fixture/sconce provided that frosted, not clear bulbs or glass is used t:) soften the
all-night light.
Good luck with the construction of your neve home.
Sincerely,
Carol Calhoun, Property Manager
for the Board of Directors
Professional Community Management / Desert Resort Management
Post Office Box 4772 - Palm Desert, CA 92261-4772
73-550 Alessandro, Suite 5 - Palm Desert, California - (760)346-1101 . F4X r7trn �a�.00, a
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:
Use Classification: SFD
Occupancy Group: R 3
48-810 VIA LINDA
Type of Construction: VN
Owner of Building: RICHARD & VICTORIA CRUND
Buildin'a Official
Bldg. Permit No.: 9906-008
Land Use Zone: RL
Address: c/o QUIYOTE COOP 115 NORTH 97th
City: SEATTLE, . WA 98013
By: STEVE TRAXEL
Date: 06-20-00
POST IN A CONSPICUOUS PLACE