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9802-112 (SFD)rY LICENSED CONTRACTOR DECLARATION I*hereby 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 # Lic. Class Exp. Date 497584 B C-10 , ; 2/29100 Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjuthat I am exempt from the Contractor's License Law for the perjury that 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). ( ) yam •exempt under Section , B&P.C. f s reason'r^" Ate 4 P ►. eVC, 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. 'ILf1T,3 CENTURY INS. C iL*t)1C8-21+ 33 (This section need not be completed if the permit valuation is for $100.00 or less). (x 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 oflS,e�c—t-io�nh-^3700 of the Labor Code', I shall forthwith comply with those`provisions( UPa e: s - 1 ©d Applicant P , Warning: Failure to secure Workers' Compensation coverage is Lin AVul and shall subject an employer to criminal penalties and civil fines up to $106,000, 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 the above-mentioned property for-iSpection purposes. /ignature (Owner/Agent) YF' Date !Z• , 6 PERMIT# CONTROL#. BUILDING PERMIT e ` DATE VALUATION LOT 9z1UZ-1111 TRACT 7112 S391.402,70 JOB SITE ADDRESS . 48-6711 VLA SI'ER1t '. 631.810•.018 OWNER CONTRACTOR / DESIGNER / ENGINEER SE FF READ... A & M CON s i`19WC"ON 1424'NURYNEL,L DltfVF 78-070 C ALLE CADI. CERES CA 95307 LA QUINTA CA 92253. f760j4-1832 %Bl.fi 620 USE OF PERMIT lri) F1aI2Aft 1 DO -Eli NOT 1NC1,M)E lBLOCK WALLS OR PdOL. i CUST01%4 CQNSTRUCTIC N 4.633.01 SF PORf 1 UPA'PIO 6G0.00 SW. CAKA.GEIC:ARPOR r 1,135,005F E1ST.UNIATED COST OF C:!'RUCTION 311,4402.711A PER UT Fpr,. 1W S1J&MAR' , CONSTRUCTION:fwT� 101-000-418-000 $1,661. i0 PLAN CHECK fEE 101-000-439-31$ $1,381.19 1:EEMOS1T .101-000439-318, -$1.,000A00 NI CHANIC,,L Fte 101.-0110421-000. $175,50 ELECTRICA1. Fa 101-000-42,0-000 $:276,36 PLUA/MING FEE., .101.- .00-419-000 $321.00STRONG MOTION PEI~ - RESW ' 101-000-241-000 $59.14 ORAI)ING 'PEE 101-000-423-007$120.00 IIFR.A-S732S1CrVRi3 FER 225.000-14-3,342 $6.900.00 RT 1N PUBLIC PLAC!"sS - ItlrSl'l; 01 *000-°, 5_`+-000 $723.51 SUB -TOTAL CONSTRUCP1(7N.AND PLAN CHECK. 510,603:20 LC8SRE-PAID1*,EM'S 41,000"', TOTAL t'E]itM'1IT FEES DI: E NOW $9,603.26 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 O.K to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party. Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. La h 2� i6 98 Final BLOCKWALL A PROVALS Final POOLS - SPAS steel Set Backs Electric Bond Footings hOiO .3 f� 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 r Pool Cover Sewer Connection 7 Encapsulation Gas Piping Gas Test Appliances Final Final— —%%c,� — – Utility Notice (Gas) "D �y 51 ELECTRICAL AP ROVAL Temp. Power Pole �jsoe S Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power 1 Final G ATX Utility Notice (Perm) COMMENTS: 11W1-7,*V- 1 j0 7 1fk 9�' /,,/V 0 3 s;y Desert Sands Unified School District. Notice: 82-879 Highway 111 - A 92201 C • • . �� Document Cannot Be Duplicated Indio, dio, C5-3500 CERTIFICATE OF COMPLIANCE - Date5/15/98 APN# 631=810-018 4 - No. 17034 Jurisdiction La Quinta - Owner NameSouthern Hills Development Inc. Permit # 48-670 Via Sierra ' No. Street ','' Log # ' City La Quinta Zip' 92253 Study Area Tract # Lot # Square Footage 4633 Type of Development Single Family Residence k • 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 1.93 X ` 4,633 or $ 8,941.69 the property listed above and that building peimits and/or Certificates of -Occupancy for this square footage in this proposed project may now be issued Fees Paid By Cashier s•Check/Bank of America -Jeff Read , Telepb"o-771 3113Kf Name on the check I By Dr. Doris Wilson t Superintendentk� Fee collected /exempted by Ellen•Patino Payment Received 'f$8a941 69 ti Check No. 2010238845 ` _�_ Signature L� NOTICE: Pursuant.ot Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval -period in which you may protest the fees or other payment identified will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized'to tolled them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city.plan check application form to district copy for alfwaivers. , Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy,- Accounting f MAY-15-1998 15:16 PLUM TREE HAYWARD P.02 <-.o RECEIVED FOR RECORD Itr•.coun(Nr, )tEQutsli:n BY t k, AT 8:00 O'CLOCK 17111 ' ' 1Ni)"tVIIPNRIi(:UItPF:DMT(1.TO: �rtait. " MAY - 2<1997 SOUTHERN HILLS DEVELQPM ENT, IN D�.i'ta� 10HNSO1d , Mr. Read Drivt " FRAt4KK• CO h:me,eeoaen worms 1424 Marynell RN. a wdr Cmar. CAM'" •, ' - Ceres, CA 95307 - a ., :'1� axaaar • • -- . spate AMwc This.Une for Ike, ntrkfs Usc Only + A.F.N.:, •TRA #: 028. Order No.: R•101067-3 r Escrow No.: 2'S34-CV Gk3AMT ®EF.B THE UNDERSIONEOORANMR(s)DECLARE•(s)'IAATDO(UMFW.1RYTRANSFI-M AXIc:COUNTY 'i$ 38.0(1 computed on full value of property conveyed, nr I.X11 computed on full value less value of liens or encumbrances remaining, al time ofsale, unincorporated area; (X J City of La Quinta ;and FOR A'�VALUABLE"CONSIDERATION, Receipt •of ,which is: heieby acknowledged, .CITIZENS INVESTMENT CORPORATION, an (thio Corporation r .hereby GRANT(S),to. SOUTHERN HILLS DFVELOPMENT, INC; , ~ 'A CALIFORNIX CORPORATION " the following de'scrihed property in the City of, La Quipti, County of. Riverside Slate of California; AS PER LEGAL DFSCRIPTION MARKED ° .FXHIBIT 'A' ATTACHED HERETO AND BY THIS ' REFERI INCE MADE A PART III CRF.OF. , • , CITIZENS INVESTMENT CORPORATION, r an Ohio Corporation By: .X Terry E Patton Secretary X William R. Reed, Senior:Vlce-President Document Date:' lanuarv•16. 1997• " °•, 4• ss COUNIY of, SUMMIT ) - r• On" L nay 21' 19(17 before me, "NO ary-Public" ."• personally u(:pcarc9.b)illiiiM R. Reed', S13110I'. V1Ch�-Pr+esidertt and,TerTy E. PatLCr)r St°er'etarir _ e r per5nn:.11y knuvm to me (,it proved W "mc on the UaaiS or a[isractorycvidcncc) i6 be the pd:tnn(1 hos • namc(s) ,lar.; subscnncU w Ihc, wti[hm' . _ • - instrumum and acknuMcdi cd lu me Thur he/sbe/they a ecutcd the same in his/her/their authnur..d cup, cily(i_s) und.lhA by his/hcr/their ,ignaiuit(s) t. _ mon the insirumoni the person(S) nr the tmlly_uM_tn_bchal(Of �_'hirh tht�nd coed rL%ecuted the ipt rv.,�tent _�; _ _ (. _ _. .. _ • .. r .. .,, �• • wR'NFSS my hand. and oiCxtiaI sear. , .. • .,. _ Y � Signature V �"�•�]L'SG_1�[�... [ z ` �• . ,,-. • ' _ +�- 't'his area for offirial notarial sea,. C• JEAN! CHESTFER, Nat�t, i. -. r RE eCO.-Portage rtodOhio iay Commiew E* Od.19. ESCRIBED IN THAT CERTAIN•USE AGREEMENT AND GRANT OF. NON—EXCLUSIVE EASEMENTS, RECORDED "FEBRUARY 25, '1987,"-AS INSTRUMENT NO. 52339, OFFICIAL RECORDS, OF RIVERSIDE COUNTY-, CALIFORNIA ("USE AGREEMENT•;). r MAY -15-1998'"15:11 PLUM TREE HAYWARD P.04 EXHIOI7` A PARCEL 1: LOTS 14, 20 AND 21 OF TRACT NO. 25237, IN THE.CITY OF LA .QUINTA, COUNTY OF" RIVERSIDE, -STATE OF CALIFORNIA, AS PER MAP RECORDED' IN BOOK 228, PAGES'95-TO 99, INCLUSIVE OF MAPS, RECORDS OF RIVERSIDE'COUNTY,.CALIFORNIA... EXCEPTING. THEREFROM 1/16TH.OF ALL COAL, OIL, GAS AND OTHER MINERAL DEPOSITS, ,OF THAT PORTION OF SAID LAND, AS RESERVED IN PATENT RECORDED'JUNE 20, 1928 IN"BOOK 9, PAGE 319 OF PATENTS, RECORDS OF RIVERSIDE COUNTY. ALSO EXCEPTING THEREFROM, TOGETHER -WITH THE RIGHT TO GRANT AND `TRANSFER ALL OR A PORTION SAME: A. ALL PREVIOUSLY UNRESERVED'OIL RIGHTS, MZNERAL.RIGHTS,' NATURAL, GAS RIGHTS .AND RIGHTS TO ALL OTHER HYDROCARBONS BY WHATEVER NAME KNOWN; TO ALL GEOTHERMAL` HEAT AND' TO ALL PRODUCTS DERIVED FROM ANY' OF THE' FOREGOING ,.(COLLECTIVELY, "SUBSURFACE. RESOURCES"); AND B. 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 LANDS OTHER•THAN•„SAID LOT, ,WELLS, TUNNELS,AND.SHAFTS INTO, THROUGH OR ACROSS,THE SUBSURFACE OF-SAID.LOT, AND;;TO'BOTTOM SUCH WHIPSTOCKED OR DIRECTIONALLY DRILLED WELLS, TUNNELS AND ,SH AFTS,WITHIN 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,L`.STORE.OR'REMOVE ANY OF THE SUBSVRFACE'RESOURCES THROUGH OR'IN THE,SURFACE OF THE UPPER FIVE HUNDRED FEET .9500') OF THE; SUBSURFACE OF SAID LOT „ AS RESERVED.BY-CITIZENS.INVESTMENT CORPORATION, AN. OHIO CORPORATION,, IN DEED RECORDED CONCURRENTLY HEREWITH. PARCEL 2: A NONEXCLUSIVi EASEMENT FOR INN-kESS., EGRESS, OVER THE COMMON AREA, -AS, DESCRIBED IN THE DECLARATION OF COVENANTS, .'CONDITIONS. AND;, RESTRICTIONS; AND, -RESERVATION OF EASEMENTS.RECORDED MARCH 12; 1991,, AS INSTRUMENT .NO. 82168,” OF` OFFICIAL RECORDS. PARCEL'3: A NONEXCLUSIVE.EASEMENT',FOR ACCESS, INGRESS AND EGRESS FOR PEDESTRIAN AND.- VEHICULAR- PURPOSES OVER THOSE PRIVATE -,STREETS' DESCRIBED 'AS THE "PUD -ROADS" AND, "VENTURE PROPE'ATY ROADS,",AS DESCRIBED IN THAT CERTAIN USE'.AGREEMENT .AND GRANT OF NON-EXCLUSIVE .EASEMENTS,;.RECORDED FEBRUARY 25, 198:7, AS INSTRUMENT, NO. 52339', OFFICIAL RECORDS. OF RIVERSIDE COUNTY, CALIFORNIA (".USE' -.AGREEMENT"). 'TOTAL P.04 r�uri I K= HHYWHK.V - • P-03 UN- Pon ENCLAVE MOUNTAIN ESTATES HOMEOWNERS ASSOCIATION , -April ' 15,1998 T ivtr.'IefferyM. Read Southcin,Hilk'Developfnent, Inc. 55-161 Southern Mills La Quinta, CA 92253 { �Re: 48-670 Via Surra';;. Lot 14 Dear Mr. Weber: The Enclave Mountain Estates Architectural Committee has`reviewed and'your Worki ng Drawing Submittal in .connection with the abov. c•refarcnced address- Your Working Drawings lra. Approved subject to your compliance with the following couditioas: ' 1,, There arc several roof aieas'that'protrudc into he setbacks: These have been approved. However, l was unable to,find the previous approval'you described in your letter:., 1. There is still fl3rge amount of concrete in the front yard. This.could be reduced 'slightly and add moiv vegetation (near house). , r ' 3: Scupper comment retracted. ; F ' . 4. The roof plan indicate parapet heights .Please provide. 5. Properly noting walls will eliminate confusion as to existing or new. Committee ' acknowledges that rcar'was is exisunk. . 6. Color Board is 'approved subject to 'final review in the field you have any questions with ' regard Ito these conditions, please feel free to call ine. ` ` ^ i J^ � t . may. A, • F F Y Magi Adkins, - Property Managcr'. cc: Southern Mills Development . ' POW Otllae Boot 4772 Palm Desert, CA'82281.4772 73-650 Alessandro. Sulfa 5 - •. Palm Desert. Calitmia • (760) 348-1161 : FAX (760) 34&9918 •... . .G O U VIS ENGINEERING. _.: • C _A L I F O R N I A ember 22, 1998 CALIFORNIA E-MAIL TO • SUPPORT@GOUVISGROUP.COM • SALES@GOUVISGROURCOM Southern Hills Development 55161 Southern Hills PGA West La Quinta, CA 92253 Attn: Jeff Reed , Re: Southern Hills Development Walk-through observation GEC Job No.: 20460 Pursuant to your request regarding the above captioned project, we submit the following: On 10/23/98 a structural walk-through observation was conducted at the above mentioned _ project per the 1994 U.B.C. A list of corrections was presented to the owner. ' Our inspection covered all visible structural members above the slab. This excludes the roof sheating top plate splice, and non visible straps and clips above the roof sheating. Note: Please verify the above with the building department prior to construction. If you have any questions, please do not hesitate to contact this office. Sincerely, jXOFESsIO GOUVIS ENGINEE co No. C38276 "Saeed J. Bekam Exp, 3/31/0 c Frangie " President, Manager j' CIVIL 9r� OF CA0FC� _ • . 'SJB:cb 20460 �. ..he ADD�PE 7-c.70 'Vtlt GOUVIS ENGINEERING GROUP OF COMPANIES WITH OFFICES IN: WEB -SITE: www.couvIscnouP.coM Y 4400 CAMPUSDRIVE, SUITE • NEWPORTBEACH, CALIFORNIA 92660 • (949) 752-1612 • FAX (949) 752-5321' 2150 EAST TAHQUI7 CANYON, SUITE 9 PALM SPRINGS, CALIFORNIA 92262 (760) 323-5090 FAX (760) 325-2863 5465 MOREHOUSE DRrVE, SUITE 100 • SAN DIEGO, CALIFORNIA 92121 • (619) 623-9941 • FAX(619)623-0278, FIELD OFFICES: LAS VEGAS (702) 597-2005 • FAX (702) 597-0905 • FREMONT (51,0) 252-9195 • FAX (510) 252-9196