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9712-077 (SFD)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 � (1 , 1 £1!31199 VDate•-•' � ~'"'� 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 & Professionalsi Code). O f'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. `(�)Y1 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. (This section'Oeed notI6e completed if the permit valuation isfor orf! ss). ( ) 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 3700 of the Labor Code,,l shall forthwith comply with those;provisions. VIDate. 'ZL' 2 0, 22,, 2,, Applicant ).r rr,, 4 rs' Warning: Failure to secure WorkeCompensation coverage'is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. t 1. Each person, upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for .180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is .correct,;l agree to comply with all City,.and State laws relating to the building :.,construction, and hereby authorize representatives of this City to enter upon the"above-mentioned property for inspection purposes. /signature (Owner/Agent) w' * ="' Date BUILDINGPERMIT PERMIT# °°NTR°`# DATE 4�1° .12,. J % VALUATION LOT 077 TRACT a Q97 S/ � I `{ � � S323 811M.80 15 � 56577 JOB SITE r• ' APN ADDRESS 49-6611 VIA R RRA 1FI 6, -8111_O1 1 OWNER < CONTRACTOR/DESIGNER/ENGINEER NUC1 AF.I. G IN41SCH:CER. IIT " . THUNDERRIRD BUILDh'..RS GROUP INC 1968 N CUI2.SON AVE 7.1321 'fAVY .1.1.1 LOS ANGELES CA 90046 RaINCRO kf[RAGE CA 92270 (? ti)$ 37-19? 5 C93I..4 5.170 USE OF PERMIT R ,r3, SPD - tPE12M T DOES NOT 1NCILUDE ALOCK WAILS OR. POOL. l;d ' MA 2 0 1998 CUSTOM CONSTRUCTION 3,900.00 SIS Pa 11 A 1© SF CITY® LA QUINTA. 708.O.00 Cit>,RA.G't..iC'Akil'ClR'i' 7pt3f) :F e C, S'1 MA'! 1+ D COST OF CONSTR C 110N 323,804.80 PERMIT FEE SUlk 0UR.Y CONSTR .ICTION FEE 101-000-4.18-000 SIAZI.50 PLAN CHECK FEE 101-000-439-318 $1,164.34 1VIEC& AIMC.AL FEB 101.000-•421-00'0 $98.50 -U-120-0+.CfI ,ECTIZIC1.01` J PLUMBING NEE 1.01=000-419-000. $246.00 STRONG MOTION FEE - ftES D 101-000-141-000 $32.33 GRADING Firs 10.1-000-423-000 $201.0:.1 1NFR, S'1'RUCTL1IkH f'E) 225•00.443-342 a6,W0.00 ART IN PUI`JAC PLACES - KE;SIC 701-000-255-15 X1 33S9,5i FEE DEPOSIT SUf3=IbTAL CVNS•I'RUCTI.ON AND PLAN CHECK. 9;7195.89 LESS PILE -PAID EEE: -S!,600,00 TOTAL, PERMIT FEES DUE NOW $8,793.5.1 RECEIPT DATE BY 1 DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE I 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 _ P _ �� F.A.U. , Framing Compressor Insulation ����9�� Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall p Exterior Lath Drywall - Int. Lath /2 - 23- 9,1511 Final Final _�i� POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings / /(o 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 10 Encapsulation Gas Piping Gas Test 3:9 G l� Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL PPROVALS A,4,i4� Temp. Power Pole — 6ueS7 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) }�' �. � � � •, � ,��n �� 4 r,` i., rF is w,caF;kF i. 4 _,'. �� � y i ' t r:, ., - . '�� f sk"Y,. c x i a 'rf � � ". , ti u `�� � c, ! h r { .: o •. Desert Sands Unified School District - .. tice: 82-879 Higliway.111 R' Document Cannot Be Duplicated Indio,. CA.92201 .` 619-775-3500 - CERTIFICATE OF COMPLIANCE -Date- 3/13/98 APN# 631410=017 , No. 16738 Jurisdiction La Quints - 4 , Owner NameMischler-Coveny Residence Permit # No: 48660 Street Via Sierra Log # City La Quinta- Stud z;p 92253, y Area Tract # Lot # Square Footage 3900 Type of Development Single Family Residence f ' 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 m the amount of: t; Y 1.93. X 3,900 or $ 7,527.00 the property listed above and that building '. permits and/or Certificates of Occupancy for.this square footage in this proposed project may nowUe�*$ � :dam Fees Paid By CC/Wells Fargo & Co/Doug�Lough Telephone 346-2166 s ,Name on the check - By Dr. Doris Wilson - Superintendent' Feecollected/exempted by Rosita Jones Payment Received $7,527.00 Check No. 0378004628 Signature FNOTICE: Pursuant of Assembly Bill 3061(CHAP 549,:STATS. 1996) this will serve to not fy you that the 90�ay approval period in.which you may protest the fees or other payment identif ed bove 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 Districts) or to another public entity uthorized to llect 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 � ' DY`i�:��'.....:; .. v: .•cam i.a i : LI:: V�� • ORDER # ESCROW # 9219 -JC WHEN RECORDED MAIL TO: Michael G..Mischler.,. �i.. William B. -Coveny,-'III 48-660 VIA SIERRA e� OU)Z. Q CU � Uc� � GC O Y U co d► LU t' WQ • W LA QUINTA, CA -92253 Q SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: GRANT DEED' The undersigned grantor(s) Verty* Documentary transfer taxi(X) computed on full value conveyed, or • ( ) computed on full value less value of liens and encumbrances remaining at time of sale ( ) Unincorporated area: (X) City of La Quinta \jy FOR A VALUABLE -CONSIDERATION, receipt of"which'is hereby acknowledged: Citizens savings Bank hereby GRANT (S) TO C .`.. .,a MICHAEL G. MISCHLER, AN UNMARRIED MAN -'AND. WILLIAM"B. COVENY, III, A SINGLE MAN, AS JOINT TENANTS that property in Riverside county, State of California; described as: Exact legal description as per Exhibit 'A', Attached hereto and made a part hereof'. i ` Date: 'March 10, 1994 I STATE Or. OHIO ) COUNTY.OF Stark ) NANCY J. MAGGI On April 1. 1994 before me, personally aF D. Paradeses )1 , ravo TExecbtiVe`.Vice President personally known to me (or proved to me on'the basis ;of sat'sfactory evidence) to be the person(s) whose name(s).is/are subscribed to the within instrument and -ac1snowledaed to -_me that he/she/they executed the .in his/her/their authorized capacity(ies),, ­ ind—ifiii `by- his/her/their signature(B) on the instrument the person(s), or the entity. upon behalf of which the persons) acted,,executed the instrument. Witness my han Signat e / and official seal. (��e,(,typed(!r pr �. .' Order No. R-131392-6 176987 EXEi18IT "All The land .referred to in this Report is situated in the State of California, O:Ymty of Riverside and is described as follows: PARCEL 1 Lot 15 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, in the office of the County Recorder of said County. r. EXCEPTING ARCM 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 Patens, Records of said County. Also EXCEPTING 7=E RCM, together with the, right to grant and transfer all or a portion of the same:., A. All previously unreserved oil rights, mineral rights, natural gas rights' and rights to all other hydrocarbons by whatever name }mown,, to all geothermal heat and to all products derived faun 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 fra, 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 shafts 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, store or, remove any of the Subsurface Resources through or in the surface or the upper five hundred feet (5001) of the subsurface of said Lot, as -,reserved by Citizens Investment Corporation, an Ohio Corporation, in deed recorded August 1, 1991 as Instrument No: 263261 of Official Records. PARCEL 2 i A nonexclusive easement for ingress, egress, over the cam�n area, as described ° , abed . in the - Declaration of Covenants, Conditions and Restrictions, 'and Reservatin of Easements, recorded March'12, 1991 as Instrument No. 82168. ,PARCEL 3 A nonexclusive easement for access, ingress and egress for pedestrian and vehicular purposes over those private streets describedas the "PUD Reads" and « "Venture Property Roads," as described in that certain Use Agreement and Gant of Non-exclusive Easements recorded on February 25, 1987 as Instrument.No. 52339, in Oficial Records of Riverside County, California ("Use Agreement"). OIL- S �`�JON TANDY 37 r 630 Medjool; Ave. llljko/k� �FCGPal m Desert, CA 92211 t Office 760 77277192 • �� `s'��F�ax ) (760) 772-7193 Pager (760) • 776-3338 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED O REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ O POST TENSIONED CONCRETE O ASPHALT ❑ OTHER ❑ REINFORCED MASONRY O FIRE PROOFING JOB LOCATION p /� a (� /� meq- /� U I R WK. Y� A, V l Ih.\ to REPORT SEQUENCE NO. TYPE OF TRUCT RE PERMIT N0. DA DAV OF WEEK MATERIAL DESCRIPTION ARCHITECT ' INSPECTOR (1),v MRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION GENERAL_ DATE CONTRACTOR ®(� V SUB _ C7 CONTRACTOR ec t) t ►tc� L L) `r o V%A- 641 ea\ a e� S owe /Z '4j e, 4.010., D US ✓l.' e -e-, .-a "e COPY SENT TO CLIENT O TINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. TEREDINSPECTOR SIGNATURE OF RE 3c�a &(: V79 . DATE OF REPORT REGISTER NUMBER •" JON TANDY ✓�� ool Ave. ,�®'.1 r®Aa���PaIm63De er370 t, CA 92211 'dire R�c®' Office (760) 772-7192 Fax (760) 772-7193 -1k Pager (760) 776-3338 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF' INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATION O I REPORT SEQUENCE N0. TYPE 'O T C RE e PERMIT N0. D DAY OF WEEK MATERIAL DESCRIPTION ARCHITECT I HRS. CHARGED ENGINEER ASSISTANTS NPS. CHARGED INSPECTION— DATE Y GENERAL �/ /��SUB CONTRACTOR ��ci�+�. l�,<. �6 CONTRACTOR k i COPY SENT TO CLIENT ❑ CONT ED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY SI URF, F REGIS ED INSPECTO KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE t ` NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. ' DATE OF .REPO T REGISTER NUMBER t 5 - 1TY OF LA 01,)INTA- 'JON TANDY UN RECo I ". .. . 1 3580 Condalia Ave. gi I I I n1mi f" ca Valley, CA 92284 011116"Ims [an (/OU) .300-5040 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED REINFORCED CONCRETE 0 STRUCT.'STEEL ASSEMBLY 0 POST TENSIONED CONCRETE _0ASPHALT 0 REINFORCED MASONRY 0 FIREPROOFING 0 0 OTHER JOB LOCAT102WREPORT J A L A Qo tv,%q A SEQUENCE NO. TYP OF Tt)CTURE PERMIT NC� 7tjL7% I AIE DAY 01 WEEK MATERIAL DESCRIPTION ARCHITECT If4sp SELCTOR ij - g ( A 14�( HRS CHARGED ENGINEER 1 ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR" -CONTRACTOR:­ '-3000 r ZA pk-e- ,c MR,) (0-"- Stu"- MS17 L0,11, lk _2 n. COPY SENT TO CLIENkO/ CONTINUED ON NEXT PAGE 0 PAGE iOF ON OF COMPLIANCE 'T CERTIFICATION IHEREBY CERTIFY THAT CRAVE INSPECTED TO THE BEST OF MY GNA URE OF REGI EREO INSPECTOR KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE 7q NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED L cl 11� _ PLANS. SPECIFICATIONS.' APPLICABLE SECTIONS OF THE ,GOVERNING BUILDING LAWS. ATE OF REPORT REGISTER NUMBER l -4 ,f 1T Y OF LA OUINTA �--_-�,qy 4 JON TANDY RCC°D 3580 C%0" a Ave. D SNtu- t a Valley, CA 92284 (7601-365-5045 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE TRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ ��� do ❑ OTHER ��--`� `� JOB LOCATIONREPORT -- O f) Jt L A� QU t,✓ItA- SEQUENCE NO. TV�O�TR_UCTURE�r 1��`� PERMIT NO. � DAA, I� �yQ DAV OF WEEK MATERIAL DESCRIPTI .� ARCHITECTINSp,�GTOR HRS. CHARGED ti ENGINEER. ASSISTANTS HRS. CHARGED INSPECTION DTE ENERAL SUB CO ONTRACTOR "L 'eWCONTRACTOR - i4d�l -J G 's�- rr O- X � / C�c9 � • x COPY SENT TO CLIEN CONTINUED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY SIGNATURE OF REGIST ED INSPECTOR KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLAWITH THE APPROVED /�(/' g PLANS. SPECIFICATIONS. AND APPLICABLE%? SECTIONS OF THE GOVERNING BUILDING LAWS. DATE OF REPORT REGISTER NUMBER 'j Ruilding 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: 48-660 VIA SIERRA Use C.I. ssification:. SFD Bldg. Permit No.: 9712-077 Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RL Owner of Building: MICHAEL G. MISCHLER III Building Official Address: 1968 N CURSON AVE City: LOS ANGELES, CA 90046 By: STEVE TRAXEL Date: 9-28-99 POST IN A CONSPICUOUS PLACE