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0303-136 (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 . 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 `safe (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 �r,Zate 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. (This section need not be completed if the permit valuation is for $100.00 or less). '(A:)a1 certify that -in the performance of the work for which this permit is issued, Ifshall 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 lsubject to the workers' compensation provisions of Section 3700 of the Labor .Code, I shal1.forthwith comply with those provisions. Date: _ Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for' a permit subject to the conditions and restrictions set forth !on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall,. indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any'permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellatio r I certify that I have read this application and state that the above information i, correct. I agree to comply with_ all City, and State laws relating to the buildin construction, and.,hereby authorize representatives of this City to enter upo the above,mentioned proprd tyfor inspection purposes• ' Sig nafu[e,,(Owner/Agent),,-_Tf Date T# E N ='BUILDING PERMIT. PERMI,, ,.. DATE`' -VALUATIONa� t �+Y LOT i� TRACT 7c0'" 'fir .'ADDRESS 48-�hf�'j VIAL 14cl�.a. IR -A. JOB APN OWNER CONTRACTOR / DESIGNER / EN &NEER t I A7 5-37'7 W'Ys'.+�aP� ,"08 Z s. LA Cox:� , USE OF PERMIT �d•'.11Td.wYa.d�: li%KN�'`�b.J t,✓'40�v �wiOd iknC�4 �.T. j b !„.old 101 IF rt»�45, iJLrt':e �, .v 1[to.tJ rr,;.r•siJw.:. u/�.>Jc ras.irJ, SPAI Of ►:'U' 'iil Z f1�:;i 1:9 `RVtv'C) � st.iSD ' GI,iJRAGBICAiftPO l' ? i).'.+"l.uG SF .:Yi:/aY1a'.,i..feL'.7a.:-wrSA:C€.bi oniPnaFn, y'�.a�1"�,w'a%.J,.•.T9.b -. :x.DEPOSIT 1(11.000-x:19.3t&11 •�3,�1]f�,t)D S:>rX3E.C�':x-1:�..4?i�.r`�:,•trPt;� �7i%:•liU . ,taS;�:1�Qt�fa PLC 14.61NO FEE -000;4 19-000 's'1",�r�k�c% �t,7'� l'(��? '1.4`�;� '• it�»�4.�� � iii •�r�t�-��,:1 r�(�� �3�, A TCtII ;51T,1.M1'.A", CL3kva`$��,'!.WCCWON /N3D PLAN MI3' rV-41 ��e`:•,``'r44:;�.L'"� 'NJI-,rikel, 11KRWT V!111,131,4 DUE NOW 't�Y 15.7.903_ f� r RECEIPT .-. .. DATEE "+!I'j BY �.. _".. D FINALED INSPECTOR C9TY Or E � 11tf1? ITA d4 >_, 2 INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs (S Underground Ducts Forms & Footings Ducts Slab Grade _'127 Return Air Steel Z rj 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. Lath � 10, Final Final BLOCKWALL APPROVALS 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 APPROVALS Gas Test Electric Final Waste Lines =�� G 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 Appliances Final Final Utility -Notice (Gas) i ELECTRICAL APPROVALS Temp. Power Pole �j 3 Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels . Exterior Receptacles G.F.I.. Smoke Detectors Temp. Use of Power . at Final��� Utility Notice (Perm) COMMENTS: ' rCERTIFICATE OF COMPLIANCE SFS° Desert Sands Unified School District ' 47950 Dune Palms Road ° a,, BERMUDA DUNES r Date 5/15/03 La Quinta, CA 92253 RANCHOIANWE LS f � INDIAN WELLS 760 771-8515 PALM DESERT y No. 24425 () � LA QUINTA INDIO y7 YYY O Owner Brian & Alexsandra McGuire APN # 658-200-016 Address 75-377 Spyglass Drive, Jurisdiction La Quinta City La Quinta Zip 92253 Permit # 0303-136 -Tract #` 25237 Study Area Type Single Family Residence No. of Units 1 r- Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 16 48685 ' Via Sierra 4099 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 z Unit 4 Unit 9 - Unit 5 Unit 10 Comments _ At the present time, the Desert Sands Unified School District does not.collect fees on garages/carports, covered patios/walkways, residential additionsunder 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: � 1 EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government. Code 65995 Et Seq. in the amount of $2.14 X 4,099 S.F. or $8,771.86 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. J Fees Paid By OC/US Bank = Brian McGuire Check No. 503770832 Name on the check Telephone 760/568-2609 ` Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Sharon McGilvrey $8,171.86- Iso.w Payment Recd Over/Under Signature C l NOTICE: Pursuant to Government Code. Section 66020(d)(1), 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 issued, or from the date on which those amounts are paid to the, District(s) or to another public entity authorized to collect them on the District('s)'behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting RECORDIN6�EOUESTED BY: Sodland WHEN AND WHEN RE MA0198: Brian P. & Alexsandra C. McGuire 75377 Spyglass Indian Wells, CA 92210. DOC tj 2003-003163 01/03/2003 08:00A Fee:13.00 Page 1 of 3 Doc.T Tax Paid Recorded in Official Records County of Riverside Gary L. Orso Assessor, County Clerk 8 Recorder M S • IJ r....� UA PCOR NOCOR SMF MISC. A R L COPY LONG REFUND NCHG EXAM i3 ASSESSOR'S PARCEL NO.: 658-200-016-0 The undersigned Grantor(s) declare(s) that the DOCUMENT TRANSFER TAX IS: $ TITLE ORDER NO.: .,... County $ city. I- a ` ESCROW NO.: 21720-001 XX computed on the full value of the interest of property conveyed, or — computed on the full value less the value of liens or encumbrances GRANT DEED remaining thereon at the time of sale OR transfer is EXEMPT from tax for the following reason: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Philip N. Chironis and Gina R. Chironis, Trustees of The Chironis Family Trustdated December 27, 2000 hereby GRANT(S) to Brian P. McGuire and Alexsandra C. McGuire, Trustees of the Brian P. McGuire and Alexsandra C. McGuire Revocable Living Trust December 26, 2002 all that real property situated in the City of La Quints County of Riverside State of California, described as: Complete legal description attached hereto.and made a part hereof Dated December 09, 2002 STATE OF CALIFORNIA, . } COUNTY OF ;)RA ni'5E. } ss. On Dcc t r;•, ia_o I I L 7 o Z before me I ejL G2 Notary Public, personally appeared Ph+IIP N. (i,,, -arils t (-31tiA k. --__ Pl#ip N. Chironis, Tru Gina R. Chironis, Trust' personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) LEIGH GRIFFITH is are subscribed to the within -instrument and acknowledged OM F • CALIFORNIA / g � COMMISSSS IOO N # 1371543 to me that he/she/they executed the same in his/her/their ORANGE COUNTY authorized capacity(ies), and that by his/her/their signature{s) ; My Comm. Exp. AUG. 24, 2008 on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my h nd a o ' ial se Signature ,MAILTAX TATEMENTS (Brian . and Alexsandra C. McGuire-75377Spyglass, NAME ADDRESS ee (This area for official notary seaq Indian Wells, Ca: 92210 CITY, STATE & ZIP . _ EXHIBIT "All Lot(s) 16 of Tract No. 25237, in the City of La Quinta, County of Riverside, State of California, as per map recorded in Book 228 Page(s) 95 to 99 inclusive of Maps, in the office of the County Recorder of said county, and amended by Certificate of Correction, recorded November 22, 1991 as Instrument No. 406705, Official Records. Excepting therefrom 1/16`h 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(s) 319 of Patents, records of Riverside County. Also except all previously unreserved oil rights, mineral 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 Except all oil, oil rights, minerals, mineral rights, natural gas, natural gas. rights, and other hydrocarbons by whatsoever name known that may be within or under said land, together with the perpetual right of drilling, mining, exploring and operating therefore and removing the same from said land or any other land, including the right to whipstock or directionally drill and mine from lands other that said land, oil or gas wells, tunnels and shafts into, through or across the subsurface of said land, and to bottom such whipstocked or directionally drilled wells, tunnels and shaft under and beneath or beyond the exterior limits thereof, and to redrill, retunnel, equip, maintain, repair, deepen and operate any such wells or mines, without however, the right to drill, mine, explore and operate through the surface of the upper 500 feet of the subsurface of said land or otherwise in such manner as to endanger the safety of anyhighway that may be constructed on said lands, as reserved by deed recorded November 17, 1995 as Instrument No. 385088, Official Records. ILLEGIBLE NOTARY SEAL DECLARATION GOVERNMENT CODE 27361.7 r I CERTIFY UNDER PENALTY OF PERJURY THAT THE NOTARY SEAL ON THE, DOCUMENT WHICH THIS STATEMENT IS ATTACHED, READS AS FOLLOWS: . NAME OF NOTARY: Le\,(q\-) C�Yl : COUNTY WHERE BOND IS FILED:CCS"c�CL DATE COMMISSION EXPIRES: PLACE.OF EXECUTION OF THIS DECLARATION: DATE: 12 -2 L4 --C2 COMMISSION NUMBER: AUTHORIZED MANUFACTURES CODE: CJ i SOUTHN TIT E t. BRENDA PLEVYAK TITLE OFFICER III pill 11111111111111111111111 0", =�� z Jy - - F. t. �. *, , _- .� � �.. sl r1' s•�' � J tr � - _4 I f' s.9t � •S `�� � 'r ,���. Cert�fica`te,of Occu�� aan,c C) 41 Y-_ ,. ,;��-. . - /1 •- �w `y�'�� ` � r ie� �'- .�` c'... -e� c � . rte} • �oF • Building -&;Safety Department ��= d L This 'Certificate, is issued to the'requirementsY of Section 109' of the -California Building,? pursuant, Code, certifying, . that; at the -time - of;�: issuance; this , structure. ;was 'in,compliance wifli ;,the . provis ons;,'of `tlie `Building.,Code and the various„ ordinances=of,, the City. regulating buildinglow, construction'and/or` use •{ f,. -""a^* C ' w� -N ,.��J�� yz, _. ,, K - .. is - •'?. yi z y� ! (r - . 9 r Win. - � '^• r � � � .5 .k�A'- 'tw,. BUILDING AVI DDRESS. 48=685 A SIERRA' SINGLE DWELLING `, �•ti;. z. �,,Building¢Permit N6.:.0303-136 -4s USeClasslfication: FAMILY ' Occupancy.Group: R3, .�_ ~Type of Construction: VN Land Use' Zone:'RL , Owner of Building:,BRIAW& ALEXSANDRA,MCGUIRE = , ;, Address: 75-377 SPYGLASS DRIVE ; w Y City, ST, ZIP.'LA,QUINTA, CA 92253' a' -.��{-ter •. yf • t• k � r� BY KIRK KIRKLAND/ K_y Date: •FEBRUARY 27 .2004 �a '4 'Building r,:. ci 7 .� ' . is 7 . -Official - i . , ����vJ'• "4 .� c `i-' (rS. f: � e , ,'r yam„ , -' -.. � - � 1~ �` -M POST, INA CONSPICUOUS PLACE i _- z Jy - - F. t. �. *, , _- .� � �.. sl r1' s•�' � J tr � - _4 I f' s.9t � •S `�� � 'r ,���.