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9902-123 (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 Signature of Contractor.-` r d- �� -• `'{ "i ,� ''" OWNER -BUILDER DECLARATION." t 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 fob 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). O I am exempt'under Section B&P.C: for this reason Date y Signature, of Owner WORKER'S COMPENSATION DECLARATION d , 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 whi, his 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). '. () 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"compensationlaws of California, and agree that if I should become. subje6 to the workers' compensation provisions of Section 3700 -of the Labs Cgde, I shall forthwith comply with those provisions. gate: 1 ir^ c2: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 cancellation. ;t 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 th/ab vementioned property for inspection purposesre (Owner/Agent)' '� �+ 4r �" ff ”?•� � t + Date PERMIT # i4 i e °'BUILDING -PERMIT" DATE . 636/®,9/,,1"VALUATION $3i6ty 09 9,( LOT } TRACT, i Vis+. SITE�I{},*'I =Tlti� i APN r B �IS.A ADDRESS ^.JOB OWNER ,' "'• ' CONTRACTOR / DESIGNER / ENGINEER tivZ INC A -,c; r�rc.�t3r��vc�R,` H 4i-S.C7�,El.'.TJ1OS''CIRCLIE ' ' 44-81.7 DEL )IOS Ck icLE INDIAI WELLS CA 01210 :' 11°1:1�IE1t�i WELE,:;CA 92210, . (7611)3410-9444 CR11## 5588 - .USE OF PERMIT VD t s t ,It 0-0345..1it.tiC."now sl;� 3fJ.i}t� cii' 4 CIA13.E'i�ARA70.'i' 878.*S5 r - tC 1fE ¢Uf�A Its .665.00 SV ; �. ••.. .. ��� �p �, A g•p, .r•�,q���T �•p g; �o,�y Age .�+gc•��,� 4' .tl:,np�RA� :c'4•P.JL._D:i.'4.F'r911•. v.V.F Y CANS• iBOJC I110ty •� �p µ1 �}, PERM VTM1N1AAY, A ix i,+ wZK m 101 -WO -43.9-318 $11,326,12 W � f F tT3 1~fiiCr , t tsla $156.00 , IIECT 10i -Q630•-420-000 9,275.95 .. t'1 dJRtEttYdC�r1a'C?i 101-000419-000 236+.75 S1'. i R('SNP kE0,(,1 Q1 fli)©-241 •^ "N) e,; $:39.0? $293.001 Ir+?Y ii i; gtiS .i 225w000443-3,42 AXI! .IN PUBLIC PLACES - RESM 701-WE).M,.000 V02.02 F•irt313sI'f?:51T l.f3i,-6?V ,19 -:fit: k�1,63i1it,C1} ' 51.3}3 ) IFA1:CTTD . 701..09�0 $-s:1t)„,030 LESS PRiJaEry EE ' +1t!''A�O� f1'. '1<d101E'� Si°1+!,S DUE, NOW' y RECEIPT / DATE�'i { BYf � DATE FINALED INSPECTOR AIF., %'h /fi ,! � INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR <. BUILDING APPROVALS MECHANICAL APPROVALS Set Backs A Underground Ducts Forms & Footings Ducts Slab Grade ��~ Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing rp S Compressor Insulation (m Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL AP ROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I 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 3 o Encapsulation Gas Piping Gas Test Appliances Final Final :p;l Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole .L _ 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) COMMENTS: Building Address Owner �- , T4hf 0 .4 QUIA4 P.OBOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 / wF /Ze_ lam' : ..G- .t•/ I Address if % - - / 7 /`;)­/ 0 ; d A ro._/. City Zip _ Tel. ~Contractor Address State Lic. ` ' & Classif. Arch., Engr.,,..-. Designer Address ` City Izip .V n / v 1 314 O- Lic. # 'A v /< Tel. State Lic. # 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. r/ f•,f /� /.„ !/ SLGNATURE DATE OWNER -BUILDER DECLARATION I hereby'affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 703 1.5. Business and Professions Code: Any city or county which requires a permit to construct, alter, 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 Div), Stan 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 five 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. It, 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.) I l 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 contractors) licensed pursuant to the Contractor's License Law.) I'7 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 n 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 i1 the permit is for one hundred dollars (5100) valuation 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. Date Owner NOTICE TO APPLICANT., If, alter making this Certificate of Exemption tyou 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 I hereby 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 ame 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. 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 ateMailing Address City, State, Zip WHITE = FINANCE 61982.- �z3 APPLICATION ONLY BUILDING: TYPE"CONST. OCC. GRP. A.P. Number CosI - 9 to -(515- Legal Description L 4. / / 7 7 r � Project Description /` `/ 1 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 P FINODATE INSPECTOR Issued by: Q �DatePermit Validated by: Validation: 4 PINK =BUILDING DIVISION � YELLOW = APPLICANT ty Sq. Ft. No. Size �%' ,..'� ' Stories 1/ No. Dw. Units New I• Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT :•. Plan Chk. Dep. U Gi Plan Chk. Bal. Const. Mech. Electrical f Plumbing S.M.I. Grading Driveway Enc. Infrastructure 1 TOTAL 110. A/ I j 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 P FINODATE INSPECTOR Issued by: Q �DatePermit Validated by: Validation: 4 PINK =BUILDING DIVISION � YELLOW = APPLICANT ty Desert Sands Unified School.District . 47-950 Dune :Palm s Road hlotice: La Quinta, CA'92253 Document Cannot'Be Duplicated . 760-771-8515 CERTIFICATE OF COMPLIANCE` fi -.Date 6/9/99 r APN # 631-81.0-015 No. 48869 i + Jurisdiction . La Quinta.. Owner NameWestwind Development,_Inc. _ _ Permit# • No. 48-705 Street Via Sierra Log # City La Quinta Zip 92253• Study Area Tract # Square Footage 4554' Type of Development Single Family Residence 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, 4,554 or $ 8,789.22 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, Fees'Paid By CC/First Community Bank- Mr. Woolworth: 'Telephone 340-9444 I ..., . 4111 Name on the check Dr. Doris Wilson. - • �L�'�; � " =� . '`'�' By r► t, Superintendent f Fee collected /exempted.byEllen Patino PaymentTReceived $8',789 22 Check No. 086414 Signature. ` 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 -a- Accounting 7 . p� MW C®.. RECORDATION REQUESTED BY: BANK OF THE DESERT, A NATIONAL ASSOCIATION 81-790 HIGHWAY 111 INDIO, CA 92201 WHEN RECORDED MAIL TO: BANK. OF THE DESERT, A NATIONAL ASSOCIATION 81-790 HIGHWAY 111 INDIO, CA 92201 SEND TAX NOTICES TO: WESTWIND DEVELOPMENT, INC., A CALIFORNIA CORPORATION 167S SAN ANTONIO LOS ALTOS, CA 94022: ;»». 0'7'7925 RECEIVED FOR RECORD AT 8'00 O'CLOCK MAR 5 1996 necoroea in Uhsoai Recoro., of R;versideCounry,CalilomioX. / Recorder Foes $ .F)P. • . 5j.&CE ABOVE THIS LINE IS FOR RECORDER'S USE ONLY THIS DEED OF TRUST IS DATED FEBRUARY 12, 1996, among WESTWIND DEVELOPMENT, INC., A CALIFORNIA CORPORATION, whose address is 167 S. SAN ANTONIO, LOS ALTOS, CA 94022 (referred tc below as "Trustor"); BANK OF THE DESERT, A NATIONAL ASSOCIATION, whose address is 81-79( HIGHWAY 111, INDIO, CA 92201 (referred to below sometimes as "Lender" and sometimes as "Beneficiary") and ORANGE COAST TITLE COMPANY, whose address is 1060 E. WASHINGTON ST. SUITE 200, COLTON CA. 92324 (referred to below as "Trustee"). CONVEYANCE AND GRANT. For valuable consideration, Trustor Irrevocably grants, transfers and assigns to Trustee In trust, with power of sale, for the benefit of Lender as Beneficiary, all of Trustor's right, title, and interest in and to the following described real property, together with all existing or subsequently erected or affixed buildings, improvements and fixtures; all easements, rights of way, and appurtenances; all water, water rights and ditch rights (including stock in utilities with ditch or irrigation rights); and all other rights, ro allies, and rofits relating to the real property, including without limitation all minerals, oil, gas, geothermal and similar matters, located in 91VERSIDE County, State of California (the "Real Property"): SEE ATTACHED EXHIBIT "A" VIA S16 -2i 4 The Real Property or its address is commonly known as LOT 17 VIA SIERRA, LA QUINTA, CA 92253. The Assessor's Parcel Number for the Real Property is 631-811-015. Trustor presently assigns to Lender (also known as Beneficiary in this Deed of Trust) all of Trustors right, title, and interest in and to all present and future leases of the Property and all Rents from the Property. This is an absolute assignment in the Rents given as additional Security pursuant to California Civil Code Section 2938. In addition, Trustor grants Lender a Uniform Commercial Code security interest in the Rents and the Personal Property defined below. DEFINITIONS. The following words shall have the following meanings when used in this Deed of Trust. Terms not otherwise defined in this Deed of Trust shall have the meanings attributed to such terms in the Uniform Commercial Code. All references to dollar amounts shall mean amounts in lawful money of the United States of America. Beneficiary. The word "Beneficiary" means BANK OF THE DESERT, A NATIONAL ASSOCIATION, its successors and assigns. BANK OF THE DESERT, A NATIONAL ASSOCIATION also is referred to as "Lender" in this Deed of Trust. Deed of Trust. The words "Deed of Trust" mean this Deed of Trust among Trustor, Lender, and Trustee, and includes without limitation all assignment and security interest provisions relating to the Personal Property and Rents. Guarantor. The word "Guarantor" means and includes without limitation any and all guarantors, sureties, and accommodation parties in connection with the Indebtedness. Improvements. The word "Improvements" means and includes without limitation all existing and future improvements, buildings, structures, mobile homes affixed on the Real Property, facilities, additions, replacements and other construction on the Real Property. Indebtedness. The word "Indebtedness" means all principal and interest payable under the Note and any amounts expended or advanced by Lender to discharge obligations of Trustor or expenses incurred by Trustee or Lender to enforce obligations of Trustor under this Deed of Trust, together with interest on such amounts as provided in this Deed of Trust. Lender. The word "Lender" means BANK OF THE DESERT, A NATIONAL ASSOCIATION, its successors and assigns. Note. The word "Note" means the Note dated February 12,1996, in the principal amount of $58,500.00 from Trustor to Lender, together with all renewals, extensions, modifications, refinancings, and substitutions for the Note. NOTICE TO TRUSTOR: THE NOTE CONTAINS A VARIABLE INTEREST RATE. Personal Property. The words "Personal Property" mean all equipment, -fixtures, and other articles of personal property now or hereafter owned by Trustor, and now or hereafter attached or affixed to the Real Property; together with all accessions, parts, and additions to, all replacements of, and all substitutions for, any of such property; and together with all proceeds (including without limitation all insurance "??4 4 PUBLIC WORKS CLEARANCE LETTER FOR CUSTOM HOME LOTS 47' 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 . , � :. may.._ Y •h d., - M1s `.r,. 4i ' si., ri-, a, .'. .. Z i .-.+ z}r �_s ;�, y 4 .:• 1..' Verification that rough grading is complete and the, padelevation< 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.improyemetnts ~ are complete, or sufficiently advanced to warrant building permit issuances i - ',w' �-.a tet. ♦« ,,LSu ,, "'-.+-�. j.. „�.rri,.,. 3. • Prepare an engineered grading plan that provides for on-lot.storm water retention,,or and have it checked and approved by the Public Works 'De-partFment':== • Tract.26524 (Estancias) . - �. • r r.-%"�" .�.... fin. • Tract 26769 (Mountain View Estates) �r `w 4. Prepare an engineered grading plan that provides for bulldirig pad_ grading in ? accordance with the existing soils report and tract gradingplan,and .have itM�a checked and approved by the Public Works Department. • Tract 28034 (South Valley Estates) r., ,`! p, q "R a �� r`•' ts`'.?��' µ'Vi"-yac�J,f, FOR INTERNAL USE BY PUBUC WORKS DEPARTMENT Y` Q TRACT: LOT: PUBLIC WORKS AUTHORIZATION D&E F:V WDEFrDOCSIFORMS%PW CLEARANCE LEr1ER.ss COM NTS: - '' .nf y ';- t •Y Ott^+,. r �` r - ,�s:*�`'r't. ILI