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06-0361 (SFD)T4ht 4�� Gt/ P.O: BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/12/06 Application Number: 06-00000361 Owner: Property Address: 56465 VILLAGE DR M/M CHITTICK APN: 764-040-012- - - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 342504 - Contractor: Applicant: Architect or Engineer: BOVENZI HOMES P.O. BOX 1714 - RUCKEE, CA 96160 - hp 1 s' L'illJ� 0530) 613-1173 Li.c. No.: 710230 N LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION . I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:' Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B Y License No.: 710230 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �� _ issued. .�ate: (�' ontractor� _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to -L_I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subiec to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Codeh Y , I sfort comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ^1 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate:—� / _�pplicant:41 (_ 1 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 and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this 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 application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 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 infoAgocorrect. I agree to comply with all city and county ordinances and state laws relating to building construhereby authorize representatives of this county to nter upon the above-mentioned propert for ins cses. e: �I7 gnature (Applicant or Age Application Number . . . . . 06-00000361 Permit . . . BUILDING PERMIT Additional desc.. . Permit Fee 1490.00 Plan Check Fee 968.50 Issue Date . . . . Valuation . . . . 342504 Expiration Date 10/09/06 Qty Unit Charge Per Extension BASE FEE 639.50 24-A nn ---------------------------------------------------------------------------- i ;nnn TT4nTT RTnn 1 nn, nni -snn, nnn RSn Sn Permit . . . MECHANICAL Additional desc . . ` Permit Fee . . . . 103.00 Plan Check Fee.. 25.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/09/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000.EA MECH B/C <=3HP/100K BTU 18.00 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit •. . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 186.38 Plan Check Fee 46.60 Issue Date Valuation . . . . 0 Expiration Date 10/09/06 Qty Unit Charge Per Extension BASE FEE 15.00 3925.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 137.38 950.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 19.00 1.00 15.0000 ---------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE 15.00 Permit PLUMBING Additional desc . . Permit Fee . . . . 191.25 Plan Check Fee 47.81 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/09/06 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 LQPERAIIT Application Number Permit . . . . . PLUMBING 06-00000361 Qty Unit Charge Per BASE FEE Extension 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 9.00 .7500 EA PLB GAS PIPE >=5 6.75 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Issue Date . . . . Expiration Date 10/09/06 Plan Check Fee . Valuation . . . Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------7--------------------------------------- Special Notes and Comments 3925 SF. SFD PERMIT DOES NOT INCLUDE BLOCK WALLS OR POOL/SPA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 356.26 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 96.85 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 34.25 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Permit Fee Total 1985.63 Plan Check Total 1088.66 Other Fee Total 4183.36 Grand Total 7257.65 LQPEPAIIT Paid Credited Due .00 .00 1985.63 500.00 .00 588.66 .00 .00 4183.36 500.00 .00 6757.65 t r Building Address 6 Ow��ner ��dd 2 Mailing -ice; Z 5ti, to -1Zg_ 00"1 cei4 • P,, *Ra*0- �W P.O. BOX 1504 /78-495 CALLE TAMPICO 7 014�A %8_ 0A_ • LA QUINTA, CALIFORNIA 92253 Address 19738 04,CA0Ak 6- C-bl Lie - City 1- 0J,'IA,T J &-Actl ZipTel. 9911;4b L7/4 70 -9(r -off Contractor r e' D ✓ M-7- ii Address Ob PA G4 5 0� City _3P212_ Lid QV. t,/+A ip 9 Z� 5 3 Tel. 530) (o! 3-117 State Lic. & Classif. 7! 7_36 4 tt City p Lic.#& / s Arch., Engr., Designer GFIA Leli, X64, LA 04 3 g035'2' Address t Tel. 7q-6!54 Vet ieAVY0 Stfr—, -5- City City P Q at<- CA Z' I fZZ&o State Lic. #0_119 11 LICENSED CONTRACTOR'S DECLARATION ereby affirm that I am licensed under previsions of Chapter 9 (commencing with Sect io tio) of Division 3 of the Business and Prof:ssions Code, and my license is in full force a \20. OWNER-BUILCER DECLARATION I h eby affirm that I am exempt from the Contractor's License Law for th following reason: ec. 7031.5, Business and Professions Code: Any city or county whic requires a permit to nstruct, alter, improve, demolish, or repair any structure, prior to its ' suance also requires th applicant for such permit to file a signed statement that he is licen d pursuant to the provisio o/ the Contractor's License Law, Chapter 9 (commencing with action 7000) of Division 3 0/ a Business and Professions Cede, or that he is exempt there m, and the basis for the allege xemption. Any violation of $action 7031.5 by any applicant / r a permit subjects the applicant to civil penalty o/ not more thin five hundred dollars ($50 ❑ I, as owner of t V perty, or my employes with wages as their sol ompensation, will do the work, and there is not intended or offered for sale. (Sec. 70 Business and Profes- sions Code: The ctor's License Law does not apply to an ow r of property who builds or improves therewho does such worA himself or through hi own employees, provided that such improveare not intended or o/%red for sale. If, owever,the building or improvement is sold one year of completion, the owner -b der will have the burden of proving that he di ' d or improve for the purposeofsal❑I,asownerofthpe , am exclusively contracting with tensed contractors to construct the project. (Sec. Bu ' ass and Professions Code: T e Contractor's License Law does not apply to an owf pro rty who builds �r improves ereon, and who contracts for such projects with a coor(s) k ensed pursua2t to the Co tractor's License Law) ❑ 1 am exempt unec. B. & P.C. for is reason Date 4Owner WORKER'S 0 MPEh�S ION DECLARATION hereby affirm that I have a certifi to of resent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified Npohereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. ❑ Ce ie copy is hereby furnished. (This section need not be complet d if the permit iXubj hundred dollars ($100) valuation or less). certify that in the perfor rete of the work f'ch this permit is issued, I shall not employ any person in any man er so as to become so Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. , after making this Certificate o Exemption you should become subject to the Workers' ompensation Provisions o/ the L bor Code, you must forthwith comply with such provi ns or this permit shell be deemed r oked. CONSTRUCTION LENDING AGENC I hereby affir hat there is a construction lending agency tort a performance of the work for which this per it is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Addr s This is a wilding permit when properly filed out, signed and valid ed, and is subject to expiration if ork thereunder is suspended for 180 days. I certi that I have read this application and state that the above in motion is correct. I agree comply with all city and county ordinances and state laws r ating to building constr ion, and hereby authorize represenxtives of this city to enter the bove-mentioned prope yfor inspection purposes. Si ature of applicant Date State, WHITE = BUILDING DEPARTMENT OA� _30/1/ APPLICATION ONLY BUILDING: TY -PEE CONST.OCC. GRP. A.P. Number / 05l/-O;sO "� Legal Description h01' q9 1-11A Z --l- Project Description -5.f-D Sq. Ft. Size New Estimated M No. Dw. Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading f Driveway Enc. Infrastructure TOTAL 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 FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/MD. AMOUNT: nATF., RFr.F.IPT- CHECK 8, INITIAIN' CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Residency is at The Poh&s Date: April 17, 2006 Owner's Name: Al & Renee Chittick Phone No. Project Address: 56-465 Village Drive La Quinta, CA Project Description: SFD APN: 764-050-200 Tract #: Lot #'s: Type of Development: Residential XX! Commercial Industrial Total Square Feet of Building Area: - 3,925 sq. ft. Certification of ApplicanCOwners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf ofthe:gfter/developer. Dated: April 17, 2006. Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH CNE OF THE FOLLOWING:- (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Note Number of Sq.Ft. 3,925 Amount per Sq.Ft. $2.63 Amount Collected $10,322.75 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services Certificate issued by: Elvira Mattson, Office Technician Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Governmeni Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fres. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day proteet period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30 days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may '3e granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. "1V:c.Imdocsidnlees evrtilieate oCcomphimce livni tables"170 t. ii.di=c 1/16/03 T RECORDING REQUESTED BY: Mr. Al Chittick WHEN RECORDED PLEASE MAIL TO: Mr. Mark Bovenzi 56-078 Palms Drive La Quinta, CA 92253 DOC # 2006-0112898 02/15/2006 08:00A Fee:NC Page 1 of 5 Recorded in Official Records County of Riverside Larry W. Ward Assessor, County. Clerk & Recorder I 111111� 11111111111111111111111111111111 III 1111111111111 COVENANT AND AGREEMENT RESTRICTING THE USE OF THE RESIDENCE AT 56-465 VILLAGE DRIVE, LA QUINTA, CALIFORNIA G This Covenant and Agreement are made and executed this 27th day of January by Mr. Al Chittick, as the recorded .owner(s) of the property described herein. The City of La Quinta, a Municipal Corporation,, is -hei eby made a party to this Agreement for the purposes set forth below. The undersigned hereby certifies that he/she is the property owner of the following described real property in the City of La Quinta, County of Riverside, State of California: Lot 49, TR 28983, APN: 764-050-200, in the City of La Quinta, County of Riverside, State of California In consideration of the City of La Quinta issuing a building permit for certain improvements which will be constructed on said property, the undersigned does hereby covenant and agree to, and with said City, to restrict the use of said property as follows: The guest house may not be rented nor sold independent of the main single- family residence (Minor Use Permit No. 2006-739); 2. No kitchen or cooking facilities shall be constructed in the guest house per the provisions of Chapter 9.30.030 (RL Zone District) and 9.60.110 (Guest Houses) of the La Quinta Municipal Code; 3. All on-site facilities are intended for the sole occupancy of the property owner(s), guests, and caretakers (i.e., a maid and/or housekeeper, etc.); and, 4. The guest house shall be used primarily as a sleeping facility, and shall be maintained in accordance with all zoning and other codes as set forth in the La Quinta Municipal Code, as may be amended from time to time. This Covenant and Agreement shall run with the land and shall be binding upon future owners, their successors, heirs, or assigns, and ourselves, and shall continue in effect while said accessory building remains on the real property or unless otherwise released by the authority of the City of La Quinta. All leases of said dwelling and/or Ems FM MMM-, numim COVENANT AND AGREEMENT RESTRICTING THE USE OF THE RESIDENCE AT 56-465 VILLAGE DRIVE, LA QUINTA, CALIFORNIA G This Covenant and Agreement are made and executed this 27th day of January by Mr. Al Chittick, as the recorded .owner(s) of the property described herein. The City of La Quinta, a Municipal Corporation,, is -hei eby made a party to this Agreement for the purposes set forth below. The undersigned hereby certifies that he/she is the property owner of the following described real property in the City of La Quinta, County of Riverside, State of California: Lot 49, TR 28983, APN: 764-050-200, in the City of La Quinta, County of Riverside, State of California In consideration of the City of La Quinta issuing a building permit for certain improvements which will be constructed on said property, the undersigned does hereby covenant and agree to, and with said City, to restrict the use of said property as follows: The guest house may not be rented nor sold independent of the main single- family residence (Minor Use Permit No. 2006-739); 2. No kitchen or cooking facilities shall be constructed in the guest house per the provisions of Chapter 9.30.030 (RL Zone District) and 9.60.110 (Guest Houses) of the La Quinta Municipal Code; 3. All on-site facilities are intended for the sole occupancy of the property owner(s), guests, and caretakers (i.e., a maid and/or housekeeper, etc.); and, 4. The guest house shall be used primarily as a sleeping facility, and shall be maintained in accordance with all zoning and other codes as set forth in the La Quinta Municipal Code, as may be amended from time to time. This Covenant and Agreement shall run with the land and shall be binding upon future owners, their successors, heirs, or assigns, and ourselves, and shall continue in effect while said accessory building remains on the real property or unless otherwise released by the authority of the City of La Quinta. All leases of said dwelling and/or property shall be subject to this restriction. This Agreement shall be entitled to the remedy of injunctive relief in addition of any remedy in law or equity. This Covenant and Agreement and the provisions hereof are irrevocable, except by the written consent of all parties to the agreement, including the City of La Quinta, a Municipal Corporation. The City shall have the right to enforce each and every provision hereof and the parties agree that the Agreement shall not be rescinded, revoked, modified, or otherwise amended or changed, without the expressed written consent of the City first being obtained. In the event that the owners, their heirs, assigns or successors in interest, shall fail to perform any obligation hereunder, they hereby agree to pay all costs and expenses incurred by the City of La Quinta in securing performance of such obligation, including attorney's fees. By: 1. Aq ��i ; / / cls �e2 -F e 2. 3. OV Signatures Pri ted Name of all owners) Dated: J941J X Douglas FVEvans Date Community Development Director City of La Quinta STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE .) ss. CITY OF LA. QUINTA ) On January 30, 2006' before me, Regenia Hensley, Notary Public,. personally appeared DOUGLAS R. EVANS personally known to me to be the person whose name .:is subscribed to the within instrument and acknowledged to me that he. executed the. same in his authorized capacity, and that by his signature on the instrument the person or the entity upon behalf of which the person acted, executed. the instrument. WITNESS my hand and official seal:. (Seal) Eh t 1... REG IA HENSLEY .,, KotaryPubpc� Notary .Public ersae eQriny E, irrn;E�OesOd23,= Commission# 1521423. Expiration: October'.23, 2008 Alf -Purpose Acknowledgment State of(i'jrrjt a County ofrP On before me, DATE NAME OF NOTARY PUBLIC personally appeared, �__A a /y, ize Fol personally known to me- or- . proved to me on the basis of satisfactory evidence to be the person(. ,, e name(s) is IRe^subscribed to the within instrument and acknowledged to me tha#,W she /�j executed the same in ig / her 114eir'authorized capacity f�K, and that byJrrs / her I fivirsignature s on the instrument the personk or theentity upon behalf of which the . personW acted, executed the instrument. MARYELLEN S. TORRE Commission # 1455493 @my Notary Public - Calitomla Orange County Comm. Expires Dec 9, 2007 Witness my hand and official seal. OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and prevents fraudulent reattachment of this form. Type or Title of Document Number of pages: Date of Document: Signer(s) Other Than Named Above: ty Claimed By Signer(s) [J Individual(s) ❑ Corporate n7u(s) ❑ Partner(s) ............................ ❑ General ............................................. ❑ Limited El Attorney -in -Fact Guardian /Conservator Trustee(s) Other: Signer is Representing: Name(s) or Person(s) or EntityGes) Form 9ULZ96 AIM Mail Centers an Independently Owned & Operated Franchise 0 1996 AIM Mail Centers 1-BIILL989-620.5 ACKNOWLEDGEMENT STATE OF �✓ COUNTY OF ON/ ,2op BEFORE ME D Q,,,t,� THE UNDERSIGNED, A NOTARY PUBLIC IN AND FOR SAID COUNTY AND STATE, PERSONALLY APPEARED dz?(,n J. a&4e�6 PERSONALLY KNOWN TO ME (OR PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE) TO BE. THE PERSOiv (S ) WHOSE ' NAME (S ) I S (ARE ) SUBSCRIBED.TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED THAT HE/SHE/THEY EXECUTED THE SAME IN HIS/HER/THEIR AUTHORIZED CAPACIT(IES), AND THAT BY HIS/HER/THEIR SIGNATURES) ON THE INSTRUMENT THE PERSON(S), OR ENTITY UPON BEHALF OF WHICH THE PERSON(S) ACTED, EXECUTED THE INSTRUMENT. WITNESS MY HAND AND OFFICIAL SEAL. NOTARY SEAL SIGNATURE: JGNNA HICKivI*, u" y gi�pp" Comm. # 1461205 Nd'"— h1r si;•�y NOTARY PUBLIC• CALIFORNIA ' 9 "' Orange County My Comm. Expires Jan. 6,2008