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BRES2016-032678-495 CALLE TAMPICO Q,�i. � D LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2016-0326 Property Address: 54010.AVENIDA DIAZ APN: 774201001 Application Description: HART / 2,642 SF DWELLING/VB/RES-3/CLASS A-FR/13D Property Zoning: Application Valuation: $166,988.00 Applicant: BRUCE MAIZE 49445 LOREN CT LA QUINTA, CA 92253 LICENSED CONTRACTOR'S 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 Professions Code, and my License is in full force and effect. License Class: License No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit ects the applicant to a civil penalty of not more than five hundred dollars ($500).: , 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he 0did not build or improve for the purpose of sale.). , 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 contracto*r(s) licensed pursuant to the ntractors' State License Law.). im am exempt under Sec. . B.&P.C. for this reason �I 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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/26/2017 Owner: I RICHARD HART Ir^ 52730 AVENIDA VELASCO LA QUINTA, CA 92253 cm Contractor: ® LL OWNER BUILDER Q o Llc. No.: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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 and policy number are: C'er: _ Polity Number: _ 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, I shall forthwith comply with those provisions. Date: `' �lX Applicant:'r9c WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 permitissued 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 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 upon the above- mentioned property for inspection P rposes. Date: S ��/-� Signature (Applicant or Agent r Date: 5/26/2017 Application Number: BRES2016-0326. Owner: Property Address: 54010 AVENIDA DIAZ RICHARD HART APN: 774201001 52730 AVENIDA VELASCO Application Description: HART / 2,642 SF DWELLING/VB/RES-3/CLASS A-FR/13D ' LA QUINTA, CA 92253 Property Zoning: Application Valuation: $166,988.00. Applicant: Contractor: BRUCE MAIZE OWNER BUILDER 49445 LOREN CT LA QUINTA, CA 92253 ---------------------------------------------------------------------------------.----------- Llc. No.: Detail: HART/ 2,642 SINGLE FAMILY DWELLING W/ ATTACHED GARAGE - [VB/RES-3/CLASS A-FR/13D] THIS`PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES. . FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $7.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $7.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 .0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $17.73 Total Paid for ELECTRICAL: $43.06 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $38.76 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $15.96 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,OOOSF 101-0000-42403 0 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $50.16 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $256.88 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE.GRADING - CUSTOM HOME LOT>7KSF 101-0000-42408 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF PC 101-0000-42600 0 $190.00 Total Paid for GRADING: $228.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $50.66 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $50.66 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $76.02 DESCRIPTION ACCOUNTQTY AMOUNT VENT FAN PC 101-0000-42600 0 $30:42 Total Paid for MECHANICAL: $377.50 DESCRIPTION ACCOUNT QTY AMOUNT MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2016 UPDATE 101-0000-20310 0 $1,221.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,221.00 DESCRIPTION ACCOUNT QTY. AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $581.16 Total Paid for NEW CONSTRUCTION PERMIT: $581.16 DESCRIPTION ACCOUNT' QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $750.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $448.44 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,198.44 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $202.72 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 , $202.72 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 , $25.33 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $7.60 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101,0000-42600 0 $12:67 Total Paid for PLUMBING FEES: $557.46 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0, $21.71 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $21.71 ' DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44 TOTALS: I. _ PERMIT4 I�" O37 10 �U�U- PLAN LOCATION I New SFD Construction: Project Address: O / Ulo hid?, Project Description: Pool, Remodel, Add't, Elect, Plu nib, Mech APN Conditioned Space _ GPJ Applicant Name: v —SF Address: e� Z -C Patio/Porch W CJI `�f a Q%SO� (032-6 r 2 City, ST, Zip: Fire Sprinklers Teleplione:�2 State Lic: City Bus Lic: Email'. � ' J � %aV /y� f�u! Valuation of Project S Contractor Name: New SFD Construction: Address: Address: Conditioned Space SF City, St, Zip Garage —SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lic: City Bus Lic: Arch/tng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip . Construction Type: Occupancy: Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: New Commercial /Tenant Improvements: . Address: Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253, 760-777-7000 Building Address l if It GJ M 174P celul�/ 4 4 a" P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO j LA QUINTA;-CALIFORNIA 92253 Mailing '► !� Address�3 a . t , alrti Z 7-7-53225''M.12 :_ Address City I Zip State Lic. (City I & Classif. Lic. # Arch., Engr.,/�� / I Designer �lel.� .. (f�jl2 j�/%I'1�o1.2 Lic State 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. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, 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 Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 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). ❑ 1, 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 Profes- sions 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. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did no rld or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct 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 contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Dat— Owner WORKER'S COMPENSATIO10ECLARATION 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you 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 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. a Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT BUILDING: TYPE CONST. CCC. GRP. A.P. Number /, - 2.0 `45 '0Z Legal Description.4 231Z% 2 ', Project 077iption Sq. Ft. / �/� No. Size (� 7 Sto No. Dw. New�� Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation I 12 5 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL CONTACT INFORMATION NAME: PHONE: 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— Issued by: Validated by: — Validation: YELLOW = APPLICANT INSPECTOR Date Permit PINK = FINANCE Date:5/18/2017 No.: 17-00570-1 Owner: Richard & Robin Hart Address: City: Type: Single.Family Residential CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760)771-8515 Lot # Street No. Street Name Sq. Feet 54010 Avenida Diaz 2642 Comments: Email: Jurisdiction: La Quinta Tract #: APN 774-201-001 .pN�ilEp S rQg = , Cy0 OUNE ' Mi E'8 1� ? 1N07AN wEMS'. y fou yo Permit No. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered pat-os/walkways, residential additions under 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 tc the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.48 X 2642 S.F. or $9,194.16 have been paid for the property listed atove and that building permits and/or Certificates of Occupancy for this square footage in the proposed project may now be issued. Fees Paid By: CC/1st Bank - Bruce Maize Check No.: 1425714 Bank Name/Recipient of Certificate Telephone: Funding: Residential By. Scott Bailey Superintendent Fee Collected/ Exempted by: S aron Mc it rey Certificate Fees _Due: $9,194:15 Original Payments) Rec.%: New Payment-Rec'd: $9,194.16 rvpr/u'der: $0.0.0 NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify u that the 90 -day approval period it which you ASy; protest:the fees or other payment identified above will begin to run from the date on which the building or installation permit for this protect 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 to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL. LISA National Title Co RECORDING REQUESTED BY %Ticor Title Company of California WHEN RECORDED MAIL DOCUMENT AND TAX STATEMENT TO: Mr. and Mrs. Richard E Hart 52730 Avenida Velasco La Quinta, CA 92253 J`�j' p _MW MW 10 ORDER NO.: �f ( L ESCROW NO.: 00425685-035-SL7 DOC # 2016-0413230 09/22/2016 11:39 AM Fees: $21.00 Page 1 of 3 Recorded in Officiaj Records County of RiversidE Peter Aldana Assessor -County Clerk -Recorder "This document was electronically submitted to the County of Riverside for recording" Receipted by: LINDA#922 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED t'� THE UNDERSIGNED GRANTOR(s) DECLARE(s) Documentary Transfer Tax is $ 80 ,$pity Tax is $ 0.00 ❑unincorporated area X computed on full value of interest or property conveyed, or X the City of La Quinta ❑ full value less value of liens or encumbrar_ces remaining at the time of sale Parcel No. 774-201-001-8 and 774-201-002-9 TRA: 020-015 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Stacy Layne Reddan, Successor Trustee of The Don E. Wilson Living Trust UDT November 6, 2002 hereby GRANT(s) to Richard E. Hart and Robin L. Hart , Husband and Wife as Community Property with right of survivorship the following real property in the City of La Quinta County of Riverside, State of California: Lots 23 and 24 of Block 255 of Santa Carmelite at Vale La Quinta, Unit 24, as shown by map on file in Book 19, Page 44 of maps, records of Riverside County, California Dated: SeRtember 2, 2016 The Don E. Wilson Living Trust UDT November 6, 2002 s (ecov T, Stacy Layn eddan, Successor Trustee GRANMEE