SFD (9604-020)78895 Lima St
9604-020
Z),C,) s License # Lic.'Class Exp. Date
r a 7075 ' . T�.. 7th tI?ki
Z r -Date Signature ofBContractor '
_ O
_J ~ M -OWNER BUIL'DER.DECLARATION <
W W I hereby affirm under penalty of perjury that.l am exempt from.the Contractor's
~ d License Law for the following reason:
Z_ ( ) 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 & Professionals Code).
(.) I, as owner of the property; 'am exclusively contracting.•with' licensed
contractors to construct- 'the project (Sec. 7044, Business & _Professionals
Code),
CO O I am exempt under Section B&P.C. for this reasonLO
'
N Date Signature of Owner
+Q WORKER'S COMPENSATION DECLARATION 3
CD �' Z I hereby affirm under, penalty of perjury one of the following declarations:
� Lin ..
�.r FZ O (.) 'l have and will maintain a certificate of consent to self -insure for workers
'X LWT 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.reguired by
Q U Q Section 3700 of the Labor Coder'foi the performance of the work•for which this
'' O_ 0': H permit is li '96ecr, %i.rworkers' compensation' insurance carrier9&+rpoiicytno are,
-Zt'Z Carrier Policy -No.
;.
f Q (This section need not be completed if the permit valuation is for $100.00 or less).
) .I certify that in the performance of the work for which this permit is issued;
x I shall not employ any, person in any manner so as to become subject.to. the
• ` workers'.compensation laws of California, and agree that if I should become
Subject to the workers' compensation provisions of Section 3700 of the Labor
Code, Lshalf forthwith comply,with those provisions.
�7
Date: Applicant, '
Warning: Failure to secure Workers'_ Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines.up to'$! 00;000; in
addition. to the cost of compensation, damages.as proJided 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.
I 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
the above-mentioned property for inspection purposes.
Signature (Owner/Agent) '` Date
PERMIT# CONTROL# '
BUILDING PERMIT 3194
DATE T (a VALUATION ,S'��"'�(;� .40 LOT {j .. TRAC,1990..4
JOB SITE
74-895, LIMA, ";
APN
ADDRESS
OWNER
CONTRACTOR / DESIGNER /;ENGINEER ;
:R,. 11; , 1Ti.k;G�: � R ::R: H 3' °
?.A,t ctio c.�el� ,,m-,�h! � pr.. Ci:i)pa
�).iu"13 lti i3A,L�i i:+3�f�1
r'�t 7 tOMRY df Uta 4201.
1'.reW ut? r l' ;A
o�UIVDAWIN C.A. 02201
tai!(? 366_21082
A$7755 . C
4, '
USE OF PERMIT
F S'Nfj1iM.C"C!i;id.�T:"E(`fCi.t7:d31S.�l WALL UR!'Ci(x .
LriiJ9l:lL�'14L✓N:J 1.MU+,:l.il.Jt+i .�.. 1' d.l►U Si'
PORCffi?LI'I O yr(i tttt SF
�. .
c ;/ii21�i.rt f11tPGil.i' Yi 9
%snux..r.c'D wS r oi1'' CoNsu1)cnoN
267,667.40
PLAN C'IX CK YTE tb$-U:?'"!•�t39�3,1� , �� e7i19-1C
Ca4sE t.UC'C1L`3tJ ni,E?. 101.-0()0.41,3,40 $.1,227.50
i�1FG1-1.A;NI� r11„ VEE lo) ;wf�1}0 11214)(1 1.
fR.0~7MtttQi, l!M i.i 1-t)Cft)-dl'ip-Ol)0 'i96 a
7
Si"iNia A4%t'1; ti�id i1K�4 121 Si3i '. 1111,-130 r2�i:1-1i1 .*7
� itZ.h45.iI.1C� MWt k' ,~ .. 10.1.-t)(11)-423.000.
t1+f;'ait.\S':Ct2(1�"t lllil VETE ' 221$-0(A)-44 3QA.
AY,$'f 1_N t'tti t.Ir FrL: { `l:;a . 42. ,�1ii; 701.-!�i}-25,54W.' :: 1219.17
k-01�la #2�1J-TION AND P.Le1 Cf -MOX
$x,093.69
..
.APR 2 3 1996 ..: ca s l,;�► :� �° . :. ` .:
^S43.69
x
REORPT
�..
DATE
BY ...
DATE FINALED ..
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs ! —gkjl<
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap —
F.A.U.
Framing -7—/
Compressor
Insulation /-
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wail Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath - -
Final a g
Final o
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final S
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines U
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 C> S
Gas Test r/
Appliances
Final
COMMENTS:
`6-
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
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)
s CITY OF LA QUINTA
?Ior BUILDING & SAFETY DEPARTMENT
777-7012
INSPECTION REQUEST LINE
777-7153
Owner MR. & MRS THEODORE RT'Fn
Contractor RANCHO CAPISTRANO DEVELOP.
604-020
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
78-895 LIMA
JOB ADDRESS
SFD PERMIT DOES NOT INCLUDE BLOCK
WALLS OR POOL.
TYPE OF INSPECTION VA I
FOUNDATION & SETBACK —S
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE ,
DO NOT POUR CONCRETE UNTIL ALL ABOVE H S BEEN 1 NED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT - A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP'
GROUT O 4' O 8'
FRAMING
INSULATION
PRE -ROOF —
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH /
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL It
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
1/96 TURN ON UTILITIES OR OCCUPY BUILDING
i
4-
f�'�Gh�Ctli
P.O. BOX 1504 APPLICATION ONLY
Building = �I m—!" 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner -
Mailing " L11,19-
�
Address y36 3 Y% 9tW.44QA1*
City Zip Tel.
Contractor
6941&M &AIS
Address
City^ Zip Tel.
State Lic. - City
& Classif. 5y ��75,. `• Lic. #
Arch., Engr.,
Designer
Address Tel. (`7W)
6M 604A0.61d .2f6/ - 1957
City Zip State
, Atli /I/f.,y;2 7/5(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.
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 Contractor'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).
IJ 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. 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 not build or improve for the purpose of sale.)
I 1 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 contractor(s) licensed pursuant to the Contractor's License Law.)
I-] I am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a cetie�dc-o+thereof. (Sec. 3800, Lab Coda,)
PolicyNo.�d.Z'�[/% Company N�T'`� �4;A
❑ 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 thg 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, 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
1 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 it 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 Address
City, State, Zip
BUILDING DIVISION
LDING: TYPE CONST. OCC. GRP.
A.P. Number
Legal Description
Project Description
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT OL AMOUNT
Plan.Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL d-0
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 f0m Property Line
���
FINAL DATE y INSEGTR
P�O�
Issued by: Date ��/l n Per in P..rl �'9
Validated by:
J\ v1J0 //I
Validati
CONSTRUCTION ESTIMATE
NO, ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. $
2ND FL. SQ. FT.
POR. SO. FT.
GAR. SO. FT.
CAR P. SQ. FT.
WALL SO. FT.
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1'A c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/ac
HOUSE SEWER
REMARKS:
VENTILATION
GAS PIPING
PERMIT FEE Aqrf&,,
PERMIT FEE
I PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ Plus -X$-=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
IN5FLUIUK5 blUNAlUNt5llN111AL5
GARDEN WALL FINAL
Notice:
Document Cannot Be Duplicated
Date 4/22/96
No: 14,370
Desert Sands Unified School District
82-879 Highway 111
Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
Owner Name Mr. & Mrs. Ted Reed
No. 78895 Street Lima
City La Quinta zip 92253
Tract # 24890-4 Lot # 30 Square Footage
Jurisdiction
APN # 769-590-022-2
La Quinta
Permit #
Type of Development Single Family Residence
Comments
Log #
Study Area
l
116
No. of Units 1
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 628.00 X 1 or $ 628.00
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. z
-Fees Paid B ;
By Rancho Capistrano Development Corp. �
� � Teler,lione- 345-7755
7'7
55
A
Name on the check A
By Dolores A. Ballesteros�,,
Superintendent
Fee collected /exempted by Pauline Pearson Payment Received "'$628.00
Signature PA 11,,;A o L AAS A A A-Vy
Check No. 2871
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
ESI/FME,Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
MME 1974
April 19th, 1996.
RANCHO CAPISTRANO DEVELOPMENT
20 Corporate Park
Irvine, California 92714
ATTN: Tracy Dale `
RE: Roof Truss Calculations and Layouts on " Citrus Course — Lot 30
to be built In Palm Desert, California (ESI/FME 398-7428 / BBG 129-1300)
Dow Tracy:
We have reviewed the calculations and layouts by BROWN AND HONEYCUTT TRUSS:
SYSTEMS, INC., they appear to comply with the requirements of our calculations anWt1;ie
structural plans.
Y°
The review of these drawing does not relieve the contractor from compliance
with the drawings and specifications. This check is only for review of general
conformance with the design concept of the project and general compliance
with the information given in the contract documents. The,contractor Is
responsible for confirming and correlating all quantities and dimensions,
selecting fabrication process and techniques of construction, coordinating his.
work with that of other trades, and performing his work In a safe and satisfactory
manner.
Thank you for your attention to this matter, please do not hesitate to contact us R
we can be of further assistance to you -on this project `
Sincerely,
ESI/FME,ln�.,�._
By:
for ESIVNE41% OF CAUr-
1921 EAST CARNEGIE AVENUE, SUITE 3J • SANTA ANA, CALIFORNIA 92745 (714) 261-1811 • FAX (714) 261.8546
u
I
WHEN RECORDED A1AIL TO:
Me. and Mrs. Theodore B. Reed
43-673 Via Badalona
Palm Desert., CA 92211
MAIL TAX S TATEMEN IS I Oi
c1\ SANS AS AI10VE
O
Pt,Ir)
DCC. Ti.-n''or T
FRAINK h.: 0' i4SON'
wv. Co. Recorder
0 55.9
RECEIVED FOR RECORD
AT 2.00 O'CLOCK
MAR - B 1996
40aw.,e. c•b. 4.asa
owl c.ft
RacniWr /t
SPACE ADOVE TMS UNE FOR REOORDER'S IlSE
DO('.XMENTA.RY TRANSFER TAX !
X.. C0110YIrd on ek conadaanon
Of VMw Of PIDWY Conveyed; Ot>
CormAed M "le cons+Aerahon or vakje tress Sens or'en'curr%tvancea
TILE 17NDERSIGNM GRANTOR
m DrcLxwt or ^We oeee..r.n.q ux — Name
GRANT
DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby ad=%iedged,
CAPITAL PACIFIC HOLDINGS, INC., A Delaware.Corporation.
doing business in California
as J.M. PETERS COMPANY, INC.
hereby GRANT(S) to
THEODORE B. REED and NANCY E.
REED. husband and wife as joint tenants
with right of survivorship
the real property in the City of .IA QUINTA
COMty of RIVERSIDE
, State of California, described as
SEE E IIIBIT "A" ATTACHED IIERETO
(TRACT' NO.
24800-4) :..
ASSESSORS PAP.CFL W"IBER : '57v
CAFITAL FACIFIC OLDINGS,..INC.. a Delaware:;,
Gated February 27 1996
cor oration, ng b e'ss in California.:;
STATE OF CALCOVIFAss
N
1 l`t ` tC� �,�Y
Craig �� ter. Vice 'President
`.
C.•... .: 1`: ..,.. .. ... 1 '• � . . : I • a• t • . . ..
:
yes .. ��a. - •
C ,_ J. SCHMID� T
a : , • , .. .. .. ...
n E cony r.%Pm
Plan Approval and Transmittal
Citrus Course Homeowners • Association
J.M. Peters Company, Inc.
4100 Mac Arthru Blvd., Suite 200
Newport Beach, Ca 92660
Phone: 714 622-8400
Fax: , 714 622-8411
To: Construction Development Department 18 -Apr -96
Company: Rancho Capistrano Development
Phone: 619 345-.6675
Fax: 619 345-6684
From:. Citrus Cours=er wners Association
Gary Chron
President - Architectural Committee
Construction Manager - J.M. Peters
COMMENTS
Per the submitted, architectural drawings and plot map, approval is' hereby granted for
construction of a custom home on lot 30 of Tract 24890-4, City of- La Quinta. Plans approved
have been prepared by BBG Architects, Job # 129-1300. All conditions have been met.
Certificate of Occupancy,-
Citydf
Quinta.
-a.�--
�
�
La. . . . . . ...
BuildingSafety*Departmentand
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: 78-895 LIMA
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit.No.: 9604=020
Occupancy Group: R3 Type of Construction: VN Land Use Zone:. RL
Owner of Building: MR&MRS THEODORE REED Address: 78-895 LIMA
City: LA QUINTA CA 92253 -
By': KIRK KIRKLAND
Date: 10-25-96
Building Official
POST IN A CONSPICUOUS PLACE