0003-321 (SFD)77240 Loma Vista
0003-321
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 # tic. Class Exp.D t
'7461,% C7 0 P, MC 012812f
Date Signature of ContractorVA
OWNER-BUILDERDECLARATION i
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
sale (Sec. 7044, Business & Professionals Code). -
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct .the pioject (Sec. 7044, Business &-Professio6als
O I am exempt under Section ' B&P.C. for this reason
Date 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 VJL,L.NOVA INS. CO = Policy No. *Vol 1.33i200 .
(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 tq beco ubject to the
workers': compensation laws of California, and a• reelthat i I s ould become
subject to the workers' compensation pro inions' o ectio 37 0 of the Labor
Code, 1, shall forthwith comply with.t ose p • visi' rr
Date: Applicant"
Warning: Failure to secure Workels' Compensation coverage is unlawful and
shall subject an employer to crimip al • enalties and civil fines up to $100,000, in
addition to the cost of compensatio 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. s
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 a 01ve information is
correct. I agree to comply with all City, and Site laws r Eating to the building
construction, and hereby authorize rel.res P'tatives of is pity to enter upon
the above-mentioned property for i spectid purposes
r Ils
Signature (Owner/Agent Date
VL P() `5Q.1LDING PtRMIT PERMIT" -
DATE VALUATION LOT h .0')P3`321 TRACT r
20
JOB SITE a
ADDRESS 1,1_14() XiOIL A -,
APN
OWNER =
CONTRACTOR/ DESIGNER/ EN6 INEER
SOC!`1N HT+ >-i 2 V ? n. c .
`
` ` A,4, Zvi C GNSZ 1C` C3
`" xn _'sxs•a _..
1AQ1 I1T"fA CA 92233
5 5 l.lo l So err.+ N , I IS ..
(760)561••4832 .-f CIBIR 626
L
USE OF PERMIT
OFD4PER14JT DOES NOT INCLUDE BJ_t)CKWAI L3 UR.POOl,
CUSTOM CONSTRUCTION 4AW,00 SF
Pt312G1t•IfPATIO -P
c lktA WCARPORT (S ) • 19,aa .
R £y 'JI AI CO OF S."L?.IYdrS"7Ck'2T:1'i 71T01f ..:
• '39.9,90,9100 .
yjY 'wW( ' jpp. q 7 /j / 'y
..6 ASrR .IY)•d,•l. !.• V., S VAiUI.KAR ]L
C 148T UCT1OAl HIKE 101.000-418.000 $1.454.30
4
PJAN•CHECKIEEE 101-0+.0-439-318 $i, 54713
+
P'1 E DEPOSIT 101.000-439-318 .$1,000,00
NIECI1 iNICAL FU 1 OT -000-421-000 $10,06
101-000-4%0-000 $244.66
PLUM1BINa IEEE 101-000-419-000 $243.00
STRONG MOTION FEE- RUSI D . 101-.000-24 i.000 X98,519
t
OR.A.T INa F0, 101-000-4.23-000 $ ii.Ofj
DMLO PE:R IMPACT VEX SlA'1, D :'.
APT 114 PUBLIC PLAC• S • ',Mir 701-000-255-000 U74.77
,. T t:+ Ai'YT'_ktX_`Ti0XAND P..LAN ClIEC:K
UjO99:0s .
.,
AUG 0 8 200
rO'n ,_ i t c i + ' t,
Qop TY F L-4 A "•
'
ECEIPT
DATE "Y'f'
DATE FINALED
INSPECTOR
W
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
oa
Return Air
Steel
Combustion Air
Roof Deck
- 2 - Q l -7
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Qj
Compressor
Insulation
2,— o -'(:
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final y
BLOCKWALL APPROVALS
Final
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines_
Water Piping
(//((/5
Heater Final
Plumbing Final
Plumbing Top Out
33
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
40/
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
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)
COMMENTS:
Dec 04 01 06:51p Read 7607710343
0
s eIZY'6F LA QUINTA
BUILDING & SAFETY DEPARTMENT
777-7012
'INSPECT!REQUEST LINE
7153
Owner SQUTIIERN HILLS LLC
Contractor & M CONSTRUCTION
Permit Number 0003-321
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 71'240 IJOMA'VISTA
SFD-PERMIT DOES NOT INCLUDE BLOCK
WALL OR POOL
TYPE OF INSPECTION DATE INSP.
FOUNDATION 8 SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS 8 GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST rl_
HEATING 8 VENT- A/C
FIREPLACE
ROOF;i- L•o/7
BOND BEAM
O.K. TO WRAP
GROUT 0 4' 0 8'
FRAMING _ p
INSULATION
PRE-ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH Ol j
POOL PRE PLASTER
POOL FENCE 8 GATE ,
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
_. ABOVE APPROVAI R nr) WIT iNrN 1 ME oir_ur v-
z
Building
Address
Owner
out- 4V.Q%1
P.O. BOX 1504 APPLICATION ONLY
78 495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Address SS ' ` SCUT 14 0 A.) H I Ltr S
CiSy Zip Tel.
G (vtN► /k C, -L-" 3 1 -7-71-
Contractor
AOr i -A ( c)TIST R -UC T 1 U "
Address
City IZip 1Tel.
State Lic.I City
& Classif. Lic. If
Arch., Engr.,/{ t' t22 VQCf' 6 t21- A 'Ar
Designer
Address Tel.
'7 q - 0 ?A SZ O A tl U - 3
Gity Zip State
1W ; , / _ I 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 thealleged 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 (S500).
l': I, as oner 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 I I, as owner df 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 put' uant to the Contractor's License Law.)
'I I am exempt under Sec... 8 P.C. for Is reasofl'
A i1
Date Q GOwner-
rr-r
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 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
Ihereby 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.
Signature of a0plicant Date
Mailing Address
City, State, Zip
LDING: TYPE' CONST. S f OCC. GRP.
. Number l 31 7S10 o I Z
al Description for ?,j 'T2 A c.r 7.e -,-z-5-7
f
ject Description V:r,mr,"s <1 I M4 t -t5
Mtt_Y I( e-SfnENCE'
WHITE = FINANCE YELLOW = APPLICANT
a
PINK = BUILDING DIVISION
Sq. Ft.
Size
NO. ! No. Dw.
Stories 1 Units
NewX Add ❑
Alter ❑ Pftir ❑ Demolition ❑
O
A`
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
/( *p , (17)
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
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:
WHITE = FINANCE YELLOW = APPLICANT
a
PINK = BUILDING DIVISION
Desert Sands Unified School District
47-.950 Dune Palms Road a ,
Notice: - La Quinta, CA 92253 ;
Document Cannot Be Duplicated i 760-771-8515
CERTIFICATE OF COMPLIANCE
.Date , 8/8/00.. APN # 631-810-012 `
No. 20858 Jurisdiction La Quinta
Owner NameSouthern Hills LLC Permit #
No. 77-240 Street Loma Vista Log #
City La Quinta zip ' 92253 Study Area
Tract # Lot # Square Footage 4560
Type of Development Single Family Residence No. of Units 1
Comments' SFD
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, tcovered,
patios/walkways, residential additions under 500 square feet; detached accessory:structures or replacement mob1lehonses 1ItA has been determined the above-named owner is'exempt from paying school fees at this time due to thefolloH to `f easoi
5 EXEMPTION NOT APPLICABLE A
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amo n of. `
2.05 X 4,560 or $ 9,348:00 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
Fees Paid By cc/Bank of America/ John Read Telephone
Name on the check
By Dr. Doris Wilson .
Superintendent '
Fee collected /exempted by' Olivia Aguirre Payment Received $9,348.00
• Check No. 401327837
Signature / • F
NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) 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 orinstallation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
collect them on the District('s)(s') behalf, whichever is earlier. • . .
Collector: Attach a copy ofcounty or city plan check application form to district copy for all waivers.
-Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
• p
legert
:emort
1 tdiisafwnieiit
July 17, 2000
I
John Reed
Southern Hills Development, Inc.
55161 Southern Hills
La Quinta, CA 92253
Ref: Enclave Mountain Estates/Lot 20, Loma Vista, La Quinta, CA
Dear Mr. Reed:
The Enclave Mountain Estates Architectural Review Committee has reviewed your
resubmittal of Construction Drawings for the property referenced above.
Approval is given subject to written comments that lighting for back of property be
clarified prior to installation. Please show landscape lighting fixture at back of property
on landscape plan. What type is it? - It appears similar to the Bullet type but is different.
If it is lighting directed off site towards the mountain, it must be removed. All lighting of
mountain requires the approval of the HOA and the adjacent properties.
Good luck with the -construction of your home. If you have any further questions, please
call me at (760) 346-1161.
Sincerely,
Tami Lehman, Property Manager
For Carol Calhour, Property Manager
For the Board of Directors &
The Architectual & Landscape Committee
Enclave Mountain Estates Homeowners Association
Professional Community Management /.Desert'Resort Management
Post Office Box 4772 • Palm Desert, CA 92261-4772
73-550 Alessandro,. Suite 5 9 Palm Desert, California (760)346-1161 9 FAX(760)346-9918
YO UNG ENGINEERING SER VICES
• Engineering • Architecture•Surveying• Building & Safety Services
Letter of Transmittal
To: City of La Quinta Date: 6/9/2000
Project: PC No. 0003-321 - 2 n1 check
Attn: Greg Butler W.O.:
Tel No.: Tract No.:
We are forwarding: By Messenger By Mail X Your Pickup
No. of Copies Description:
1 Plans (1" submittal)
1 Plans (2"d submittal)
1 - Structural calculations
1 Truss calculations
Comments: Greg —All comments have been addressed adequately with the
exception of the truss manufacturers dead and live loads, and roof pitch which
are different -then the Engineer of Record.
This Material Sent for:
Your Files s X Per Your Request
Your Review Approval -
Checking ' At the request of.-'
Other .
By: John W. Thompson
Phone # 760-342-9214 .
47-159 Youngs Lane • Indio, CA 92201 • (760) 342_-9214
*Bron Young
r
FROM GES PS SH PHONE NO. Feb. 23 2001 10:53AM P1
G O U VIS ENGINEERING
V C' 4 L / F U R N / A e
E-M41LTO • SPPPOR7(gJG01/VIS(-;ROUI'COM •.1'ALrSfiJ,l'iUl)VISGRO(/N.(.Y)Af
c-.4ur0aro1A
February 23, 2001
Southern Hills Development, Inc.
55-161 Southern Hills
La Quinta, CA 92553
Attn: Jeff Read
Re: Casa Classica
Follow up to Walk Through lot 20_Loma Vista -Mountain Estates, La Quinta, CA
G.E.C. Job No. 20662
Dear Mr. Read:
Pursuant to your request regarding the above captioned project, we submit the following:
On 1/1.'.l/O1 a walk through for the above referenced project was conducted in accordance
with the Universal Building Code (UBC) chapter 1702 and a list of corrections was
presented to the home owner representative.
Our walk-through covered structural items visible at the time, excluding, the roof
sheathing and top plates nailing and all. straps and clips above the top plates.
On 2/23/01 a rewalk of the requested corrections was conducted during which all items
were found satisfactory, as per the attached list.
If you have any questions, please do not hesitate to contact this office.
Sincerely, OQRpfl SstoA,
GOU._,VIS E IN CA A
10"` ' No. C38276 ^;
.3-31-01 kA -
✓k
Saeed J. Bekatra ? a v o ; ,a
..... Hanle Vinoya
President f CALJProject Manager
SJB;HV:ig
20662walk2.doe
G0U11IT r,VGINBEA1NG GRp1JP OF COMPAV[F, 9 WITH Orr/CC'S IN. www. r;OpvlsGkriciP.COM
44U(l <'AnlPUSDR1vE, SWrr,•A ° NrwpoRTBEACH, CALIFORNU 92660 * (949) 752-1612 * FAr(949) 752.5321
21 S0 EASTTAHo(Ir17, CANYON. SUI'!-) * PALMSFRIN(;.1, CALLFOAWA 92262 q (760) 333-5090 * FAX (760) 325-2,963FIELD OFFICES * . SlN v/1 GU * Pr.F-AS,W70N * INTUNAWIVAI, OFFICE: Y/l7NAM
FROM GES PS SH
At
PHONE NO.
Feb. 23 2001 10:53AM P2
Remaining items to be corrected as of 2/23/01 rewalk of lot 20 Loma Vista.:
1. Shear wall at entry plywood both sides of wall to be completed after city
inspection.
2. Simpson wall at front bedroom needs (4) lagscrews and bolts' tightening
3. Box column at patio needs to be covered with plywood and edge nailed as per
plans.