HomeMy WebLinkAboutSFD (0102-185)77480 Loma Vista
0102-185
Date i; `� IL7—Signature of Contractor �'' 3, /�.•'° .j
f I OWNER -BUILDER DECLARATION t
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
n License Law for the following reason:
Z; ( ) 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. 70,44, Business & Professionals Code).
( ) I, as'owher of the property, am exclusively contracting with licensed
contractors,17to construct the project (Sec. 7044, Business & Professionals
Code).
N() I am exempt underrSection B&RC. for this reason
N Date �6 !Signature of Owner
Q WORKERS COMPENSATION DECLARATION,
> I hereby affirm under penalty of perjury one of the following declarations:
Aa
p () 1 havend will mail'tain a certificate of consent to self -insure for workers'
�' compensation,. -as provided for by Section 3700 of the Labor Code, for the
Qperformance of'the w4or 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
Hpermit is issued. My workers' compensation insurance carrier & policy no. are:.
t Z Carrier STATE FUND Policy No. I S??SN1 6'-99
Z
0 ;
J
(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 becope subject to the
workers' compensation laws of California,+and agree that if I; should become
subject to the workers' 3 compensationE pro vigions of Section 3700�,of the Labor
: shall Code, I forthwith comply withthose provisions. !�
S / Date: k, to-, 3 Applicant w.
Warning: Failure to secure Workers') Compensation coverag `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 herebymade to the Director of Building and Safety,
for a permit subject to the conditions and restrictions set forth on 4hist
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
1 construction, and hereby authorize representatives :of this City to enter upo6
the above-mentioned propertylor inspection tpurposes. z
i, „•, � Signature (Owner/Agent) � � � ? %(` � � "`!i � Date
PERMIT • PERMIT#
/ ;BUILDIN_G
DATE ". VALUATION LOT C TRACT
43
JOB SITE
ADDRESS 77-4,130 AsCArl'A VISTA
APN
OWNER
CONTRACTOR/DESIGNER/EN (NEER
'76-623iaC. SY3Vi:�J eAlt`i�la
45-2.60TW:i4d.
PAW DWa C CA '92211
1,NDIO CA 92201
�76iG� ,4:}� 9'i C-nJ,; •'D999
USE OF PERMIT
Seri • loOT 41t" .i�• MIT CdC' n NOT INCLUDE BLOCK ,1VQ01,
S. -PA. OR =9EWAY APPROAN,
G/ M
t7 e�TC,.tl C'11,'%W[RU
TCE' 0*N 171:2.40 OF
k,bRCHIPAI IC MM $V
a�f3J� ItICr ldTCa tT "an 6.
'wnwa con, SXCoEsmen �
Sf4y�UfA SWY"iARE
C0141'RUC'I'ION FEZ 101.0001 ,59.000 51111171.00
PLA1W CHEC�:'FER, 1011-0 � . g-3113 m0,136,55
FEX, DEPOSIT 101-000439-31P 47%00
Y'Ai .','HANICFII, NEE 101_000 # -000 $141.."
ELEC.°'i€ICc'•si.,'�*E 101.�f;?ti0� X0.000 M61Q
$ZC.0�'
PLfFyM-6#yy@ivf���iA�flryL?d3y(q
yYp1 9101a/i•�•y04-1rt:��tt�t00
�7� RE
ST.R��-yiN»4�"rv7��otJry4OtIW d"i ��p+�Ce' iiterit L,� A L'i3�t�yr�7y 431.03
rG, y1"Enp/Vh��;.aq
10
���i'Dnlo YZE, 1 31
DEVE'WPER 1101PACT FER �I,St(1; bf1
:1Wr 114 PUBIJC PLACES -'R.F.i1.L 24n 000x--' -3-3 0' 00 _6rS.63
"I LESS, 'PJ1 � PJW '.V(1 3-�;
l,`, 0 0,0
p " -4, ,Yin'sPaull;BOV
ITAL
JUN 2 41 01
CIYYOFLAQUINTA
FINANCE DEFT
RECEIPT
ATE
�`
BV -, if �..
D _ INA
INSP
e'
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
U2
Underground Ducts
Forms & Footings
b
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
_ O
Exhaust Fans
O. K. to Wrap
�_� p
F.A.U.
Framing
l
Compressor
Insulation
— Q
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
'
FinalPOOLS
BLOCKWALL APPROVALS
Final
- SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
91
Gas Test
Electric Final
Waste Lines
Water Piping
Heater Final
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
• OZ
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas) i��
ELECTRICAL APPROVALS
Temp. Power Pole 2.�
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power �.2
Final _
Utility Notice (Perm) —
COMMENTS:
10�✓r 12^
I(l�
�� Q
-•..r,,, vm-v6,v nrruoLlb IIILt
MtT32111
OLD KPUSLICTITLE GO.. ��' rMUM" FY
BCMING MUNSTED M
443341
1
Donald c Harris RECEIVED FOR AECGhO �.
AT e:0p O1CLOCK
WHEN RECORDED MAIL TO: .
Donald 0 Harris I PAI C
OEC -S 1997
Christine N, Norris 000•T1anc(orYNXu
&law 1W
77400 Vista Rona I R1v, CO. Recorder rao {
La Quinka, 0A 92253
I—SPACE AWV8-THIS LINE FOR RECORDaBR'�
a0000 ORAN'T DEED r
iht undersigned ara �� a) dare ()I: Documentary tra s ft -ax is S 165.00
ASSBS80R08 PARCEL NO.: 631-820-019(X) computed on full valva of property conveyed, or
TITLE ORDER NO. O computed on the full value ,less liens or
ESCROW NO.: 12273_00 encumbrancer remaining at the time of sale
6OR A VALUABLE CONBID]3RATION, Teoeipt at which it hereby acknowledged) i
William P. OlOoor,' truatee of The William F. O'Connor Revooable Trust, dated July 13,
j 1988 nn .
hereby WUM(s) to Donald C Harris and Christine M. xarrim, husband and wife
The following real property in the City of La Guinta, Riverside County, State of I
California)
described aa: Parcel l: Lot 13 of Tract 25237, ae ahovn by Map on file in Book 220,
Page(s) 95 - 99, in the Office of the County Recorder of Riverside County,- Hca- Erhibit,
A attached far complete legal description
Data" November 3, 1997 LLGLL�W� i 1 i am 'O'Con norf 4'rt'rtiD�t. ce
'l
STATE OP CALIFORNIA '
COurn O 2 VB M1 s:
On �� • 3 •1991 betora me, E e c
personally appeared
(or proved to me on the basis
Of satisfactory evidence) to be the person(s) whose
name(&) is/&M subecrihed to she within ivaL•rument
Md acknowledged to me that hs/sh*Ahey executed the
j same in hid/hemi: authorized capacity(iee}, and
that by hie/h.#At}reyr signature(&) on the instrument
the person(04 or the entity upon behalf of which the
perccn(04 acted,. executed the lnatrumaht. EUS EO C. ID IVAaJR.
i COMUIBEI06N 107 145
witnesss Haan NMI: • CAWOMI,
my hand and otficisl seal. NVERsme COUNry
�tf Yr CortvnlwIM aglra�
�. oat 1, logo
signature r
��,� sc� f OVp_
Name (typed or printed)- (Thi>� urea for official notarial peal)
ML TAX STATEMENTS Tot 77400 Vista Rosa, La
Ouinta, CA 92253 • �,
h.
Order: AUTO -ES -00055065. Description: 1997.443341 Page 1 of 2 Comment:
Dec 11 02 12:10p- JOHNSON & NIELSENh 909-686-6752
JOHNSON. & NIELSEN ASSOCIATES Send.HNielen
JN Per T. Ron
CONSULTING STRUCTURAL ENGINEERS Wen Y. Lin
647 N. Main Street • Suite 48 Riverside - CA • 92501 • (909) 686-5122 • FAX (909)'686-6752 Lonnie a Moi,nt
Steen T. Thomsen
LOS -ANGELES RIVERSIDE • IRVINE PALM SPRINGS Jackson K. Wu
December .11, 2002 J & N Job No. 60-019
Dan Thornbury 77 4 �;.� 143
45 -120 -San Pablo No. 2 D Vt_4L Palm Desert, CA 92260 ,
Re: Harris Residence ` -
Lot 43 @ The Enclave
La Quinta CA
Dear Dan,
This letter. is to serve as written confirmation of the complete framing inspection I made
at the above address on October 25, 2002. Based on this visitation, it is my opinion,
that the complete framing is in compliance to' plans and specs.
If you have any questions, .please feel'free to call.
Sincerely, YiyrWJUryRI
a�Q� \'S P 114
NO. 3634 m
z EXP. 3.31.2004
Lon P. Mount, S.E. N� n
C 1'
JOHNSON & NIELSEN ASSb�
Consulting Structural Engineers
C'\ PPDOCS\0-FORMS\inspectn.Itr\FRAMINSP60.019.wp.d
ti.,
�a
7.6-623 Begonia Way
Palm Desert, CA. 92211
w: 'August 10,'2001
Greg Butler, Manager
Building & Safety .Dept.
County of Riverside
P: Q. Box 1504 ;
78-495 Calle Tampico
LaQuinta, CA. 92.253-1504
Subject: Enclave 0ountain ' Estates, Lot ..#43�
77-480° Loma- Vista
LaQuinta, CA."92253.)
Dear Mr. Butler:
' The purpose of this fetter is -to request a
six month extension on my' building. plan clieck ,from the
date of August 21, 2001.
This is based on the untimely death of my
husband, Donald C. Harris on June 22', 2001.
Thank•you for your attention to this matter.
' Sinjoere
Christine M::Harr'
ZO at - �� •���� � c�5lt7�:1 `�
f MIS
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING
Project Title
77-LVlP L.®Mw 614'
Project ddrQss
Builder Cont ct Telephone
�iin Cont
d2/Sl'�7�3
Firm:
Street Address: —7Yeg0 X, -,?W �OY4p ClyYG ,
Copies to: Builder, HERS Provider
HERS RATER COMPLIANCE STATEMENT
Builder Name
Plan Number
Sample Group Number
CF -4R
Sample House Number
HERS Provider:
City/State/Zip: L W (9u /h r C6�i 9,22; 3
The house was: Tested ❑ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form
com y with the diagnostic tested compliance requirements as checked on this form.
Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu
of ducts)
rwhere cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination .
with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
Duct Wessurization Test Results (CFM @ 25 Pa) 57—values r
�v
70
Test Leakage Flow in CFM
If fan flow is calculated as 400cfm/ton x number of tons enter
calculated value here iov(�
If fan flow is measured enter measured value here
Leakage Percentage 6,17,
/
�' 6 /P
(100 x Test Leakage/Fan Flow) =.
�'����
Check Box for Pass or Fail (Pass=6% or less)
❑
eas
Fail
THERMOSTATIC
EXPANSION VALVE (TXV) or Commission approved equivalent
RrYes ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access is provided for inspection
❑
Yes is a pass
Pass Fail
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1. ❑ Yes ❑ No ACCA Manual D Design requirements have been met
(rater has verified that actual installation matches values in
CF -1 R and design on plan.
V ti
2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -1 R.
Measured Fan Flow =
Yes for both 1 and 2 is a`Pa'ss
❑ ❑
Pass Fail
R
o occupan,py`,- Cerfificate.of"0' l' 3 , - �i�YYV^'. tel" "'... /aa lllQ^ ` - ' ''
INW%RATM
of Buil ding A SaWy Department,
171
This Certificate is issued pursuantto the requirements 'of Section. 109 of the California Building,
-Code;,.. c6jifyin gA th a' t,' at. the time: of 'issuance, this.' structure, was in, compliance, with. the
provisions of the Building,'Code and'the various ordinancei of. the. City, regulating building
construction and/or use.
• BUILDING ADDRESS 77-480 LOMA VISTA
A
i
Use classification: SFD Building. Pcrmit No.: 0102-185
'Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Buildin6: CHRIS HARRIS' ;.;Address:�76-623 BEGONIA IANE).-
City, ST, ZIP: PALM DESERT CA 92260
By: KIRK KIRKLAND'.
TA -6 4 eQ&
-Date: 2-19-2004
.Building Offici
Post IN A CONSPICUOUS PLACE
V