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SFD (0112-146)52225 Avenida Madero 0112-146 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 # Lic. Class Exp. Date 20501 B r 3G C: 2 3r oI `Date %-- ` r is ^' Signature of Contractor OWNER -BUILDER DECLARATION 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 project (Sec. 7044,,.Business & Professionals Code). .f - () 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 providedffor'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 Sedt on 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 STATE FUND' Policy No. IY 1735 (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 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. Irate: r / Applicant— Warning: Failure to secure Workers' Compensation coverage 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 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. s 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) Y I Date j t' - c 1 ' BUILDING PERMIT PERMI T # $ DATE 1 VALUATION v w LOT TRACTsu JOB SITE' ADDRESS b ,rU5 A"113±=A AUDER0 APN TTI'',202-= OWNER CONTRACTOR/DESIGNER EN NNEER 0341;8 C. y YFP, R. nAVESC_BEJIWLP, JR . 73-300 ADDIZOMCK LANE, 3.1000 H;DIA lac, CK 1r44 ;r .-VIM DERAI T C.r`'s 99226.1 F'A1M t US'P.RT 9226 a (liGj63l-]'5Ca S t<`}€r 290:5 USE OF PERMIT b IiC3U- ri AM Y Li Ei,LNG , Sib') „ 1JOT l I F`LltiMI"I' PO"N,h NOT INCLUDE F, LOCK W,Px1XS, PCIOI.4 SRA FOILCH/l°`A`@".ICI 935.08 S°k fif.&4't.AGIUCA%3AW ` 440,00 SP 5 Yr. 'Wr:. l) PENCE 200 00 11Y ' I f:`C3NEiPRUCTION IMM, 301-f 00-418.000 $621.50 PLAN CH C KAFE..E 101-000-439-3`1e 1'1 Fi iA i'Iv 101-000-439-M Ib1YX.1`114.ktIC A.t, VEF, 10 1 - OW -4.2 I -000 , fltl 7.I1c: TRICIAL FEE 1.03 -000.420.000 X11 Y,hi 1i1LUM13114-0 I'I.e£ 10 1 -€ 00,-419-00 I36.@ti 0TRONO M0TX,)N R - %91411 101.000.241.000 $9.00 CIRAM1130 F29 101=•000-423-000 $30.00 DEI'r.:9. FER IMPACT FEE PRWISE PLAN 101 1,000.4.41 P345 S167fJ.00 ; . a , . 6 ru SUB -T1, IALa'l.i6.CV.47.1.RT 0./bd 4/.R'1 , S L A)4 L±I"2.i:,4w.Ea. y{-• f i+ p7 +y TY 37 4 ,p r p / { .7 L' y a N li J.V l • JAN 0 4 2002 W Y ®FLA . y. r RECEIPT DATE BY y J'_. DATE FINALED INSPECTOR ! QFµ` INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings + Ducts Slab Grade V V Return Air Steel Combustion Air Roof Deck Exhaust Fans 0. K. to Wrap _ §09E F.A.U. Framing Compressor Insulation l Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath — Drywall - Int. Lath .o L FinalOZ BLOCKWALL7777—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 Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines _ < 7/1 Heater Final ' Water Piping O '"'' Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral f Sewer Connection g 1B ?/ Pool Cover Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole / — (p . o y 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) 2e e. COMMENTS: •k'y'pFL'r'^- ' - ;C✓`—L J." I" '' .- ' I ', , s.. =, st:v •s: y 'f''• : 'tr `a ' ar'" rn.,,aer. ; ,. aazrn a %Inzin .I Tilif 0 P.O. BOX 1504 1 78-495 CALLE TAMPICO APPLICATION ONLY Building 5,7 / y 1 MA aQe' LA OUINTA, CALIFORNIA 92253 Address I 1 uwner a Mailing U Address 1City ZipC, Tell l^ , ,1, _ fid. i, .. 1 _"i e/'/ . C.-.* l rc , ? J.. J C, I,— Address CityZip Tel. ,/ State Lic. & Classif. Desigy , ., ner, Address 'J(/- ,' -; t 1 O - LDING: TYPE'CONST. OCC. GRP. Number al Description L16fzj== T 136, 3A Fost`ey -14 311 ject Description -- . J? F'- ! k'1 r. M', . 1 CityI.-- <. .....-- • s Lic. # oa) -c.:5 Sq. Ft. No. No. Dw. r Size 155 Stories Units r New kl- Add ❑ Alter ❑ Repair ❑ Demolition ❑ CityZip '\,j State -/ pp , ,i".1. '..,,f ,-s.--i-. rr ^•l i rr (N 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 1 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) or 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 (8500). I.; 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.) 1'1 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 cdniractor(s) licensed pursuant to the Contractor's License Law.) 1.) 1 am exempt under Sec. B. & P.C. for this reason Date Owner 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 r7 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 (8100) valuation or less.) I certify that in the performance of ing 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 applicant Date Mailing Address City, State, Zip 8C, Isil Estimated Valuation PERMIT AMOUNT „ Plan Chk. Dep. Z3-0 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 ine FINAL DATE INSPECTOR Issued by: Date Permit Validated bv: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING Building_ L Address Owner n Address • -.7 - Vill- . 74"WA „Wr «w^g . +iAtirwyryayyr. ._Y7• Yv a r nsR ro rw nFrrrRy` " t '? S 4 Q91N& 9 -w / .: P.O. BOX 1504 APPLICATION ONLY g 78-495 CALLE TAMPICO 1 vn%f,v/'n•LA QUINTA, CALIFORNIA 92253 01POWS Address , y iCity Tel. State Lia City & Classif. i Lia N Arch., Engr., f `1 Designer T ir. _ -k V/ 11 r \V-, 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 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 live hundred dollars ($500). (: 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 soldwithin 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.) 1'1 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 7 1 am exempt under Sec. B. & P.C. for this reason Date Owner 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. l - 1.G.- (company - ( _ .- .+ t_t_s: .: P n Copy is tiled with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMRENSATION INSURANCE (This section need not be completed it 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 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 applicant Date Mailing Address City, State, Zip LDING: TYPE'CONSTT.. /= 9 OCCC. GRP. G Number 1 al Description . n.,c. CC--(-1 ofj-c . '/'.. Vats3 C l ject Description c7 oc ' c S1 t' 1 q. syllo' 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 ' PINK = BUILDING DIVISION Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. ' Electrical Plumbing S.M.I. phi A Grading Driveway Enc. Infrastructure r t Q nn U If"T w ANCc »=A► T - r TOTAL <. ' REMARKS ew 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 ' PINK = BUILDING DIVISION Rf•Mh,• • -.r-- IroMrrC 01.sL300gT " ' dELI'] Y M1, t -A- :`ICF Co. DOC. a &M-00A Fes:9.de eo/eS/zeel • INLMMU LIVIrML u)VISION - Paps 1 of Z Doo t Jag Paid netwCdsstndty sfiAlwre ficiald. isoords "COWING IMQI tED RV Gary L. area gssssor, Cot+n y Ct`rh 0 It"ardar AND *-,M 1(ECoWm mAjL TO: 3ames C. Be knq. Jr., Trustee 32 Came" Arrcyo place Pais Desert, CA. 92260 -rM 0Z,0 -0/7 773-Lo7,60z--3 11' 11 111 111 11 lir 1111 II I I t1 . 11 N 111 II M S v W9C. A R L COPY I— IaerWlo NWo F + A.P.N.: TRA 92- 44 Order No.: 33021907 + Eswuw No.: 2 4301 o01 i GRANT DEED THS UNDEILS[GNED M"iTOR(s) DECI.ARE(a)'MAT D000MENTARY TRANSFIM TAX IS: COUNTY14 3.00 3C) coped on full value of propetty conveyed, or at time of sale.. Ed ou full valuc less vacuaof Itms or encumbrances temaiatag rporamd area: [ X ] City of La oginta and FOR A VALUABLE CONSIDERATION, Race* of which i6 hmcby acknowledged,, SOU rHKMK ENTERPRMS, INC., a California Corporation hereby GRANT(S) to James C. Bellmap, Jr., Tnistce of the James Belknap Separate Trmt dated May 3,1992 the following desedbed property in the MY of La Quints, County of itiveisitie State of Celifotnia; See Exhibit "A" attached hereto and made a part hereof; , SOUTHFORKIBES. INC., a . California By: Sate . Vi By: Pat icaaa. CFO DotumeAt Data: Au¢ust la 2001 t t STATS OF CALORN{A . )SS COUNTY OF , 1i M" , Won mc..e 1f " ' C, Oat qui poly i4P + v►Q h k -e,soa l ew (at proved to me on the bilis of 0 d IM cvidpors) b be Ids pcmb(s) Whose nameb) Wam mbsuibcd to the wld►in intathmeot and ac)=w1cdged to me thu is~&cy aecttod the tame in buhmitheir iuthodmd eapseity(uv and dirt byJlitlt /eheir sitS miKs) on me iatithument tM puson(s) cr ft cant upon betnlf of which the pcmm(s) tutcd: execmed the iasaomeat. WITNESS my and official seal. ` UU ,. This aces for urficsrl nomtial tell. MARGOIaAPP toren. ss 11 t ARYPURUGOALORMIA0a AMMM =MY Mail Ta: Statements to: SAME AS ABOVE or 'Address Noted Below Order: X Description: 2001.430067 Page 1 of 2 Comamt: rt pyo Fp '!A 3 a ti M1 ti .e + ro It . ' y4 j r off l f `✓ fe pa xU hx [ZN{ 4 *c s i • .f EXHIBIT .ONES r YY,di'Par cel 1 ' + • r ` , .. , ^R .,. ... jr ti - ,. Y ". Lot 11 in Block 38 of Santa Carmelita at Vale La Quinta, Unit No. 3 as shown by Map on x jile,in Book 18.Page. 59 of Maps, records of Riverside County, -Calif ornia'.. SL-zzs AvEM.9 f2o Parcel 2: t ' Lot 9, Blobk.112, Santa Carmelita o Unit. No. +12;•,as shown,by Map on file in Book •,18'Pages' 79 and 80 of Maps, Riverside County ,Records. ✓!~r .' tom: - t' r,y , c. V .• N -, . {. Parcel 3: Lot 1, Block 41 of SantaJCarmelita.at-Vale La Quinta; Unit No. -3, as per Map recorded in• - + Book 18, Page 59, of. Maps,.in the Office of the County Recorder of 'Riverside County.' Parcel A: Lot. 8 in -Block 92:0f Santa Carmelita at Vale La Quinta Unit•No. ,1,1_as per Map recorded in f . -Book 18, Page 75 of Maps in the Office of the -County Recorder of Riverside County., }. Parcel 5: r Lot 5 in Block 11 of Santa Carmelita at -Vale La Quinta Unit No. 1 as per Map recorded in Book 18; Page 46, of Maps, in the Office of the County Recorder.of Riverside County.= . n • F` r. + - J .. „ is tir-' + _ • ,,, ! -1 , h. • _ •__ + - r . . d► l Fri -,ti ^:.T • ^ i •-`'=fi - • .r , +. + • ..}, a 1. ', RC DISTRICT -PLANNING REVIEW FORM w This form is to be'used by CDD staff for review of single family dwellings in the RC (Cove Residential) District per Section 9.50.090 of the Zoning Code. Its purpose is to determine: 11 that the proposed house design does not duplicate the same architectural style of any house within -2-00 feet of -the applicant; and/or -2) -if -there -is a -need -for --the -applicant .to file for Master Design Guidelines. If the applicant does need to file a Master Design Guideline, please transmitted this information to the Building and Safety • Department as part of your correction . list. Please attach additional explanations as necessary. / APPLICANT Belknaip Construction SITE ADDRESS 52-225 Avenida 1v} -Do APN 773 - 202 _ 022 CASE NO.: 2001-5,56 LEGAL: LOT 11 BLOCK 38 UNIT S.C.@V:L.Q. CHECK AND APPROVED BY: Michele Ramb6 DATE: of Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive Secretary maintains a log book to track applications and assign case numbers. REQUIRED -ITEM Y . N COMMENT/CORRECTION Verify legal and APN.information Consistent with -MDG on file (as applicable MDG filing required (5 filings since 9/3/98) ,kI ull Architectural variety within -200 -feet of the surrounding area: Colors Materials Architectural design features 0 l000 QR l.P D . D f Other Requirements: F wri FILC ^.xt -P.O. Box 1504 CA•LLE TAMPICO 760 ,s ( ) ,r is 777-7001 LA UINTA, CALIFORNIA 92253 . Q _ FAX (760), 777-7 10 1 December 20, 2001 Annette Barlow Desert Sands Unified School. District 47-950 Dune Palms Road La Quinta, CA 92253 Dear Ms. Barlow Mr. James Belknap recently paid school fees prior.to construction of a single family.dwelling at the following location - 52 -225 Avenida Madero A. P. N.: 773=202-022 Legal Description: Lot 11, Block 38, Unit 3; Santa Carmelita at Vale La Quinta Living area.- 1604 square feet Mr. Belknap no longer intends to build this house at'this°location. His is to ,intent build this house instead at: 52-224 Avenida Madero A.P.N.: 773-242-001. Legal Description: Lot 1, Block 41, Unit 3; Santa Carmelita at Vale La Quinta Living ;area-. •1604 square feet Mr. Belknap.requests that, upon surrender,of the original Certificate of Compliance, you apply the fees already paid to the lot upon which he.actually' intends to build. Thank you for your assistance in this matter. As usual, if you have any questions regarding this, please call my office staff at (76 ' ' 777-7015: Sin erely, \ \ reg Butler Building &.SManager - O o N O y TFF F. 0 — ° n A ro O: A a LOLr ©tioo m: u o ro ro; ©o a @) o, 0 1 ti, .. ° b m 38 u d w ro a o v nn3j ti S3 • so o u' ` c C co V q H 4 4/ N B LSO C sx.so MONtE ' p o. AVEN/DA ✓VAREZ i n ° `w H • O m , to tb - \ AVEN/OA o CORTEZ ° o N O y e F. 0 — ° n A ro w a a LOLr ©tioo m: u o ro ro; ©o a @) 0 o ti, .. ° b m 38 u d w ro a o N O y w — ° n AVEN/DA MADERO o o v nn3j S3 • so o u' ` b co V q H 4 4/ N B LSO C sx.so ' p o. AVEN/DA ✓VAREZ i n `w H • O , T r i►fiof •Ce t cato Deco ane 1 Y J& t, 1, City of La Building and Safety Department 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: 52=225 AVNIDA MADERO Use Classification: SINGLE FAMILY DWELLING Bldg: Permit No.: 01.12-146 Occupancy Group,, R-3 Type of Construction: VN Land' Use Zone: RC Owner ..of Building: JAMES C.. BELKNAP,• JR. Address: 73-300 FIDDLENECK LANE City: PALM DESERT, CA., 92261 By: RICHARD :KIRKLA,ND`. { Date: 4/4/02 Building Official POST IN A CONSPICUOUS PLACE t CITY OF LA QUINTA cFyoFowS BUILDING & SAFETY DEPARTMENT 777-70,1`2 INSPECTION RegUEST-61`4&--- 777;71'53 Owner JAMES Co BELKN tP a L+•; JAMES C. BELKN Contractor Permit Number 0202-206 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52-225 AVENIDA MADERO 30 LF 6' GRDEN WALL—ORCO SYSTEM I TYPE OF INSPECTION DATE IINSP. FOUNDATION & SETBACK FOOTING STEEL -,2 c 2' L MAIN GROUND SYSTEM GROUND PLUMBING PRE-GUNITE DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED 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 ❑ 4' ❑ 8' FRAMING INSULATION PRE -ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED UM T YYNLL IN I CMIUM I I EXTERIOR LATH FINALS ELECTRICAL PLUMBING FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED TEMP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING AW, tic; A CJTY F,LA QUINTA BUILD.Y ,& SAFETY DEPARTMENT - -7012 SI'ECTION REQUEST LINE 777-7153 Owner , JAMES C. BELKNAP JR. Contractor JAMES C. BE.LKNAP JR. Permit Number 0112-146 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52-225 AVENIDA MADERO SFD - LOTH ] PERMIT DOES NOT INCLUDE BLOCI WALLS, POOL, SPA OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK FOOTING STEEL MAIN GROUND SYSTEM GROUND PLUMBING PRE-GUNITE DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNE CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNEI ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST HEATING & VENT - A/C FIREPLACE ROOF c BOND BEAM O.K. TO WRAP GROUT ❑ 4' ❑ 8' FRAMING INSULATION PRE -ROOF COVER NO WORK UNTIL ABOVE HAS -,BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH 5 C3 POOL PRE PLASTER POQL FENCE & GATE 'SEWER SEPTIC TANK FINALS ELECTRICAL PLUMBING FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED TEMP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING (*Sladden Engineering k 6782 Stanton Ave., Suite E, Buena Park, CA 90621 (562) 864-4121 (714) 523-0952 Fax (714) 523-1369 ' ' l,J • 39-725 Garand Ln., Suite G, Palm Desert, CA 92211 (760) 772-3893 Fax (760) 772-3895 Date" 11 f Zo/ o i Job No. FIELD MEMO Project Name " V`-,,,- 'PAD Client: Site Address 5Z27-5 Aocir4 p, (.!A au"u o, Cm . Job Phone Work Done t •, ''h+` ►Tt 'TEST oN 1FoU yE PAp r 'r— 4 C ! Vrw% innc InCnPCtP-d Test : ' No.. I '_ Location Elev. Dry Density Moist % %Relative Compaction Ref. Max pcf. Moist % 11O 124 Comments TSN - Ivo SNou. . D CSE 1`E t Y`0 ; PCRt o p I CA ia, " soP.t ►> t , Super., or Agent,, 24 hour notice requested to schedule Field Technician. Thank you for the opportunity to be of service. V