RPL (0212-013)78100 Masters Cir
0212-013
LICENSED CONTRACTOR DECLARATION
Ihereby 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
f 786324 C-53 M2 1 10/1%1/ua
Date ,d -) 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).
( ) 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.
(yyO ` 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 STATE FUND Policy No. 2202"..66
(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.provi.§ions.
Date: ' Applicant -ria{
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 Quihta, its officers, agents and employees.
2 A •t ' d result of this a lication becomes null and void if
.r
. ny perml Issue as a pp
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) 'r`= Date +-j < • ? '
- BUILDING PERMIT PERMIT# ,, \
2-013
DATE .ir,.,. ,. " VA UATION M,c yy r y}g LOT TRACT
ADDRESS' 7,( i#t;i i iii' a✓rL JOB SITE
APN ry
OWNER
CONTRACTOR/DESIGNER/ENGINEER
1L yy''
F7AS+lT...,R'9i. .i".i S
WI -ALMS
11 pq ' /j ' ,r'j'p (' pp ,i
ALn ',L'.`F.A . i,TF'IRI ti.. i l,. t
78-060 CAME =ADO
..A •W A ..2253
PALM DU a' CA. 92261
(760).349-8400 CUL# 3470
USE OF PERMIT
.'& C31. 1....! :Ea OR u 'A
Sf gqi yy.A1.,Ari'..y [+o pi/Yt IN7y PLACis:AkT PRE -P1... LS'i1m,
yP00 4 iiy y!#'3.1A 1yEKS }SH?i ;L1,
A P4 d?Y" t,rlI1V1.4t. It• 413X"N1.fYt' E Pb11Y. Yb Jt7 7 u4:F.+ 4VY 15V 'r4lc.C, L`.L`
POOL, ANDIO 4..S; . s ;s p6; (J,4W is
310T NIA".E.11'D COST OF C0.491R X ION
12400,00
dam.": 'il`, 1 ';HA.RY
PLAN CHTdC FU 101.04 439-31.8 $19138
CONS 3'iltf t+': TION B' Z 101-IX00 418-000 $29'7, 5D
+IEC± , iftru, ;,L E.R--POOL 101-,000-421.0,00 S'4.00
00 .(?f►
Zl.W,TRI C:e L fnF,--410901.; 101-000-42"00
r >i a - c , ,.. tOfN"L 101000.41« ,:000 MAI
SIT.B-A-)TAL COMMS 0100 AM) PIAN MIME t"E
M6. -1s8
.331.0 I' -PlAU FEW
$0,00
DFr. 1 7002
CITY OF LA
FINANCE GIUINTA
RECEIPT
itTE —-1
Y,r' 1✓
DATE FINALED
INSPECTOR
' `f
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas
Electric Final
Waste Lines
Neater 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
Gas Test
Appliances
Final
COMMENTS:
Final
Utilitj 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)
... ... .. , «. .;. ... ... ,.. .., r ,. .. ...:. ._ac.... s .. . a ..:.
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
CERTIFICATE OF COMPLIANCE
Date 4/1/02 APN# .770-350-003
No. 23090 Jurisdiction La Quinta
Owner NameRichard Albers Permit #
No, 78-100 Street Masters Circle Log #
City La Quinta zip 92253 Study Area
Tract # 28867 Lot # 67 Square Footage 5794
Type of Development Single Family Residence No. of Units 1
Comments
ITION: Single Family Residence
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
2.14 X 5,794 or $ 12,399.16 the property listed above and that building
pemuts and/or Certificates of Occupancy for this square footage in this proposed project may now be issued
Fees Paid By CC Wells Fargo - Bill Albers Telephone 760/564-7782
Name on the check 41
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Crystal Scott Payment Received $12)'39,9.16, '
Check No. 0737703413
Signature
NOTICE: Pursuant to 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 or installation 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 of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
Tradition
April 1, 2002
Albers Construction
Attn: Bill Albers
78-060 Calle Estado
La Quinta, CA 9225:1
Re: 78-100 Masters Circle,
Dear Bill,
Thank you for submi:-,dng the $5,000.00 construction deposit for your lot 67 on
Masters Circle. The Tradition Architectural Committee approves the start of
construction on this list. The Construction Drawings were approved last year.
I look forward to worii;ing with you on the construction of this home.
Sincerely,
Mind! Gutierrez, Property Manager
Tradition Community Association
.PCM/f:)ESERT RESORT PROPERTY .MANAGEMENT COMPANY
POST OFFICE 80X4.772, Num DESErzT, :ZALIFOr.1\'1,a92261-4772. 73,550ALESSANDRO, SUrIE5, PALM DESERT, CALIr-oRNtA92260
PHONE: (760) 346-11.61 — FAX: (760) 346-9918
they,
STRUCTURAL AND CIVIL,ENGINEERING
DENISER. POELTLER, INC.
73.661 Highway 111 • Suite G • Palm Desert, California 92260
18 July 2001
Mr.. Tom Hartung, Building Official
CITY OF LA QUINTA
78-495 Calle Tampico
La Quinta, CA 92253-1504
Subject: Truss Acceptance Letter
Project: ALBERS CONSTRUCTION..
Address: 78=100 Masters Circle, The Traditions
Dear Mr. Hartung:
`
I have reviewed the deflection, dead and live loads used for the design of the gang -nail. roof
trusses.prepared by,YUMA TRUSS CO. dated
7-16=2001, and found them in substantial
. conformance with my original design loads.
Respectfully submitted,
'Denise R. Poeltler
O Q OFESS1p4gf
Q R . P
R.C.E. 33446'
o No. 33446 E` R
CC
Exp.6-30-02
W.O. 01-123
ryr CIVIC@P °.
cc: Bill Albers, ALBERS CONSTRUCTION
(760)779-0405' 0 FAX (760) 779-1317