SFD (0008-335)78190 Masters Cir
0008-335
LICENSEDi CONTRACTOR DECLARATION
I hereby affirm u*nder penalty of perjury that I am licensed under provisions of
-Chapter dj(co mencing with Section 7000) of Division, 3 of the Business and
Professionals Code and ryLicense ismfull force and effect.
License w ' o o Exp. . ' "
67 11700 13 vy, r
Dat
.T ' -
OWNER -BUILDER DK>L AARATIO
` ~^
lhereby affirm under penalty of perjury that.1 amexempt from the Contractor's
License Law for the following reason: .
( ) | o'the property, or my employeeswhh wages as their sole
Compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044, Business & Professionals Code).
( ) 1, as owner of the- property, am exclusively , cq9tracting with licensed
contractors to constru ct the project (Sec. 7044, Business & Professionals
I am exempt Under Section B&P.C. for this reason.
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
| hereby affirm. under penalty of perjury one of the following declarations:
()|havdand will maintain acertificate ofconsent toself-insure for workers'
compensation, as provided for by Section n7oO o, mo Labor oouo^ , the
Code,
:for
for which this permit ivissued.
() | have, and will maintain workers' compensation insurance, a»required Uy
Section 3700 of the Labor Code, for the performance ofthe work for which m.io
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
,
(This section need not bocompleted nthe permit valuation isfor $1oo.000,leso:
( ) | certify that in the performance of the work for which this permit ia-ioaLed, /
| shall not employ any person in any manner ooasm u000mo subject mthe
workers' compensation laws cxCalifornia, and agree that i,| should become
subject to the workers' compensation p-rovisions-of Section 3700 of the Labor
Code, I s halj,fort with comply v ith,,tlhose provisions[Date: Annlinnnt,
Warning: Fai ur secure Wdrkers ,C61m ensation coverage is unlawful and
shall. subject an loyer toe-lrirpirral p Zies and Civil fines up to.$1 00,000, in
addition to the damages aoprovided for inSection 37OO
o/.moLabor Code, interest and attorney's fees.
IMPORTANT Application iohereby made mthe Director [ovBuilding and aa
for a permit subject m me conditions and restrictions mm forth on his
application. V.
1. Each person upon whose behalf\hat
whose request and for whose benefit work mperformed under mpursuant m
any permit issued auaresult of m/ouppcomnoomeom& shall. indemnify
i
& hold harmless the Q o/LaOuima. hao nem.
agents and amp|oyeoo-
o.Any permit issued aoo result of this app|ication beonmaanull and void if'
*o,x is not commenced within 1e0 uuxo from umo o, iaauonoo of uuox
po,mu, or cessation ofwork for 180 days will subject permit to cancellation.
| certify that | have read this application and state that the above information io
oo,,out. | agree mcomply with an City, and Gtoxo |mwa relating to the building
construction,d hereby authorize representatives of this City menter upon ,
the above-mentioned .
Signature
' BUILDING PERMIT PERMIT#
DATg.- VALUATION 'LOT TRACT
JOB SITE
ADDRESS
APN
OWNER
CONTRACTOR DESIGNER / ENINEER
PALM DR -19M C.A. 92261
IM141 Ir. 031
USE OF PERMIT
CUSTOM CaN,1,1,TKUCT1011 &I'mD .9p,
PaRCHMATIO 216.00 3F
01 -000-439-' 18 41100100
ELECTRICAL Rt 101-000-47,0 000 $20.25
PLUAIIIIY40 VEEP '101 _000 -419 -OU, 3 243. Z
0 1 RADNO V19, 101 -000-A123 -000
lip
IXYM IFEIMMMES DUE SIM'
qY
INS
MA
INSPECTION, RECORD .
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
/I� L
�j
Underground Ducts
'Forms & Footings
6 t!'
Ducts
Slab Grade
Return Air
Steel.�rZ!=�
�p 1 S•%
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
?, Zl �fj/ ��
F.A-U.
Framing
Compressor
Insulation
Vents -
Fireplace P.L.
Grills
Fireplace T.O.
_
flj.Z�O S�
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wail Firewall
Exterior Lath
Drywall - Int. Lath
D%d-A
-o f S 7
a
Final
Final
—� l 'b _ , _ . _
-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
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
_ _ C_
�( J�
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
Gas Test
Appliances
Final
COMMENTS:
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)
`r=� 'O 5 %
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cantzct BecDuplicated 760-771-8515
CERTIFICATE OF COMPLIANCE
Date 12/28/00 APN # 770-360-003
. No. 21425 Jurisdiction La Quinta
Owner NameCarlos & Jan Yureta Permit #0008-335
No. 78-190 Street Masters Circle Log #
City La Quinta zip 92253 Study Area
Tract # 28867 Lot # 75 Square Footage 5179
Type of Development Single Family Residence No. of Units 1.
Comments
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
2.05 X 5,179 or $ 10,616.95
the property listed above and that building
permits and/or Certificates of Occupancy for this square footage in this proposed project may -now -b6 issped
Fees Paid By CC / Wells Fargo Bank - Jody Jones
Teli ojione 760f346-3228,"
Name on the check
'
' By Dr. Doris Wilson
rn,n
Superintendent
Fee collected /exempted by Annette Barlow
Payment Received $10,616.95
I
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Check No. 0202025171-
Signature
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 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
12-26-00;11:17AM;ANDREW PIERCE CORP. I '
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ARCHITECTURAL DESIGN REVIEW
December 28, 2000 -
Via First Class Mail
and facsimile
Ms. Niclde Gormley
CITY OF LA QUINTA
78-495 Calle Tampico "
La Quinta, CA 92253
Re: Yrueta Residence
Lot 75, Tract 28867, 78-190 Masters Circle153-205 Troon Trail
Construction Documents -Conditions Review
Dear Niclde,
Please accept this letter as approval for the above referenced residence to obtain a building
permit. Conditions that apply to this submittal will be forwarded directly to the design team.
If you have any questions or need additional information, please do not hesitate to call.
-Sincerely,
Christina J. Dotes
Architectural Review Coordinator
/cjd
PC: Jody Jones, Builder (via hand delivery)
Jarvis. Moore, Architect (via first class mail)
John Steigerwaldt, Landscape Architect (via first class mail)
78505 OLD AVENUE 52 —'LA QuiNTA CA 92253-1120 — PHONE 760/564-3355 -- FAx 760/564-2356
m
P.O. Box 1504
78-_495 CALLE TAMPICO (760) 777-7000
LA QUINTA, CALIFORNIA 92253 (TDD) (760) 777-1227
November 6, 2000
Andrew Pierce Corporation -
44-835 Deep Canyon
Palm Desert, California 92260 -
SUBJECT: MINOR USE PERMIT 2000-248
Dear Applicant:
The Community Development Department has.approved your request to establish a temporary
construction office trailer at 78-190 Master Circle pursuant to Section 9.60.210 of the Municipal
Code, subject to the'following'conditions:
1. Prior to building permit issuance, a $500.00 security deposit shall be posted insuring that the
temporary improvements are removed before utilities are released to occupy the house.
2. Mounted on the exterior of the office front door shall be a written notice providing
emergency personnel your 24-hour emergency phone number they can call in case problems
arise that need your prompt attention (i.e., minimum V high'letters).
3. Trailer skirting is required.
4: A sign permit is required for any on-site advertising.
5. Install one 2A1 OBC fire extinguisher inside the front exit door of the office.
.6. A dust control plan is required if on-site parking is proposed.
7. The trailer shall be removed by November 6, 2001, unless an' extension is granted by the
Community Development Director.
8. The City may elect to add Conditions to this application request to mitigate any problems
that arise not previously addressed herein.
M UP248 'rrailer - 44 Greg (ok - CII, SS)
z .
This decision may be appealed to the Planning Commission provided the necessary paperwork and
filing fee of $175.00 are filed with this office within 15 days.
If you have any questions`, please contact me at 760-777-7067. '
Sincerely,
JERRY IIERMAN
C MU TY DEVELOPMENT DIRECTOR
O SDELL. 4
Associat Planner
Enclosures
c: Community Development Director.
Code Compliance Department
Fire Department '
Betty Sawyer, Executive Secretary
4
MUP248 Trailer - 44 greg (ok - CII, SS) `
,. J. t kyr, v. -• C
"' La +tw• City Of La Quinta OFFICE USE ONLY \
° o Community Development,Department Case No. AV
F 'Date Recvd. - 30 iia
78-495 Calle Tampico . •
`.. S . .. -
w La Quinta, California 92253 Fee: 6-J
of Tt Related Apps.': oVO
.(760) 777-7125 FAX: (760) 777=.1233
o Logged in by: • -
oo tido
o0
APPLICATION FOR MINOR USE.PERMIT.APPROVAL!
MINOR USE PERMIT applications are reviewed and approved' by `the Community Development Director
pursuant to Section 9.210.020, of the Zoning Code. The purpose of the review is to ensure that land uses requiring ,
the permit do not have an adverse, impact on surrounding properties, residents, or businesses.
APPLICANT'T I• i "Pl?1 cP
(Print)
MAILING ADDRESS Ai j yam/ ' Phone No. ]
CITY, STATE, ZIP: PALM T1E. .'QT- G 4rU-60 Fax No: x•746 — 4j - 6
PROPERTY OWNER (If different): +
• . . ,, Print) - ° . ► , .
MAILING ADDRESS: Phone No.
CITY, STATE, ZIP: Fax No.t'
PROJECT LOCATION:_1
PROPOSED USE AND/OR CONSTRUCTION (Including operational information):
- `T Aj LX;Q
' (attach'sheets if needed)
LEGAL DESCRIPTION (LOT & TRACT OR A.P.N.):[P R;:
^ _
UL
` OCT 3 2000
AI8\Minor Use Permit '
to l ., CITY OF LAOUINTA
i; PLANNING DEPARTMENT.
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Certificate -Of -Occupancy.
Cit 'of La Quinta
oa
Building -and Safety Department
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This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
x
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: 78-190 MASTERS CIRCLE
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0008-335,
Occupancy Group: R3 Type of Construction: VN Land Use Zone:, RL -
` Owner of Building:.. ANDREW PIERCE CORP Address: P.O.BOX 3420
City: PALM DESERT, CA 92210
By: BILL GORDON
Date: FEBRUARY 19, 2002
Building Official -
POST IN A CONSPICUOUS PLACE