09181 (SFD)55-645 CHH.BBY HILLS
Bulld'qq�� 7&105 CALLE ESTADO
Add%1%d t 35 Chars:: Hilla Road) LA QUINTA, CALIFORNIA 92253
Owner Ribaudo
Mailing '
Address
Contractor
btate LIC. city
& Classif. 326744 -3 Lic. #
Arch., Engr.,
Designer Leonard Salnato
Address I Tel.
City110110
State
New Orleans Lic. # C12039
LICENSED CONTRACTOR'S DECLARATION
I. hereby. affirm that I.am licensed under provisions of Chapter9 (commencing with Section
7M of.Divislow3 of the Business, and!Professlons Code,,and.my license Is In full'force and
SIGNATURE DATE
,.-+ ``1" ✓� , ap DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031:5,Buainess and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure,. prior to Its Issuance also
requires the applicantfor such pormrt,to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's, License Law, Chapter 8 (commenting with Section 7000) of
DIvlsfon 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, clvll penakyof not more than five hundied.dollais,($500).
'Ei`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, Sulaness 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. M 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 anprove.for the purpose of sale:).
❑ I, as owner of -the property, am exclusively contracting with licensedcontractors 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 bnproves thereon, and who contracts for
such projects with a contractors) licensed pursuant, to the Contractor's License Law.)
❑ 1 am exempt under Sec. - B. &.P.C. for this reason -
UGI
CSV iLNo.
BUILDING: TYPE CONST. OCC: GRP:
Number
Legal Description
Project Description Vii» In
Sq. Ft. 6a � No. No. Dw.
Size - Stories Units
New ❑ Add ❑ Alter, ❑ Repair O Demolition O
block walls; permit
Estimated Valuation
443e172 r ,, ,
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
0 I ' AMOUNT
const.
Mech. `
Electrical
Plumbing
S.M.I. -
Grading
Driveway Enc.
Date Owner: Infrastructure
Art --0i4h
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 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
O Copy is filed -with the city. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS"COMPENSATION INSURANCE
(This section need not be completed If the permit Is for one hundred dollars ($100) valuation
orless:j -
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 •A; � , .i..:.Owner
NOTICE'� TO -APPLICANT: N, alter rrh0Ag* this 'Certe -of Exemption you should become
subject to the Workers' Compensation provisions of Me Labor Code, you must forthwith
comply with such provisions or -this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the performance of the
work .for which this permit IsIssued. (Sec. 3087, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and velidated,and;Is subject to
expiration if work thereunder is suspended for 180 days.
1, car Illy that I have,read this applicationand 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 cityto enter the above,
mentioned property for Inspection purposes.
Signature of applicant Date -
Mailing Address
City, state, Zin
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT.®
POWER OUTLET
ROOF DRAINS
CAR P. SO. Ff.
GAS (ROUGH) METER LOOP
DRAINAGE PIPING
WALL SO. Fr. ®
OTHER APPJEOUIP.
DRINKING FOUNTAIN,
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION E
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO(DISH)
APPLIANCE DRYER
FRAMING ��/L/ �J
s ` [
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
� 7,l � � n
C U 2 2 CC
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/+ c
SEWAGE DISPOSAL
LATHING
SO.Fr.GAR ® 3Ac
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT: FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
g
GRADING
cu. yd.
plus xg
_$
LUMBER GR.
NAL INSPdZ �/
FRAMING ��/L/ �J
s ` [
FINAL INSP,
ROOFING
� 7,l � � n
C U 2 2 CC
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
L
Building
Address,
Owner I C J— F is
Malting )
Zip T.
State Lib.CC
S Classif: &2 (p? 4,+ /
Arch., Engr., I Ag � t �Q ro
Designer � t,C}nJ V/ 7
A,Jd 1B19(l1LLE STILT
-26,s (0
[State
Lic # G
'LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7(100) oft
3 of the. Business aif&Professions Code, and my license Is In full force and
effect.
-31GNATURE DATE
OWNEWBUILDER DECLARATION
I hereby affirm that 1 am exempt from, the Contractors License Law for the following
reason: (Sec.. 7031.S.Sualness and Prolessbns Code: Any city or county wAldr requites a
permit to construct, Alter, improve, demolish, or repair any structure, prior to Its /a=,. also
requires the applicant for such perms to rde a slpned statement that he k licensed pursuant to
the provisions of the Contractor's License Law, ChWter 8 (cormnench with Section 7000) of
Division 3 of 'the Business and Professions Code, or Mat. he Is exempt therefrom, and the basis
fo/ the alkpsd exemption. Any vbfation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). .
❑ I, as owner of the property, or my,employees with.wages as their sale compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7041, Bulsness 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 forsale. N. howeioer, Me building
or irriprova hent is .sold' within one year of completion„ Me owner -budder will have Me buroen
Of proving Mat he dki'(lot. build or improve for thepurpose of a".)
❑ I, as owner of the property, am exclusively, contracting with licensed contractors to con-
struct the project. (Sec. 7041, Business and Prohssbns Code., The Contractor's License Law
rdoes not apply to an'Owner of property who bullde'or Improves thereon, and who 66ribacts for
such projects with a'contraotor(s) licensedpursuant toMe,Contiecbr's License .Law:)
❑ I 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, ora certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with the city. 0 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`thp,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.
DateOwner
N07'!CE .TO, APPLICANT: 'N, after makthis Certificate of Exemption you should become
aubJect to the Workers' Corrpensason provisions of the Labor Code, you must forthwith
cornply.wdh such provisions or this -pe- shall be Beamed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
work'for wMoh'this permit is Issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender'sAddress
This is a building permit when property filled out, signed end.validated, and Is subject to
explratlon It,worklhereunder iS suspended for 18D days:
1 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-
mentloned property -for Inspectiompurposes.
Signature of applicant Date
Mailing Address _—
City, State, Zip
FINANCE
APPLICATION ONLY
NG:, TYPE.CONST. OCC. GRP.
1. Number
Description
,t Description 5;,1 I r 1�, r 40 418 -S eq F r t
Sq. Ft. NO: No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair Demolition ❑
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const..
Mach.
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:
1.r •:/1l-.�I
t f 12/30/65
CO(CHULA WILEY UN IED SQiOOL DISTRICT
CERTIFICATE OF CCMPLIr?:C'
(Government Code §53020)
Project Name: PGA West
Project Iddress: 55-645 Chery'H ll La Qui nta, CA
Project O.mers Naive: J. Michael Ribaudo: Phone No.
Project Description: Dwellifig '
Building 'Type (circle one) esident (Include No. Dwelling Units)
XX ComTercial' ustrial
Tract No. Lot. No.
(If Tract attach Schedule "A" of all lots by tract, square footage for
each lot and total.)
Assessor's Parcel No.
(If Schedule "A" is used shwa Assessor's Parcel No. for each lot if one,
exists or Assessor's Parcel No. for parcels before sub -divided.)
Total square feet of Building Area: 6,048 SgFt:
Certification of Applicant/ON„er. The person signing certifies that
the alive information is correct and makes this statement under penalty
of perjury and further represents that he/she is authorized to sign on
behalf of the caner/developer.
Dated: 3 %- 9 Signature
City/County Certification: _
(signature)OPTIONAL
-
(title)
(Co be completed by school district)
School district requirements for the above project have been or will be
sat i ied in accordance with one of the following (circle one):
;ov. Code Gov. Code Agreement existing Not subject to
53080 65970 prior to 1/1/87 fee requirements
(AB 181) (SB 201 )
tal r of sq.
Amount per sq. ft.
Amount collected
f t.. 6,048
School District Offic
Jorge B. Gutierrez Phone
Note:
AB 2926 and SB M1 fees are capped at $1.58 per
residential construction. AB 2926 is capped at
foot for camercial and industrial projects.
Assistant Superintende
tle- Facilities & Operations
to March 26, 1991
square foot for
$0-.26 per square
METRO PLASTIC & RECON
TEL: 1-314-569-1693
619
'Pt Omerox Telecopier 7o2o ; 8-28-91 ; 13:52 I
RECORDINO'REQUESYEO By
AND WHEN RECOROMMAIL Yo
r �
feet J. Michael Ribaudo
"1'911 1 Upper Ladue Road
3Ya `St. LodisoMo 63124
�I
MAIL TAX STATr NTS TO
'9me
�ruc SAME AS ADOVE
ddreis
-lav a
lilt L
V
Mar 26.911 16:56 No.007 P.02
818-1 1 314 589 15934 2
SPACE ABOVE THIS LINE FOR ReCORD$R'S USE ^-�—
CAT, NO, NNO0070 Corpipration Grant Deed
TO 1021 to to—cal 'rests FORM FURN1SMED BY111COR TIT4E INSURERS
The undersigned grantors decfarots):
Documentary transfer tax is $ 0
( 1 Cbmputcd on Bili value Of property Conveyed, or
( ? Computed on full Wus less value of 11 ns nd n u brartCBs remaining at time of tale.
f Unlncorporated area: ( X4 City of du KTI , and
FOR A VALUABLE CONSIDERATION, re slpt of which it hereby acknowledged,
Fidelity Venturea, IVO,o a Missouri cvrporatibn.
a corporation organized under the laws of thState of Missouri.hereby G RANTS
to J. Michael Ribaudo and Lueill R. Ribaudo, husband and Wife as joint tenants
the following described real proparty in the city of La Quinta
County of Riverside . State of -California:
VACANT LAND
9-, 1 V
c�� 0%
MAR 9'o' 1,
MAR
��ortA 2
� MU.YnY `IFP rpyMrl'ortA
In Witness Whereof, said corporatlon has ca sed Its corporate name and tool to be 4ffixed he%4'9
Instrument to be executed by itsPresident and Secretary
thereunto duly authorized.
Dated -, March I. 1991
T By
STATC OF dA W4VWA -
COUNTYOF _____ST. LOUIS
On March 3,' * 1991
_.; , befb
undarslgned. a Notary Pulilic`In an for aid State.
appeared -1 c h A CL ,�
personally known to me or proved to me on the bai
factory evidence to be the parson who exacutad i
instrument it the Pres)
personally
me or proved to mo on the 4860+ of sothfoctory avid
the person who executed the within Instrumentas th
Secretary v( the Corporation that
the wIlhFinstrumant and acknowledged to me
corporation executed the within instrument PUUL
4y4aws or a rosolutiort of its board of directors,
WITNESS my hand and official *6041*
I33
me, the
rionally
of satit•
I within
At, and
IOWA to
0o to be
W Extended Pace 2,
resildent
I� �L�3ai+4 N1 � � �J�r"_ "ir+ ��Si ■my��
Secretary
at such MEREDITH HOFF
t to It: Notary public, State of W—iuri
M LOUIS COUNT,-
MyCoMmlaalon ibcpires :March 1k, ty94
Signature Wil. c,{� = IThisarea for offictotrwtorlet'1481}
METRO'PLASTI
RECON TEL: 1-314-569-1693
Mar 26191 17:11 No.008 P.02
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METRO PLASTIC & RECON TEL.: 1-314-569-1693 Mar 2.6,91 17:11 No.008 P.03
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141
W4
of a m
41
an -0 Aafet� 'D
eo-pulpyant to the.requirements of Section';306 of the Uniform Building!
;V Y of issuance
time: this structure. was in compliance with the various.
(the- City g ilding construction regulating u or use. For the following:
._..
:
Sul., Cherry HillS
1.�..IPINq ACX)Rgsj� 55645
SFD Bldg. Permit No. 09181
'-Ty.pe Cxms!ruction VN —fire- Zone Use Zone Rl
7F.:
-,Michael Ribaudo Address. 55-6,45 Cherry Hill
e-..Gu1nta. CA. 92253
Bye Richard Kirkland
2/26/92
N: �ciidinq Ono#
POST IN A CGWMCUOW PLAO2
i
MUM I t1itU INbFr-L'.TOR'5 WEEKLY REPORT
TANDY'S INSPECTION
SERVICE
3580 Condal'ia Ave.
Yucca Valley, CA 92284
(,619)365-5045
TYPE OF ❑ REINFORCED CONCRETE STRUCT. STEEL ASSEMBLY e- L
❑ F 10
INSPECTION ❑ POST TENSIONED CONCRETE ❑ ASPHALT OTHER �-7,�
PERFORMED ❑ REINFORCED MASONRY ❑ FIRE PROOFINGS00
Jose
OB L A N t.0 4` i 1S LA uC u r rTAc REPORT SEQUENCE N0.
•r
TYP FCTURE PERMIT NO. D E DAY OF WEEK
FP- Koo udo Rvs �
MATERIAL DESCRIPTION ARCHITECT INSPECTOR, HRS. CHARGED
o R-36
E M^ Q ( S ENGINEER ASSISTANTS HRS. CHARGED
PATE
ATE .
o -r C-nON) d. s IQ ISS t,vet, a -�'
-r-,S • A m TO .s—x
Pewri a K 04- lam. aA"'q &v o N Got e' -'s'
Y I76
I COPY SENT TO CLIENT I CONTINUED ON NEXT PAGE ❑ I PAGE OF
A
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED
PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS.
GNATURE OF REGISTERED WbPECTOR
s- I -4l S99 D•G .
DATE OF REPORT REGISTER'NUMBER -
JON TANDY
3580 Condalia Ave.
Yucca Valley, CA..92284
�` 1 �41(61,9) 365-5045
REGISTERED INSPECTOR'S' WEEKLY RENSKY OF) A n,,,,, `
.TYPE OF
INSPECTION
PERFORMED
❑ REINFORCED CONCRETE RUCT. STEE4.ASS M LY
❑ POST TENSIONED CONCRETE ❑ ASPHALT
❑ REINFORCED MASONRY ❑ FIRE PROOFING`'
❑.
OTHER
S'}4O p
c [�
JO .. N(
r ; 1� .�
C
REPORT SEQUENCE NO.
TYPE F STRUCTURE
F do-�„-3b-9e
PERMIT NO.
D
'DAY OF WEEK
ies
MATERIAL DESCRIPTION /
-S3a G
ARCHITECT
INSP GT R
HRS. CHARGED
ENGINEER
ASSISTANTS
HRS. CHARGED
JNSPECTION
DATE
GENERAL
CONTRACTOR
SUB
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CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY.THAT I HAVE INSPECTED TO THE BEST OF MY
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. I HAVE FOUND THIS WORK TOICO,MPLY WITH THE APPROVED
PLANS, SPECIFICATIONS, .AND APPLICABLE SECTIONS. OF THE
GOVERNING BUILDING LAWS.
SIGNAT OF REGISTERED INSPECT R
30 Ica o -
9-�.
DATE OF REPORT REGISTER NUMBER