Loading...
9911-171 (SFD)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 nd effect. /ate ense # Lic. Class Exp. Date / 7:,6'20 J3 0br9t?i2f \ ` 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. ( ) 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 MEMPT Policy No. (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 t6rkers' compensation laws of Cali rnia, and agree that if I should become subject to the workers' compensatit pir;visions of Section 3700 of the Labor Code --I all forthwith comply with { rovisions. Date: ��� ° !4%j 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. 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 con ruction, and hereby But h • rize Pepresentatives of this City to enter upon th above-mentioned property for ins ectlon purposes. Signature (Owner/Agent) J Date 0 BUILDING PERMIT PERMITk DATE VALUATION LOT 9911-171 TRACT , SX2 ,29:3. 1 k+47,114 JOB SITE APN ADDRESS 51-3, 6 AVENMA RM10 77r�-045-W OWNER CONTRACTOR / DESIGNER / EN (NEER MRA&B ROIYJMT KF -U.000 CON7'EWNDRA sY. HOMES 47-7$5 VSA T''E'!'g 51370 AVINMAW—KRIAMDt S LA QuWTA CA 92253 LA QUWTA ' CA 92253 (>60j5G4�19Fi2 Cl�1A# 6255 � USE OF PERMIT . , a WNGLE FAIMY 1±WL1'..LWO , SFD7 PF"I.T I O&9 NOT INCLU1DE f11.,OC);`WALL O.I POO1,. � JUL 19. 2000 0 , TRACT CONJTRIJOTION 2,017.00 9F PORCHIPAX10 116.00 SF 0ARAWC.ARPO f (9F) MUM 5 FT. WOOD FZNCZ 200.00 LFP it FS,S"lI'JJArKD COST" OF CORS'1'JtC1'G"&N 12:1,193.30 PERMrf INE SUMMARY CONSTRUCTION FF;%: 101.000.419-000 $716." PLAN CHECK N'E-E 101-000-439-318 $605.04 itrlk: HANICAL FEE 101 -000,421 -000 179.00 FS:LFet.'TRICIIL FIT 101-000-420-000 $142.70 PL11MBINO Fa 101-000-419.3300 $149.25 STIZONO MOTION FEE - RESID 101-000.241-C-00 $12.13 OIaAUINO FU 101.000-423.000 S2(l.09 °* 1 EVZLI)PER IMPACT NEE �1,9i?7.00 PRECISE PLAN 101.000.441=345 $100,o0 FEE 13EPOSI i' 101-000439-318 4250.00 .9, UD'.�t fAL CONWRUff- MOJzT AND PLA14 MFS`K $3,731.61 LF.;I,9 PRE -PAM FM -$250,00 TOT I P1ti R -w FRES DUE NONY ,4$1.61 •� RECEIPT DATE B A DATE FINALED INSPECTOR INSPECTION RECORD _ OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs _ =0v _ S Underground Ducts Forms 8 Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck --p p g•7 Exhaust Fans O.K. to Wrap _ _ [ F.A.U. Framing !:jot -t Compressor Insulation - _ p -r Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final d 5 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 _ -��O S'7 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 o� Utility Notice (Perm) $j 7 P.O. BOX 1504 78-495 CALLE TAMPICO APPLI T N ONL Building �� .���\� ;-�,11�11� i Address � LA QUINTA, CALIFORNIA 92253 Owner �t II BUILDING: TYPE'CONST. OCC. GRP. Mailing /�� Address '� "� �� .-il A.P. Number -7Z5' t ^ LJy - R 2 City Zip Tel. s Legal Description)' Contra`cfor_ j Project Description iia n mL) 4 i_ n rA I i j- ir Adress —� . Zip Tel. Slate Llc. Crty 8 Classif�0'f'Z/� � �---� Lic. �A'�—� Sq. Ft. No.� No. Dw. Arch., Engr.,�/CvJ((�� Size Stories Units Designer ` r Ne U. -/—Add ❑ Alter ❑ Repair ❑ Demolition ❑ Addres L i City Zip /l�� State 11NUC. # LICENSED CONTRACTOR'S DECLARATION I heretoy 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. t i SIGNATURE 'a DATE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: fSec. 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 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 ($500). 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 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 contractors) licensed pursuant to the Contractor's License Law.) t -i I am exempt under Sec. B. 8 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 f7 Copy is filed with the city. O 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 thip 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, alter 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 I hereby 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 ateMailing Address City, State, Zip 1 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS AMOUNT asn 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 Notice: Document Cannot Be Duplicated Date 7/19/00 No. 20746 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE APN # 773-045-007 Jurisdiction La Quinta Owner NameMr/Mrs- Robert Kellogg No. 51-320 Street Avenida Rubio City La Quinta zip 92253 Permit # Log # Study Area Tract # Lot # 11 Square Footage 2017 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 amcgqt-,6f4 2.05 X 2,017 or $ 4,134.85 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued ` y% Fees Paid By cc Union Bank Telephone 564-1962 '`,.1`�.: '- Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Sheryl Simmons Payment Received $4,134.85 Check No. 7019322 Signator NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) this will sone 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 an 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 Mom on the Distdct('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 Av- i,2o eaio necelvep: 6/30/09 0:48PM; 7803413215 -r 760 584 26341 Page 2 ' JUN .30.1999 6:5iPM CC INWERLTN NO. 916 P.2/21 Commonwed'. Land Titie COMM 72855 Fred )A .Dr, Suita AS Palm maert CA 6p , Estui hated Buyer's Settlement statement lss=W No.: 99,8784KC Buyer: ROBERT KELLOGG and SYLVIA KELLOGG, husband and wife as joint tenants Property: APN 773-045-007-5. LA QUINTA, CALIFORNIA 92253 Escrow Officer: Kelly Collier Date: June 30, 1999 DEBIT CREDIT TOTAL CONSIDERATION $47,000,00 050.13312.O00:FBO - Little Company of the nary Hospital 32,536.71 gIJFFIN 2,000.00 ESCROW FEES TITLE CHARGES Settlement Charge PCOR RECORDING FEKS. TRANSFER TAXES Record Grant Deed RECEIPT DUE fROM BUYER ,25,00 00 2b.00 12,784.29 $47,321.00 S47,321.00 Ub/MbW 918:49:09/KC l/I ZiEO'�N b£�Z-t90'09i! `-3HOH, N60:Z 6661 '91'AON I 0 0 RC DISTRICT - PLANNING REVIEW FORM This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential) District, in order to determine the applicability of compatibility issues or need to require the filing of Master Design Guidelines by the applicant. It shall be transmitted to the Building and Safety Department as your correction list. Please attach additional explanations as necessary. SITE ADDRESS 51=320'Avenida Rubio ApN 773 - 045 - 007 BIN NO.: CASE NO.: 2000-264 LEGAL: LOT 11 BLOCK '47 7 UNIT 4 S.C.@V.L.Q ' CHECKED BY: Fred Baker DATE: Inform the as 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 IN COMMENT/CORRECTION Compatibility Review Case logged and number assigned Verify legal and APN information Consistent with MDG on file (as applicable MDG filing required (5 filings since 9/3/98). APPROVED 8Y COM UNITY DEVELOPMENM T CASE NO. Consistency with street/surrounding area: Colors Materials Architecture Other Requirements: f gvatempvzauy. Womed Post Dffa;e Box 1141.. -`ILa d,iiL1141 ina,CA 925 t (76 (760)563 May 19, 2000 _ City of La Quinta - { Building and Safety Dept. Post Office Box 1504 'La Quinta, CA 92253 RE: Plan Check for 51-320 Avenida Rubio To Whom It May Concern: Please be advised that as owner of the above property, I have elected to build the project- . under my General Contractors License number 736920. Accordingly, please remove Coronel Construction from the Permit Application. - i Thank you for your attention: Sincerely, - Contem orary Homes Robert B. Kellogg ! Certificate bf Occupancy 1. City of La Quintal 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: 51-320 AVENIDA RUBIO Use Classification: SFD, Occupancy Group: R-3. Type of Construction: VN Owner of Building: MR/MRS ROBERT KELLOGG Building Official Bldg. Permit No.: 9911-171 Land Use Zone: RC Address: 47-785 VIA TRIESTE City: LA QUINTA, CA 92253 By: STEVE TRAXEL. Date: 08-28-01 POST IN A CONSPICUOUS PLACE xavier urbina architect D 4986 paseo segovia irvine, ca. (949) 8560706 j . June 9, 2000 City of La Quints Dept. of Building and Safety 78495 Calle Tampico La Guinte, Ca. 92253 Project: Plan HA 51-320 Avenida Rubio re: Truss calculation review Gentlemen, A copy of the buss calculations has been submitted for review. The package consists of buss engineering calculations, buss configurations, and buss layout. The manufacturer is listed as The .Truss Company of Banning, Calif. The truss design and layout is in conformance with the structural design and intent of the structural drawings and calculations. , Please feel free to call if you have any questions or concerns. Respectfully Xavier Urbina Achitect xavier urbina architect 4986 paseo segovia irvine, calif. 92612 (949) 856-0706 December 31, 2000 S!. 320 _ ,P Yo City of La Quinta C/oContemporary Homes P.O. Box 1141 . La Quinta, Calif. 92253 Re: Certification Plan HA To whom it may concern, Upon visiting the Hacienda Adobe house I observed the following discrepancies: 1. Numerous locations requiring anchor bolts within 9" of the end of sill' plates. 2. Top plate at southwest corner of garage needs a strap where the plumbing vent line penetrates through the roof. 3. Trusses need plywood on exterior surface within the truss space above the top plate to top chord at bearing walls; and also need cross bridging at center spans where shown on the drawings. 4. OSB board was not to be used, but it appears the structural values are acceptable for the seismic and wind loading. OSB board will be accepted in this house. Please see that these conditions are remedied before proceeding with closing of walls. This is hereby an authorization for the City of La Quinta building inspector to inspect and accept the above stated corrections when completed according to code and construction documents. Please feel free to call if you have any questions. R spectfully avier Urbina Architect 06/30/2000 14:34 7148560706 F .'. •DEBBIE URBINA PAGE 02 Xwer urbins architect 4986 pmo sWvie Irvine, ca. _ (W) 8560706 ; June W, 2LM.7 * : C4 of La OuinCe i Dept. of Building and Safety j 78495 Calle Tampico La tuinta, Ca. 92253 . Project: Plan HA ' 4 51-M Avenida Rubes re: Top Plate Lop Nailing Gentlemen, t Pleae note that the neding fir the double 2x4 top plate at the taps may be done awing to the LIBC nailing schedule (Table 234&1) requirements of (B)16d nab each side of lap. The forces due to wind or seismic actib'rty are not aures m, and therefore do not require special nailing. %we feel free to call U you have any questions or concerns. Respectlully y ; Xavier urbina- Achima ' -. ,u • }• -.j • Tri. � ` ..