0006-123 (SFD)P.O. BOX 1504 78-495 CALLE TAMAMPICO
LA QUINTA, CALIFORNIA 92253
TEL 760-777-7012.
INSPECTION REQUESTS
760-777-7153
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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
- 6O
:5z
F.A.U.
Framing
insulation
A r2 • pO
.�yj —oo
$.
,,
Compressor
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
/ - —moo
-y-
Final
Final
/ r�
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 _
PLUMBING APPROVALS
F GWS Piping
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
0. K. For Finish Plaster
. r L`aiBrai
Pm!li(1YC'1
Sewer Connection
Encapsulation
Gas Piping
Gas Test
( dro
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 Powei
Final
Utility Notice (Perm)
J
�Sl�,,••�,.�v�+�iv+,ti,.,,. `� r ''�/�;}iT:N:��''+ r:r*,F...w�. `.f" r�`yi'�`=:.:i0;�`�", �`, "�v
/03
f
Building
Address
Owner
manlTly
Address
City _ Zip
Address
ip
P.O. BOX 1504 APPLICATION ONLY
78-495 CALLE TAMPICO
1�e& LA QUINTA, CALIFORNIA 92253
& Classif. I Lic. #
Arcn., tngr.,
Designer
Address Tel.
.a a CIS(3 L'tTJt Dla tA,•' IvZA (i60-sw I . i a,ls. Z
City Zip State
�a/a Lxi\1 wt I-.-+� 5 .;7 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
Ihereby 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, atter, 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 tha0he 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 five hundred dollars ($500).
1-! 1, 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 1, 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.)
17 1 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
F1 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 it the permit is for one hundred dollars (E100) valuation
or less.)
I certify that in the performance of thg 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
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 1•:Ri'Y�.'' i 7'd �i -7'-Aa;we/6/'! ]�•'iS'Q//i %"�`
Lender's Address4 fl? n)4:q <//i7;? it Sl4l s '`%/+��
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 aOplicant Date
Mailing Address
City, State, Zip
JILDING: TYPE'CONST. <y :' OCC. GRP.
P. Number__ 7 L�` A-/- '6111
Igal Descriptiorv�GSc�./xC[.1Cc .5� �, !/.00-2? . SJ. 7,4 L*'WI,21TwI�1 4li
oject Description
<:, ...- -
Sq. Ft. r No. No. Dw.
Size C1 Stories Units
Newt/ Add ❑ Alter ❑ Repair ❑ Demolition ❑
PERMIT AMOUNT
Plan Chk. Dep. 6 6
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 DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
Desert SandskUn�fed'Sclnoal DistrictT
-X47 950 llune PaWi'Road.
Notice: La; umta s,CA 92253 r
z
Docuriient Cannot Be 'Duplicated °760.77-515
CER' 'IFYCATE'OF `COMPLIANO '; ,
x
.., . Date 6/20/00 x k �'` APN # 774-161-014
' No. 20571 z. 0, Jurisdiciionr �'La Qwnta
h -
Owner,*'M" eFour Season Homes; Permlt #,0006-123
53=765 Street Averiid'a Rsri�uez a :. Log
"o• g ��}y
' ,..wY� .5:.7.•.+, 4',` _ID"'
• city La Quints`.zip 92253 Study Area "
5 4,. K • ti� : . • �_ ,
Tract # ZEK159 %t # 2 ' ` Square Footege :1'21'8
Type of Development •Single.,, f mt y Residence : ' a , No of:ilnit§ .1
' Comments
At the- present..time, the DesertSands Unified aSch6di� District' does not' colledt fees on garages/carports, covered
patios/walkways; residential additions uiEder 500 square'feet, detached-acpessoey structures:or replacement mobilehomes. It
has been determined the above-named owner i§,exempt'from payuig sch'66l fees at this 'time due to the following reason:
EXEMff-1ON �I�O�'r PI.g ABLE
This certifies that school fac>lity;fees,imposed pursuant to Goverment Ctde 5308.0 in the amount. of
,k 2:05 X " k,218- or $ 2 496 90 '
=the prope410,_J6 aove and:that build>ng
� -� . �,:•
permits and/or,Certifieates of Oc�upaiicy for this square footage m this proposed project may. now be issued
Fees Paid by, CC/Citizens Business Bank/Mi6aeljSt § _ a Telephone X909=721-3300
Nam on the check
By Dr. Doris Wilson r
t
Superintendent
ori
Fee: collected %xempted `6y Mary Ann L Bora Pa!nentiRe66iv&d ; A$2,496.90
f E Check No ` 341997
Signature
NOTICE. Pursuant pfAasem BIU 3081 (CHAP 349 STATS r1t1913) this wIN serve t0 notify you Nat the eoaay approval panodin vrhrch you may.proterm the fees or other payment identlred
above will,begin to rim from the date on.whlch,tlie'bullding or,lnsteltahan"permitfor Dile pMeet li;sssued or on which they arepaid to the dlatri l(s) or to'anothaf public entity authorized to
collect them on ft'Dlsblet('s)(s) behalf; Whlehever.la 4ik 'p .
Collector ,tAttach a .copy.of county. or cfty;plan ctieck application form to district copy for awwanrers.
fry 7r
Embossed,Onginat Building DeptJApplicapt•f. Copy`Apphcant/Receipt + .Copy Accounting -
_t
. .. ��. . •. t ... ; v a. '1tS- .}.,b,.: c,"'�f 1 3: .
RtYC(jPU)IDJG REQUESTED ®d
Lawyers 1:a619 CO.-
aHDWiI£NR[CpRL�FDMnpT11IS6EFW,arolrUNlESS
f)TKf- FMgE-,W--NM {4{•cTN, MM{, VAR ,I A1r-;1 Y{G Tn.
Me 1;ou� 5J?a-,ons domes, `Inc.
670 Il, Arrowhead- Ave.bue
t San Bernardino, ,CA 02402
' ole
0e9e.1'64 1 Doe T Twx Paid
Rrcv�ded:`1n OffleAekl Recorels
County of iRlverelde
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OEM-
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N No. 774-1-61-014-7 Ville Pilo_' 4'36`'932-23 ., Escrow No. 7226—K
UNDERSIGNEO GRANTOR(s) DF.0 ARE(s)
DOCUMENTARY° TR4CNSFER TAX Is S ? ?.� ZO' CIIY'TAX S
J^ornputed on full yalUezof nroperiy.,cof Iveyed; or.
1: 1 coii,puted on full :vollue IesS wol,ue t)('IlPrls! or: er icdli)hrnrtces ferTialning at tirn& of sale
I� Uri1ncorporc5ted'areti:- XXXI City of La @uinta
R A VALUABLE CONk)FRATION, recelpt of whlch ls'herebv acknowledged,
MUND VASIT..I/►IISKA1,q AS-TRIISTrx, UNDER RNIUM) .VAS ItIUSKAS :TRUST DA1:1✓ll, AUGUST 4, 1995
reby GRANI(s) to FOUR SEASONS MOWS, T -NC__, A CALTFORNTA 'CORPORATION
E
.. and
followblp.desctibed real firop&ty In the
runty of Riverside State: ot,Callforhfim
2 in Bloc 1c 235, Unit d122o;;° SANTA CARMFT.TTA .A`P+VALE LA!)il]'.tdTA, In the City of Ls f►uinta,
111ty of Riverside, StaJtSy .of ,Vaiif.ornia, as <�Pr;m e.p" re'cor']eil' in Ronk' 70,• }'aEe 24 of Map's
the office of the edugty.` rRFcorder of said -•`County`: ;
tied: Tune Til, 1999 /
Edmutij Va9iliausIcas,, Truetee
tate ofd• O.t-�.�..Ices ..
?n Deforelne.,,._ .._ ', E�ifail f` _�;.�. _ '' ^_� _ - (here Insert ncinie) Notory Public,
�Jirxongllycs171?9rsled FIDI MUtVD VASILIAUSK�15 - --
rarsonally known to me. (or pioyed to ma on the b6sts of sallsfaciotyi.evict(ii)ce) to be Itie persons) whose narrie(s) Is/are subscribed to
va wlthtn.ImInJmerd'nna ac:know(edyc�d=to'me cfl{ Pflnl lie/sale/Phey:Sxecuf�i1 1FIg Sr�ITiE+'In h19%her/,1hAlr cxithortzed cctpaclty(les). and
ill by hls/Peer/PI'relr slarmiture(s),on'the Instrirmllfy Upr n b Li f aecutad tiro
)Sllullteril. e
0 F F 1
VI I fJE:iS fnt/ nt7n<9 <I nd OUl r_.frJI 4�J l:. , j:
L ;'.jg
� EENNIE CLAN
C _ ti•
NOTARY PWLIC, STATE Of ILLINO119
PAY
" COP pmi;910W'EJYPamE9:®9r9®lu1
ignafure
117 77.: "arft seal well*. h,wctly
. - MAII�TIui(STa/EMEN13 A7 OIQEtrED A®OVF.. F E •rte, D
MAY 1 1 2000
RC DISTRICT -'PLANNING.'REVIEW FORM
This form is, to be used byCDDFstaff for review of single; family, dwellings in the RC (Cove Residential)
District, to determine.the applicability -of compatibility issues orneed,to=require the filing of Master
Design Guidelines by the'applicaiit If shall be.transmfitted to the ;Building and Safety. Department as your
correction list.`•Please attach additional'explanatioris as rnecessary. y
APPLICANT - FOUR:" SEA_ SONS ' HOMES ZINC:.-. '
SITE ADDRESS 53-765 Avenida '.Ramirez`
" APN 774 - 161 '=01:4;:
"BIN CASE NO.:' 2000-240
LEGAL: LOT- 2' BLOCK- 2 3 5 UNIT ? 2 S.C.@V.L.Q.
CHECKED BY: creg TY[71],4C�P.� i BATE:
Inform, the assigned Building,-plaan6hecker"upon-,your assignment to this case. The CDD Executive
l Secretary maintains a'1book toytrack -applications ,and assign case, numbers.
_ REQUIRED ITEM , 'Y, N COMMENT/CORRECTION
Compatibility Review; �Q
' Case logged-and•number-asFgn�ed : ;�pQ .
. a' j•
x ;x ;
Verify legal and APN information ` z 'k S �.6 °}Q,
,..
Consistent with MDG ori°file (as applicable 4
x
MDG filing r (5
equired . filings,since, 9/3/98) P
Consistency with street/surroundmg area:..
Colors
Materials
., Ar6hiteeture
V64:
Other Requirements:'
— --_.._ .....
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35-325'Date Palm Drive ,`Suite) 51 1= Cathedra}:City, CA 92234 - PionelFax:(760) 324-7146
P.