9907-571 (SFD)LICENSED CONTRACTOR DECLARATION
J hereby affirm'under penalty enalty of perjury that I am licen . sed under provisions. of
;,,J-;%hapter 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
Vte §ignature 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:
( . ) 1, as owner of the property, or my employees with wagesas their sole
compensation, will do the work, and the structure is not intended oe offered for
sale (Sec. 7044, 136siness,& Professionals Code).
1, as owner of the property, am exclusively contracting with licensed
contractors to construct.the project (Sec. 7044, Business .& Professionals
Code).
O l!arn exempt under Section B&P.C. for this reason
Date Signature of bwner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under.. penalty of p6rjVr'y.one 'oi the, following declarations:
I havbiand will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700. of the Labor Code, for the
pormance'04 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:
Cartier
T Kil
(This section need not be completed if the. permit valuation is fo 100.00 or less).
O I certify that in the performance of the Work for which thispermit is issued,
I shall not em I ploy any person in any manner r so as to become subject* to the
workers' co mper isation laws of California, and agree that if I should become
subject to th woeers' compensat:ion provisions of SectiorP700_0_;ftPe Labor
Code I r2ttith Comply with those,provisio-s.,
Date: 1-119pplicant Y 'It:51
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'Labo"'r Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the.Director of Building and Safety
for a permit subjectto 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
and hereby authotize representatives of this City to enter upon
- . I ell I?
the'above-mentioned property for inspectionkurposes
Y
I mb
Signature (Owner/Agent) All V Date
BUILDING PERMIT IEPIMIT I
DATE VALUATION, LOT TRACT Z6
JOB SITE 54-"O'"Ei NIDA RAMIRE' Z
ADDRESS
OWNER
CONTRACTOR/DESIGNER/ENGINEER
PARADISE C(ANISTIRUC710N
11,,T -IDE LVER",TURES
77K54A COUMMY CLUM DRSTE 113-
5444 AVENIDA VILLA
PALM DESIMT CA 02211.
I.A. Quimr.A J4k Y2.153
(191.9 859
USE OF PERMIT
SNOLP, PAMILY bWFIL046
SF D - PEF"T 00E.S.NOT, INCLLDILZ ULCKX WALLS ORPOOL
TRACT CON, r, TRUC rl CAN sI' -
PORCIPATIO 13d.t1Q 3F
(3ARA0WCARA)(A(U 496.N) SF'
5 FT. WALL 80.09 LF
4 Ff. WiUl Xc* LF,
I D
ENSTIVILM'F Q" :1'.0:31 CONSTRUICTION,
CONSILUUcrioN FM 101-000-418-00,0�s w
K AN CHECK FEE: 10 1 _0011-11-419-31 9
FLUDEPOSIT 1101-000-41397318
MECHANICAL F13f.; 1-0,00
Elf-FC119 lem.111FIF,
191-04W419-000
MRONG 11*40T.10INFU, - RIESID 101 -MO -241-000
GRAEMO F'Di 1.01-000—;4.2,3-00
PIRF.C.1-SE PLAN 101 -WO -441-345
AR' TNtF4JTM.,tr_ -.RF_RM '70J
MM, 01PER imyvicr nri
SUB-P")TAL CONSWIX110N AND PIAN
IAF LESS F&E-PAIfT)
2 50. f r.0
TOTM, PC RN111* VIM'S DUE NOW
RECEIPT TDATF�DAlF
LE
.
IN , SPECTOR
INSPECTION RECORD
c OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
S
Set Backs
Underground Ducts
Forms & Footings
Ducts {
Slab Grade
Y
Return Air {
Steel
Combustion Air {
Roof Deck
p-6
Exhaust Fans [
O.K. to Wrap
7
F.A.U. [
Framing
_S
�j%
�l
Compressor {
Insulation
.Bao �,�
Vents [
Fireplace P.L.
Grills [
Fireplace T.O.
Fans & Controls I
Party Wall Insulation
Condensate Lines {
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
y ,7v S 7
[
i
Final S�
BLOCKWALAPPROVALS
Final
POOLS - SPAS
Steel {
Set Backs
Electric Bond
Footings
Main Drain _ I
Bond Beam
Approval to Cover
Equipment Location {
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test [
Electric Final { •
Waste Lines
Water Piping
/ 2
Heater Final I
Plumbing Final [
Plumbing Top Out
Equipment Enclosure I
Shower Pans
O.K for Finish Plaster {
Sewer Lateral
Pool Cover [
Sewer Connection
6L
Encapsulation
Gas Piping
_
{
Gas Test
[
Appliances
t
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) ..S—
� a:r-1,2Rc�,.V+r�r �=�i+�'+�+iaxt�tt�:•ir+e3�k ..--����.�.y�•p{i;�f ���/ �.....,r--.�
C31 c�
P.O. BOX 1504 ' APP�C S
Building ¢ . �( l� .. �, 78-495 CALLE TAMPICO
Address QUINTA, CALIFORNIA 92253
Owner- '
Mailing
Address
City Z'p q 2211 Tel.
" V
77
t Ct.- �• • r
State Lic.I City
8 Classif. f— I � '�„ j(_ � Lic. #
Arch., Engr.,
Designer
Address Tel.
City (Zip ( State
Lic. #
LICENSEDJCONTRACTOR'S DECLARATION
I hereby affirm that I am IlcenseC upder provisions of Chapter 9,jdommencing wit
7000) of Division 3 of,the Businessnd'P,rofessions Code, jnd y license is in full or
effect. L,�,.;.a_J, .W�.+%. ✓ r ...w -_` �.
OWNER -BUILDER DECLARATION ' 'Y 4; r r
I hereby affirm that Fam exempt from the Contractor's License La for the following'
reason: (Sec. 7031.5,Business and Professions Code: Any city or co ty which requires a
permit to construct, alter, improve, demolish, or repair any structure, or toffs issuance also
requires the applicant for such permit to file a signed statement that is lieensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commeppcing 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 dy any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred'dollars ($500).
C., 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 or sale.)
I I 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
doesnot apply to an owner or property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
i 7 1 am exempt under Sec. B. 8 P.C. for this reason
Date Owner °i
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
r7 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 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 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
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
BUILDING: • TYPE•CONST. OCC.� GRP.
A.P. Number
-7l —7`4 .a'1 `T'"
-'
Legal Description LI r E (<C -0c lam. 7 ��
Project Description " .✓- , L ' -t-6L.1
Sq. Ft. t No. No. Dw.
Size Stories Units
New Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
2Sr7. OU
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Q
Infrastructure
a . .
TOTALU
.�7V
REMARKS
A
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
x. Rear Setback from Rear Prop. Line
W Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE N TORSyL
Issued by: Dat ddd It
3 d.
Validated by:
Validation:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
"'Desert SandsUntfiedSch-b D, stikV -
,
47 950~Dune Palms -Road : '
Notice: La Quints; :CA .92253'
Document Cannot Be Duplicated 760'4%7 il;8515
CERTIFICATE OF COMPLIANCE
y '
Date 11/24/99 APN:# 774-2127004
j.
'No. 19671 Jurisdiction La,Quinta-
Owner NameParadise'.Co'nstructlon. permit #
No. 54-080 Street. 'Avenida Ramirez' Log.#
t ;
City La Quint& .. Zip 92253 Study Area
Tract # Lot # Square Footage 1701
Type of Development Single family' ,Residence No. of Units 1
Comments
At the present time, the. Desert . Sands Unified,"School District does not.`collect jee"s on;tgarages/carports, covered
patios/walkways; residenon
tial additis under SOO square>feet; detached accessory structures or,°replacement mobilehomes. It
has been determined, the'above-named`owner'is ezempt;from payin'g'scfiool fees'at tfiis`time due fo the followigg reason:
Is -
EXEMPTION NOT APPLICABLE �� r
This certifies that school facility fees -imposed purswit'to . G.overnment Code 530}80 in the amount of
1.93 X 1,701 or $ 3,282.93 the property. fisted above and tfiat building
permits and/or,Certificates.ofOccupancy for this squa a footage >in'this proposed project may now -,be issued
Fees Paid By 'cc/First Bank/D1ck-ScottTelephone 760 408-3495
Name�on,the check `•'
By Dr. Doris' Wilson
Superintendent
Fee collected /exempted by Olivia Aguirre Payment';Recetve .. $3,282.93
Check No ` . 52246
Signature
F
TICE:, Pursuant of sembly Bill 61 (CHAP 549 STATS. 1996) this will serve ionobfy�ydu that the 90Cay approLal period m_whih youmay protest the fees orother payment identified
ove will begin to run.. toml.lhe date on which the building•or installation pend foie thislprotecl rs;'sssuetl or on wtiich!they are paitl tothe Distric((s)'or to another public entity authorized to
lectttiem on the District(s)(s'),behalf, whiodveois eedier.
Collector: Attach a cop 'of county:or city plan'check aiofleatidn,f6irdiftrict,copy for all -waivers:
Embossed Original= Building Dept./Applicant;' ' Copy - Applicant/Receipt'::` `Copy - Accounting
4"
co
r1VIM,
R C D i:� i_0,
This form is'to, be-.usdd by:(01),*staff jo'rreview of'sqg 16-trfam family dwel.,, lings,..:in the RC (Cove
-of;'�,bom p''aftibility. issues or need
aQ.,-Disteict,j,n,** ra, r t6'dbtermin,e,.t..e app.li'�bbitity..
R6sidenti 11 -P. . � . I .
'
to require'thefiling, of 'Master -Design G.ui6 b )Aet ythe -apolibailht. (,t shall be transmitted to
Building & Safet :' s ur'cdrreciior,iist."'P 6attl.d.ttach !ad,0iitional,explanations as necessary.
'APPLICANT: Ijepd61..;Venturd's,,, Inc.
PROJECT
ADDRESS: 0 H Avenida ,-�Ramlrez.
"
APN: 774`'- 212-004.,
LEGAL: LOT 21 `BLOCK 284 "U I`NT ------- ,,:S,.C.. @"V.L.Q...
CVD BY: ...Greg Trbusdell.
BIN NO: CASE: NO 99-'94 -.CHECr1:D . AT E:
Inform the assigned Building pla6check . checker upo.ri* your -',,ass. [gpment-to this case. The CDD
M
Executive Secretary" rhbintaffis a-log,:brook , 'I rack. ,aRp
lidations and.assign case numbers.
,REQUJ1R1EQ1T M
-O;MMENT CQRREQ 49W
10.
tk, 'a IN
fiAl"", 3XVIN
WW
M
-Case logged and nuM kiee.,assigne
Verify, legal. and APN information,
Consistent with MDG on 4il6_r1bs`a'pplicable)
N, 7
MDG filing re4ui4d,464 since; 9/3/98) -
Consistency ,with-stre6Lt/sUr-r4ounain.gi.area.:-.
Colors
Materials
Architectqre'
OTHER REOUIREMENTS.-.1
F*A
'de,`,aedhiteictura I I .. and:16ndscaoEind/cir assigned inspector should
The zoning co ihgmahyAls,.
be consulted where. unce,rtaihii.es arise The, completed .checklist shall be maintained in the
Build'ng.&:Safety -aiddress :'file.-.
Y"9-aI/LIHIS INSTRUMENT: TO
.: "DRR�►'IS 46STa•`
TAX STATEMENT T0:
126 7a,-O.Y.
PARD. TU
Doc 'Trer,Sfef Tae
RK! -4C0 R!i9p er
2303
'RECEIVED,' 6 RECORD
T &-1O `
DEC v 2' 1999
r QQ
l
ESCROW NO. 217034-2
TITLE NO.
APN:7 I
SPACE ABOVE THIS' LINE FOR' RE�ORDER'S USE
THE UNDERSIGNED GRANTORS) DELCAR.)
TRAi�: �%
;DOCUMENTARY TRANSFER TAX IS:$: 5.75
V�O
Computed on fullwa ue of props y conveys , or I
Coinputed'on full value less iseris & en brenoes L �
VA -1/
GRANT DEEB
remaimn'g; th®reon at time of -stile::
X"Unlncorpoie4ed area: City of 'LA QUIWA and
FOR A VALUABLE-COOSIDERATION,
reeeipt:.of which 16 hereby 4eknnowledged,
WILLIAM R 0WARD, SUCCESSOR
TRUSTEE OF THE MARY C P9ARSHALL
TRUST IDATEA 4/11/,82
.=080
ht reby ,;GRANTS(S) to
NORTHW°EST-SOUTHWEST DEVELOPMENT, INC. AN OREGON CORPORATION
the follogiriE ibed real
propertyin the - ;County . of RNMIDE,
State of Califorea:
LOT 24 ..OF BLOCK X284, QF SANTA CARMELYTA ,AT ,VALE:l QUINTA-- , UNIT tNO. 26,,. AS PER
MAP RECORDED` IN BQOK.20, PAGE 50 OFF'PS, YAf THE OFFICE, OF THE COUNTY RECORDER
OF RIVERSIDE COUNTY.
Not:
�g
Date; Lim .:04 a 129§--.,��..
B.
' i -; i• � ..
P.O. Box. 1504
78-495 CnLiE TAMpico (760) 777-7000
LA.-QuiN.TA,'CALIFO'RN1A 92253.. (TDD) (760) 777-1227
August^2L999':
Lendel Ventures, Iric`orporated
P. O. Box 450
La Quinta, California. 92253
SUBJECT: RC PERMIT99-94
Dear Applicant:
This Department is'° unable: to permit .construction of your: ;proposed house at c54'080Avenid�� .
Ramirez until submission and approval ,of Master Design Guidelines (1VIDG) by the Planning.Commission, pursuant to:,S-ection 9::50 090'`(RC:District Development Standards) of the Zoning
Ordinance. The MDG booklet isrequired befoie a fifth house`can.be built'by your company in the
RC Zoiie,District.' Enclosed is.a copy of the requirements.
If you have any additional questions, please.contact me at�(760) 777-7067.
Sincerely,
JE-RR ERMA ..
C TYDEVELOPMENT DIRECTOR
G G,. SDELL .
Associ 'e'Plahner
GT.
Enc.
c: Community. Development Director: ,
Bui dingo andy D
Safetirector
reg Butler, Counter-,.Techn cian (B&S) .
LtVendel - 36
Certificate of Occupancy
C
y
o f L a uny�fa
Q
5
t-Burldng and Safety�Depattme'nt
� This Certificate issued pursuant to the requirements: of-Section.409 ,�of the' Uniform Bud/dingCode,,
fy gat; t-, the 1imeof issuance, this structure '-Wci n comp4h,0e With, various ordinances
'.'ofahe City.egu/sting bvi ding construcfdon or. use: Foi thefo/%wdng:. -
:s
BUILDING ADDRESS:, 5,4=0.8O.AVENIDA�RAME_RIZ,
En
�. Use Classification:SFD ` ' Bldg- Permit. No.: 9907-571 -
Occupancy Group: R 3 Type�of Construction: VN Land Use Zone: 'RC
Owner of Building: PARADISE CONSTRUCTION Address: 77-564 COUNTRY CLUB DR.. STE 113
' City:. PALM, SE
RT
SE, '`CA 92211
By: STEVE TRAXEL
Date: 07-11-00
Building Official
POST IN A CONSPICUOUS PLACE
Wim
xavier urbina architect
4986 paseo segovia irmne, ca. (949) 856-0706
October' 26, 1999
City of La Duinte
Dept. of Building and Safety
78495 Calle Tampico
Le Duinta, Ca. 92253
Project:. Plan YS
540BO Avenida Ramirez
re: Truss calculation review
Gentlemen,
A copy -of the truss calculations,has been submitted for review. The package consists of truss
engineering. calculations, truss. configurations, and truss layout. The manufacturer is listed as
Alpine Engineered,Products, Inc. of-,Sacramento,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
XJ ^cc.
Xavier Urbine
Achitect
PARADISE CONSTRUCTION",!.-'PL'AN YS;
ELECTRICAL LOAD,', -.','CALLS
"' �CKT CECT fV®. ®pF \/OLTSAMPS®TAl_.
DESCRLPT1®N L/OLTS AMPS' UNITS IINI UNIT RLTjAM S
120'V. MULT 0QT E.T CK -T
GEN LTG @.3 1N: P8F 120' 15. ` 1-701 3 5,103
SM APPLIgNGE CKTS`' 20; 2 -1;500 3,00.0
GRI CKTS120 - 20 1 `.1,500 1,500
L 1.
SUBTOTAL 9,603
SUBTOTAL .: 7,560
FIRST 10;000;V 10,000
BAL OV=A x@ -4Q% 2,865
SUBTOTAL.. 12,865
RANGE:: 230 ; , .:. 40 `:,`_ 1' :9,200 9,200
A/C�(LARGEST FAU ORWC), :`2301k, 30 1 .61900 6,900
TOTALV-A 28,965
SELECT�S'ER�IrCE�SIZE,�' : T®TAL.UA 28,965 1259 AMPS
Y
LENDEL: EXCEMY DOCS%CALCSTLECYS PLAN
i•
8/22/99
.;.1;20 V SGL_OUTLET::GKTS:::
DISPOSAL
12Q' ' 20 :.
1 ' '
:2,400
2,400
DISHWASHER
'12,0 -' .. 20:..
:1;
<j2,40:0
2,400
LAUNDRY
- ; - 120 ' f •;, ;'20.
2;400
2,400
HOOD
'T20 . ., ':..3
1 ..
360
360
SUBTOTAL .: 7,560
FIRST 10;000;V 10,000
BAL OV=A x@ -4Q% 2,865
SUBTOTAL.. 12,865
RANGE:: 230 ; , .:. 40 `:,`_ 1' :9,200 9,200
A/C�(LARGEST FAU ORWC), :`2301k, 30 1 .61900 6,900
TOTALV-A 28,965
SELECT�S'ER�IrCE�SIZE,�' : T®TAL.UA 28,965 1259 AMPS
Y
LENDEL: EXCEMY DOCS%CALCSTLECYS PLAN
i•
8/22/99
9 X' 1.17'SQ;F. X'.1.5 SQ FT"*15,80 SQ``FT
LESS- 50% DENTEDAREA. 7 9O ESQ FT
ACTUAL NET. TOTAL SHOWN.,. 7.90' SQ''FT,
t
PLAN CHECK CORRECTIONS
4 •'I
DATE 3/10/2000: iPEPMIT #.
JOB ADDRESS: :54-080 Avenida Rdmirez
CONTRACTOR: tParddise Construction
PLAN CHECKED BY,. Daniel R Crawford Jr.
Dear Mr. Scott;'
A plan check review has been performed for the 'revised `truss. mdnufacturer. change and truss
talc's submitted Please provade,.a-letter fromfthe project engineer' of record stating that the
design ofthe' trusses!submatted are:. in dccordance with_his desagn intent. The truss.:cale's will be
stamped-and approved'when-engineer's-'letter�,ofapproval,is received
Ifyou have.any questions;please•call 777=7027, Ainkyou.
Since r ly,
aniel.R. Crawfo d Jr;
Building Inspector'
xavier urbina architect
4986 paseo Segovia Irvine, ca. (949) 856-0706
City of La Quints
Dept. of Building'and Safety
78495 Calle Tampico
La Quinta, Ca. 92253
Project: Plan YS
54.080 Avenida Ramirez
re: Truss calculation review
Gentlemen,
A copy of the truss calculations has been submitted for review. The°package consists of truss
engineering calculations, truss configurations, and'truss layout. The manufacturer is listed as
Yuma Truss Co. of La Quinta, California (Californla.branch). 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