0105-202 (SFD)Tityl 4 4 Q"
P.O. BOX 1504 TEL 760-777-7012
78-495 CALLE TAMPICO INSPECTION REQUESTS
LA QUINTA, CALIFORNIA 92253 760-777-7153
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' J5331
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
d-
Exhaust Fans
O.K. to Wrap
` �( (
F.A.U.
Framing-�
_
Compressor
Insulation
-�Q(
( c f��
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
�2!
Drywall - Int. Lath
FinalD�
A
F�Jjl•�d�—
Final
POOLS - SPAS
BLOCKWAL L 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
_
n _r
Heater Final
Water Piping
.Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Sewer Connection
�Zrj�L
Pool Cover
Encapsulation
Gas Piping
Gas Test
_
f)
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)
try+'' _. .. .. , `. ., ._ �. .. �ti-+ .,,.. ..-i..:.,� y .•. .. ..--�-. ..-ti-.r+-.%..> .., ��t:�w -. � .. �
Building
Address
Owner
T -h
t44Q"
P.O. BOX 1504
78-495 CALLE TAMPICO
l.cAn,1n LA QUINTA, CALIFORNIA 92253
Address �'�', ��/ .��' AJ 11iUs
City Zip Tel.
,z.44,)lAPa 1 9g2.K? 1 77/_/7G/
Contractor
T
1:91 5. VIIY O— OU / -9'110-7 f5
City Zip State
77
Lic. # 1'
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
I hereby 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, 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 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 live hundred dollars ($500).
(': 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 sate: (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.)
I 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 Lew.)
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
n Copy is filed with the city. ❑ 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 ($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 Califtlrnia.
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 it 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 -01 this city to enter the above-
mentioned property for inspection purposes.
Signature of aoPlicant Date
Mailing Address
City, State, Zip
d 107 -Z02 -
APPLICATION
202
APPLICATION ONLY
BUILDING: TYPE'CONST.tSEi 106CC. GRP.
A.P. Number 17&x- 5�01,d_40? —8
Legal Description AT
Project Description
NI E -1 j, rbc e_c
Sq. Ft.'/ No. No. Dw.
Size ��7 7 Stories / Units
New 19. Add O Alter O Repair ❑ Demolition ❑
Valuation
PERMIT AMOUNT
Plan Chk. Dep.
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
State Lic.
City
A
& Classif. 7D 3
1 Lic. "al.
Arch., Engr.,
Designer gk8ige _/
T
Address
mel.
1:91 5. VIIY O— OU / -9'110-7 f5
City Zip State
77
Lic. # 1'
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
I hereby 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, 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 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 live hundred dollars ($500).
(': 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 sate: (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.)
I 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 Lew.)
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
n Copy is filed with the city. ❑ 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 ($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 Califtlrnia.
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 it 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 -01 this city to enter the above-
mentioned property for inspection purposes.
Signature of aoPlicant Date
Mailing Address
City, State, Zip
d 107 -Z02 -
APPLICATION
202
APPLICATION ONLY
BUILDING: TYPE'CONST.tSEi 106CC. GRP.
A.P. Number 17&x- 5�01,d_40? —8
Legal Description AT
Project Description
NI E -1 j, rbc e_c
Sq. Ft.'/ No. No. Dw.
Size ��7 7 Stories / Units
New 19. Add O Alter O Repair ❑ Demolition ❑
Valuation
PERMIT AMOUNT
Plan Chk. Dep.
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
` Coachella Valley Un I School District
P.O. Box 847, Thex tnal, CA 92274
(760) 399-5137, Ext. 235
This Box For District Use Onl
DEVELOPER FEES PAID
AREA:
AMOUNT: RCPT A?
CK k CASH:
DIMA.LS: DAT!':
CERTIFICATE OF COMPLIANCE
(California Education Code 1.7620)
Project Name: The Summit At PGA West Date: July 17. 2001
Owner's Name: Weiskopft.Partners Phone No. (7fin) 771-1761
Project Address: 57-815 BlAck Diamond, la flui'nta, PGA Wert, g99g;-1
Project Description: Si ngl P Family nwpl l i nn
APN• 761 860 ona ct #: _ LQ Lot #'s•
Type of Developt: Residential XX Commercial Industrial
o quare Feet of Building Area: 4447
Certification of Applicant/Owners: The person signing certifies that the above 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 owner/developer.
Dated: 1-17-01 Signature: A
+r•s+rs,►sws,rwww,►,►,►sw*,t,►wir►*,►siww,►trss•,►wts,►r,►wwwwwr+w,rwiw,►rwwrir,►*ri*w*ww,►
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project
17620 65995 Approval
Number of Sq.Ft. 4447
Amount per Sq.Ft. $ 3.34
Amount Collected $ 14.852.98
Building Permit Application Completed: Yes/No
Agreement Existing Not Subject to Fee
Prior to 1/1/87 Requirement
Note:
By: Foch "Tut" Pensis Assistant Superintendent Administrative Services
Administrator in Charge
Certificate issued by: Marcel a Valdez Signature:
Facilities Clerk
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provldell) a written notice to
the project appellant, at the time of payment of school fees. midgadon payment or other exactions ("Fees"), of the 90 -day period to protest the Imposition of
these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall
serve to advise you that the 90 -day protest period In regard to such Fees or the validity thereof, commences with the payment of the fees or performance of
any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees Imposed Is as herein set forth, whether
payable at this time or In whole or in part prior to Issuance of a Cerdacate of Occupancy. As in the latter. the 90 days starts on the date hereof. This
Certificate of Compliance is valid for thirty (30) days from the date of Issuance. Extension will be granted only for good cause, as determined by the School
District, and up to three (3) such extensions may be granted At such time as this Cerdllcate expires, if a building permit has not been issued for the project
that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
Rev. 09/27/99
' C'omirJ � �E ✓.
_ COMMUNITY DEVELOPMENT
_ PUBLIC WORKS
FILE COPY
City of La Quinta
Developers Project Approval Form
Prior to the issuance of Building Permits for the project listed below, the following Departmental
clearances must be obtained. Please return this form to Nickie Gormley, Building and Safety
Department only after approval. Contact applicant for resolution of conditions preventing or
delaying approval.
r
Project: 57-815. Black Diamond - SFD (761-860-008 Lot 54 T29147-1)
a�
Applicant Contact:. Weiskopf Partners LLC - Jeff Read 771-1761
Application / Circulation Date:
Community Development Department
f
Christine di Iorio; Planning Manager
Public Works Department
05 1
ate
Date
Steve Speer, Senior Engineer Date
PLEASE RETURN WHEN APPROVED OR IF NOT APPLICABLE.
0
Fi L16-
COMMUNITY
.E
COMMUNITY DEVELOPMENT
PUBLIC WORKS
FILE COPY
City of La Quinta
Developers Project Approval Form
Prior to the issuance of Building Permits for the project listed below, the following Departmental
clearances must be obtained. Please return this form to Nickie Gormley, Building and Safety
Department only after approval. Contact applicant for resolution of conditions preventing or
delaying approval.
Project: 57-815 Black Diamond - SFD (761-860-008 Lot 54 T29147-1)
Applicant Contact: Weiskopf Partners LLC - Jeff Read 771-1761
Application] Circulation Date: 05/09/01
Date
Community Development Department
Christine di Iorio, Planning Manager Date
rbc;-►�t��s�parLmenr
Pe-Ipeer, Senior Engi eer 6ate
PLEASE RETURN WHEN APPROVED OR IF NOT APPLICABLE.
-4��
THE SUMMIT
AT PGA WEST_
"'Dowdel Residence
Plan ,1 B'
Changes Schedule
Revised per Owner.& noted.as Delta A on Plans
1. 'Entry Tower.-
;MASTER B' EDROOM
2. Add window in. master bedroom closet.
r
-BEDROOM 4' `
'�).` ;,Add to width:.of room.
'.GARA?GE
4: Garage add 3small windows — add 1/ glass block window
FAMILY ROOM
5.- delete 12A 110 sliding door'&`Hse V,pair of 3 X 8 french doors
KITCHEN
�6.� :Revised Kitchen and Bar cabinet layout (non structural) -
=}iV10RNNG--ROOM
%,7.A orning room delete'"sliding door, an e, fixed,glas's window
.BATH #3
S. Revised -bath:
0
p r✓,
J.
HOAK & SHAH ASSOCIATES, Inc.
CONSULTING ENGINEERS
3920 E. Coronado Street, Suite 203, Anaheim, CA. 92807
Phone: (714) 632-1865 Fax: (714) 632-1314
June 1, 2001
City of La Quinta
Building and Safety Department
Project Address: The Summit at PGA West ,
57-815 BLACK dIAMOND
(Lot 54)
La Quinta, Ca.
Subject: Truss Layout and Calculations.
Dear Plan Examiner:
Our office reviewed the Roof Truss -Layout and Calculation prepared by "Spates
Fabricators," and the layout and calculations are in substantial compliance with structural
design..
Do not hesitate to call our office, for questions regarding this.
Thank You,
HOAK & SHAH ASSOCIATES, Inc.
S. S `�•L
Satish Shah P.E. 0 5
No. C 056112
Exp,1 I
FAL0TS\L0T54\TRUSS-11TR
crv��
o,F
Certificate of Occupancy
City of La Quinta
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:
Use Classification: SINGLE FAMILY DWELLING
57-815 BLACK DIAMOND
Bldg. Permit No.: 0105-202
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: WEISKOPF PARTNERS
Building Official
Address: 55-161 SOUTHERN HILLS
City: LA QUINTA, CA*., 92253
By: BILL GORDON
Date: 4/9/02
POST IN A CONSPICUOUS PLACE