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9809-232 (SFD)O � M r_a Lf)�1 w ' o 0 Z� (0 J UW �a z M L0 N ON U °) Q o�z Cc Leo xwY: m< O a rn ,It z_ ao 5 r` C) Q J 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 and effect. License # Lic. Class Exp. Date 674074 13 �a ii9�S Da' to %? F ` XL, 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). ( ') 1, 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 Policy No. STA:Ms FaNP 946,11t LI,'�7ITM1073.38 (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 workers' compensation laws of California,and agree that if I should become subject to the workers' compensation provisions of Section 3700�of the Labor Code, I shall forthwith comply with those provisions.;✓ p ate,,) l vj Applicant Warning: Failure to secure Workers' Compensat; pn 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 construction, and hereby author,(ze representatives of this City to enter upon the above-mentioned property for i spectlon purposes. , t Signature (Owner/Agent) J DateF BUILDING PERMIT PERM' 9809-232 CONTROL# DATE VALUATION ��S1ie if,.�{� LOT 30 TRACT 28-,3-16. JOB SITI ADDRESS `� 0-055 CALL.0 RRIS APN OWNER CONTRACTOR /DESIGNER/ENGINEER TD, DESERT LiV4hPM:NIT SPAR'vS6ONS4iUU^af N €',O. SOX 17.16 70-295 RANCHO LA QUINTA 111. LA QJIVI M CA 92:253 LA. QU1NLF1'A. CA 9275: (7(50))771-1941 CBL# 7996 USE OF PERMIT SINGLE FAIMILY'DWELLING SFD,`t%LAid Nil, Laf 30. PERMIT DOES NOT 1140A.UDE;LLOC1s WALL OR POOL PLAN CHXK rEER&DV.FD 7Sa✓o FOR tilt;7MPLE ISSUANCEOF SAM PLAN TYPE. CUSTON't CONISTRLCTiON, 4.Z43,00.SF PO1dC%iik'A'T1C7 Sa2.Ctt1 SI' GARa4.CP 9CA PORT 710.00 i STIMAT' D COST OF CONISTRUC710IN 351131" ;9) PC1iNO"li FEril Sl .r%0Ct Y C 0N3` T<U(, P:10N FEW 101-0011-418-000 $1.521..50 PL.iA,N("i.1 C1c FEE !W-fiiN?-419_:11�s ��1R.:•'3 MECHANICAL FEE 101-000- 421-0 O Si3t3.�tl l:` EC'kPJCA7_VMw .101 -W -420 -Ml S.246,71 1?1,t71� 1i�fcli 101-doo-419.00107 $21100 8Tk0N0 M0Yr[0N FPM . R0,40 101.-000-24140 $35.14 0RADI?4O VIED 101-000423-000 IN1,Ti, AS' f' UC>'1't7l' E rfiL 22 -41X1-443-342 K000.00 ARP IN PbfRUC PLAGTGS - RESU-4 701-M1-255-000 S6214A7 SUB -TOTAL CONMUCI ION ANY), ALAN C`.1-tFCK S% 102.()5 LESS, PRE -PAID FEES $O.f)f) T'LlTia , PERMIT F7f EN .1 Uit, iVO•Y y7,*oum's REC PT L� DATE,rBY DATE FINALE D INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs —, G� d L- 'L� Underground Ducts Forms & Footings r'` ( Ducts Slab Grade Return Air Steel Combustion Air Roof Deck ,L Exhaust Fans 0. K. to Wrap _ _ _ F.A.U. Framing - Compressor Insulation _ ` Vents Fireplace P.L. _ Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final 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 Heater Final i Water Piping Plumbing Final, Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection —G 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 L� Utility Notice (Perm) , ` REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY O POST TENSIONED CONCRETE O ASPHALT _❑. REINFORCED. MASONRY O FIRE PROOFING ❑ O OTHER JOB LOC I t _ �� � n ^ ^ _ � A OkiKJ\_ h�s�.J •V REPORT SEQUENCE N0. TYPE OF S;5TURE ^ ® V PERMIT NO.R _ DV, 1 1 DAY OF WEEK MATERIAL DESCRIPTION�`�� ARCHITECT I SPECT R NRS. CHARGED ' ENGINEER ASSISTANTS NRS. CHARGED INSPECTION DATE GENERAL^ Q I SUB CONTRACTOR ly 1F�K CONTRACTOR `t PI 60 N N eC'T-( c3 N (9-7'ES L e co ori COPY SENT TO CLIENT ONTINUED ON NEXT PAGE O PAGE OF 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. SIGN TURE OF REG RED INSPECTOR 17 AT F REPOAT REGISTER NUMBER CERTIFICATE OF COMPLIANCE � Desert Sands Unified School District p`� yo 47950 Dune Palms Road � BERMUDA DUNES O U% RANCHO MIRAGE Date 8/25/05 La Quinta, CA 92253 INDIAN WELLS No. 27587 (760) 771-8515 dPALM ND OERT~ LA QUINTA o L- Owner T.D. Desert Development, L.P. APN # 649-370-002 Address P O Box 1716 Jurisdiction La Quinta City La Quinta Zip 92253 Permit # 05-2131 Tract # 27840 Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 49 79055 Rancho La Quinta Dr 3348 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Ck in the amount of $14,049.28 for certs #27586 and 27587. At the present time, the Desert Sands Unified School District does not Collect fees on garages/carports, covered patiostwalkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that 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 Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 3,348 S.F. or $7,499.52 have been paid for 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. Fees Paid By CC/Bank of America - Judy Halpain Check No. 412101314 Name on the check Telephone 771-1941 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted b aron McGilvrey Payment Recd $0.00 $7,499.52 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90-day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issur d, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the DistrictCs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy - Accounting PUBLIC WORKS/ENGINEERING DEPARTMENT CLEARANCE SHEET FOR BUILDING PERMITS Date: OAgo3 05 Developer: _T- 0 - W �S�rt-� �c�.E�-ol��t.l�rr% CT Tract No: Z�7 8 4-0 I_ot No. (s):. '+-6 euLcl 45? Address(s): -IT o f>SS akef TQ c 5S 9<4C4o at',4JI[L)c The following are the requirements for Green Sheet clearance to issue a building permit for the subject building loos): CUSTOM HOMES: PROVIDE ITEMS #2, AND #3 BELOW. TRACT HOMES: PROVIDE ITEMS #1 #2 AND #3 BELOW. COMMERCIAL BUILDINGS: PROVIDE ALL ITEMS BELOW (#144) AIL l . tt or previously submitted (current within b months) Pad Elevation Certificates in complidnce with the approved design elevation for building pad (deviations of ± 0.1 foot). S f 1 165 ®Pro sed building locations are legal lots, final map record. �1033 ✓�/ tt a complete Fugitive Dust Co t-W and acket. _recise grading plan approved. LSD AUG _ 3 2005 I have reviewed and confirmed the requirements list d above -and- rev ments to be sufficiently complete, except as specially provide be 0 w bFtcb ss"ct n' ' of tkieYproposed structure(s) on the subject lot(s). Pursuant to my nctings, t find that the above may be, released for bui nerisM Recommended b . Dated: SPECIAL PROVISIONS: Building & Safety has been advised that it is appropriate to issue the Building Permit; however, the Certificate of Occupancy should not be authorized until the following issues have been addressed: BF V a 0 CONSULTING August 1, 2005 Mr. Hector Guzman City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 Subject: Rancho La Quinta Tract # 27840 Lots 48 & 49 Pad Certification Dear Mr. Guzman: 03 � JN: 20-100031.022 I hereby certify that the rough grading of the proposed residential building pads for lots 48 & 49 of Tract No. 27840 has been completed in substantial conformance to the approved Precise Grading Plans dated 5/24/05, as prepared by Watson & Watson Engineering. Below are the pad elevations obtained from a field survey on August 1, 2005. LOT # DESIGN PAD ELEVATION FIELD ELEVATION DIFFERENCE 48 59.5' 59.6' +0.1' 49 58.7' 58.8' +0.1' Please contact me if you have any questions regarding this pad certification letter. Sincerely, OPAL LAIVO ,gAV1,0 CS�QG Levi D. Cox, PLS 7930 � o L S No.7930 7k cc: Chris King/Sparks Construction \�gT�Exp ,2,3,E03P��P CF CAL\F H:\PDATA\20100031\Office\wpwin\PC-T127840-Lots 48-49.wpd PLANNING 3 DESIGN 11 CONSTRUCTION 74410 Highway 111, Palm Desert, CA 92260-4114 ■ 760.346.7481 ■ Fax 760.346.8315 Offices located throughout California, Arizona & Nevada ■ www.RBFcom wormed w 1e 61e wce, IN THE CITY OF LA OUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA SHEET 5 OF 9 TRACT NO P78,40 CITPo(LASet Qoo.N7A BEING A SUBDIVISION OF PORTIONS OF PARCELS 1, 2, 5 & 8 8 OF PARCEL MAP NO 20469 PER MAP FILED IN BOOK 140 OF PARCEL MAPS AT PAGES 95 TO 100 INCLUSIVE 9YO33 RECORDS OF RIVERSIDE COUNTY, IN THE NE 1/4 OF SECTION 31 & NW 1/4 OF SECTION 32. T5S. R7E, SBM SANBORN/WEBB SCALE 1"=60' JANUARY 1994 F FD. I.O.D +r• DN. 01' TAGGED L.14p17 W F A�.9 ITS N Y4 COR SEG�.A2.AOCEPfED AVENUE 48 _ IN 89.16'O6•M 2645157) R M _ -C/L 9 SECTION LINE - - - - 32 IN89.16'06'MI 1434.22 N 89.18'06'M 1434.17 LOT "H' LOT A -A, 14 N 89'16'O6'M Il6p.91' N 68. 16'OB'M 1! I.p9. 1! 270.05' ,'L 15. 57'!� MUiL 1111 BI W LOT 135 4j1 N 68'16'O6•Y 641.61 0 f3'fi]'E r- PRC--�� F.1 Wo N?N xN9 1A N'4�_____iRl_ ® N 02.43_39_NIR) t•x'9 RANCHO LA /�UINTA Dp� 'LOT'A" M q y3 R R fi N�09'S1'41_g_i�_'D ` li 27.5g,51• 11.07 AC. A-Zfi.fipr _ _\�. `. 11 N 9�• 17: 3?' E 161�23.1 N.492.00 . .. O c, N'• ♦NO A35','+}30' 660.96 - PCC B•O9• L�235.59 7�10.76 t 4 51.60 70.44 ) 70.4A 70.44 70.44 70." 70.44 51.09 51.09 39.04 45.26 VJ Og. 31•4T4y(t'E 00 L'186,03 T.99.39 J 9h 0 ,ji 4. 3 O ry• k��.rfi_0�'WI10 p✓ 0000 ` e� t.x .1 +e s ® LOT "X'6 1 R•]. _ QQ ^'�� � 41 1 I °0 N 82.46'33 M N 1 y°2y e� p N'l %�O� g e Nm o`4„ ,1L iR PT ' n "� Y o m '' :" ;u W ® ® ® 3 ) I •aa ® ��5 + N� ti / P''� N 11"0. � ."". " A, a -• � ^ � ,^, � �°' '� m 14 m $ $ .R m � �, � � j) � QO f7 as , od a G ``° _ t59 ±:. ram., +# : 51 I % 52 : 53 z 54 a 55 56 = 57.. 58 '� ' m `1.83.0j• / ® v1 a 5 ti : , .Y Jo�.per N� 10' ORAINA6E 5' 'V z 60$1 69'50'59'E IRI m r� _ _ '•,O `? EASEMENT �� 89.32 66.64 NFDNEPEON�'� �(C pcc ;4 0 1 0 • ]0.00 ]0.00 70.00 70.00 n.^ t' N 87.23'24'M 702.B4 70.00 70.00 70.00 /�v B1 50.77 / p ,� © O (GOLF COURSO LOT „P„ 1.81 AC. so. n6 )i� 0 V 1 YIATI [elm [07�=�mmum� Kim -1 A OaTA/BFM➢S I WAS LEM./DIST. TANGENT N 68.10'15'M 133.58 18'50'36' 300.00 103.90 52.48 27'34'29' 266.00 129.02 65.27 11'16'01• 699. 00 137.97 69.16 7'22't7' 375.00 40.25 24.16 7'39'13' 375.00 50.09 25.08 N 00•43'S4'E 5.00 4. 41'4F 482.00 39.50 19.78 N 21.43'36'M 42.40 97'32'28• 28.50 33.60 19.06 170.52'53' 28.50 65.00 357.40 1.30'03' 450.00 11.79 5.69 120.37'21' 20.50 60.00 49.99 50.15'32' 28.50 23.00 13,17 N 89'1610611" 10.00 41.26054' 20.50 20.62 10.78 IN 46.55'50•E) 5.54 N 76.39'S1'11 (R1 22.00 N 76'39'fit'M (R) 2fi.00 40 07'16' 457 352.00 1 45.75 124A1 NOTE: SEE. SHEET 2 \ FOR BASIS' OF BEARING AND SURVEYOR'S NOTES PARCEL 0 PH 140195-100 REMINDER narA DP1 IN'AWN6 01 T 1 1• 9' IS'• 450.00 li. 10 0.�0 2 O'05 54' 20.00' 12.9p' G.GO al OV 20 47" 415.00' 16.�2 e. 46' OT1047' 459.00 1 1718 18.97' ? `;I 108.86 74.00 O .00 N�4'f8.02. PCC Y`LW eN 7g•`-_ 39 •g�,M W) PARCEL 2 m 140/95-100 r �4's3Pcc:€ JRL N /6.22'92 E Uil SCALE IN FEET 60 45 30 15 0 60 120 4 PUBLIC WORKS/ENGINEERING DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7075 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7155 Fugitive Dust Control (PM-10) Plan Approval Applicant Contact: A ot-4,4 -S a'xzx-S Applicant Telephone Number: a7 (o 0 Approval of a Fugitive Dust Control (PM-10) plan is required prior to Building Permit issuance for the following project: Project Name:-ANc�}o Project Tract No.: 27 lb <I-C Lot No.(s): 4-8 ,-e 4-1 Project Street Address(s): g c>35( '1`t a SS���� (�aorcv� Please fill out the attached forms and submit the entire packet to the Public Works/Engineering Department with your Green Sheet submittal. N o�x V OF i Site Specific Construction Phase PM 10 Plan The signature of the property owner (or authorized representative): ■ Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to AQMD Rules 403 and 403.1; ■ Shall constitute an agreement to comply with all project conditions as identified in the approved dust control plan; The property owner (or authorized representative): ■ Acknowledges that dust control is required 24 hours a day, 7 days a week, throughout the period of project performance, regardless of project size or status; ■ Shall ensure that each and every contractor/subcontractor and all other persons associated with the project shall be in. continuous compliance with all requirements of the approved dust control plan; ■ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; • Shall authorize representative of the City/County to enter upon the above mentioned property for inspection and/or abatement purposes; and • Shall hold harmless the City/County and it's representatives from liability for any actions related to this dust control plan or any City/County-initiated abatement activities. Please fill out this section: Project Contact Information for (check one) X Owner o Owner's Authorized Representative o Environmental Observer o General Contractor o Sub -Contractors) involved in earth movement and/or soil stabilization Instructions: Please enter information below, Name: Title: (If Applicable any Name: (If Mailing Address: `'p City: L.,6- State: 4: 4 Code: -�? Z Z Primar Phone: '74,0 .7 -71 9 �1 Fax: 7k, © -7/ /,8 q/ 24 Hour Access/Emergency Phone: np Cell Phone: Email Address: Responsible for dust control durin onstruction activities? (circle one) No Responsible for dust control durin f hours? (circle one) No *Where property owner is NOT the lead contact for the project, his/her authorized representative is responsible for ALL dust control actions. Remember... DUST CONTROL IS REQUIRED 24 HOURS A DAY, 7 DAYS A WEEK, REGARDLESS OF CONSTRUCTION STATUS. Dust Control Actions Project Name: Aqc-N.o CA, 0i lwrA, Contractor. Name:_ T-0• ��-r il�CoP�t{•y7 �� Instructions: Please complete this form for each phase of the construction project.. Identify the phase by number (e.g.; Phase 2 of 5) in the spaces provided below. Phase of Clearing/Grubbing [] Mass Grading Project Phase (check): Q Finish Grading 0. Construction Phase Other (specify: Anticipated Start Date: Anticipated Completion Date: Number of Acres under Active Construction: '/t- Ac,1F_ O5/31/0� . Detailed description of dust control actions implemented during this phase (should match. information provided on site plan; use additional pages as necessary): 1) Provide PM10 Fencing at perimeter of public roads and where applicable 2) Provide 24 hour street cleaning and track out system (approved by City) 3) Obtain PM10 Certificate Number (call Sharon Zamora @ 909-396-2183) 4) Within 10 days of ceasing activities, stabilize all disturbed areas by an approved stabilizing method. 5) Continuous watering is required to prevent dust 6) Use signage as shown attached. Remember... DUST CONTROL IS REQUIRED 24 HOURS A DAY, 7 DAYS A WEEK, REGARDLESS OF CONSTRUCTION STATUS '07 11NTP, �uury i r u ;ISE GRADING PLAN 27840 -LOTS 48 & 49 W 1 /4 OF SECTION 32, T5S, R7E, SBM. 48TH AVENUE PPVAU � w(qD 4-' (.(AID Frr[t= @99.F 0O900N