9907-632 (SFD)LICENSED CONTRACTOR DECLARATION.
I hereby affirm under penalty of perjury that I 'am licensed under provisions of
ChapteO (commencing with.Section 7000) of Division 3 of the Business and
..-Professionals Code, and my License is in full force and effect.
License k `k. Lic. Class Exp. Date
Date dSignature of Contractors r
•—�
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, permitis issued.
( k)' 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 ZIWI 1't -I MSMAIitU 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
workers' compensation laws of California, and agree that if I should become
subject'{o the Workers' compensation, provisions of Section 3700 of the Labor
Code 'I shall forthwith comply with ttpte • r inions. • t f
tDate: a sz Applicant a. •�-
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
construction, and hereby authorize representatives of this City to enter upon
th/e�abo`ve-mentioned propefiy for insspection purposes
,Signature (Owner/Agent) �_ 1 %k-�-� IDate 11 r Q
BUILDING PERMIT PERMIT-�
DATE VALUATION S-536.71"-60 LOT32 TRACT 2):1470•4
1Y1f �C• �+C'yy�y g
JOB SITE 19.653 FI�?.EII'1uA..ElrS.S. tl:.LA��CE
APN 769400-009
ADDRESS
OWNER
/DESIGNER /rENGINEER
CCONTRACTOR
y dR r.�ii A'R0%1%: Ft LR 011
t
�i vriif'�[A4 ��„i`,yY .fi .i'wir •ti.. i ti�i�r S��u.
RANCKC.) SANUA FE CA 92067
LA (It IINTA CA 92253
(7610) /77-7611 f` fel,# 3'751
USE OF PERMIT
SINai,9..& F AMiLY I.)W!fl,l,f, (i
r
M - N0 BL0M WALLS C POOL. � YvT HILIANC;E Ta'FlIft ALL tt.is%;E:tRAJ L 6".
S'1;VfE LAWS, fkatE, EI\'LANGERED S f'•JE — AC OF 1973 (16 -
Qr'.&C, 1.531, Err S.EQ) fF.' APPLICABLE. 1S:fak Q1fffttGV.
�7)3"170M CON-SOMIMON 6,4_19.00 SF
I� J1f-a�li%1'1i'ri.1 1*, 109.00 .51
CtAff't.Ac3E1c;tAdt3ac►k�,t' 1,03,00 .13F
C 'lf O CONSTRUCTION
5:10,7911.60 .
PERMET F F.9 SUMMARY
C-0NIS'IXIUC;'1ION FK 101.4WO-412-000 no50.5
F111 AN f i-li~;(`F;.1: Errr 1.014)(Nn-419-31. 8
PT1133 VIT—1-!SIT 11)1-00-439-313-II,flll LI )
All ktFANXI'AL.F. E 10I gni}-<sz1_000 �i1 ti.dNJ
.Wt r c"e R..V 11q. FiRE .161 WJ-420.004)
taf a l,>rf"1Af(7 IFF4.� 842i33,Ya)
f ����t�Tm, fi C R.r9� * 101-0(�r 1 41•-(30o 14
rilZtt`:>:w—
""GR A.IANO d' EE 101,00I-423-060'tS").0 0
l:Ni RASI'l"UC,"4UKk1i FV'E 2254,100-443-342
ART FN'fRTE%I.!C lill 4c t .4 - R?3s`t)f '7t)8..t►Qirt-�fi�i.�i1U �) l►al.,itY
is
"i3NE L)(,!110N tA:Ny,) Y:'.I„A7eT �'1.{g {`,�
�7,41;1Z:31
ESS PRETAIr FEES
-.$1,000.00
TOTAL 09RM'IT FEES ES @1+961.j; f?14".96b`'
'.4 r
RECEIPT
DATE
BYY
DATE FINALED
INSPECTOR
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
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
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection / L
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
Utility Notice (Perm)
Building
Y m ---,!-%AKEJN
T4t4t
"
P.O. BOX 1504
78-495 CALLE TAMPICO
f (.r LA QUINTA, CALIFORNIA 92253
Mailing
Address
City Zip Tel.
Contractor
'.-T Uldn M
& Classif. I Lic. #
Arch., Engr.,
Designer 441 i4 (
TeG(D b' J0tD
City
Jt5r;dr IZipq�z4o IState
R.- 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.
'..NATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Susiness 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 five hundred dollars ($500).
C., 1, as owner of the property, or my employees with wagesastheir 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.)
I.1 I, as owner of the property, am exclusively contracting with licensed;contractors to con-
struct the project. (Sec. 7044, Business and Professions Code:ydhe 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.)
0 1 am exempt under Sec. B. & P.C. for this reasori.
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 '•tom
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 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.
APPLICATION ONLY
BUILDING: TYPE°CONNST.p1 V OCC.
GRP.
A.P. Number ��%r�1` Oe�� Q - 00 ,1 A
Legal Description �r�J 1. JaZ J& Q24—lo-1
Project Description
� ry
Date—Owner
NOTICE TO APPLICANT: It, after making this Certificate of Exempfbn you should become
ZONE: -11 BY: -- -y- N
subject to the Workers' Compensation provisions of the Labor Code, you must forthwithMfiI
comply with such provisions or this permit shall be deemed revoked.
r11f,T1U*m Setback Distances: _. —
Sq. Ft./ 4 1� 1 No.
Size V Stories
No. Dw.
Units
NeWK Add ❑ Alter ❑
Repair O Demolition O
CONSTRUCTION LENDING AGENCY
Sic�fe treat Setback from Center Line '`rte•- "'
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.)
fi
i. is e`j,Sk�tback from Property Line -
Lender's Name
Y' '
Lender's Address
FINAL DATE INSPECTOR
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.
Estimated Valuation
Issued by: Date�Permit
PERMIT
AMOUNT
Plan Chk. Dep.
\ U. 00 - O 0
Plan Chk. Bal.
` f
Const.
fValidated.by:
%'� •` �"'I •S`�
Mech.
Mailing Address
Electrical
Plumbing
S.M.I.
i
Grading
Driveway Enc.
4.
Infrastructure
TOTAL
REMARKS
Date—Owner
NOTICE TO APPLICANT: It, after making this Certificate of Exempfbn you should become
ZONE: -11 BY: -- -y- N
subject to the Workers' Compensation provisions of the Labor Code, you must forthwithMfiI
comply with such provisions or this permit shall be deemed revoked.
r11f,T1U*m Setback Distances: _. —
F -� Front Setback from Center Line
Rear Setback from Reaf Prop. Line
CONSTRUCTION LENDING AGENCY
Sic�fe treat Setback from Center Line '`rte•- "'
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.)
fi
i. is e`j,Sk�tback from Property Line -
Lender's Name
Y' '
Lender's Address
FINAL DATE INSPECTOR
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.
Issued by: Date�Permit
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives '.of this to
,
p ; '
city enter the above-
for inspection
�. ; It s,
mentioned property purposes.
Signature of applicant _ Date e,-
`
fValidated.by:
%'� •` �"'I •S`�
Mailing Address
Validation; \
City, State, Zip
i
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
Desert Sands;'Uimifed Sctiool District.
47950 .1),ufiePalms Road
Notice: La Qu nta- CA 92253
Document Cannot Be,D.uplicated 760-771-8515
CERTIFICATE OF COMPLIANCE'
Date 11/18/99 APN # .770-3107009
No. 19621 Jurisdiction' La' Quinta
Owner NameRusty,& Sharon.Frye spermit #
No. 78-653' ,Street Peerless Place Log #
City La Quinta zip. 92253 Study Area
Tract # Lot # Square Footage 6439
Type of Development Single.FamOl Residence No. of Units 1
Comments
f
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 ''fro'm..-paying school fees at this time due to the following reason:
'EXEMPTION NOT APDL ICABLE
This certifies that school facility fees imposed pursuant -to, -, Government Code 53080 in the amount of
1.93 X 6,439 or $ 1M; 7.27 Jthe property.1isted'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/First Community Bank - Ed Wright Telephone X777=7611
Na' ' on the check 41
It. -
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Ellen Patino
Signature
Payment Received X2;427.27
• . a r ,
Check No."A9491
NOTICE: Pursuant otAssembly Big 3081 (CHAP 549, STATS: 1996) this will serve to nobly you that the 9o-0ay'appro val period inwhich you may protest the fees or other payment identified
above will begin to,run from'the
date on which the building or installation permit for, this,project'is sssued or on which they are paid -to the. Districts) or to another public entity authorized to
collect them on the District('s)(s') behalf, whichever is earlier. : 1
Collector: Attach a copy of:county or city plan' check application,form to distncf copy for all waivers.
,,.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
,r j
Tradifion
ARCHITECTURAL DESIGN REVIEW
October 20, 1999
Mr. Greg Butler
CITY OF LA QUINTA
78-495 Calle Tampico
La Quinta, CA 92253
Re: Frye, Lot 32, Tract 28470-1, 78-653 Peerless Place
Via First Class Mail
and facsimile
Dear Greg,.
Please accept this letter as approval for the above referenced residence to obtain a building
permit. Conditions that apply to this submittal will be forwarded directly to the architect,
Mr. Gordon Stein.
If you have any questions or need additional information, please do not hesitate to call.
Thank you.
Sincerely,
Christina 3. Dores
Architectural Review Coordinator
PC: Gordon Stein
Ed Wright, Turpin Construction
cveroo —.m DRCVk)- -N
78505 OLD AvENuE 52 — LA QuwrA -- CA 92253-1120 --- PHONE 760/564-3355 — FAx 760/564-2356
J%,
OF
"PUBLIC WORKS* CLEARANCE LETTER
FOR:wz.
CUSTOM HOME LOTS
Dear'Builder
wx a building permit, you will ., -.be required t obtain, clearance -froth th6-'.7z't�_��"*'
u re o
Prior to issuance of '7
:_�-,
Public Works Department for one. or more, the following
.. ... pad
that gradin is complete; and the
1.. Verification
in the Public Wo
pr rveyor,.,or engineer, are on file,-
prepared a licensed -surveyor,
V
D6partmeiht-
2". Verification that infrastructure improvemerits'and 6ifie'r;"requii.,ed.tract.-improvem6.ht
a -.�'
re complete, or sufficiently advanced to warrant building permit
issUC11 noq
.3. Prepare an engineered grading plan that provides. for. on -lot storm water retention,
'
and have it checked -and approved by the Public Works ni
_4?
•
Tract 26524 (Estancias) T_
0 Tract 26769 (Mountain View Estates)
4. Prepare an engineered grading plan that provides for building a '.grading . in.-',I,jt.
accordance with the existing soils report and tract gradin I
an;
g. ,,.
checked and approved by the Public Works Department.
• Tract 28034 (South Valley Estates)
aN,
4-4
r ALA
-75
FOR KrERNAL USE BY PUBLIC WORKS DEPARTMENT
TRACT:
LOT:
PUBLIC WORKS
FAMDOMDOMFORMSIPW CLEARANCE LEMBILIss
%zo_,0�,
i = ESI/FM E,Inc.
STRUCTURAL ENGINEERS &CONSULTANTS
MEMO LETTER
MEMO LETTER NO.: 00-05-23
PROJECT. "FRYE RESIDENCE" DATE : May 23, 2000
PROJECT NO: 499-9107
DEVELOPER: MR. & MRS. FRYE CLIENT NO : Frye
FILE NO : 9107MO3
ARCHITECT : STEIN AND ASSOCIATES SHEET NO : 1 OF 1
REGARDING: 1) Using 12" deep ridge beam and 12" deep hip beams over Great Room and
and Game Room.
Response: Use 4x12 ridge beam in lieu of 4x14 and (2) 2x12 hips in lieu of
(2) 2x14 hips at Great Room and Game Room.
2) Increasing the length of 5 1/4" x 14 Parallam beam at rear of Game Room.
Response: We have no objection extending the parallam beam 12" due to
sliding doors.
Thank you for your cooperation on this matter. If you have any questions,
please do not hesitate to give us a call.
ISSUED BY: COPIES TO:
ESI / F M E INC. (fax) Stein and Associates
STRUCTU /NEERS Attn: Duane Valencia
oQ�oFEss1o4,q (760) 836-1896
BY: ��, `� MAi
1800 E. 16th Street, Santa Ana, CA 92701 - (714) 835-2800 - Fax (714) 835-2819
z
ESI/FM E,Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
MEMO LETTER
MEMO LETTER NO.: 00-05-23
PROJECT "FRYE RESIDENCE" DATE : May 23, 2000
PROJECT NO: 499-9107
DEVELOPER: MR. & MRS. FRYE CLIENT NO : Frye
FILE NO : 9107MO3
ARCHITECT : STEIN AND ASSOCIATES SHEET NO : 1 OF. 1
REGARDING: 1) Using 12" deep ridge beam and -12" deep hip beams over Great Room.and
and Game Room.
Response: Use 4x12 ridge beam in lieu of 4x14 and (2) 2x12 hips in lieu of
(2) 2x14 hips at Great Room and Game Room.
2) Increasing the length of 5 1/4" x 14 Parallam beam at rear of Game Room.
Response: We have no objection extending the parallam beam 12" due to "
sliding doors.
Thank you for your cooperation on this matter. If you have any questions,
please do not hesitate to give us a call.
ISSUED BY: COPIES TO:
ESI / F M E INC. (fax) Stein and Associates
STRUCTU F EERS Attn: Duane Valencia
MATsv 2 (760) 836-1896
BY:
Danny
for ES
1800 E. 16th Street, Santa Ana, CA 92701 • (714) 835-2800 • Fax (714) 835-2819
Stein Associates
i 41945 Boardwalk, Suite K
Palm Desert, CA 92211
Tel: (760) 568-3696 '
Fax (760) 836=1896
TO:
DATE:
RE:
WE ARE TRANSMITTING:
THE FOLLOWING:
0 PRINTS
OAT YOUR REQUEST
0 PLANS .
0VIA FAX
O,SPECIFICATIONS
DQ VIA MAIL '.
�.COPY`OF LETTER
OVIA UNITEDPARCEL
0DRAWING
0HAND DELIVERED
HEETNLY
OTHIS.S'O
OCOMPUTER DISK
,r ra r
k .r
T.ransmitta�
2000.134
YOUR APPROVAL
OYOUR FILES
DYOUR REVIEW
DYOUR USE
DYOUR INFORMATION
REMARKS:
Ed:
Enclosed:please find the- above "Wet -signed§" for the city. Talk 'to"you soon.
Carole
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 ❑.STRUCT. STEEL ASSEMBLY ❑
O POST .TENSIONED CONCRETE O ASPHALT O OTHER
❑ REINFORCED MASONRY O FIRE PROOFING
J09 A + ? � �i
11
'
REPORT SEQUENCE N0.
T:!!�F,&1,R,,UCT,URE 'n ��"�'•` •' -.
PERMIT NO. _
DA -TE• u�
DAY OF WEEK
MATERIA DES
PTI N e`.�
ARCHITECT'
I CT R
HRS.CHARGED
FE---? 17 --
T -INSPECTION
ENGINEER
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE
GENERAL' � .�sue
CONTRACTOR t/k P( "
CONTRACTOR
tl ,
COLL
r+-Tmcpjw
Pvql& teJe 4-
C.c.t��tN(r Cz�vt- �
T�iZ�U ✓L6' . -
2FA
4
COPY SENT TO CLIENT O
•CONTINUED ON NEXT PAGE O.
PAGE OF
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. 1 HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED
PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS.
IGNAT VRE OF REGISTERED IkSkCTOR
m G)L- G _
0 TE OF REPORT REGISTER NUMBER
I�
14�':00�Certificate;of Occupancy �a .
C ity ofla Quinta >`
Building and -Saf6t
y-,
This Certificate issued pursuant to therequirements of Section 109 of the Uniform
Building Code,
C6
rtifying tMit, at .the time of issuance, .this structure .was in cornp/iance withahe carious ordinances
of the`. City,,regu/at ng bui/dingconstruction br use `For .the, fo/%wing:
BUILDING ADpRESS: t 78-653 PEERLESS PLACE
Use Classification: SFD - Bldg. Permit No.:'9907=632
Occupancy -Group: R 3' Type. 0f Construction: VN Land Use. Zone: RL
Owner of Building: RUSTY & SHARON FRYE Address: P.O: BOX A75521
City'. RANCHO SANTA FE; CA 92067
By: STEVE TRAM
Date: 09-28-0.1
Building Official
POST IN A CONSPICUOUS PLACE