Loading...
9807-045, 9808-056 (SFD)LICENSED CONTRACTOR DECLARATION �`l 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 106,110 B � n Y3Ml 9 ,Date�% ;1 Signature'of Contractor _4 f, 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 permit is issued. (f) 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 T� 7{ Policy No. f f9.UT-4i 1114' l.l�sti L++AAiyCTiv L -12, 62$i).1 (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 C�d, I shall forthwith comply with t� o's eprov sions. , �r gate: Applicant + I� ✓ y Warrnng: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IW, IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. ,Signature (Owner/Agent) ( �" Date -�N -+ J BUILDINGPERMIT PERMIT# °°NTR°` �Hf1Y_a�a DATE VALUATION +'z 0 LOT TRACT A, 024? t JOB SIT ADDRES 7",.10 R$i,Ml~NG;IE`ON DRiVE, APN 761-070-00 7 OWNER CONTRACTOR/DESIGNER/ENGINEER t ti)1.fa`� se vOl..r' fi�Rt l'� rt 1rF3 'r.'Y�t�l m, "ONS !tu l lm ccs. - I (:iiJ,l1#ttC Y I.N 78-120 CAW-' - 91'AD0 Mi. LA (;?r,):!N'r'A. CA 412243 LA K11Jiad"I~A CA 92253 17�t}1777. 1 C€ LIf 3751. USE OF PERMIT 14-4) - TRA NS1T74T L1SE. l:OTTACII✓ 42 A`f QDARRY ILEI R€, AT. OLAN (;Hl::f:Q;. FEE RCt)U( FI) 75% FOR. it4U1 1'11 LE. ISSUANCE 14 AN A :.. f TYPE. USTO&I t ONS TRU i IGN 3, 2 1.00 SF 1it)kt i°ti['n`i'1C, SilJ.i10 18F. rl yy � OF L A, � i " C•AKAC7#� CARPORT 1,064.00 SF f UN f ` W i SED'W' S ' 011 CONS UC``TliON, x :0.21151340 CXINSYJ12trr; 11'1011 PK !;)1 lIfNJ-41K-tiles 51.273.fX1 FIT IA'nt r„! IECK FEE 9 (11-000-43911 1� &III ;11A1d!CAL 1,,06 t0l-t)M 421-000 S l7S tw F LE(:'i'RI AL PEE I!)1-00;-420-060 $233,19 ►-'1XMBING F33h 101-000-419-WOS1921.75 ''ATI+ION(;i.t1Rr,'1'�fCIN )i 1;.. RMAD 101 -000 -?41 -WO *213 0(slZ.f14 )tNG PEE 101-000-423-0300 $20.00 W.Ftt.wMUt'°IRAW,”, ITT- '2'5 -tutu -444 4,2 1060.66 ttl��:t' rrf I�lf9?I,1t 171..Ac�:�-121�*�f ;: `7(11-()f:tli-Z6S-0F)C1 �454.h�; }C 1;3 nriI?CFt • .j•lrSS PRE -PMD RES ES 16�? 'D'MAt. VERMIT Ff, l:.% DUE NOW RECEIPT DATE BY 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 - 2- 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 r Final Final 12 77 1 BLOCKWALL APPROVALS POOLS - SPAS 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 5 - Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final 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 t Final t<Jtility Notice (Perm) COMMENTS: "-+- 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 706410 M. Date Signature of Contractor OWNER -BUILDER DECLARATION 5/31/99 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 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 Policy No. ZENITH INSURANCE Z042062503 (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. Date: Applicant 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 the above-mentioned property for inspection purposes. Signature (Owner/Agent) Date Ft Lc. PERMIT # CONTROL # BUILDING PERMIT 9807-045 DATE .NL___. 30 _'98VALUATION 280,253.80 LOT 3 TRACT P9i 802 � JOB SITE ADDRESS79430 REMINGTON DRIVE APN 761-070-007 OWNER -19NTRACTOR / DESIGNER / ENGINEER LA QUMTA GOLF PROPERTIES TURPIN CONSTRUCTION CO. 1 QUARRY LN 78-120 CALLE ESTADO #206 LA QUINTA CA 92253 LA QUINTA CA 92253 (760)777-7611 CBL# 3751 USE OF PERMIT SFD SFD - TRANSIENT USE. COTTAGE #2 AT QUARRY RETREAT. PLAN CHECK FEE REDUCED 75% FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. CUSTOM CONSTRUCTION 3,243.00 SF PORCH/PATIO 509.00 SF GARAGEICARPORT 1,064.00 SF ESTIMATED COST OF CONSTRUCTION 280,253.80 PERMIT FEE SUMMARY CONSTRUCTION FEE 101-000-418-000 $1,273.00 PLAN CHECK FEE 101-000-439-318 $265.15 MECHANICAL FEE 101-000-421-000 $175.00 ELECTRICAL FEE 101-000-420-000 $233.79 PLUMBING FEE 101-000-419-000 $192.75 STRONG MOTION FEE - RESID 101-000-241-000 $28.03 GRADING FEE 101-000-423-000 $20.00 INFRASTRUCTURE FEE 225-000-443-342 56,000.00 ART IN PUBLIC PLACES - RESEC 701-000-255-000 $450.63 SUB -TOTAL CONSTRUCTION AND PLAN CHECK $8,638.35 LESS PRE -PAID FEES $0.00 TOTAL PERMIT FEES DUE NOW $8,638.35 RECEIPT DATE BY DATE FINALED INSPECTOR Notice: Document Cannot Be Duplicated Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE Date 7/14/98 No. 17318 Owner NameLa Quinta Golf Properties No. 79-830 City La Quinta Street Remington Drive APN # 761-070-007 Jurisdiction La Quinta zip 92253 Permit # Log.# Study Area Tract # Lot # Square Footage 3,243 Type of Development Single Family Residence No. of Units 1 Comments 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 from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE i This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.93 X 3,243 or $ 6,258.99 the property listed above and-that,b6ildi-ho permits and/or Certificates of Occupancy for this square footage in this proposed project may-- w, -be issuedy� 6 Y Fees Paid By Bank of America/Ed r h 1 :r eieVone.�7'17611 Name on the check �` r �. --� • .��= % .+� i y 1-55v t14. By Dr. Doris Wilson lli ..�- Superintendent Fee collected /exempted by Juanita Green Payment Received $6,258.99 Check No. 2011202526 Signature NOTICE: Pursuant of As%6mbly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run frrlVm the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the Districl('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. ' + - Building De t./APPlicant Copy - Applicant/Receipt t CoPy - Accounting Original 0 LICENSED CONTRACTOR DECLARATION w7 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 7061110 B 5/31/99 Date 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). ( ) 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 foi 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. z; N1111'.f'.t 4111TJTtAtICE Z042062-"31 (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. Date: Applicant 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 the above-mentioned property for inspection purposes. Signature (Owner/Agent) 1 Al' DateeT r' %� ` '7j F BUILDING PERMIT PERM' yrt0-0M CONTROL# DATE S/6198 VALUATION S,0() LOT TRACT IY �nQ(A V 9 JOB SITE ADDRESS 79.830 �.�,i��. NGTO.iN DRIVIL APN 7461-070-00„ I OWNER CONTRACTOR/DESIGNER/ENGINEER s.,,^, QjA;L';" u Rfr:'E,; �ti?S T.3€?P€`IN, !101111SIMAXt' IN Co. 1 QUARRY UN 78-110 CIU LE ES`T'ADO 9206 LA 0U19YA G" A 922, LA QCJthi',l A CA 922:x3 0760)777-76ti 081.9 -17SI USE OF PERMIT MIS(,'F LLAN'ROUc4 SUPf`i'.t EW-NTAL CONDITION TO PERMIT 49807 -MS - A 3 C` Ut GARAGE SHALL JM PR0VTT)ED ,P'1tfRA)R'rO FINAL IN:}Pt C'CI<. N tF SPH'ClFIC PLAN 98-.012. IS N(Yr At7l)P TFI) BY CHT. MI?1tATEDD COST OF zO MTRUCTION 0.00 PERAUT FEW SUMMARY SUB -"a OTAL CONS" RUCTION AND PLAN C'14EC:K. 1,9000 LES PRE -PAW FEES $0.00 TOTit i. PERMIT FEES OflE NOW �tl.dlt� RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD i 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 BLOCKWALL APPROVALS POOLS - SPAS 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 Encapsulation Gas Piping Gas Test Appliances Final 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 1. c Final Utility Notice (Perm) COMMENTS: DEC SPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANGY 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 ❑ POST TENSIONED CONCRETE ❑ REINFORCED MASONRY ❑ STRUCT. STEEL ASSEMBLY ❑ ASPHALT ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATION 9 REPORT SEQUENCE NO TYPE OF STRUCTURE srib PERMIT NO�j G.,� /' /-5 DATE /11 _ DAY OF WEEK MATERIAL DESCRIPTION V% u ARCHITECT A IN ECTD NRS. CHARGED ENGINEER uuj"D %u k- SCo ASSISTANTS HRS CHARGED INSPECTION GENERAL u� i CONTRACTOR SUB CONTRACTOR %DATE 1 5 T A-rf�+rA�4� /j Lt. CSL- IAC■ L Sr f ■ [._ t�{JIt� J .S V(` f} i` Fly 1 u� d � - L•I ' C -rt7 ' r�. � 3 �� 1 '-R) ' t l eu COPY SENT TO CLIENT ❑ NTINUED ON NEXT PAGE ❑ 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 TU OF REGISTE INSPECTOR ATE CIP REPORT REGISTER NUMBER 03/15/1999 12:44 619-777-7613 TURPIN CONSTRUCTION PAGE 05 7� $ 3335 � .►�� �.r Ute, PO ZA AS ofnoo 1'0 YA T NPI; Po L-9 ODW a S (5) (6)--,,. NOTES. r l�) 1. MIN 2-2X POST. 2 OPTIONAL STUD TO COVER (2) BOLT HEADS. 3. BOLT. 4. BOLT HOLE AT EPDXY EPDXY BOLT (e EMBED) BOLTS. 5. WOOD STUD WALL G. SIMPSON HOLDOWN. 7. TOP OF CONCRETE — SEE 7/8" DIA. HILTI 'HVA' EPDXY BOLT (10" EMBED) PLANS. (7) ri (4} _�afZ... I PSra�f r4H6'4-f-- P- 144 pf ' 022._ czL TI��I 7 ._. lea Pr=cDw, HOLDOWN INTERIOR EXTERIOR OR SIZE WALL INTERIOR WALL i M T MTT28B 5/8" DIA, HILTI KWIK 5/5' DIA. HILTI 'HIT` BOLT (7" EMBED) EPDXY BOLT (e EMBED) HD5A 3/4" DIA. HIL11 KWIK 3/4" DIA. HILTI 'HIT' BOLT (8" EMBED) EPDXY BOLT (10" EMBM) HD8A HDIOA 7/8" DIA. HILTI 'HVA' EPDXY BOLT (10" EMBED) SKi DRILLED BOLT OPTION — HD HOLDOWN 134-91.02M 93420 NO SCALE 4 110 CARUSO ■ TURLEY ■ SCOTT ■ INC. CONSULTING STRUCTURAL ENGINEERS 2702 NORTH 44TH STREET SUITE 200 PHOENIX, ARIZONA 85008 (502) 912-9120