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9807-044, 9808-055 (SFD)
LICENSED CONTRACTOR DECLARATION 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 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&RC. 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 7042062503 (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, 1 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 BUILDINGPERMIT PERMIT# CONTROL# DATE .91L 30 � 'VALUATION LOT 9807-044 TRACT QQ nn QQ $280,253.80 2 P19I4865(� JOB SITE APN ADDRESS 79-820 REMINGTON DRIVE 761-070-007 OWNER CONTRACTOR/DESIGNER/ENGINEER LA QUINTA 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 #1 AT QUARRY RETREAT. CUSTOM CONSTRUCTION 3,243.00 SF PORCFVPATIO 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 $1,060.58 FEE DEPOSIT 101-000-439-318 -$1,000.00 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 $6,000.00 ART IN PUBLIC PLACES - RESIT; 701-000-255-000 $450.63 SUB -TOTAL CONSTRUCTION AND PLAN CHECK $9,433.78 LESS PRE -PAID FEES -$1,000.00 TOTAL PERMIT FEES DUE NOW $8,433.78 RECEIPT DATE BY DATE FINALED INSPECTOR 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 e'tr�r31 (a ,4 :0 Date Signature of Contractor °`fes fi 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. (%4) 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: Gamer 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 to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with -t ose rovisions. Date: —1 �' Applicant � �' d _ Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for i spection purposes. 'Signature (Owner/Agent)` r. 9J �° "Date BUILDINGPERMIT PERMIT# CONTROL# DATE a VALUATION LOT TRACT -803 JOB SITE APN ADDRESS V. -J20 RIP,MINIC {ON DriUVE' 701-070-(W7 OWNER CONTRACTOR / DESIGNER / ENGINEER ►"9�_A� ¢,* =yY, i t1 1.�3�Qt 0?'TA tcP� Pik( ' .11"�., . LA &+fAtNi VA ('A IA (X4 BANTA ('A USE OF PERMIT 4..",, i. ) !'^-X s'i! (�t Jltty) tQLil.lf PAID n 9 j'A�: `1 yy1�i -3 I,% r.'`A1':a.It li [' 4'`�J �„lVe�n�'Y Ju RECEIPT I DATE I BY I DATE FINALED I INSPECTOR f'fJ3dt) to 01) St`' 0$ L.A i3I� �YG �i�t��Wr•il �r-�.GS.��I'tJ�o E: ixt;�C27F �51� �y._ .�1 r'*ani"4G4 t� tET CONT 01*1 j pyo .q■ n' ` �,j 1 f:'0''N'0-10R'i I+>Gi e?;us lot-)V1)-4tV,=(0) �!,2Z7d t33) 14 A3dt'°t` 'T. I{}t11090 "III)_ AIR �l,.itf�f4 S�4 �1 I�R�1(�„t @ � �:I• 1� t. `(C#ft�'�{1w�•fbtf�u �i�s.' �P� a.i'I :�'� 6?;fvFa!•; i'V� ?iajA-i.�,,-tilt) `,910) '11 "?5 '441, 91,0101041 n 9 j'A�: `1 yy1�i -3 I,% r.'`A1':a.It li [' 4'`�J �„lVe�n�'Y Ju RECEIPT I DATE I BY I DATE FINALED I 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 - Gam- Exhaust Fans O.K to Wrap F.A.U. Framing - Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath l _ Drywall - Int. Lath C 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 i Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Sewer Connection �+ f Pool Cover 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 C Final Wility Notice (Perm) COMMENTS: Notice: 'Document Cannot Be Duplicated 0 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE Date 7/14/98 APN # 761-070-007 No. 17320 Jurisdiction La Quinta Owner NameLa Quinta Golf Properties Permit # No. 79-820 Street Remington Drive Log # City La Quinta Zip 92253 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 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 thate:b .iUfig - kit permits and/or Certificates of Occupancy for this square footage in this proposed project rLiay now bP`issyued Fees Paid By Bank of America/Ed" Telep;totie 7777 '-7 X1-1 ' t , r Name on the check By Dr. Doris Wilson i Superintendent Fee collected /exempted by Juanita Green Payment Received $6,258.99 �) Check No. 2011202526 Signature NOTICE: Pursuant of Assbly 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 ident�ed above will begin to run fro 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 District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or *city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting 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 the Building and Safety Department only after approval. •Contact applicant for resolution of conditions preventing or delaying approval. Project: The Retreat (cottages) - (Plans in Building Department) The Quarry Applicant Contact: Bill Turpin, Turpin Construction, 777-7611 Application Circulation D te: `J e 2� Da Community evelopment Department Christine Di Iorio, Planning Manager Public Works Department Steve Speer, Senior Engineer Building and Safety Department A --4 � qC6' Date Date Mark Harold, Building and Safety Department Manager Date Health Department Fire Department Schools Fees Paid Date Date Date M. .City Ci 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 the Building and Safety Department only after approval. Contact applicant for resolution of conditions preventing or delaying approval. Project: The Retreat (cottages) - (Plans in Building Department) The Quarry Applicant Contact: Bill Turpin, Turpin Construction, 777-7611 qiv4g� Applicat' n / Circulation D te: s 28 R8 Date Communfty-DeveM-pment Department Christine Di Iorio, Planning Manager Public Works Speer, Senior Engineer ti Building and Safety Department Mark Harold, Building and Safety Department Manager Health Department Fire Department Schools Fees Paid Date Date Date Date 7 z 9 98 Date Date 04/05/1999 11:25 619-777-7613 TURPIN CONSTRUCTION PAGE 02 ci L _r _ C11WOF LA QUINTA �Ut�DING , DEPARTMENT I�d All— • I ACTIO VEST UNE �wnec SAA QUi4tGdLF PROPE�tTIES • . ont�tdor lRPrnT MS- RUCI`. ON CO airl„it Number 980-0d4.::.:.' . . PO W. ON J08 IN. CQNgPJ.GUOUS PLACE INSPECTOR MUST SIGN ALLAP LICABLE SPACES. I ; !OB ADDRESS 79-820 REMINGTON DRIVE ' SFD•- TRANSIENT U AT . lKETRZA- iYMOF� CMN .00t, INBR r;: :OUNDATIO ,* SETBACK • { : = : `zt: ` ; a00T1NG`.S�EEL'•• .;� ;n- � • , ,-;<�r.,;;" •;; yrs,'.. ': ,' ,' ...a, '5.41.x: .�•, SYSTE"" wuNGR4U NO M 'rig: y�::;i� �... :�. :.�.,..'; _. •, :- �,; _ •�' _ -ate �:�'t 1'� TOUGH PLUMBING . UGHGAS'A.MTEST 4EATING d. VENT= NC =IREPLACE 300F �:K. T©:ViRiAN•: t 1 -RAMING' NSULATION•• i. •` ' r °RE -ROOF ' ' COYER NO WORK UNTIL ABOVE• HAS BEEN SI NED DRYWALL INTERIOR EXTERIOR LATH jr POOL PRE PLASTER' FENCE 8 GATE LMIL�R SEPTIC TANK HEATING - /JC L. �<L131E a.., -:-...- TEMP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING. JON TANDY DEC o 2 RECD 37630 Medjool Ave. Palm Desert, CA 92211 .Office (760) 772-7192 SPECIALFax (760) 772-7193 Pager (760) 776-3338 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY D POST TENSIONED CONCRETE O ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING O ❑ OTHER JOB LOCATION -�----� REPORT SEQUENCE NO. TYPE OF STRUCTURE 4�6- PERNUT N0. 0 _.�y DAT I d5 4 DAY OF WEEK MATERIAL DESCRIPTION r ARCHI ECT Al IN PECT i NRS. CHARGED E GINEER � P S� o`tT ASSISTANTS HRS. CHARGED. INSPECTION DATE GENERAL SUB I CONTRACTORS �� CONTRACTOR I� p- ' & �) S 't%'1 E I � &n b(.. F EA, 7/ " r / 10" (7CQJi9 COPY SENT TO CLIENT ❑ CONTINUED 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. SI T RE OF REGIST I PECTQR 5 DATE OF REPORT REGISTE NUMBER JUL-29-98 WED 3:25 PM RIV. CO. FIRE P&E INDIO FAX NO. 1 760 863 7072 P. 1 RIVERSIDE COUNTY.. . R1v RSIAE a�' 1 FIRE DEPARTMENT JIM WRIGHT 210 WEST SAN JACINTO AVENUE PERRIS, CALIFORNIA 92570 • (909) 940-6900 7 FIRE CHIEF Date: To: Planning Department Surveyor"s Office Building and Safety The Riverside County Fire Department hereby releases the project listed below: Log Number/Case Number: Address: 0 -?-Z Check One: Final Recordation Further Development Meter Set Only Shell Final Tenant Improvement Final Final For Occupancy Check One: Fees Paid Fees Not Paid Fees Not Required If you should have any questions regarding this matter, please do not hesitate to contact the Fire Department Planning Section staff. cc: file REL92.10192 F:Tt3IWPDATAIFOI MSUIELSFRM.WPD RAYMOND H. REGIS . Chief Fire Department Planner By: Q4,,-,, Iia M. Paulsen tannins Rr 1=nPing Secretary Post -It' brand tax transmittal memo 7671 X arpaaes . TO Fro � CO. t7ept• Phone q ax B Fax B ' RIVERSIDE OFFICE PLANNING SECTION 4080 Lemon St. 2nd FL, Riverside, Ca (9091275-4777 • FAX (909) 369.7451. .92501 If INDIOOFFICE 46-209 Oasis Slim. RM. 209, Indio, CA 92201 (6M 863.8886 - FAX (619) 863.7072 Ao0- pnnfrd Yn rtgelyd pYprr_� LICENSED CONTRACTOR DECLARATION 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 116410 g 931199 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). ( ) % 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. ZlsN1`IH INSITRANCE 2042M,2503 (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 propertyrtfor inspection purposes. �• Signature (Owner/Agent) J / d r Date �A /> BUILDING PERMIT DATE 8% 6/9*g VALUATION S.M LOT PERMIT # TRACT 1777 36,3 JOB SITE ADDRESS 79-820 i�Etl�ff.�iGTON 33� IVE APN 761.4)70-007 OWNER CONTRACTOR / DESIGNER / ENGINEER I.AQ[AM A GOLTr'PROPCIVIC S T1_ RPIN UYNS-tR(I(MON CO. I QUARRY LN 78-120 CALL1:.VS'T'e�DO 1/206 I..A QUIN i'A. CA, 92253 LA. QUINTA. CA 92253 (76(})777-7611 MN 3751 USE OF PERMIT SiJPPLaC i iLL C;ONDHITC-34 TO PERMIT 69807-044 A 3 CAR GARAGE SHALL.13F PROVIUI ) F'RIR4 1! TO FINAL INSPEC110N IF SPECIFIC PLAN "-01 IS NOT AT'JnM11) BY C12'Y. ESTINUXED COST Or, CONSTRI1,1CM ON 0.00 SUM -4K) AL Cc_-)NN1'Ik1X' P0N ANT) PLAN CHE0-C � 10 00 LESS PREI-l'MD flit S VIM, RECEIPT I DATE I BY I DATE FINALED J 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 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 l r Final Urtitrty Notice (Perm)