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0302-092 (SFD)k LICENSED CONTRACTOR DECLARATION f 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 911.3121 b .f'LfC 03131/2C 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 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 Fell}T Policy No. 4 (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, f shall forthwith comply with those provisions. Date: Applicant Warnings 1Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in additiono 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 BUILDING PERMIT PERMITk ' 0302-092DATE ^� _. VALUATION pp ¢slt LOT . TRACT JOB SITE ADDRESS S2-7CO DI L �%+�'1'Ci Y%Q1�,Yi' f APN 7 ryAF:�3U ���.6 OWNER CONTRACTOR / DESIGNER / EN (NEER �t CC)NMA DA DEET, 15M8034 C C+11TST'1�T�C`.`f'tOid 44•€1501 ASPAla. lS,i�M ( 77.622 C_OUAITRYC. TUBM,#aM" PALM DESERT � CA '92260 PALIA;DESERT CA, 9 211 { ('760)345.5154 CBL6 5285 USE OF PERMIT `* ' 5694 S.F. SPI) - LOY152 PE' MIT DOES NOT INCi UOK BLOCK WALLS,' POOI OPA OR.ORVE-Vd'A, t ,A.PP-;IO lCH C"CJ`OTOhR •CON"TRUC T ION 'U300 SF PORM-UPATIO 896.00 S:? t3ARAC➢iWr' RPORT 914,00 SF EFITMA-rnp Con O -W CaNsTummon 472,481,80 PKv�' 117Y' SU ITEdsARY CONSTRUE;" 1014 FE..C• 1Q1-tl(1I1-4xs3-�lg6► t,f A ,aQ PLAN CH140 FFIR la1 DLIa x'39-318 $I,5�.14% . FEE DEPOSIT 101-000-43912318 -51,900.00 MECHANICAL FL'E 101-000-421.-000 M100 ' T;i./EL`•1'iI;CC'-l�2, FM '101 »000420.000 S Rs,"e;4 PLUMBING PEP, 101.-0©0°-4l 9-000 $021.:56- ; S:iRt, NO MOTIOW Yl?I_? - USID 101-6,00-241-000 GRADING FE • , 1,01,-000-423-000 $15.00 DKV ELOPER. IMPACT kl%, 52�0:i,00 PTii?C'•dSlr Pt<,�.ra � Z ii i •*�?0i�•� 1 �3d5 .ti 1 tO.Ot} • ART .DI PUSUC PLAC F.9 • P"TL 270'•ON-445-0100 $091.20 SLIP. -TOTAL. c ONSi 'i'RCi=OH ANX.N PL AM CBECK, $7,4.55.03 Tl1 �t0 k'fil:-PAI,i�ZKTs"S 41,0E10.0t1 _ : l pErI :1.1s.: ' 6 :SUE HOS= %;4V5.W DEC 15.1003 REC PT LA I Y Un &RLQUINTA FINA E°DEPT�> , , 1 BY �1/ /�. DATE FINALED L; w' INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs G Underground Ducts Forms & Footings Ducts Slab Grade -41 Return Air Steel V 1,Combustion Air , Roof Deck — Exhaust Fans O.K. to Wrap /' F.A.U. Framing (Q� 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 o POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover -Equipment Location Underground Electric Underground Pibg. 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: Rte/ �%q c, % 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) el { �I I APR 09 2002 16:41 FR FIRST AMERICAN RIU 909 784 6750 TO 17607764099 P.04/06 WV YYL TANwI�TWPI NYQGIPII,pµfllTt61Ms1 O,d11N Tradition Club Assoc. 78.505 Old Ave. 52 La Quinta, CA 92253 (No fee, Ooiarnmeet Codd 6103 MAL TAX STA7DOWS TO Tradition Club Assoc. 78.505 Old Ave. 52 La Quinta, CA 92253 DOC a 2001-630850 12112fZat ":ttiM. Re0:32." dap t of II Reeerdd in Offlelal Ilfefrda County of RlverfiN Gary L. Graf Afafft+fr, County Clerk i 111"Order I APN -"n - 33o • o2o lf6d,:AGRANT DEED 'PZA D2o • OI LP I DOCUMENTARY TRANSFER TAX is S h? 13 computed on tall value 6f property conveyed, or �` 7 computed on full value less value of liens or encumbrances remaining at time of sale. CZ / C� unincorporated area 9City of La Quinta, AND A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, NAME Tradition Club Assoe/atM LLC, a Delaware Limited Liability Company GRANT(s) to NAME Tradition Cin>s Associates. 41C, a Delaware Limited Liability C y the following described real property in the County of Riverside, State of Califo That portion of land in Lot 123, Tract 28867 as recorded on lut8 276 at Page b9 ugh T$, re overiayed by the reconfigured shape of Lot 52, said Tract 28867, LL 00! - �/ reconfigured lot is described in Exhibits •'C" and "C- I ^,attached beret taa a part 9r• NOTE; This grant deed perfects the intent of Lot Line Adj» stotettt, 00f IAW 84'PrOW by to Dated `---e bra t r z ,�� el STATE OF CALIF COUNTY OF _ . / 1ler,6/G% before me, the Wers4W. a Na4ry Public, in and for slid State, person* apm-d David OUPowl arpmWalty l umn to me b be dtt person whpse odad to nme is atbaaibed m thin imttument,�nq,ackna�v4 I meftwli z10"' executeda Tradition Club Associates 5 ,side County, which is City of La Quintal. The order: -00039424 Descriptton: 2001.630850 Page 1 of 3 Ctamrnetst, ■N■ ��011MENEI�' �rnr�immmlmma" I APN -"n - 33o • o2o lf6d,:AGRANT DEED 'PZA D2o • OI LP I DOCUMENTARY TRANSFER TAX is S h? 13 computed on tall value 6f property conveyed, or �` 7 computed on full value less value of liens or encumbrances remaining at time of sale. CZ / C� unincorporated area 9City of La Quinta, AND A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, NAME Tradition Club Assoe/atM LLC, a Delaware Limited Liability Company GRANT(s) to NAME Tradition Cin>s Associates. 41C, a Delaware Limited Liability C y the following described real property in the County of Riverside, State of Califo That portion of land in Lot 123, Tract 28867 as recorded on lut8 276 at Page b9 ugh T$, re overiayed by the reconfigured shape of Lot 52, said Tract 28867, LL 00! - �/ reconfigured lot is described in Exhibits •'C" and "C- I ^,attached beret taa a part 9r• NOTE; This grant deed perfects the intent of Lot Line Adj» stotettt, 00f IAW 84'PrOW by to Dated `---e bra t r z ,�� el STATE OF CALIF COUNTY OF _ . / 1ler,6/G% before me, the Wers4W. a Na4ry Public, in and for slid State, person* apm-d David OUPowl arpmWalty l umn to me b be dtt person whpse odad to nme is atbaaibed m thin imttument,�nq,ackna�v4 I meftwli z10"' executeda Tradition Club Associates 5 ,side County, which is City of La Quintal. The order: -00039424 Descriptton: 2001.630850 Page 1 of 3 Ctamrnetst, APR 09 2002 16:42 FR FIRST AMERICAN RIV 909 784 6750 TO 17607764098 P.05/06 EXHIBIT "G" LOT LINE ADJUSTMENT 2001-356 ADJUSTED PARCEL C LOT 52 OF TRACT 28867 AS SHOWN IN MAP BOOK 276, PAGES 69 THROUGH 78, INCLUSIVE, RECORDS OF RIVERSIDE COUNTY, STATE OF CALIFORNIA, IN THE CITY OF LA QUINTA, TOGETHER WITH THAT PORTION OF LOT 123 OF SAID TRACT 28867 MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHEASTERLY CORNER OF SAID LOT 52, THENCE ALONG THE EASTERLY LINE OF SAID LOT 52 SOUTH 0604723" WEST A DISTANCE OF 100.62 FEET TO THE SOUTHEASTERLY CORNER OF SAID LOT 52; THENCE ALONG AN EASTERLY PROLONGATION OF THE SOUTHERLY LINE OF SAID LOT 52 SOUTH 89034'38" EAST A DISTANCE OF 15.52 FEET; THENCE NORTH 06007'25" EAST A DISTANCE OF 100.50 FEET TO A POINT ON THE EASTERLY PROLONGATION OF THE NORTHERLY LINE OF SAID LOT 52; THENCE ALONG SAID PROLONGATION OF THE NORTHERLY LINE OF SAID LOT 52 NORTH 89°34'38" WEST A DISTANCE OF 14.35 FEET TO THE POINT OF BEGINNING. ADJUSTED PARCEL CONTAINS 19,280 SQUARE FEET, MORE OR LESS. THE ABOVE DESCRIPTION BEING SHOWN ON THE ATTACHED EXHIBIT "B" AND HEREBY BEING MADE A PART HEREOF, mo KE(, No. 6687 u��� 1lalllial�� lIUII 1�1 111. a 9A638958�� , rp,. 06/M/04 orf OF CA1.�4� PRE E U DER SUPERVISION OF ember 12- Z00J DALE HE DATE 0:%40702%407020071SURVEYILLA-52.doc TME KEITH COMPANIES - PALM DESERT KII 0 40702.00.007 760-348-9844 7W346-8368 order: -00039424 DescrtPClon: 2001.630850 Page 2 of 3 Comment: - ` t APR 09 2002 16:42 FR FIRST AMERICAN RIV 909 784 6750 TO 17607764098 VIII ILII AIN 1�1�1�111111� Ill��l! ISI 111 IIS 12" 3��68 eea LOT 51 TR 28867 M8 276/69-78 LOT 53 TR 28867 M8 276/69'-78 P.C.B. P. 06/06 PARCEL H LOT 123 TR 28867 M8 276/69-78 P.I.Q. C SCALE 1"=40' 0 20 40 80 120 %OT LINE ADAMTKW 2001-356 PREPARED UNDER THE SUPERNSION OF:,� FANO c.._ The Keith Companies =MC 7 11,!1xt11ZV71�;' 41-80 8*WWt, $Vie to), Aft 0"ort G 62?r1 (760) 346-9644 DAIE'XEL EHER DATE: 1S'6687 EXP. 6-30-04 Orders -00039424 Deecrtptlon: 2001.630950 Page 3 of 3 Co meat: No. 6687 cm. 06/30/04 ** TOTAL PAGE.06 ** PARCEL C LOT 52 TR 28867 MB 276/69-78 17,786,6 SF BEFORE b=Or3TS5' 1,4914 SF ADDED 19,280.0 SF ADJUSTED Rw481.50' 1=13.71' T- 6.851 LOT 53 TR 28867 M8 276/69'-78 P.C.B. P. 06/06 PARCEL H LOT 123 TR 28867 M8 276/69-78 P.I.Q. C SCALE 1"=40' 0 20 40 80 120 %OT LINE ADAMTKW 2001-356 PREPARED UNDER THE SUPERNSION OF:,� FANO c.._ The Keith Companies =MC 7 11,!1xt11ZV71�;' 41-80 8*WWt, $Vie to), Aft 0"ort G 62?r1 (760) 346-9644 DAIE'XEL EHER DATE: 1S'6687 EXP. 6-30-04 Orders -00039424 Deecrtptlon: 2001.630950 Page 3 of 3 Co meat: No. 6687 cm. 06/30/04 ** TOTAL PAGE.06 ** 11 CITY OF LA QUINTA SUB -CONTRACTOR LIST f JOB ADDRESS J'2–'7C0/ISL 4� � PERMIT NUMBER OWNER &/L*i✓V A/L-0,PiYWr BUILDER �-'4� %Cl�,t1r15&C1I0<.% This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade / Classification Contractor State.Contractor's License Wokecs Coinpensation:.lnsurance..:: City: Business License Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g'. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) Ku fr��+� 1.�- �i`/ - l 2 S'�Zlit'o9 �D/OV STA-�c m1] in S�� II14-7)0 ' 01/-10 lql 8 I CONCRETE (C-8).sr O�i�-oo�q y4 A FRAMING (C-5) ,7'if� ; f¢� (j tD� 2%5 i �) �0 ` f 0 11 1 / / caby i STRUCT. STEEL (C-51) l�%f`77 S J7 n_ �'- S% 7-%�q' 8/3► Q4 'Sm rTC jr--D 1S'?1��5� %IZZ�ay DO Ze.3 S�lra o MASONRY (C-29) i RV TjIXU J - MA50NTL C- 2_-I 3S533Z ��2 iO$' �` " ?.ld�i �rQ ` �O®3 3�DIIOLi 04,8q-7 OSI PLUM.BING (C-36) .. 1"40,f: -s,; ��LLcn�/�/n/(� 0-33 7759504 61 -F0wW40 rr_^Pw x.4-3 WY -i4 10-7 9 moo- 3 /009 10� 42'S 10 7. 10Y LATH;. PLASTER. (C-351 IY1,h21 f/••1• LAO' �V ku.e 44-tr�.e s!' -9 - �J -72-0 �(30 4 �`Nrt'T�c. �n.1D A 1 - 0C33 woos 4L01 D_ T � �Z 31103 1 DRYWALL (C-9) rr �! �/� r< .• it E HVAC(C-201 1 15,A U0J> CCx;03 3rt?l� 7 1py d ELECTRICAL (C-10) Z)a� G Etc c C– 10 333311 7/:;1/04 ROOFING (C=39)AL ^J7� �3�4 -7 -7/34S-T�'t l"wst3 2g� 6tS0�q�a j�Ql (b 9 J101O S�Zo 0y SHEET METAL (C-43) 1/4LLr.1N40Tm&7f t_ C-45 S46Z4 3-13105' 1,5.7&' 1 3 -63 /U1 %b 0�r� J 6&&Io i (C-15) GLAZING (C-17) 1-7 r� b 7 3Q lG 11 /0_.;, S'TYfj-t'+; r",w I &.s 29 1 -013 1.401'0 00,33?" L1140q b 11FLOORING INSULATION (C -2)2L38 IZS" -- Zr\ La3 :I pKbetii �'�� �L1Q12�`s'�O�S�O= 6'bblav L 311& Cly SEWAGt'DISP..tC-42) �%g j'11 ;- PAINTING (0-33) .. �/ 40Wcl,! ' 33 �' b�?d�' �2,1Al) ` CERAMIC TILE (C-54) �!i/1 �Ll - l:L r� __5 "79{�3�• Z CABINETS (C`6): 31311 24 4 I, qv 533i y o7%� q140 FENCING (C=131.. (= V �I j(UN ,f�ASONK LANDSCAPING (.0-27) -De.4,J, :i L,4,J6 gC.F�� i f �o3.� 49 l� i �' � � ✓ = ilst v'�.p ' `�/ ql. fe y POOL( C-531 ... �r87-s"' l /CC'JL.� z~-iJ .��g�7{9u I2%3!tai SiY�� t���b ; `1��7Qq�� {i:;it`f ���� 1 a Mc GEE _SURVEYING, INC. 79-301 Country Club Dr., Ste. 102 — Bermuda Dunes, CA 92201 Phone (760) 345-3828 — Fax (760) 772-5705 January 15, 2004 City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 'AL Re: Pad Certification — Pcl "C", LLA 2001-356 Pursuant to your request a field survey was conducted on the above referenced project to determine the vertical location of the building pad. The above mentioned was found as follows: PCL ADDRESS PAD (DES) PAD (FIELD) 52-760 Del Gato Dr. 84.0' 84.0' Sincerr,ly, Wayne A. McGee L.S. 5479 ` r ,i aMco�N LS 5479 REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED PERFORMED ❑ REINFORCED CONCRETE TRUCT. STEEL ASSEMBLY ❑ Is / ❑ POST TENSIONED CONCRETE ❑ ASPHALT MOTHER uuyLOA ❑ REINFORCED MASONRY ❑ FIRE PROOFING / JOB LOCATION _ / 60 eL /� _ -0 bn LA U` Lir._- REPORT SEQUENCE NO. TYP F T CTURE �'-JM•�T .� gV� A� ^^^ •`^ i�-�flV PERM�ITT NO. D �^ DAY OF WEEK MATERIAL DESCRIPTION 04 ARCHITECT 1 S HRS.CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION GENERAL'' ,• ,,�l SUB DATE 'CONTRACTOR Kms\' l.�W CONTRACTOR rP ..S i A' I ft3'` Lei" L'4 t5L, L.S 2�4+y TCtfEC,�a2iC �! c �� 0 a a� Ib�L G t N- y &(A- vz4e 00 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 MJ KNOWLEDGE ALLOF 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. :: �: D �10 I - SI N TURF OF REGISTERED IN CTOR DATE OF REPORT REGISTER NUMBER ME SE1102111=1 m milummOmm NMI �0101E notammumm NMI ummmmullmr-Alml El =mlmmmlvm==I=l�mWN illmomilmmmima Elm mmimmmommm"111011 Elm mommmmlimmmIml Elm El Immmmmosamrmams Elm mommoommmims mm mommmillmIlEmIlISIN Elm mammmimimmmillElUllEmm mm MEMEMMIMI Elm mammmmmmmama ommmmmmmiml m mmmomommillEl m ilralt-4 LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of CO Chapter 9 (commencing with Section 7000) of Division 3 of the Business and c4 co Professionals Code, and my License is in full force and effect. M License # Lie. Class Exp. Date LU 818121 B HIC 03/31/2( oZ r— Date Signature of Contractor CD 0- "� J U 0 OWNER -BUILDER DECLARATION WW I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: Z( ) 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). c'`) () I am exempt under Section B&P.C. for this reason N Date Signature of Owner OC Z WORKER'S COMPENSATION DECLARATION CL 2. 1 hereby affirm under penalty of perjury one of the following declarations: 0 () 1 have and will maintain a certificate of consent to self -insure for workers' K W �= compensation, as provided for by Section 3700 of the Labor Code, for the O � QJ performance of the work for which this permit is issued. Q U ( ) I have and will maintain workers' compensation insurance, as required by j U Q Section 3700 of the Labor Code, for the performance of the work for which this 1: U -))H permit is issued. My workers' compensation insurance carrier & policy no. are: ZCance EXEMPT Policy No. co 5- r` O g (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 3 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 BUILDING PERMIT PERMr# 0302 92 DATE VALUATION $472,481.80 LOT I� TRACTJOB SITE ADDRESS 52-760 DEL GATO DRIVE APN ' 770-330-01116 OWNER CONTRACTOR / DESIGNER / EN (NEER CONMANDADEV HUDSON CONSTRUCTION 44-850 LAS PALMAS AVE. 77-622 COUNTRY CLUB DR W PALM DESERT CA 92260 PALM DESERT CA 92211 (760)345.5154 CBL4 5285 USE OF PERMIT SINGLE FAMILY DWELLING 5684 S.F. SFD - LOT.52 PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH CUSTOM CONSTRUCTION 5,684,00 SF PORCHIPATIO 886.00 SF GARAGE(CARPORT 914.00 SF ESTMATED COST OF CONSTRUCTION 472,481.80 PERNIIT FTS SUbD4ARY CONSTRUCTION FEE 101.000-418.000 $1,945,00 PLAN CHECK FEE 101-000-439-318 $1,564.86 FEE DEPOSIT 101.000-439.318 -51,000:00 MECHANICAL FEE 101-000-421-000 $183.00 ELECTRICAL FEE 101.000.420.000 $292,22 - PLUMBINO FEE 101-000-419-000 $221.50 STRONG MOTION FEE - RESID 101.000.241.000 $47.25 ORADING FEE 101-000-423-000 $15.00 DEVELOPER IMPACT FEE $2,405.00 PRECISE PLAN 101-000-441-345 $100.00 ART IN PUBLIC PLACES - RESIL 270.000-445-000 $681.20 SUB -TOTAL CONSTRUCTION AND PLAN CHECK $7,455.03 ' LESS PRE -PAID FEES -$1,000.00 TOTAL PERiV11T FEES DUE NOW $6,455.03 RECEIPT DATE By DATE FINALED INSPECTOR ,SPECIAL INSPECTION o REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE O UCT. STEEL ASSEMBLY O POST TENSIONED CONCRETE O ASPHALTLQ„0'THER O REINFORCED MASONRY O FIRE PROOFING ❑ 1 /�� JOB LOCATION_5C) J ���Ar / A G—t V ' `� i A REPORT SEOUENCE NO. TVP UCTURE //_ yy��_ li(J L �� PERMIT NO. DATE 51 0 DAY OF WEEK MATERIAL DESCRIPTION '� ARCHITECT IN��. HAS. CHARGED n C IT- F'G^ ENGINEER OL) v. ASSISTANTS MRS. CHARGED INSPECTION DATE GENERALlU �s Gd N CONTRACTOR J S� SUB CONTRACTOR a a &9S ua� Li e( -k-> IN ��14w2, ASS LL) Iz (C,10 L. -A �y-1 J - C, io w�. u- (R-uJ(f,. �u2 cpps �e� A�S'L�W`Q L��� O►��S''— � c 1f� U �� LLj. e�9L t e- , o �iS COPY SENT TO CLIENT O CONT)XQT 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. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. IGNATURE OF REGISTERED I rpy TOR DATE OF REPORT REGISTER NUMBER Wildcat Ur„ Palm Ucscrt, April 27, 2004 NG S1iRVICES 11 (7(0)360-5770 (760)360-5719 Tom 'Hartung Building Oficial City of La Quinta rod �� L 6 ;4r o Re. Conmanda Residence- Lot l Gato Dr., La. Ouinta, CA Dear Tom, We have performed structural observation with regards to the fi-aming for the above referenced project and find it to be in general conformance with the approved structural plans, however there were some items that needed to be addressed: • Need to provide''/" diameter bolt in scarf -cut beam R33, located at the master bedroom. • Need to provide ST6224 strap or MST48 strap at angled exterior wall located at the master bedroom_ This structural observation does not relieve the City in any way from performing their standard structural inspections nor is it in lieu of any code required special inspections. The structural observation performed should not be construed as a detailed structural inspection but as a structural observation for general conformance as per CBC 1702,220, If you have any questions please call. Sincerely, Jeffrey B. Young S.E. Z0 39dd 3S 9NId33NIDN3 9Nn0A 6TL909609L Z£:0Z b00Z/LZ/b0