0008-334 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
> F— Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
wProfessionals Code, and my License is in full force and effect.
0 M License # Lic. Class Exp. Date
UJ
�74691 l 1f2c
oZ r— Date Signature of .Contractor
O
r- U C) OWNER -BUILDER DECLARATION
WW I hereby affirm under penalty of perjury that I am exempt from the Contractor's
U) 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). �
� O I am exempt'un ler�ecti "`"��•~ B&P.C. for this reason
N Date ' ;' — .Signature of Owner
ON
rn
z
WORKER'S COMPENSATION DECLARATION
O cc I hereby affirm under penalty of perjury one of the following declarations:
O () 1 have and will maintain a certificate of consent to self -insure for workers'
X W LL compensation, as provided for by Section 3700 of the Labor Code, for.the
OJ Q performance of the work for which this permit is issued.
m Q I) ( I have and will maintain workers' compensation insurance, as required by
O U Q Section 3700 of the Labor Code, for the performance of the work for which this
LO
F- permit is issued. My workers' compensation insurance carrier & policy no. are:
Z Carrier Policy No.
co Z) ar3'.7 fF FUND i1 9-0tI 40 Ct914
0
VJ (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 370% hof the Labor
3 Code, I shall forthwith comply with those pfovisions.L. 1 • - "'
Date: Applicant//`
� y /
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 ata
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 repre entatives1of this City to enter upon
the above-mentioned property for inspe�ctio , purpos
Signature (Owner/Agent) Date 1
BUILDING PERMIT PERMIT#
DATE VALUATION LOTE100£3-X34 TRACT
JOB SITE
ADDRESS
FAP
Dn 43ATO DV"
77(�- 30-027
OWNER
CONTRACTOR / DESIGNER / ENGINEER
ia.Ai.LANOWN..
SUN V.l i'rADEVEWPMI�`�TCC?iF�f�.
77711UI TJFBY 'f CA 92260 s
(760>n24626. CI3W $393
USE OF PERMIT
MCILE:I:AIMS`"1JZ" L112140
ui+St IaI i:l>�3ii IlC)PS1U'I' fi?�Ci,Jn 8; 0f:.'Ai,I i'Af�1JJ3fa�RL1A£`Pi
DRTOWAYCOMPLJANCE WITH ALL MEDUAL &01ATF LAWS, INCyt.,UD.TT! o
CUSTOM CONSl! RUC°'1101.4 OF
PORC.WPACIO "1 .00 SF'
OARAOR 995.00 ;3F'
..,g^�rq�IFIy1��"at'6At�iaAEW S.~O�i"I. or, C0N.1rhx1C`ri0r4
37'8,0ff1�4) '
q�y� p�'}+•p y��;y'
Z�,(.v6YX0A 1V 1LsRL L'Y7�5'R.6Y.{17I.{d7�A!+ 1.
1
CONSTRUCTION 110%, 103 a000oI11€ .-M $1,o14.90
PLAN CHWIIr', FEE 101-:000-439-318
FFZDEP03I " -$1,009,40
IiRI�C.tiA3+IfCELLtj'�';� .1'07�t1�-�;�5-Aflt} $4s!'i.fit?
ELECTRICAL FEE ]Ci3 OfiCi*4tUa40E3 $242,41
�
PI~UMBINO FEE lot -000-419-000 On71
WRONG MOTION PRE - RNID 101-000441-000 S"6180
MADRID PER. 101-000-421.000 $20.00
DF,`4f'I1'.L-01'aft IMPACT FES.1 $1,007.00
ART IN PUSI.I.t:. PI,.t'►CGES-1ZESIE 701-000-235-000 $446.10
'
;�E. S-'1X'Xli&CO,�J�'[RUC,110H AND PLAN MWWK
$5,<I4179
1M3 P.RE Lc.AM,P
4131000100
1,,(Y AI:,YrAlMfl*'. KEN DOX IVI:?W
VM7,79
A.
J,'� ! .31 2a l
.
1
RECEIP
DALE �,`
BYDATE
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
• o t
Exhaust Fans
O.K to Wrap
i c9t
F.A.U.
Framing
&. L 61 S:
Compressor
Insulation
_ Z
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
_
- -
Drywall - Int. Lath
— 2-0 c14 s7'
�4.
i�iQ'
i757
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Hacks
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
- Q/
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
fr
Utility Notice (Perm)U2ezar4i�
I I
..,,..�,�e,,,---�„--;W.�-� :,,.,r, ..,A,r _.:,,,_v+.,1.a:...;r�,i;.•a,fy'n....%-�.,.:..:•�r4,i,�i. -}t .�'c. "c., r. y,-t.,rk,,.. •-�'.�j,a7•-,r�,r,.,,t
�c VIA-,-- 3 Y
�IGGI'I�Iii(/
P.O. BOX 1504
APPLICATION ONLY
Building
p /CALLTAMPICO
Address LA QUINTA, CALIFORNIA
92253
.y / /a ly
Address
`A
BUILDING: TYPE'CONST. OCC. GRP.
.cit i A.P. Number
Legal Description_
�{ Project Description
8 Classif. y0cy / Fc'#o
Arch., Engr.,j s 1Tr Ut' A
Designer �i:)
(/erg I`�/�--So I���l# ,5y/9�I
LICENSED CONTRACTOR'S DECLARATION
1 her affirm that yam Icensed under Prov, sons of Chapter 9 (commencii
ef000)t f DivistP ihe1usjPss`and PrgfesLsi s Code, and my Ii p � is
It / OWNER-BUILDEP DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a
permit to construct, after, 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 (8500).
!: 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, 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 safe. 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: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
r such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
TJ I am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
? . I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worke/r's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company r
Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars ($100) valuation
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.
Date Owner
NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
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.)
Lender's Name
Lender's Address
- 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.
1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter O Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT '
Plan Chk.:Dep. '° 1 rY-r rc,
Plan Chk. Bal., j t --
Const. .0
-Const..5 0",
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Eno, m" N
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line�� --
Side Setback from Property Line,
OL,
11 ,7
FINAL DATE t INSPECTOR
Issued by: Date rP'ermltg� �
Validated by:--
Validation:
y: Validation: J
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
WI
W
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
Date 1/31/01
No. 21611
Owner NameMr. Al Lampesti
CERTIFICATE OF COMPLIANCE
APN # 773-330-027
Jurisdiction La Quinta
Permit #
No, 53-090 Street Del Gato Drive Log #
City La Quinta zip 92253 Study Area
Tract # Lot # Square Footage 4486
Type of Development Single Family Residence
Comments
No. of Units 1
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
2.05 X 4,486 or $ 9,196.30 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 - Union Bank of California - Rob Capetz Tele hone
Name on the check
k
By Dr. Doris Wilson
Superintendent 4
Fee collected /exempted by Annette Barlow Payment Received $9,196.30
j� _ &%r Check No. 7241577
Signature (,
NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) 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 from 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
:,ollect them on the Distrlct('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
Received
-02 17:96pm from CCITT G3 Sun Vista Dev. Corp. page 3
S-10-20300 11:33AM FROM P.3
Order NO- 2130869 O ?8
Escrow No,P8635
Loan No. DK
WHEN RECORDED MAIL TO:
Albert C. Lamperti
Judith E. Lamperti
NIHIL. TAX STATEMENTS T0: Space above this line for Recorder's Use
DOCUMENTARY TRANSFER TAX S V6 7, S7D
_Computed on the consideration or value of property
conveyed; OR
SA,NM AS ABOVE ,Computed on the consideration or value less liens or
encumbrances remaining at ti=c of sale
FIRST AMERICAN TITLE
$U801VlSION DEPT, the t!»,detsiantd_Orantoc
Signature of Declarant or Agent dctemliA rrg tax -Firm Name
ti AP ?70-;-04
S GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which ii hereby acknowledged,
n'1 TRADITION CLUB ASSOCL0.TES I.LC., a Delaware limited liability eompany
hereby GRANTS) to Albert C. Lamperti, and Judith E. Lampart:4 husband and wife as
Commuoity Property
the real property in the City of La Quinta
County of Riverside State of California. described ag
Lot Tract 28367 xhibit "A" Attached Hereto)
Dated: Decetnber 28, 1999
State of California )
� ss.
Co�tgy' ofs��ldaS�t/
O�.b".A—� —�f-t •.$- TODD �-- before me,
personally appeared2:7gVjd " char m
personally known to me ( ithetaly
-e+�)to be eke persoaW whose AALne* Wem subscribed to the
within instrument and aeimowledged to me that he/eh&4* executed the
same in hisRserliisok authorized capaciry(iw�, and that by his it
sigaararc(e) on the instrument the persoo(e) or the entity upon behalf of
which the person acted, executed the instrurrtent.
WITNESS MY HAND AND OFFICIAL S AL
Sipantr
TRADITI N L ASS , LLC.,
a Delaw e d tiabbil' a any
ITS: FFMCUTIVE VICE, ARrctncNT
CHRISPHA J. DORES
1127439 j I lllfll Ilflll Nllfl Illi If II Illlll IIIA NI Illll fflf fill of 3
Notary i'ubac - cOHlarft 2889-617196
Riverside County 8titt/t6at at;=80Fr
i1+ly Ca►rvrr, brpira Feb2Q �?t
(This area for official notarial seal)
Received
5-02 17:96pm from 760 564 2356 -4 Sun Vista Dev. Corp.
DEC -28-2000 16130 TRADITION GOLF CLUB
Tradition
ARCHITECTURAL DBSION RavIEW
December 28, 2000
W. Rob Capetz
SUN VISTA DEVELOPMENT
Post Office Box 1144
La Quinta, CA 92253
page 1
760 564 2356 P.01/01
Pia First Clasp Mail
Re; L=perti Residence, Lot 63, Tract 28867, 53-090 Dei Gato Drive
Construction Documents — Conditions Review
Dear Rob,
The ARRC of Tradition Golf Club met on December 6, 2000 and reviewed the above
referenced submittal. These plans are approved as submitted subject to providing an off set
footing on the property line wall detail.
If you have any questions or need additional information, please do not hesitate to call.
Sincerely,
107
Christina J. Dores
Architectural Review Coordinator
pc: Mr. Al Lamperti (via first class mail)
-,acna n, r, Av W] M 57. — I A chmarA — CA 92153.1120 -- PwNe 760/564.3355 -- FAX 760/564.2356
TOTAL P.01
10/31/2001. 23:34 kAA Vi U+047+tl5tv
Eme'rald, Roofing Inc.
83-600 -Peach Stfta-
Indio, 'CA 922 ' 01
(760) 347-9869
April 27: 2Qpl-
Sun X"Ista Developmeill
Box 1144
U, Otiinta, CA 92253
Ta Whom It Niky Concern:
leas %4n'�*
rrumd(i Rooiing as istalled 0
u
L.100 Plan4 Address # Of Vents
63 OwDel G�alo 30
lE 1
94o'hllyo,
iiii R, Jones
President
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 &WRUCT. STEEL ASSEMBLY O S46 (P
O POST TENSIONED CONCRETE ❑ ASPHALT OTHER f������
❑ REINFORCED MASONRY O FIRE PROOFING t/V
F
JOB LOCATION O �T^�� '� O n �� `w
"r,�lJ/� °C
REPORT SEQUENCE NO.
TYP S�UCTURE� t v�/f®
PERMIT NO.
D O(
=11
DAY Of WEEK
MATERIAL DESCRIPTION ^
ARCHITECT
I SIS PF[TOR
HRS. CHARGED
G
V tQ �e D � �/� Y'P� �.e
ENGINEER
ASSISTANTS
HRS. CHARGED
INSPECTION GENERAL "So L) LS �N UB
DATE CONTRACTO v �(�s
PAW
Lj ¢.��� : S
S S-(niA_5
COPY SENT TO CLIENT O
C TINUED ON NEXT PAGE O
PAGE OF
z 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.
aySIGNATURE OF REGISTE D INSPECTOR
-AS'-C' 6 (aq �J
L. DATE bF REPORT REGISTER NUMBER
FROM : SUHMIT STRUCTURAL ENGINEERS PHONE trj, '909 596 5187 Jun. ?001 09;1QAM P2
.;, Summit. Structural En ineenng
2283 Fitt►'. St'ee,
La Verne, CA 91750
(909)596-0842
Jury 12, 2001 Fax (909) 596-5187
Sun Vista Development, Inc.
P.O. BOX 1144
La Quinta, CA 92253
Attn: Rob Capetz
Subject: Structural Observation
Lot 63, Tradition 5'3_ p�'Des/ GsQ-Zo
La Quinta, CA
Dear Mr. Capetz,
In accordance with your superintendent John's'"= request, uve performed a
structural observation for the subject house on June .11, 2001: ,. The house was
walked with the framer for compliance with the structural plans and calculations,
The framing looked .good, with only a few omissions and deviations from the
pians. These omissions/deviations were noted (redlined) on a reduced 'foof
framing plan and a copy was give to the framer.
The items were installed while we were at the job -site, and at that time we found
the structure to be in general compliance with the structural design concept.
If you have any questions. please givel-me a tali.
Yours truly,
SUMMIT STRUCTURAL ENGINEERING-
No. COB419.:4
Exp. 42131103
Benjamin Herbst, P.E, a
SH 9AMy D=uments\2000jobfileskSv-136\136_fieldl(coR).doc
Residential, Commercial. Industrial. Land Development
U
Certificate of Occupancy
City of La Quinta
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS:
Use Classification: SFD
Occupancy Group: R 3
53-090 DEL GATO DRIVE
Bldg. Permit No.: 0008-334
Type of Construction: VN Land Use Zone: RL
Owner of Building: MR. AL LAMPESTI
Building Official
Address: 1241 ANDERSON DRIVE
City: SAN RAFAEL, CA 94901
By: STEVE TRAXEL
Date: 11-07-01
POST IN A CONSPICUOUS PLACE