9903-218 (SFD)F14
LL
o�(Y)
' w�
6rl-
Zr�
Zo0o
I— CID
J
~a
U)
Z
C0
LO
N
ON
U °'
Q
Lo Qtr
O
Q J J
M <
O
d M
I'* Z_
ao 5
�p
Q
J
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.
Lice se # Lic. Class Exp. Date
7
iy39 43 i- ( i� f1��i3{kr� ie
ate 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.
(�) 1 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 qq ��tt-«!p4, ssrr�� )) A7 5r� t Policy No. ry /spy
U`t CAI1.L1ND0.1 V l` A E. ¢ 'L ��i,.",�1➢ t w�J
(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 coot employ any person in any manner so as to become subjectto the
work rs' compensation laws of California, and agree thdt if I should become
su ect to the workers' compensation provisions`of[Sectlon 3700 of the Labor
C6de„I shall comply with.�hose'pr� ions
i . • �•
f6ate: `l ' 2 <�.) Applicant (.
i
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 asprovided 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, ands tate laws relating to the building
construucti6h, and hereby authorize representatives of this City to enter upon
the above-mentioned property for insPectioh purposes.
uSignature (Owner/Agent) �'t' Date J
PERMIT #
BUILDING PERMIT
_
��T
DATE Y#ddb{� VALUATION 1LOT 4,4 TRACTJOB
SITE
ADDRESS 1 5X120 1i)JEL CATO PRI VE
APN 769-180-020
OWNER
CONTRACTOR/DESIGNER/ENGINEER
T'rirV! .11)'7T�1>
)
i"AA-li CA !I,:t'*260
USE OF PERMIT
?1TNJ'f3 LAW3, AN(ILIJUINO 7IHS 4:N )a►NKIER13l) Sb4fF.iC IES i CT 073 (16
��.1�'jw///lelJ77.�'1'!.�A'(�.�y�..9�Ek4i.•t'! �iZ4.�-!� F�S�J�V i a.l.�',.1.+t8 �l1}r�'`'
. TIST.4..NIA 4 r..41 `i.(A., Tote 6,:0 WNA 6LAt'@..\.)M/i'4
�.'�t03,1l t;.�xe)
3.eEi NE" r, FT SdMAIAI '9;
+'�'t')NS'!'lCo;l4.�1�;��'.F'k:33 t0:1•�1tit�41i4�4J43 $1,:5.+3.:;c)
i;°
�'.NOFTfJ"[,,;, �"i+`�' tl')i.•v'�t7fS-• 4?9-;i"!R 'v,(gif!�51/3�y5.�±
yW,
l•.A.ew )ifi6 �{/ Ek' 101-000-439-31ii Rj 1,,F .,01 �'J
Mr.,Cf•.3Jt K1CiiL ! M . its1:090-4214.0) $
ia,.r�C.t'ftlr�ci J 1:171. l U t-0tD()4t0-(iE3U :rIM. f7
;•'
PlAFNITfii't;f; VVIR, it°P? 3}ft(? 1i)_fI(#1 11(.a 75
. 31.'R OfNO 11440TI0.^4 �t:S' . RI:.'`„ iii» 101-000-241-000
(ifItAD1NC11 FEE 101-000-4224.000 �?tt.fltl
OEVE1,1Jf:sNI;°R 1fMfPfi r FEE $1.411.00
ART 1PI.P`f MLYC PT,11rF.3 - 64)
3>1 Rf k-:1(*Tr'Ai_. C"(�1V '•t'i�t-1( (s ty) _'1N01>1,AN (".'Sl)*.(`''IC
�;51a';<!'Yf9
LESS PRE -PAIL", FEES
$.M(94010
91)
•
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
to
Return Air
Steel
Combustion Air
Roof Deck 2 a- V p
Mr -5
Exhaust Fans '
O: K. to Wrap
_ a S
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
g'>
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
< t� As
Drywall - Int. Lath
57
01
Final
Final
`t
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
Water Piping
C q !�
C C J-
Heater Final
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
,2 Z Q57
Encapsulation
Gas Piping
Gas Test
'j—
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)
�..,���' xJr-C.v'.�j6�"''^�F^�Y.-„f�7",rr�-.,%.�r'�Y'4�'.^„l.�+F174ti� M.'t✓'iY3./"'` r„r%1f tiiiieli�i�_�..l�,d�:IM. �"�i�tr�v"`.bw-��..[F�`�+,i3y-�+".S++J6.`'`--: r".""' ^.
't O3 -218
53 -120 P.O. BOX 1504 APPLICATION ONLY
Building_� 78-495 CALLE TAMPICO
Address ' ,�T-- Trcc LA QUINTA, CALIFORNIA 92253
Mailing
Address
Description Vlr 7I
ject Description
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
FINAL DATE INSPECTOR
Issued by: Date Permit
y Y
Validated by:
r
" t
Validation: MAR 2 ej 1999
OF LA C U I D1TA
WHITE = FINANCE YELLOW =;APPLICANT PINK = BUILDING DIVISION
ti -
Sq. Ft. -,318t No.
Size t3 Stories
No. Dw. .
Units
New Add ❑ Alter ❑
Demolition ❑
/2A
Y A DeE
OT l�Er-,
esz
tr
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bat.
I I
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
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
FINAL DATE INSPECTOR
Issued by: Date Permit
y Y
Validated by:
r
" t
Validation: MAR 2 ej 1999
OF LA C U I D1TA
WHITE = FINANCE YELLOW =;APPLICANT PINK = BUILDING DIVISION
ti -
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
CERTIFICATE OF COMPLIANCE
Date 9/2/99
No. 19275
Owner NameTom Gartner
No. 53120 Street Del Gato Drive
Jurisdiction
APN # 769-162-001
La Quints
Permit #
Log #
City La Quinta zip 92253 Study Area
Tract # Lot # Square Footage 3542
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 3,542 or $ 6,836.06 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/ Wells Fargo / Joe Portolesi Telephone
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Sylvia Carrasco Payment Received $6,836.06
Check No. 0689030548
Signaek
ture
JOTICE: Pursuant of Assembly 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
ibove will begin to run from the dale 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 thein 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.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
'Tra d itio n
ARCHITECTURAL DESIGN REVIEW CITY OF I -A 0 NTA
AUG 2 3 RECD
BUILDING A1,4i j 6Ai-L-I-y
August 18, 1999
Via First Class Mail
and Facsimile
Mr. Greg Butler
CITY OF LA QUINTA
78-495 Calle Tampico
La Quinta, .CA 92253.
Re: Gartner Residence -
Lot 64, Tract 28867,,53-120 Del Gato Drive
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,
Ms. Kristi Hanson.
If you have any questions or need additional information, please do not hesitate to call.
Sincerely,
Christina J. Dores
Architectural Review Coordinator
/cjd
pc: Joe Portolesi
Kristi Hanson
CM/y Do—.\ADRC\G.mna=.0
78505 OLD AVENUE 52 — LA QuwrA -- CA 92253-1120 — PHONE 760/564.3355 -- FAx 760/564-2356
nCL:U1U111Ly nUgUCJLhU ����► �
ot'American Title insurance COmPdny RECEIVED FOR RECORD
' .Order No.. 2101926. AT 8:OOAM
Escrn w .No. M1097
Loan No. JUN 2 9 1998
WHEN RECORDED MAIL TO: PAID. RecwidW In omdr Reaorda
L. Thomas Gartner DOC. Transfer Tax of R amore Count/, CaHomta
Jessica R. Gartner Recorder
MAIL TAX STATEMENTS TO: Space above this line fot Recorder's Use
DOCUMENTARY TRANSFER TAX $* 214.50
_Computed on t, a consideration or value of property
conveyed; OR JD
SAME AS ABOVE Computed on the consideration or value less liens or
encumbrances remaining at time of sale
The Undersigned Grantor
Signature of Declarant or Agent determining tax -Firm Name
APN: %b . ( 6 2- aa!
TRA: 020-016' GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
TRADITION CLUB ASSOCIATES LLC, a Delaware limited liability company
N
hereby GRANT(S) to L. Thomas Gartner and Jessica R, Gartner, Husband -4 -and Wife as
Joint Tenants'
the real property in the Cityof La Quinta
Countyof Riverside, State of California,
described as:
Lot 25 Tract No. 28611 (See Exhibit "A" Attached Hereto)
Dated: June 15, 1998
State of California )
County of �.�1e>;S�dt. ) ss.
On before me,
personally appeared ,
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the personXwhose name(ar ubscribed to the
within in ent and acknowledged to me thatt�he/they executed the
same in Lisii/their authorized capaci s , nd that byer/their
signature on the instrument the person or the entity upon behalf of
which the person acted, executed the instrument.
WITNESS MY HAND -AND OFFICIAL -SEAL
Signature
a Dela
BY:
ASS T C
d liabil' om y
Its:
OFFICIAL SEAL
MERRILEE SHARMAN�
Q COMM. #.1032454
C y�' Notary Public - California
RIVERSIDE COUNTY b
My Commission Expires
JULY 17, 1998
(This area -for official notarial seal)
z�5�'75
Lot 25 of Tract No. 28611, as per map recorded on April 11, 1998 in Map Book
269, Pages 12 to 17 of Maps, of Riverside County, California.
THIS DEED AS MADE AND ACCEPTED SUBJECT TO THE FOLLOWING:
Nondelinquent real estate taxes and assessments.
All matters of record, including without limitation, that certain Declaration of
Covenants, Conditions and Restrictions and Reservations of easements for the
Tradition Community, recorded July 25, •1997 as Instrument No. 262677 (and re-recorded
August 15, 1997 as Instrument No. 292176) in the Official. Records, X--.�ry rside
County; California, as amended by that First Amendment to Decwar� Covenants,
Conditions and Restrictions and Reservation of Ea"mac mr tfie Tradition Community,
recorded on April 2, 1998 as Instrument -No -126793 in the Official Records of Riverside
County, California, which is inoorporaied by reference herein as if fully set forth herein
and any further amendments or supplementary declaration thereto (the "declaration").
The Declaration includes, among other matters, certain architectural and development
guidelines and restrictions which will apply to the construction of a residence on ' the
above-described lot.
4
PUBLIC WORKS CLEARANCE LETTER
FOR
CUSTOM HOME LOTS
L-ot 6 q
Dear Builder:
Prior to issuance of a building permit, you will be required to obtain clearance from the
Public Works Department for one, or more, of the following:
1. Verification that rough grading is complete, and the pad elevation certifications
prepared by a licensed surveyor, or engineer, are on file in the Public Works
Department.
2: Verification that infrastructure improvements and other required tract improvements
are complete, or sufficiently advanced to warrant building permit issuance.
3. Prepare an engineered grading plan that provides for on -lot storm water retention,
and have it checked and approved by the Public Works Department.
• Tract 26524 (Estancias)
• Tract 26769 (Mountain View Estates)
4. Prepare an engineered grading plan that provides for building pad grading in
accordance with the existing soils report and tract grading plan, and have it
checked and approved by the Public Works Department.
• Tract 28034 (South Valley Estates)
�3
7
I20 DEL. GPTo 1e,
FOR INTERNAL USE BY PUBLIC WORKS DEPARTMENT
TRACT: 2$ 6
L T:
LIC WORKA AOTHORTZATION DATE
F:IPWDEPrDOCSTFORMS%PW CLEARANCE LETTER ss
COMMENTS: I
' ms`s. r _.;1,4• ... •
Certificateccupanc,of � Oy
Cit Of L Quinta.......
....-Building and Safety Ddpartm ent
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 fo/%wing:
BUILDING ADDRESS: 53-120 DEL GATO DRIVE
Use Classification: SFD Bid'.'Permit No.: 9903-218
Occupancy Group: R 3 Type of Construction: VN Land Use Zone:, RL'
Owner of Building: TOM GARTNER Address:
By: STEVE TRAXEL
Date: 11-17-00-
Building
1-17-00'Building Official ;
POST IN A CONSPICUOUS PLACE