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9909-254 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I ani 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 I ate 910 A/Signature of Contractor u 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 isnot 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. SecI have and will maintain workers' compensation insurance, as required by tion 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. }' a s a�4 r� .+"UND t l. (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 Cod Date: lir `1"9 hApplicomc nly t ith t, .a._. �X �� Warning. Failure. to secure Workers' Compensation coverage, is unlawful and shall subject an -employer to criminal penalties and civil fines up to $100,000; in addition to.the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby.made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or.pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such ,. permit, or cessation of work for 180 days will subject -permit to cancellatiori." I certify that I have read this application and state that the above, information is ' correct. I agree to comply with all City, and State laws relating.to the building - construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. , VrSignature (Owner/Agent) d;��'�"'«.» Date�� V BUILDING PERMIT PERMIT#, . 4tt,,�•�S�R DATEj VALUATION g,�� LOT TRACT 27 JOB ADDRESS' ;k 180 VEL GATO ��@$UIV SITEAPN ! iS9-1�fQ i�3i OWNER CONTRACTOR DESIGNER ENGINEER t� ft Sgt �A1'. s�O�o .+..%?i I i,.L". li Yr,,'.'?,, I.;,.• 1'.1le' CON L t es+.lE_+d i�: `.a A G.bc�� i.:?iii. �.C'. i5i .iuiir �...�i.vni i�wt�.�i1i 74.991 JONI DJUVE P1.1 (760).568-6070 C814' 2274 USE OF PERMIT :>usk:lLg :l x1MI Y TYWRIUNG �f; f) . NO oii.�.r€�: WIkLLS OR a�50L. t'C'�A�I�iE�iwC£'dT�✓1�il �L - k�i}l:�'ZA7 &� STA.`s'r:• LAWS, rNUL.VD INQ'fflE [abt6J.e'tNt,`r8R)t -0 :di'1'C`W'S,A:e;!.'(.it+ x973 (166 'U.S.C. { oil, :FPV :DEQ,)*` APPLICMUi i;1Al2PS3f�:tt,:/1ikZ�S,:il$'i" t,x`s.I..i1d! {il;` . ESTN,A4IA,A Ef I \+'I:Y'..'3 i1 33F CO S Y 54,9 C T :I 'N - 420,303.40 PERMIT FE E, SUNINURY (XANS°l'ittf..3L"Y10N FEE 101-0(YI-418m000 �i,'iJ�4,Cs�► RAN i;:W3.0K. RF E.IEN.,.I)Elp0`".rora 9ht:1:311i�D f�'-t 7 : F:. �J 01- N-42 1430 �rlil�r.C)i! fy`LEC k"dtd0AL F'F3?, 101AXY0420-{axJZ1 Pt;C "I''rINaFFE }�)'I.-�t3@} 4341�}6t1} 322350) :as'E2,C);vf:iTv3ti`F"IOa1Er. 1 T 47.i7� '1 i3- C� � 11-44}(? 114s.VS 1.iD$t1f:U:3l. 0.1.1,11 is4.•-f"41. -WO. :b20A)o 151;sWElafJWN, iM`va'+,:CT F17E caRT TN P1f9t1fC P.LA .?7S - V' Sli: $817,01 <}yT_SYvd.CONST R U(TN AND PIA�{7(CK. g T q ilri0l :iti�t yr1} - PAID FEES �;+97!� i•IA I a. RECEIPT DATE BY '� �. DATE FINALED - INSPECTOR r0 V' f INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts E _ Forms & Footings Z. Ducts Slab Grade Return Air Steel Roof Deck O.K. to Wrap Framing c9O Combustion Air Exhaust Fans F.A.U. Compressor Insulation Fireplace P.L. /,Z, to 2? 3_o�d0 y g>ej Vents Grills Fireplace T.O. ,$ t Fans & Controls' Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath _ _ / _-)-p _ 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 Water Piping a �^ &( Heater Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection JA9_ Q� _ Encapsulation Gas Piping Gas Test _ l0 —�/-a: S L' Appliances Final COMMENTS: /0 (/ , 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) v ui %=OZ 44Q P.O. BOX 1504 Building+ ' ( r f �q,� 78-495 CALLE TAMPICO AddrpcW 1 9 I I t i �� l/ Y LA QUINTA, CALIFORNIA 92253 APPLICATION ONLY 7 ! 0 9 -2'S'1 VWItCI ' I /� � I `������ r.y ' ����' / , ) I�1111 1'11\I/�. TVt1L•/�A\IC.T l� I'.flA Mailing r t f -- -- - - -- - --- - Address A.P. Number •- City Zip Tel. n r t/ (k � 1 Legal Description L-U�l Y l Cbntractor Ps1A F t •t ` Project Description Address (� V 1� y City Zip Tel. State Lic. 8 Classif. City Lic. # Sq. Ft. /[ q G2 2 NO. ,�� SNo.tories iz Size "'j I C� Stories Units s Arch., Engr., � -' Designer ` - 1 /(Sy G' New Add O Alter 0 Repair ❑ Demolition ❑ ,1-� � ��1 �,S,� 65t�' Z 'e�l�ta State Lic. # 4 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and ellecl. SIGNATURE _ DATE OWNER -BUILDER 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, alter, 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 ($500). l: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, andthe 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 linprovements are not intended or offered for sale. It, 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 I 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 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 1-1 1 am exempt under Sec. B. & P.C. for this reason .1 Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company n Copy is filed with the city. O Certified copy is hereby furnished. VO < CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ' (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) 1 certify that in the performance of thg 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, alter 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 �P This is a building permit when properly tilled out, signed and.valiciated, and is`subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and slate that the above information is correct. I 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 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 4 TOTAL` a AMOUNT 4. 1 n(x) Wit -IF F,REMARKS ­Ilinlf n 1 i999 TV 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 Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Sent By: WHITE'S; 760 347 0296; Sep -17-99 12:50PM; Page 2/3 • sffawf. P214a �i101► r���N. ia�#�. ITI. WITANSTWORIMMIN ft Ito s the ��r�i�ii 001��t0 arboeddo�or. ue erpa" t"MAR .w�-:..-.«�Mli'WIdft1��1pr a�.&�wlOrot � � ansma9pN � ► CL��Nft•�to14a� GUNTOM +�tA;10 1 . QMtayar�dlwti0►o!' L11�r so�er�,t+�litb�.d Dry.* alto is, 19f l9Nie�fC�1A>1 ) win ... : � �` • ' ....... :. � ... �,_..,� rig: Y'itAp........ . � :.: • . •�9!>rCtA... � �+CN �, . .. i�ifMtl� p�l�r�iRlllll� i1NM�:b.sd. . �tiwil�ilfalpd4rd�ldfp.li�:01p � .. � . ' t'�61i�fMV9i1�1►'llgiplPoi�1 �rswelr2' � .. •.. . . a�4�iorypml0r'Ipe' 'ar�antn►a�fw�r'al' . .. �s • •�d;a+oen�sd�08s'4aaa�n . ' fr1'11.11A�1DkI�iClirAlitilL ... . d p at/17/60 FRY it164 M/ya NO 89611 Q-00.2 Tradition ARCHITECTURAL DESIGN REVIEW August 5, 1999 Mr. Greg Butler CITY OF LA QUINTA 78-495 Calle Tampico La Quinta, CA 92253 Re: Dove/Neumeyer/Baird Residence Lot 66, Tract 28867, 53-180Del Gato Drive Dear Greg, CITY OF LA Chi. NTA AUG 9 REC,0 BUILDING ,Pjjs;L, 6,t�F`TY Via First Class Mail and Facsimile 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: Kristi Hanson Brian Luddington 1�1.T > t, `. ., i' .s'• � i... ,.� p' S �;) � � y �' `''.c> ) L� � j.IC2?L`. ,'.%a. t;�,� CNdY Dowm-WADFC%Dwe ffxyc.BHrd.dry.wpd 78505 OLD AVENUE 52 -- Ia QuiNTA - CA 92253-1120 - PHONE 760/564-3355 -- FAx 760/564-2356 TRADITION GOLF CLUB 9 760 564 2356 08/05/99 11:0715 :02/03 NO:371 Tradition ARCHITECTURAL DuioN RF -VIEW August 5, 1999 Mr. Greg Butler CTTY OF LA QUINTA 78.495 Calle Tampico La Quinta, CA 92253 Re: Dove/Neumeyer/Baird Residence Lot 66, Tract 28867, 53-180Del Gato Drive Dear Greg, . Via Arst Class Mail and FamintUe 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. Krista Hanson. If you have any questions or need additional information, please do not hesitate to call. Sincerely, Christina J. Pores Architectural Review Coordinator /cjd pc: Kristi Hanson Brian Luddington 0 I cnw ome.ru,�aun►�n�+.�aams.00, 78505 QLD Avenue 52 — L4 QoNTA --- CA 92253.1110 -- PHONE 760/564-3355 -- FAX 7601564.2356 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 9/24/99 No. 19373 Owner NameDove/Neumeyer/Baird No. 53180 Street Del Gato Drive City La Quinta Tract # Lot # APN # 769-180-020 Jurisdiction La Quinta Permit # Log #. Zip 92253 Study Area Square Footage 4982 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 4,982 or $ 9,615.26 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/ 1 st Community Bank/ Brian Lettington Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Sylvia Carrasco Signature li�c9 Telephone Payment Received $9;615.26 , Check No. 089295 10TICE: 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 tees or other payment identified bove 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 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 �y °� .fWQut«rw PUBLIC WORKS CLEARANCE LETTER FOR i CUSTOM HOME LOTS 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) y • 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) FOR INTERNAL USE BY PUBLIC WORKS DEPARTMENT TRACT: 2 51;�6 7 L TION - - F:IPWDEFnDOCSIFFORMS%PW CLEARANCE LEI'TER.ts COMMENTS: I JOSEPH N. CICCHINI, P.E. CIVIL AND STRUCTURAL ENGINEERING P.O. BOX 4206 PALM DESERT, CA 92261 TEL: (760)-776-6687 December 16, 1999 The City of La Quinta Department of Building and Safety 78-495 Calle Tampico La Quinta, CA 92253 RE: Griggs Residence 52-590 Del Gato Drive Gentlemen: This is to confirm that the structural portion of the construction work performed on the single family residence was found to be in substantial compliance with the plans prepared by Joseph N. Cicchini, P.E. Sincerely, 9SEH N. JNC/sel )/, L j- - t' �__ CICCHINI, P.E. DAPROJECT\GRG2_19\OFFICE \griggs �oQ�,oFESS/Q 7N. C C'. C., CZ, NO. 35727 �x�i2eS J?A v :�.'v :C:A:L:IFF ®�� Certificate of Occupancy Cifftybf 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 'fol/awing: .BU.ILDING ADDRESS:-. 53-180 DEL GATO DRIVE Use'Classification: SFDBldg. Permit No.: 9909-254 Occupancy Group: R 3 .Type of Construction: VN Land Use .Zone: RL Owner of Building: DOVE/NEUMEYER/BAIRD Building Official Address: By: STEVE TRAXEL . Date: 01-25-01 POST IN A CONSPICUOUS PLACE i FEB -28-2000 03;00 PM YOUNG ENGINEERING 760 342 6164 P.02 4: Y YOUNG ENGINEERING SER VIUES 47-159 Youngs Lane, Indio, QL 92201 (760) 342-9214 (760) 342-6164 February 28, 2000 Tom Hartung Building Official City of La Quinta Re: Dove/1Veum6er/Baird Residence -53-180-Del Gato, lWe Traditions, La Ouinta Dear Tom, We have reviewed the framing for the above referenced project and find it to be in general conformance with the approved structural plans with the exception of the items listed below: • . Shear wall 44 at the Garage - Stab bolt threads stripped, re -move and replace nut and rethread stab bolt. • Shear wall #23 = Scab on a 2x6 stud w/2 -16d staggered at 6" o/c next to damaged stud. Scabbed on stud need only reach the blocking adjacent to the header._ • Shear walls #33 and 34 were to be double sided shear walls type "B". Sheathe un -sheathed side of shear wall #33 per shear wall type `B" panel. Shear wall #34 - Nail shear wall per type "D" panel (SW #34 one-sided type "D" panel). • Sheathe exterior rear wall of Great Room per type "A". If you have any questions please call. Sincerely, QapfESS/0 Jeffrey B. Young S.E. /A. No. x044 yG u �^JON TANDY 37630 Medjool Ave. s�QF�P�alm"Desert, CA 92211 Office (760) 772-7192 SPECIAL• `' 4. Fax (760) 772-7193 REGISTERED INSPECTOR'S WEEKLY REPORT Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED_ ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION3— I ^ 1 �j +�� �• LA QV `o\ -T f l(,`/ l-- a eJ REPORT SEOUENCE NO. TYP FLI UREJ ��d\� G PERMIT NO. DATE DAY OF WEEK MATERIAL DESCR TION^ /L 1G'L ARCHITECT INSP TOR MRS. CHARGED ENGINEER �ou +^ cj ` ASSISTANTS HRS. CHARGED INSPECTION CO TRACTOR `(i�1H Ti)" J- i N 1- CONTAACTORV DATE Lo't4t. S � w o kbcrA C 064 CO(S-- o �a "Fe .2L(n LJJ U,40i" �s . S x i 0 To -7 (s LOU CLO e to G Lj / o k 1-0 W(c) q -S God • S - � � �-� ' t ' � ee..•� � ri � Cows- l�.e. COPY SENT TO CLIEN CONTINUED ON NEXT PAGE 0 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. ' IGNA RE/ OF REGISTE INS61 -Tza PECTOR 4���� O E OF REPORT REGISTER NUMBER 3A. -O Job Kne:�-�— C. S3 FABRIC= AEFORT Been Late: .rob No.*' Fab. am lily a(E.S. and ate • *Materials and weldments conform to plans and specifications and AISC, and AWS Dl.l Shipping Mark 905 SHEL Special Deputy Insp. MRIONEE lmiummii9om NMI 1111 ME mkmmiumm NMI nommimmm NMI 1111 mmmomimommomm�= m Us mmmifflom M111111 111 mommommommiml 1111 MOMMENOMMOMI�m *Materials and weldments conform to plans and specifications and AISC, and AWS Dl.l Shipping Mark 905 SHEL Special Deputy Insp.