0211-088 (SFD)U)
H
N U)
W
Ouch
t` W
o Z r�
Zr)
F-a�
U)
Z
M
u�
N
ON
U °)
EL- Q
Z
T Q CrO
0 J J
mUU
O
DUH
Z_
cb 5
1_ C)
R
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
'144.091 1 i2
C117)
�-
Date.� ` `/� f _ Signature of Contractor
' � c
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.
?Q) 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:
Carver �TAT1;X�`iTl�i► Policy No. 017046.03
(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.thoseprovisions!
,DW6e 72 . -�- Applicant r e
r��.
Warning: Failure to secure Workers' Compensati n 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_inspectionJpurposes.
S' t re (Owner/A ent) ? ' Date
BUILDING PERMIT PERMIT#
��•���
TRACT g(�p� j
DATE � (/'���ey VALUATION �� LOT y ](�
��' xx�f d1''i9'.b:.ja.fl.� / IO F 1 0� .1 886
JOB SITE
APN
ADDRESS ,81() DFL
7 FE�^ ISD
OWNER
CONTRACTOR / DESIGNER / EN INEER
MW PLUM.NUM
SUN 14MA T.3IZVELOP °iii r COR11.
LA QUIN7' . CA 92253
i
5393
USE OF PERMIT
SIVO I'f�CI.11DE,9. 1VA.112 t)C2%;3.t:JSPAIDRI'SlirWAY APPROACH. t OMPf.LANC'{?
WITH ALL FEDRR .1, & STATE LAWS, FNG:LUDINO THE 1~=ih DANGER D
SPLIC'II:S ACT OTS f:073 IF APPiLICA&U91S P.EQUIRLr•I7,
Cf;1PTFLM CONSTRUCTION 4943,00 Sty
PORCH(P.d1` 140 1,i35.00.SF
0A,b1A.WCARPORT 733,00 rF
N'1'A1A3SY.I.Y�' ���f!SI Orh K✓OJYl%N �LV{.�Al.W P
"e4•+�1�•37.N'
[� �,} fy J(.'
i RIVAL' �.• tel' ��aiel.nsiALR
CONSTRUCTION Pn 101.000.418.000 11,990m
PLAN CHEC1. ME 107-,1100-439••:18 $8,6200
Fal DEPOSIT 101.000.439.318 -S1,000.N
lv't GNAta1c ��t :I i>,J? to) -00-4 21-000 $20.50
EL1u:1'1 l<411,L F a �' 101.000-4.20-000 $302.07
i LU144I INO F&E 1.01.000-419-000 $7A6.75
MONO MOTIUR RX" - RESID 101.400-241400 $48.50
UP -0,01.140 Iii° 101-000-423.000 $15.10
1 It PER SM01100
I UHLIC ILAM - RIESIE .,2;®-000.445-000 $71159
cn
Z
N
��TaS'ALC- ONSTR7.1'M. ON .PsM P�Tt�.��4•�R1tt'��CLL:f�I�%�:���"qq'4#��.'�
$7g,5811.�.4's
pp..�,�����
SW .ILrLSM i>3.6lCi rR"M1W MES S
4 1.,000,00
O {L Z
d ! ��C}.
LL AAM,AAM,JS".T.,F9..LdSx.'l .A`.eT,:.fs �se d,'l4P YA
V
D
4
RECEIPT
DATE
E
BY
DATE FIN LEDINSPECTOR
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
—Q
F.A.U.
Framing
Compressor
Insulation
. Q
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
BLOCKWALL APPROVALS
POOLS o 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
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
Z!L O
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
Final Z
Utility Notice (Perm)
COMMENTS: �(
i
Certificate of Occupancy
0 O
4
I u= ���
C OF'T9� Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 53-810 DEL GATO DRIVE
r i
Use classification: SFD Building Permit No.: 0211-088
Occupancy Group: R-3 U-1 Type of Construction: VN Land Use Zone: RL
Owner of Building: M/M PLUMMER Address:
By: KIRK KIRKLAND
fd
Date: 12-02-2003
Building Official
POST IN A CONSPICUOUS PLACE
RAYMOND FRANGIE STRUCTURAL. CONSULTANTS, INC.
I'i
44-100 MONTEREY Ave: SUITE 201-C, PALM DESERT, CA: 92260
PHONE (760) 836-1000 FAX (760) 836-0856
MAY 28, 2003
3 �J 0 4d.6�&
SUN VISTA DEVELOPMENT
51-370 AVENIDA BERMUDAS.
LA QUINTA, CA. 92210
Re.: THE PLUMMER RESIDENCE
LOT ## 110, THE TRADITION
,LA QUINTA, CA.
FOLLOW-UP TO WALK THROUGH
JOB NO.: 4009
DEAR Mr. CAPETZ
THIS LETTER ADVISES THAT WE PIAyE OBSERVED THE STRUCTURAL
REQUIREMENTS THAT ARE VISIBLE DURING CONSTRUCTION AT THE TIME OF
OUR SITE VISIT. `
WE BELIEVE THAT THE: AS -BUILT CONSTRUCTION AT THE TIME OF OUR VISIT IS
IN GENERAL CONFORMANCE WITH OUR STRUCTURAL PLANS AND RELEVANT
CORRESPONDENCE ISSUED BY OUR OFFICE.
WE OBSERVED THE BUILDING IN ITS MAMED CONDITION PRIOR TO
INSTALLATION OF DRYWALL AND STUCCO. WE OBSERVED THE VISUAL AND
ACCESSIBLE STRUCTURAL REQUIREMENTS. ( EXCLUSIONS ARE ITEMS SUCH AS:
FOOTING SIZE AND REINFORCEMENT, TOP PLATE SPLICES, ROOF SHEATHING,
AND ANY STRAPS ABOVE THE ROOF SHEATHING.).
RESPECTFULLY
NICHOLAS ABOU fi ADEL
5/,2YI n -�,
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 ❑ STRUCT. STEEL ASSEMBLY
❑ POST TENSIONED CONCRETE O ASPHALT
❑ REINFORCED MASONRY ❑ FIRE PROOFING
❑
O OTHER
JOB LOCI0009_
('/
/n
n �j'�jl
{/
/�/ •�,Clv+
LA /y1 ,�
REPORT SEOUENCE NO.
TVP R TUBE 11 00 r 1* j / O
11 `
PERMIT NO.
IS 03
DAV OF WEEK
MATERIAL DESCRIPTION
ARCHITECT
Q.TOR
HRS. CHARGED
Axes
o
ENGINEER
v is
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE
GENERAL SUB
CONTRACTOR _ ,N `,T CONTRACTOR
(�
I o
u.s «
oe%,
v-
qm a
Geos
,aG
tA o"T,-
olo k-
K
COPY SENT TO CLIENT O
CONT(MW %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.
IGH URE OF REGISTERS P CT,OR
DATE CW REPORT REGISTER NUMRFR
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 ❑ STRUCT. STEEL ASSEMBLY ❑n V
i]f e
❑ POST TENSIONED CONCRETE O ASPHALT C3 OTHER J �
❑ REINFORCED MASONRY ❑ FIRE PROOFING
JOB LOCATION 5-'3U L O be- TO DP— L
REPORT SEQUENCE NO.
TV Gf $j�UCTURE [,
PERMIT N0.
DATE[3 � o3
DAY OF WEEK
MATERIAL DESCRIPTION l �
j(Q
ARCHITECT
INUACTOB
OJl
HRS. CHARGED
o
ENGINEEB/�^ I
(•sue
ASSISTANTS
MRS. CHARGED
INSPECTION GENERALl
DATE CONTRACTOR V `� CONTRACTOR l 1�
Stto (p ulaid IL 6
I �a zS
u-)1 d x 3 o Q(,c If r,J I !to COLS
COPY SENT TO CLIENT ❑
CONTINUED NEXT PAGE ❑
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.
eIZATUR OF REGISTERED fNPECTOR
r)AT9 OF R PORT REGISTER NUMRFR