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0304-379 (SFD)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 744091 B 12131/2r 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 RI..ATS FUND Policy No. 0170546.0 i (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 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 canion. I certify that I have read this application and state that the above infor i s correct. I agree to comply with all City, and State laws relating to the ' ng construction, and hereby authorize representatives of this City to ent n the above-mentioned property for inspection purposes. Signature (Owner/Agent) 1 Date BUILDING PERMIT PERMIT# DATE VALUATION . LOT 03-379 TRACT $433,5-44.34 44 281367 JOB SITE ADDRESS '52425 4M- AR� ,P: COW. APN 770• -XV -0N OWNER CONTRACTOR / DESIGNER / EN &NEER ROBFRr CA�`t�: 81111 V13TADF_M_,01r'r1K1gT CORP. P.O, BOX 1144, F101: OX Ill44 LA QiTNTAe CA. 92253 LA C?C,'T�l� YA CA 9225: (700P71.4722 C 111 5393 USE OF PERMIT 3A.4G1Y,:FA)_d 1LY_ 1 W14,'}:.11NG S1rD•faCt.,urmSwA>wi..s1Po01lfaitf5/swk..Y APPROACH: COMPLLANCE WITH ALL FEDERAL AND II`7'ME "WS, INCLUDING THE DIDANO RCD SPECIES ACT OP IM IPA.PPLt4vABLE IS FXQU1RtM CUSTOM CONSTRUCTION -066.00 3F PO C.HMA.1'1.K, . M3.00 SF CARAC4 CARIPORT 1,414,00 SP XSMKA7.1KD C®8'Ir f, r CCP1VWRUCTI!ON 43-3,54430 PhV6 �'l,' FEE GARY CONSTRUCTION FU 101 aC DO.418-000 $I'a0s.50 Pif..d N CHECK FEE 101-0a0 -439-318 $1,456.911 E'ER D POSIT 101-000439-318 41,000.00 MECHANICAL, PRY. ; U2 -00C),421 *000 $169.00 E1.F.,C' WCAL FEE 101.000.420.000 1203.59 P1 UMBINO PEE 101-000-419-000 -$203.00 STRO1• O MOTION FEE - MID 101.000.2:41.000 $413$ GRADINO t"YM $15.00 DL/V EWPE.Fr IMPACT RE $2,40.00 ART 1:11 PUBLIC .PLAC&°S , IESIr 270-000-445-000 $%3.86 SUB -TOTAL CON:3'.I;1 U�..•'�Ol` AM P7..A>,?•1' t`"•NWIIC. S6,9,68,28 LT:,SS FRE, IPAII)1r,EYS 411000.00 IT;� EC Q 9 � a � O - OUINTA DATE ! . BY- DATE FINALED INSPECTOR I INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs O Underground Ducts Forms & Footings 141 Ducts Slab Grade UReturn Air Steel Combustion Air Roof Deck -p Exhaust Fans O.K. to Wrap — F.A.U. Framing All Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final Tz — BLOCKWALL APPROVALS POOLS -SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I 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 lJ Encapsulation Gas Piping Gas Test - Appliances Final Final Utility Notice (Gas) i 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) COMMENTS: / Ll _- 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 (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that 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 Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 5,166 S.F. or $11,055.24 have been paid for 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 Bank - Rob Capetz Check No. 70808 Name on the check Telephone Funding Residential By Dr. Doris Wilson . Superintendent Fee collected /exempted by S n M Gilvrey Payment Recd 1$0.00 $11,055.24 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), 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 issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting Tradition September 8, 2003 Mr. Rob Capetz P.O. Box 1144 La Quinta, CA 92253 Re: 52825 Claret Cove Dear Mr. Capetz, SEP 1 0 2003 RY _ The Tradition Architectural Committee has reviewed your third submittal of construction documents for your lot 44 on Claret Cove. The plans were approved subject to the following comments: 1. Details are needed on the base of the finial. 2. Roof and chimney details are needed for the Class B flues. See detail 17/D-2, you will need to show the 2" recessed requirement with clarification. 3. A variance is required for the use of a turf block driveway. It will need to be banded with the paver material. Please submit a variance form for this for Committee and Board of Director review. 4. On the motor court entry gate, the metal that will be visible will need to be finished in an antique fashion. 5. A $5,000.00 construction performance deposit is required prior to the beginning of construction. Please make the check payable to: Tradition Community Association. Thank you for your submittal of plans and patience in our review of them. We look forward to working with you further on this home. Sincerely, The Tradition Architectural Committee Tradition Community Association DESERT RESORT MANAGEMENT POST OFFICE BOX 4772 • PALM DESERT, CALIFORNIA 92261-4772 73-550 ALESSANDRO, SUITE 5 • PALM DESERT, CALIFORNIA 92260 PHONE (760) 346-1161 • FAx (760) 346-9918 I' 1 LA QUINTA =ETY DEPARTMENT . 7-7012 I REQUEST LINE i-7153 -7153 Contractor SUN VISTA DEVELOPMENT CORP. Permit Number. 0304-379 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS k-825. CLARET COVE SFD-EXCLUDES WALLS/POOL/DRIVEWAY APPROACH. COMPLIANCE WITH ALL FEDERAL AND STATE LAWS, INCLUD THE ENDANGERED SPECIES ACT OF 1973 IF APPLICABLE IS REQUIRED. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING /WASTE Q UiG ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB. DO NOT POOR CO CRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF - O OKAY TO WRAP G FRAMING COMBINATION �j ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO.WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH ` GAS TEST ,Z17-0 SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC /GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS/STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE /SETBACKS. U/G PLUMBING U/G CAS U/G ELECTRICAL PRE -PLASTER ALARMS/ BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT. POWER "-O ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON -UTILITIES OR OCCUPY BUILDING Summit Structural Engineering P.O. Box 813 270 North Main Street Donnelly, ID 83615 (866) 862-8148 (208) 325-8148. Fax (208) 325-8149 July 25, 2003 Sun State Components P.O. -Box 4077 4505 Mohave Airport Drive Kingman, AZ 86402 Attn: Truss Designer Subject: Roof Truss Shop Drawings and Calculations Lot 44 at The Tradition52-825 Claret Cove La Quinta, CA Dear Truss Designer, The roof truss drawings by Sunstate Components for the subject project.were received by our office on July 15, 2003, and is approved. The submittal has been reviewed for general conformance to the design concept of the project structural plans. The fabrication processes, techniques of construction, dimensions, and quantities are not a part of this review. Since the shop drawings were reviewed .only for. general conformance with the structural plans, unless variations from the structural plans have been clearly indicated, we may not have listed them. Our review of* these drawings does not relieve the truss engineer and the framing contractor from complying with the structural plans. Yours truly, SUMMIT STRUCTURAL ENGINEERING �GrESS10,4 Benjamin Herbst, P.E. ca a r1o. 213 1103 CC: Rob Capets, Sun Vista BH cA2002jobfiles\sv-196\196—truss I.doc Residential. Commercial. Industrial. Land Development - Summit Structural Engineering April 6, 2004 Sun Vista Development, Inc. P.O. BOX 1144 La Quinta, CA 92253 Attn: Rob Capetz Subject: Stru raIObservation Nuinta, � @ The Tradition CA Dear Rob, a ry SZ'g2� �I,qr�� Csu� P.O. Box 813 270 North Main Street Donnelly, ID 83615 (866) 862-8148 (208) 325-8148 Fax (208) 325-8149 Per your request, we visited the subject job site on April 6, 2004 to perform a structural observation. While we were at the job site, we found several omissions and deviations from the plans. All missing items were installed and verified while we weri at the jobsite, and at that time we found the structure to be in general compliance with the structural design concept. If you have any questions, please give me a call. Yours truly, SUMMIT STRUCTURAL ENGINEERING ,,.r..•>:ae y. Q�,a�sssi _ N N��1 Na 0084183 Benjamin Herbst, P.E.�,* 1; g:Wy Documents%2003%jobfiles\Sv-1961196_fieldl(cert).doc Residential. Commercial. Industrial. Land Development JAN -31-2005 05:21 AM CATE OF FIELD TESTING dullCer Name Plan Number Sample Group Number Sample House Number rlrm:_ -j,r-. df/ SSVGlq/ es nr:r%Q rrwvider: /�G_� Street Address; 7���� Xr.?I��PY� ClYGL2� City/State/Zip: G w 2!1ji2' Chi 17 2S 3 Copies to: Builder, HERS Provider HEK RA' R COMCLIAN91E STATEMENT The house was: JQ Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification. I certify. that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. XDistribution system is fully'ducted ().a,, does not use building cavities as plenums or platform returns in lieu ,°f ducts) R Where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used In combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. P.02 CF -4 MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct 4lagnostic Leakage Testing Results (Maximum 6% Duct Leakage) THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent #'Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) Is installed and Access Is provided for inspection ❑ Yes Is a pass A Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1 0 Yes 0 No ACCA Manual D Design requirements have been met (rater has verified that actual Installation matches values in CF -1 R and design on plan. 2. 13 Yes 0 No TXV is Installed or Fan flow has been verified, If no TXV, verified fan flow matches design from CF -1 R. Measured Pan Flow = Yes for both 1 and 2 is a Pass Pass Fail v Measured Duct Pressurization Test Results (CFM @ 25 Pa) [values �7 — / 7� /e-5 Test Leakage Flow In CFM If fan flow is calculated as 400cfm/ton x number of tons enter�� ov calculated value here If fan flow is measured enter'measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = p 7.3 3• / 1'o Check Box for Pass or Fail (Pass=6% or less) ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent #'Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) Is installed and Access Is provided for inspection ❑ Yes Is a pass A Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1 0 Yes 0 No ACCA Manual D Design requirements have been met (rater has verified that actual Installation matches values in CF -1 R and design on plan. 2. 13 Yes 0 No TXV is Installed or Fan flow has been verified, If no TXV, verified fan flow matches design from CF -1 R. Measured Pan Flow = Yes for both 1 and 2 is a Pass Pass Fail v WED DLE SURVEYING MAPPING,1NC. Boundary • Construction • Topographic - Aerial Surveys • ALTA Surveys • GPS - Consulting January 9, 2004 Mr. Timothy R. Jonasson Public Works Director / City Engineer City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253-1504 Re: Pad/Form Grade Verification City of La Quinta Lot 44 Tract No: 28867 825 Claret Cove - r AAPN�770-330-008 VILLAGE USE PERMIT 2002-015 Dear Mr. Jonasson: We have performed a field survey to determine the vertical location of the building pad and form for the above referenced project. The elevation's observed are as follows: PAD (DESIGN) 82.0 FORM (DESIGN) 82.50 PAD (AS -BUILT) 82.0 FORM (AS -BUILT) 48.47 These field observations are in substantial conformance with the precise grading plans prepared by ESSI SHAHANDEH, CIVIL ENGINEER, dated 7-30-03 and the building horizontal location substantially conforms to the required setbacks and site layout as shown on the approved site plan. Sincerely, WEDDLE SURVEYING MAPPING, INC. �AND &tj' WFao Fo NO. 5570 David L. Weddle, President EXP. 09/30/05 L.S. 5570, Exp 9/30/05 OFC P.O. Box 2020 • Cathedral City, California 92235-2020 68-625 Los Gatos Road • Cathedral City, California 92234 • 760.322.7693 E -Mail: WedSury@aol.com • Fax 760.325.5465 SPECIAL INSPECTION SERWICE REGISTERED INSPECTOR'S WEEKLY REPOFjT 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 O REINFORCED CONCRETE TRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE O ASPHALT O REINFORCED MASONRY ❑ FIRE PROOFING�`4 O 5 HER L w JOB LOCATION C)__S� C --(A v2 -CT ^O u Q- LA J `� ` ��(f j- REPORT SEQUENCE NO. TrPE.6F,.,ST�CTURE� �Z� PERMIT N0. �E�D DAY OF WEEK MATERIAL DESCRIPTION�O ARCHITECT INSjC s HRS. CHARGED e -`) -c- c - r ENGINEERS,_mm ASSISTANTS HRS. CHARGED INSPECTIONL SUB OA IEECTION GENECONTRACTOR S V N CONTRACTOR Lj ti C `,-S t4 2 3 aSL2_ AJO,'�C4 (x" rA oLk-CA L C-1— -OVL COPY SENT TO CLIENT O CONTIN ED N 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. GN TUBE OF REGISTERED USPECTOS _ (/D ATE fF REP RT REGISTER NUMBER :J.!,. * I " - :� . � um mulmmmomm molmmmism NMI ms mmiummmami 101, sommm - —mlm—1 �m vmmmmmmmlmll�lm ��CE CvP� CITY OF LA QUINTA SUB -CONTRA TOR LIST _ JOB ADDRESS S2' 0� t!-�4/ttTLOV� PERMIT NUMBER _ OWNER RD�vt �W-143 U@6ernployees S10rJ ��11dQ�.s c� This form shall be posted on the job with the Building Inspection Card at all times in a conspicuou Qlace. Only persons appearing on this list 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 Workers Compensation Insurance City Business License Company Name Classification (e.g. A. B. C-8) License Number Exp. Date (xxxxxx) (xx/xx/xx) Carrier Name (e.g/. State Fund, CalComp) Policy Number Exp. Date (Format Varies) (xx/xx/xx) License Number Exp. Date (xxxx) (xxlxx/xx) EARTHWORK (C-12) C -��� �'' a737 9 S!i it 1t(P,I0'0>-