The URL can be used to link to this page

9903-261 (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 ,23317 a 46� 0.5/"011,2oi",- VDato � 1 Signature of ContractorT 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&RC. 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 Policy No. (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 thos provision D e: ,/C,JApplicant v 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 thelabor 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 1 -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. Signature (Owne�'/�-�� r/Agent) Date �� y BUILDING PERMIT PERMIT# DATE o, VALUATION $182,694.." LOT 49 1i TRACT 2R474D t G •21-9ct JOB SITE ADDRESS' 78-405 COYOTE CANYON ON ;OUR C%619490-003 APN OWNER CONTRACTOR / DESIGNER / ENGINEER T4✓;1" c VAL BRUT NT . UANNG1C?N l.JNK. OrNTI.-RAL CClWRA.t- TI 2660 WOOD 7/4-991. JONt DRIVF it l 13tt€)L,N FIE'Lo Viz 5:300s PALM DLII AT Cti, 92260 f i+3d15t+t3 �307t) C"BL-0 2274 USE OF PERMIT INFOLL NW -MY DWELL NIG Sf"D - NO BLOCK WALLS OR POOL. COWILIANC I AH Ad. FisssiFRAL ,vrx }:,iota.4 S. iNCL I0.NNtyTHE }<i4)440,81islV SPE:0 USA�CTO 1.973 16 t U.5.C. f 1531, ET SP -Q.;) .CF APP1 JCAHTX,-TS t2tr.QUfk1t D. CUSTOM CONXIIR JC T ION '>� 4i5".00 W PORC WA"TIO 77.1.00 SG RAIOEICA.Nt1P00' 1.(W3.00 ",4.i? ;7t.5i'��'>i.;��:,,A.`�".TO COST OF ��:(J?eI�1 F �a'C"�.'ION � 3n,694. 10 g p pty;� �, 7� rye} g a .p�~y�� MIT 3:' .ls..�Y�4'.�S .i' LE ' 7�U 1T.4';f�&C1 RY CO NSTRUC"EYC3NFleX 101-NO»418.000 51,630,04) PT,s,. 1TE01 00Sl'i' , tili1100 .103), iii N}ECTiANICAL f l .lY 1 iii.-OW4i21-fiCf() Vi1X0*_RtCAt.k sE l.�i.l•ft00�dwd}-OifO aatti.f?7 1P11tNMKNnFIT1 t(}i-Ixlf).iD (5[10 ef�}'1 a 140 1f0't'tt M Hji - RES11;) lot -000-241-000 S X0.2", GIC A011NQ.FW 3 to N-000-42-1-000 $20.V9 iAlFtZtS.S'1.1UJ1C : V1RU FEE 2254.0-443-342 561000.00 RT Si t P(,1Jlf.t'C PT, ACkms - Atq,i11 7Q? - W. -2 S5i,01 0 R7'!i£i,7d LESS I'RETAT1: F`S -s 1,000.00 TM',a t, P ORM Tf fTt;B?N 1)1)CN 0W $9,312.11 i RECEIPT DATE X BY (A DATE FINALED INSPECTOR /c INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms 8 FootingsDucts Slab Grade Return Air Steel Combustion Air Roof Deck — Exhaust Fans OX to Wrap F.A.U. Framing A, Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath -4 Final Final a BLOCKWALL A PROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines 7 5 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 Final Utility Notice (Gas) ELECTRICAL P ROVALS Temp. Power Pole Underground Conduit Rough Wiring Lour Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: n 2JJ c64P.O. BOX 1504 APPLICATION ONLY Building78-495 CALLE TAMPICO Address ' 9F• 4 coyovCSNYt ,1J Cy LAQUINTA, CALIFORNIA 92253 Owner, I , • �- VAo% — BUILDING: TYPE'CONST. OCC. GRP. Mailino Y ( /r, Address ' �� `x t'�,n )dist j YVty L t A.P. Number City Zip TeL Legal Description •lam/ l- / `� ,�.+-y —1,7_ 1 / C.,. ., V Contractors Project Description s� Address a City Zip Tel. State Lic. City & Classif. Lic. # Sq. Ft.No. No. Dw. size .(> Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ DeRmolition ❑ Address Tel. CityI Zip I State I Lic. # 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 effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usiness 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 1, 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 sale. 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 ownerof 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 contractors) licensed pursuant to the Contractor's License Law.) i7 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 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. 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.) I certify that in the performance of the workfor 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 1 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. 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 ateMailing Address City, State, Zip PERMIT AMOUNT 6 Plan Chk. Dep. ! A Plan Chk. Bal. ` 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 I INSPECTOR Issued by: r Date Permit Iwo Validated b� R 2 6 Validation: W1 WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION - 0 �a Tradition April 9, 1999 Via First Class Mail and Facsimile Mr. Jim McIntosh MC FADDEN / MC INTOSH Re: Lot 45, Tract 28470-1, 78-465 Coyote Canyon Court . Construction Documents —1' Submittal Dear Jim, The ADRC of Tradition Golf Club met on April 7, 1999 and reviewed the Construction Documents submittal for the above referenced lot. Please revise and resubmit based on the following comments. These items may be provided via facsimile on 8 1/2 x 11 sheets for review and approval. .Architectural Review 1. Provide details for screening HVAC and WH flues. The parapet as detailed does not appear to be adequate to screen these types of flues. 2. Provide manufacturer cut sheets and/or design sketches for exterior mounted light fixtures. Landscape Review Planting 1. Address items a., b., c., and f. from previous planting review. 2. Specify landscape lighting in front yard to be photo cell on/off. Hardscape 1. Specify height on pool waterfall. The committee would like to compliment you on a nice set of plans. If you have any questions or need additional information, please do not hesitate to call. Sincerely, Christina J. Dores Architectural Review Coordinator PC: Mr. and Mrs. Tom Bruett, via fax (414.223.7201) 78505 OLD AVENUE 52 - LA QUINTA - CA 92253-1120 - PHONE 760/564-3355 - FAx 760/564-2356 Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 Date 5/21/99 No. 18786 CERTIFICATE OF COMPLIANCE APN # 769-890-003 Jurisdiction La Quinta Owner NameTom & Val Bruett No. 78-465 Street Coyote Canyon Court City La Quinta zip 92253 Tract # Type of Development Comments Lot # Single Family Residence Permit # Log # Study Area Square Footage 4506 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 1.93 X 4,506 or $ 8,696.58 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 Cashier's Check/Eldorado Bank - Brian Telephone Name' on the check s By Dr. Doris Wilson j Superintendent r 4_ Fee collected /exempted by Ellen Patino Payment Received ,,$8,696.58 Check No. 108707727 Signature ( , NOTICE: 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 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 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 PUBLIC WORKS CLEARANCE LETTER FOR 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) • • 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) i2)-+(,5 CoeorCi CAtJ'�O_X) GT. FOR INTERNAL USE BY PUBLIC WORKS DEPARTMENT TRACT: 2-S 17 O 1 LOT: ` 5 &m� 449, PUBLIC WORKS AUTHORIZATION DATE FAPWDEPTIDOCSIFORMSIPW CLEARANCE LETTER.ss COMMENTS: ---- -I--- I L--- - -- - - - - - -- - - - - - - - - - - - f � i• t 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 timeof 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 78-465 COYOTE CANYON COURT Bldg. Permit No.: 9903-261 Type of Construction: VN Land Use Zone: RL Owner of Building: TOM & VAL BRUETT Building Official Address: 2660 WOODGLEN City: BROOKFIELD, By: STEVE TRAXEL Date: 06-06-00 POST IN A CONSPICUOUS PLACE WI 53005