9810-016 (SFD)LICENSED CONTRACTOR DECLARATION.
,I hereby affirm under penalty of perjury that Lam 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
+1 5+733 H C9 C-53
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).
O 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 followi n g '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.
G0110w", EAGLE trVc 4=0040
(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
workerse'compensation laws of California, and agree that if I should become
subject to the workers' compensation pro sio,s oovection 3700 of the Labor
Cgtle, I shall forthwith comply with those provisions.
Date: �� �r-� Applicant N—
l'
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $1'00,000, 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 g
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 i
& 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 authorizes representatives of this City to enter upon
1.J,�
the
�above-mentioned property for i�ns'pec. ti on purposes. ti �
Sig" nature (Owner/Agent)-r"""""'�f Date Ly/JA , 'I
.
1w\Vt-t :E. ,f !
BUILDINGPERMIT"
9IiII0-016
DATE VALUATION $518-147,20 LOT 46 TRACT 29470.2
JOB SITE
ADDRESS 78-6311'�.'#�.fi�� 1Rl '�G OCK (JRf `
APN 34tJ�in���#tib
OWNER
CONTRACTOR/DESIGNER/ENGINEER
DOW& DONNIAKEI.LrT1F.R
IS1,0 EI cur�srl�t� fi ca i 1�,rC:
PO B.OX 3§4
57370 :ZSR Mi.,MS HW 1" #201
Ros's CA 94957
YUCCA A VA€.1. EY CA, 92284
ltiI913GS-t�i�9i l:F�:f,tt ?:�;b;i
`
USE OF PERMIT
STTk:iLF FAMILY DWi;iaT,.NU
,
Sf-0 - NO BLOCK WALLS OR POC)T,. Ct3APLIANC.E WITH ALL FEDRIU\L 41
'1'A'.M LAWS. S. (NCLi1:UINO T KE, TNI,)ANC:t:iPECIES ,ICY OF 1973 (16 `
'U.13.C. t, 1531, !i,T S—hQ. ) tSr Al°PLICAI LE,, (a iEtt;Qlftftf0.
C li T0113 60EW.00 3F
f'C7(tciir1A1 TO 2,t9s Sr
P%RUff f ,1 K SUNI1Li%ARV
CONSTRUCrlDNFF-ft • 101-000-418.ON 5214096. 0
4�f,A`_�t {`t-n�t;'1� r►�e; tU1-t►(t/1-43�)-31R �tF,�� tsg
� ..t�'i "J41:1' '101-000-439-31S.5.1,^5tl,1V
AitiC fAf4k;A1, rIX, 101-+JOi}-dil-oaa $1.6150
FJ 1: Cll'RIC Al,1-iy t
Wi�10.f�-9.00,)Uh(c $23175
"iidt 'tr'! ,ttit; F10NF-CE•:CWSU), 101-0430.241-0W $51.43'
0JbVff1N0 1103. V101-0004,23-000 VAI.W
.1NFRA'{ V tJ 1'TURE FEE 225-UtO-443-2442 Ski ow).Ou
ART IIN PiITif�c PIA" ; zs - Rewr 7131-()(ifs-15ri. lm 5,87
r✓ 1jES.Iy i�.1`4.'.f1t1i1JVE"
t `�
$1.1110.00
.�gg�
TOT -At, MINIT 1+'EES DLt K NOW
RECEIPT yy>> °
DATE
BY `
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings 7
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing Q
Compressor
Insulation S
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath 4 -
Drywall - Int. Lath
Final
Final
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 -
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fatures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
Building
Address
` ,1 .. , • �.......v' +»^'"•-.('H..=a'•,,'. - y � _.,I`:�3` ^er • . .� i .r a".': 'r' 'd' .s •,..y.r.Y Z, - ' ti-•...%�.. r �4ry
.. Gv
3 P.O. BOX 1504 APPLICATION ONLY
DD 78-495 CALLE TAMPICO
0
(� LA QUINTA, CALIFORNIA 92253
Don & Donna Kelleher
Mailing
Address P.D. BOX 384
City Ross, CA I Zip94957
TBD
Address
\ City lZip Tel.
TYPE"CONST. Type V OCC. GRP. RL
A.P. Number
5-454-88611 Legal DescriptionLOt #46, Tract 28470-2
Project Description New SFD With attached
mars e, pool and landscape.improvement
signs.
State Lic.
City
llI
& Classif.
Lic. #
Building
Address
` ,1 .. , • �.......v' +»^'"•-.('H..=a'•,,'. - y � _.,I`:�3` ^er • . .� i .r a".': 'r' 'd' .s •,..y.r.Y Z, - ' ti-•...%�.. r �4ry
.. Gv
3 P.O. BOX 1504 APPLICATION ONLY
DD 78-495 CALLE TAMPICO
0
(� LA QUINTA, CALIFORNIA 92253
Don & Donna Kelleher
Mailing
Address P.D. BOX 384
City Ross, CA I Zip94957
TBD
Address
\ City lZip Tel.
TYPE"CONST. Type V OCC. GRP. RL
A.P. Number
5-454-88611 Legal DescriptionLOt #46, Tract 28470-2
Project Description New SFD With attached
mars e, pool and landscape.improvement
signs.
State Lic.
City
& Classif.
Lic. #
Sq. Ft.
Size 6,384
No. NoDw .
Stories One Units N/A
Arch., Engr.,
DesignerHUnt, Hale & Aasociates
New Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
475 Sansome St.
15-512-1300
City
zip t
State
San Francisco
94111
Lic' # C-19030
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
Estimated Valuation
$7"/ 75, 000.00
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
PERMIT
AMOUNT
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 l
subjects the applicant to a civil penalty of not more than five hundred dollars.(E500):-, .. ..
[] 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
aply , M
I Plan C k. Dep. '
-
Plan Chk. Bal. �'�'•
Const. '
Mech.
•�
builtls or improves thereon and who does such work himself or through his own employees,
providetl that such improvements are not intended or offered for sale. 11, 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.)
Electrical
r ', t
Plumbing
+ - 3 .s
I'1 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.)
0 1 am exempt under Sec. B. 8 P.C. for this reason
!�
S.M.1.R`�^•
-
Grading
Driveway Enc.
, k
Date Owner
Infrastructure
r'
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.)
7
Policy No. Company
n Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
-
,r
(This section need not be completed it the permit is for one hundred dollars (810'0)1 valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I th II not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: 9, alter making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
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.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DAT INSPECTOR
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. Issued by: Date Permit
I agree to comply with all city and county ordinances and state laws relating to building Ow /
construction, and hereby authorize representatives -of this city to enter the above- y
mentioned property for inspection purposes. Validated b
Signature of a0plicant —Date—
Mailing
ateMailing Address Validation:
City, State, Zip rytl��Yp9
Y a
r WHITE = FINANCE YELLOW = APPLICANT PINK o BUILDING DIVISION
x
Notice:
Document Cannot Be Duplicated
Date 12/8/98
No. 18074
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
APN # 769-162-002
Jurisdiction La Quinta
Owner NameDon & Donna Kelleher Permit #
No. 78-631 Street Talking Rock Turn
City La Quinta Zip 92253
Log #
Study Area
Tract # 28470-2 Lot # 46 Square Footage . 6,384
Type of Development Single Family'Residence
Comments
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 6,384 or $ 12,321.12 the property listed above and that building
permits and/or Certificates of Occupancy for this square footage in this proposed project �Inay now be issued ar
Fees Paid By CC/Metro Commerce Bank/Stoker Construction Inc. Telephone 6,19 -365 -8691'_ -
Name
, 9-365-8691_Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Juanita Green
Signature
Payment Received $12,321.12
Check No. 137009
NOTICE: Pursuant of AslVmbly 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 frd(h 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
collect them on the Dislrict('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
first Aiwerican Title Insurance Company 100068
Ordcr''No. 2093446 -EL
' ''Escrow No. M1041 RECEIVED FOR RECORD
Loan No. 7DOCC.
D AT 8:00 AM
WHEN RECORDED MAIL TO: fer TaxMr..&Mrs*.•Kelleher ..@COfdBf MAR 18 1998
P.O. Box 384
Ross, CA 94951 PACWL amoftwR Wft
of Rte' coC"awl, .
Recorder
MAIL 'TAX STATEMENTS TO: Space above this line for Recorder's Use t=eas s
DOCUMENTARY TRANSFER TAX Y,? 9,,
XX Computed on the consideration or value of property
conveyed; OR
SAME AS ABOVE Computed on the consideration or valueless liens or
encumbrances remaining at time of sale
The Undersigned Grantor ZL
Signature of Declarant or Agent determining tax -Firm Name
APN: 769-162-002
TRA: Od-D GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
-TRADITION .CLUB ASSOCIATES LLC:, a Delaware limited liability company
Hereby GRANT(S) to Donald J. Kelleher and Donna B. Kelleher, as Trustees for the
L Second Amendment to The First Amended Kelleher.Family Trust'of 1990
(V7 the real property in the City of La Quinta
County of Riverside State of California, described as
Lot 46 Tract 28470-2 (See Exhibit "A" Attached Hereto)
Dated: February 25, 1998
State of California )
ss.
County of
y
On_/ before me,
'
TRADIT ON LUB AS OCI ES, LLC.,
personally appeared DL�. ,, :% l />,� :�,».; , �
a Dela are h iited liabi ty co pany
personally known to me (or-proved-(,&-eiH4ie-basisof-satisfactory
G
evidence) to be the person(s) whose name(s) is/are subscribed to the
l�e�!
BY
within instrument and acknowledged to me that he/she%heyexecuted the
same in his/her/their authorized capacity(ics), and that by his/het 444 it
signature(s)-on the instrument the persons) or the entity upon behalf of
which the
ITS: EXECUTIVE VICE PRESIDENT
person acted, executed the instrument.
WITNESS MYI ND AND OFFI IAL SE CHRIONAJ. LOBES
i Corr muton / 1127459
`
S igna I u rc �_ j'� - i '� .
Notary PuNic — Coffornta
— -
Rtverslde County
My Comm. bq*es Feb 2l), 2MI
(This area for official notarial seal)
a
.. _ • 1OOOf;B
' EXHIBIT "A"
Lot 46 of Tract No. 28470-2, as shown by map on file in book 2.66 pages 57 through
60 of maps, Records of Riverside County, California.
THIS DEED IS MADE AND ACCEPTED SUBJECT TO THE FOLLOWING:
1) Nondelinquent real estate taxes and assessments.
2) All matters of record, including without limitation, that certain Declaration of
Covenants, Conditions and Restrictions and Reservations of Easements � for the
Tradition Community, recorded as Instrument No. 262677 of Official records of
Riverside County, California, which is incorporated by reference herein as .if fully
set forth herein and any amendments or supplementary declarations 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.
F
TRADITION GOLF CLUB 760 564 2356 12/07/98 14:37 :04/05 'NO:562
adition
December 3, 1998
Via First Class Mail
and faaimile
Mr. Jarvis Moore
HUNT, HALE AND ASSOCIATES
475 Sansome Street, Suite 1820
San Francisco, CA 94111
Re: Lot 46, Tract 28470-1
78-631 Talking Rock Turn
Construction Documents —1" Submittal
Dear Jarvis,
The ADAC of Tradition Golf Club reviewed the above submittal on December 2, 1998 and a motion
was made and accepted to approve the revised Construction Documents subject to the following
conditions:
Arehitegural Review '
1. Site Plan: Even though the landscape plans show some of the following, the architectural
site plan needs to show the complete items as well.
A. Show all underground utilities and where the main service panels are to be located.
Provide screening for all utility panels to screen from view from all adjacent
properties.
B. Show location of pool/spa and air conditioning equipment on site plan.
C. Provide details for mailbox design.
D. Side yard wall.at master bedroom is projecting into the rear yard setback area. It
must stay out of the rear yard setback area. Please move.
2. Electrical Plan:
A. Show all utility panel locations and how they are to be screened from view.
B. Fixtures approved as submitted, if any changes, please provide manufacturers cut
sheets for all exterior mounted light fixtures for approval,
78505 Ou) AVENUE 52 - LA,QUINTA CA 92253-1120 - PHUNG 760/564-3355 - FAX 7601564.2356
., T-RADITION GOLF CLUB T 760 564 2356 12/07/98 14.37 R -05/05 NO.562
C. If satellite dish reception is required for this residence, they must be mounted such
that they are out of view from all adjacent properties.
3. Sheet AD -1 and AD -2:
A. All exposed sheet metal must be out of view. This includes all eave, roof to wall
flashing, column cap details, etc. There must not be any exposed sheet metal,
painted or not, unless it is approved by Committee, i.e. copper, special finishes,
etc.
�Pa Re�►� •
1. Provide pot specifications for approval.
h`
2. Provide tile specifications for approval.
3. Provide location of .Backflow prevention device on plan. Should be located in an
inconspicuous location, preferably behind a wall.
If you have any questions or need additional information,, please do not hesitate to call.
Sincerely,
r
Christina J. Dores
Architectural Review Coordinator
/cjd
pe: Mr. and Mrs. Don Kelleher, via first class mail
The Kelleher Corporation
A Lumber and Moulding Company
1543 Fifth Avenue, San Rafael, California 94901
Phone (415) 454-8861 • Fax (415) 453-1003
September 25, 1998
Building & Safety Division'
City of La Quinta
P.O. Box 1504
78-495 Calle Tampico
La Quinta, CA 92253
To Whom It May Concern:
I hereby-auth`� ize Hurst, Hale & Associates and its employees to act as my
agent in submitting all required materials for the issuance of a building
permit by the City of La Quinta.
Best regards,
UJr\/IiIJ
Encl.
x
SAN RAFAEL BLACKPOINT SACRAMENTO . SONOMA MIRA LOMA
{ G
F OZ � • ��Y�1�7 V�
V S
Dear Builder:
Prior to issuance of .a building permit, you f`will be required to obtain Public Works
Department .approval for one of the following:
Verification of pad elevation by a licensed surveyor or engineer. `
2. Engineered grading. plan for project requiring on -lot retention.
Tract #26524 (Estancias)
Tract #26769. (Mountain View Estates) ;
3: Verification that the building pad has been graded and compacted in accordance
with the soils reports, and tract grading plan.
Tract #28034 (South Valley .Estates) ?
Public Works Authorization
`l - X31 _TPtL.Y_, t.3G
c:PWauthAtr/da
C Qy
0 OIC LA Oil NTA
JUN 11 RECD
REGISTERED INSPECTOR'S WEEKLY REPORT
JON TANDY
37630 Medjool Ave.
Palm Desert, CA 92211
Office
) 2
(760) 772 7193
Fax
Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY
❑ POST TENSIONED CONCRETE ❑ ASPHALT
❑ REINFORCED MASONRY ❑ FIRE PROOFING
x -pa
❑ OTHER (!
JOB LOCATION 1-(e 31 1 t_� "
K `-IV••
L� �
REPORT SEOUENCE NO.
TYPE OF STRUCTURE - i
sFD K>t I [ Res ® Tp-AAi- '
PERMIT NO.
l'o 1c) -- D
DATE/
(11 y ?
DAY OF WEEK
MATERIAL DESCRIPTION 1LJ
N
ARCHITECT
rtIHA�
I$`CTOR
'
HRS. CHARGED
ENGINEER
ASSISTANTS
HRS. CHARGED
INSPECTION
GENERAL
CONTRACTOR �
SUB
CONTRACTOR
/DATtE/
9
- -/lam
34 E. A.
0
-7
b C-.1% s It
ti-
o>c cRo
®
SE4- i
L S L
r
10c-0. 4
COPY SENT TO CLIENT ❑
CONTINUED ON NEXT PAGE ❑
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.
411xx� (�4 \�&��
0 REGISTER INSPECTOR
qjjTURE
9 �' o I1/13;z(p-Sy
DATE OF REPORT REGISTER NUMBER
o JON TANDY
OR ' � x'''13= 630 Medjool Ave.
12 Palm Desert, CA 92211
REGISTERED INSPECTOR'S WEEKLY REPOFIT
FAD Office (760) 772-7192
Fax (760) 772-7193
Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
❑ REINFORCED CONCRETE TRUCT. STEEL ASSEMBLY
❑ POST TENSIONED CONCRETE ❑ ASPHALT
❑ REINFORCED MASONRY ❑ FIRE PROOFING
❑
❑ OTHER
JOB LOCATIONREPORT
�a -� � u4tt4 LA u �T�
SEQUENCE N0.
TYPE F S,TURE 1<1 /1I
PERMIT N0.
DAjq
DAV OF WEEK
G��
MATERIAL DESCRIPTION
(�-moo A3�
ARCHITECT
INSPECTOR a
0
HRS. CHARGED
C 7e7=-6 E=7ac8'
ENGINEER
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE
GENERAL_SID,n SUB
CONTRACTOR CONTRACTOR PAC �N� K•�
01
-(p> &-sC
•t��'
- laJ I x 3 o
a S o -(,o (-c� \6
W4A-%6i 0 Cep...4) U_7tZ
ISO i
--2CQU -RESTL--1-'�s R -3,)-,S7- 4•s L0>o(,-z:S T -o
mss T• l �S
COPY SENT TO CLIE
CONTINUED ON NEXT PAGE ❑
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.
G ATURE OF REGISTERED I ECTOR
11 0 6'�-a7S'
OA E OF RE ORT REGISTER NUMBER
0� ill s!'fA
o
MAR 2 3 REC'Q3 O M dAN DY.
BUILD1j%,,r„� Palm Desert, CA 92211
Office (760) 772-7192
SPECIAL Fax (760) 772-7193
Pager (760) 776-3338
REGISTERED INSPECTOR'S WEEKLY REPORT
TYPE OF
INSPECTION
PERFORMED
❑REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY
❑ POST TENSIONED CONCRETE ❑ ASPHALT
❑ REINFORCED MASONRY ❑ FIRE PROOFING
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JOB LOCATION 78-6311
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REPORT SEQUENCE N0.
TYPE OF STRUCTURE
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DATE
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MATERIAL DESCRIPTIONARCHITECT
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CERTIFICATION OF COMPLIANCEAZaq -
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SIGNATURE OF REGI ERED INSP TOR
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certir'"iff.cate.of Odcupancy
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 time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS: 78-631 TALKING ROCK TURN
Use Classification: SINGLE FAMILY DWELLING Bldg: Permit No.:. 9810-016
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: STOKER CONSTRUCTION INC Address: 57370 29 PALMS HWY #201
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City: YUCCA VALLEY, CA, 92284
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By: DANIEL" P. CRAWFORD JR.
Date. 2/4/2000
"Buildingicial
POST IN A CONSPICUOUS PLACE
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