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0205-171 (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 7WIN B 06113W( bate dB Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under perfalty 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. d/f 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 S3'p.Tg pUND Policy No. 147,31YJ-0I (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�proy isions. Date: l� Applicant �� 7ill"WV1 - Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employe" 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 per 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 tfe City of La Quinta, its officers, agents and employees. 2. Any permit issued3as 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 inspection purposes. Si nature (Owner/Agent) 4�saw Date 7, 7 1 . BUILDING PERMIT PERMIT# DATE VALUATION p, qr�y�p�S LOT e TRACT . 0'4 a7• f A,,67. ,20 44 .284704 +7 ADDRESS i��l�..�e.CE%�a�C�� Joe SITE' APN i.••'ti OWNER CONTRACTOR/DESIGNER/EN (NEER Id C14 A WE J.APPF.I ti uT7�irtir'1 .�Af'»3, i,�3 01TI.P,1'.. CON:>.`RACI `its 8646 DUMB MOMECARLO 45.120 3VT1°AML-0 3M 24 (71St)S658'•6070 E`°CAW 2274 USE OF P`,gqE��rRggMyy IyT S1�G77�t�.,��f�^CLUD1j1��.VApLL'�i/))Pi'C)L:IyDyPytVI7,�b�i1►'AY`.f+a[�PykeRO..yA{fi,'H!Ci.�MPII.4A*N�JCV,�WITH ' ��W �8L3�P.iM]L � A7.1� 1 iud�d��ti� X�LIIJLfA.?.�iV �? b �,lF.% 7ii`i.dJ.t`e.OV`FLiA�.1.%'7J �✓Y"�fvL.19:A� ' ACT OF 1.M, IF APPLICADIAIS RAQUIRED, CUSTOM G:t71d9'1'RUCTION M0.00 3 PO1:C31iPA.110 1,113.00 SF OARAD,1-CARPORT E1163100 SV ,A/C — JUS'IDENT1.I�,.L- 108.00 sip PERM FEW RY..o ARY 00145TRUCTX014 RE 101 ;000--416 -000 SZ078.50 PLAN CHECK: F93 101-000459=318 3t2fig'l.o 1'1�E DEPOSIT 101-000.439-378-S-1,2xoo Mff� HANICAL trZE 101 -OW -421-000 S64$.`tit URC"F13XAEsRE 101-000420-=';. r280AP P"L,t3'MBYNa1 . 101P(1Q -419-000 $521-25 S'1'1Z.OW.0 ;JtO3 RYK iOC - RUSID 101-000.241-000 LULU GRADING) FFZ 141-000-123.000 ' IS.iifi D N L,L0PER Iit PACT FEE $1403100 Ppyr.10 taLd4W 101-000-441 •145 $100.00 ART IN PUBLIC P1rFS:cps - Rair e2..7Ci i' 00.445-01DO SWA45 a34�5-'x-'0'rAL Cta?WCRU C'.1`(ONT A2TD I' 3y7� #'35. ''��'. 5aff.�� •[['� �/,�)�,, p4�Cy: (E )ES ��f2y��f0� 0 ® •&d J•-.ie4�.�.A7'.53 �'.O: .L'+.E VU3r` .L76d VY MSf)"/,K+.ef.T?,' JUL Mz' CITY OF LA QUINTA RE 1121 BY DATE FINAL D q INSPEC I as 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 i/�, F.A.U. Framing , - Compressor Insulation Vents Fireplace P.L. F,010,777�E_ Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final ��%�� BLOCK _LL APPROVALS Final POOLS - 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 Electric Final Waste Lines v _O Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection ILI 2_ Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Lahr Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final _ Utility Notice (Perm) COMMENTS: _ f� n `�-r S of — �� O 2— Desert Sands Unified School District �U-IEDsc� 47-950 Dune Palms Road La Quinta, CA 92253 p ti BERMUDA DUNEs Document Cannot Be Duplicated 760-771-8515 RANCHO MIRAGE b INDIAN WELLS '- �. PALM DESERT CERTIFICATE OF COMPLIANCE QUINTAL _ �O tNDIO .y�. Date 6/19/02 APN# 770-300-027 No. 23312 Jurisdiction' La Quinta Owner NameJaffe Permit # . No. 78671 Street Talking Rock Turn 1_,Og # 0205-171 city La Quinta Zip 92253 Study Area Tract # 28470-2 "t#- 44 Square Footage 6103 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 2.14 X 6,103 or $ 13,060.42 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 California, Check -Brian Ludinaton/Contractor Tele hone ' 760/568-6070 Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Crystal Scott Signature (z P Payment Received $13,060.42 Check No. 23100973. OTICE: Pursuant to 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 love 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 Illect them on the Districtrs)(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 June 14, 2D]2 R & A Family Partnership, . Attn: W. arid Mrs. Jaffe 8646 uetttc: Monte Carlo La Jo to, CA, 92037 Re: j 8671 Talking Flock Tann Dear Mr. and Mrs. Jaffe, The radition Architectural: Committee has reviewed your second submittal of Construction Dra ngs for your Talking Rock home. The plans were approved as submitted. The awning matei 'al was approved as shown. We are, in. receipt of the $x,000.00 construction performance deposit and approve the issuing of a building permit for-this home. Thank you for your follow up on the items noted in our June letter. We look forward to working with you further on the construction of your home. Sin rely; Mindy Gutierrez, Property Manager Trad tion Community Association cc: Kristi Hanson PCb,VDESERT RESORT PROPERTY MANAGEMENT COMPANY Posy CFF[CF BOX 4772, PALM DESE:R-f, CALIFOXNLA 92261.4772.73.M0 AU-SSANDRO, SUITE S, PALM DESERT, CAUFOPNIA 922,60 PHONE: (760) 346.116] — FAx: (760) 34.6-9918 INSPECTION SERVICE -I 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 OFF000 INSPECTION PERFORMED REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY POST TENSIONED CONCRETE O ASPHALT REINFORCED MASONRY O FIRE PROOFING O 0TH R JOB LOCATION v OG vc v� REPORT SEQUENCE NO. TYPE OF STRUCTURE - 4 O^S c PERMIT NO. DATDAY 7 2 OF EEK MA ERIAL DESCRIPTION �M 1-ki 2L ARCHITECT INSPfCTORI HAS. C RGED K CD ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL B - CONTRACTOR CONTRACTOR 2 X04 &W\ V b6 n. ` T o c� COPY SENT TO CLIENT ❑ CONTINUED 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. SIV11,,URE OF REG FRED INSPECTOR DATA OF REPORT REGISTER NUMBER r SPECIAL INSP-ECTION SERVICE 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 ❑ STMOCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ S ln � O ETHER 1.P Lk'u'nI JOB Lr �+ T� n �^ rp � I? v F� REPORT SEOU.ENCE N0. TV�P6�grTORE JJ�� Y�Y��\\ n PER"M`IT N0. U DAY OF WEEK MATERIAL DESCRIPTION r 3 v �_ ARCHITECT I PE 0 itHRS. CHARGED � ENGINEERASSISTANTS � v �`- HRS. CHARGED INSPECTION DATE 4 GENERALSUB 1I�� R .. •S • ��VJ �� CONTRACTOuCi1 CONTRACTOR (.C---16 wa-f-6 I PA COL` f / egA wtS �- ' A"t� G4E-0 (f-P&P—tC A "R, u^— ►Q- 1 COPY SENT TO CLIENT O CO IN 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. I NAT REO REGISTERED INSP TOR 1'."" DUE OF REPORT REGISTER NUMBER F R.qon Amin Anl. , - Fab- � _ ama nom: 94- MENEM, M.P. • ' Pan INMMI. Head M� .. �. Films, � ) am H� aK` � t 8 GIOCI 8 (9.6�)(ge) mate) a Somms M. mmis lmoml, mm lmlml mm �m�wsu■�ra�� INK wilimmmma-mm NMI =.�l Wlllmmmwmm=l=l�m 111UMNINH =I I in I mlmlml�m I = I m110�N1�■i�� Il��i�l�■�L3'il�� =I Somms M. mmis lmoml, mm lmlml mm -10 11 *mter als and welxbmmft 1=41m mad a�ig3e�atie�s and - Dl.l "aiPPi4 Hark Special �&Muty Insp. . 905 SHEL r ti i I 1 INK wilimmmma-mm NMI =.�l Wlllmmmwmm=l=l�m 111UMNINH =I I in I mlmlml�m I = I -10 11 *mter als and welxbmmft 1=41m mad a�ig3e�atie�s and - Dl.l "aiPPi4 Hark Special �&Muty Insp. . 905 SHEL r ti i I 1 SPECIAL INSPECTION SERVICE 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 '&�91JICT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ SPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ •��Q,.�` 0 PER JOB LO �� (� �s �\ `� �� LA �� ` REPORT SEQUENCE N0. TYPE pf�ST UfrjURE J` JI/L J\ ��(� PERMIT NO. DAT Ec1 V � DAY OF WEEK MATERIAL DESCRIPTION /n� � IT ARCHI E 1` `�� i`� 1 HRS. CHARGED. ENGIN ER ASSISTANTS HRS. CHARGED INSPECTION DATE' "" GENERAL CONTRACTOR �V'�'� / SUB 6►� N, . CONTRACTOR 1 (� C91 pt V • 140 S1( . 1:kO� 3,0 R_ 4e_ vtA I r COPY SENT TO CLIENT O - CONTI 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. TU E OF REGISTERINSPECTOR 6a DATE F AEPORT REGISTER NUMBER J r�SW -MMMIN 0*41 SPECIAL INSPECTION SERVICE 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 ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION .7 — 6�7 ( Td\t.�LiN�G- Titer L.� Q�,.��r�-� REPORT SEQUENCE NO. TYPE OF STRUCTURE 51Fo J Qe ® t '6NS PERMIJ NO. DATE DAY OF WEEK MATERIAL DESCRIPTION M Sot�i se 2 DJC. ARC ECT ` ( INSPECTOR HRS. CHARGED _2 ENGINEER o ASSISTANTS HRS. CHARGED INSPECTION GENERAL rl SUB _ DATE - CONTRACTOR ,/U IiU N LI1�1 CONTRACTOR1 K-iT Ct-l� bOtATt4 SieA t,s°J 2 -OXL ?moi t�� t✓ D fv'L, gou" S�{�� \ poo T>e- o QC q. P T)pk-m7 WHL( ( O GgaNviEel t,�PAFGX100f-�- -Fa Jam- K900 -C tzof4& COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE ❑ PAGE I OF 1 CERTIFICATION OF COMPLIANCE '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. SIGNATURE OF RE TERED INSPECTOR DATE OF REPORT REGISTER NUMRFR ff J r� ri r �� Ce'r'r�fica.ter o f �Occu a nc.. V_ � ' . - � • *, i,,.- r fir! n t° d ` . I�oowanhn �� `-is bra- ° .' , : 4f r ti - � ;, � � �., r •s `'� i J ... Building&�Safety�Department_ '1" 4y` _ 'This7 Certificate; �s -issued -pursuant to,�th'e 'require►»ents" of Section 109 -; of the *California -Building Code,Y., certifying•�', that; ate the ^time 'of issuance, this. structure,' was- in -compliance with =the 'L Prov%sions,of the`B•uildin_g.-Code'' 'and the various�ordinances�of the�City regulating 'buildingconstruction an.. d/or� ,. 4 .tir'tiry{} 'y. ' W, ,♦ � ,+ x.,.V .= rj ,... 7 T � � , . �=. - iii ;1 - -=use. L ' • � '�'��'J � w - � ?3 �'• ' Y•4. `� . l -�7•' � �'��' 'h`t 'fLl `.f � c�+� + iq� Fr � � _ BUILDING ADDRESS�78-671-TALKING-ROCK:TURN s't / .. ori '! i• � ` �f ., r .'7.. `� `�. .* L •• P `, '{ A: ..: � s�� _Use classification: SFD' '.'Building Permit' No::_ 20 ` �Y Occupancy Group: R-3 U-1'Type of Construction •VN L-and;Use Zone:'RL .- � :'� � •ati ff •>� �� 4th"',, ' 3 • C.� �G a. - `S�_ { � rC�`. - �� r� A!t f •� ua �••:. G.. •� �n.ro-r-'-+ir - e�� -�v, -��^ �� .�, ;,..f F.., w�� i��r~ C �,��. � ^ � _ � F� 't ` I-♦ - 7 y4 L Y� � �. y ,�� i. - n" i I. 3`•- `�rS:i .Owner of Building:•RICHARD �&.-ANNE JAFFE Address:.8646-FUETTE MONTE CARLOI �- � • • � `� c : :" �=,�' J ' A. � ` _ . � , , - - . ; � ��. � �- , :, ._ •. City, ST,,ZIP: LA JOLLA �, .By: KIRK KIRKLAND ,�,.►r ,r:. y 'r �-� �•" � `d .: � C-, .1 {Date 11-19-03. '''•,' �• ., r''. r_ _ .# Yt- ,- � ` � �� r' ' � T �', c+ r � ; q ��a:: J r .. > "�` �. � ,• yr �� _ h; -� • ,�Biailding,Off • . � icial �� s_U - - �,�(.rfi.; r POST�IN A CONSPICUOUS PLACE ff J r� ri r �� Ce'r'r�fica.ter o f �Occu a nc.. V_ � ' . - � • *, i,,.- r fir! n t° d ` . I�oowanhn �� `-is bra- ° .' , : 4f r ti - � ;, � � �., r •s `'� i J ... Building&�Safety�Department_ '1" 4y` _ 'This7 Certificate; �s -issued -pursuant to,�th'e 'require►»ents" of Section 109 -; of the *California -Building Code,Y., certifying•�', that; ate the ^time 'of issuance, this. structure,' was- in -compliance with =the 'L Prov%sions,of the`B•uildin_g.-Code'' 'and the various�ordinances�of the�City regulating 'buildingconstruction an.. d/or� ,. 4 .tir'tiry{} 'y. ' W, ,♦ � ,+ x.,.V .= rj ,... 7 T � � , . �=. - iii ;1 - -=use. L ' • � '�'��'J � w - � ?3 �'• ' Y•4. `� . l -�7•' � �'��' 'h`t 'fLl `.f � c�+� + iq� Fr � � _ BUILDING ADDRESS�78-671-TALKING-ROCK:TURN s't / .. ori '! i• � ` �f ., r .'7.. `� `�. .* L •• P `, '{ A: ..: � s�� _Use classification: SFD' '.'Building Permit' No::_ 20 ` �Y Occupancy Group: R-3 U-1'Type of Construction •VN L-and;Use Zone:'RL .- � :'� � •ati ff •>� �� 4th"',, ' 3 • C.� �G a. - `S�_ { � rC�`. - �� r� A!t f •� ua �••:. G.. •� �n.ro-r-'-+ir - e�� -�v, -��^ �� .�, ;,..f F.., w�� i��r~ C �,��. � ^ � _ � F� 't ` I-♦ - 7 y4 L Y� � �. y ,�� i. - n" i I. 3`•- `�rS:i .Owner of Building:•RICHARD �&.-ANNE JAFFE Address:.8646-FUETTE MONTE CARLOI �- � • • � `� c : :" �=,�' J ' A. � ` _ . � , , - - . ; � ��. � �- , :, ._ •. City, ST,,ZIP: LA JOLLA �, .By: KIRK KIRKLAND ,�,.►r ,r:. y 'r �-� �•" � `d .: � C-, .1 {Date 11-19-03. '''•,' �• ., r''. r_ _ .# Yt- ,- � ` � �� r' ' � T �', c+ r � ; q ��a:: J r .. > "�` �. � ,• yr �� _ h; -� • ,�Biailding,Off