0010-124 (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
699640 1 2M Y/2(
Vate 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:
( ) 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, Business & Professionals Code). ,
( ) 1, as owner of the property, -am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code). i
() 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.
,4n 1 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.
MT91€113 (4df p �Q B3;3i
(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 proyisio1r&_of5S4Yc ltlt on 3700 of the Labor
Code, I shall forthwith comply with those provisr ns.
/Date` a ""3:,, r3 / . 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 pursue
any permit issued as a result of this applicaton agrees to, & shall, Inde
& hold harmless the City of La Quinta, its officers, agents and em to ees.
2. Any permit issued as a result of this application becomes null I` idi
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 representaiives� of this City to enter upon
the above-mentioned property foorA'irisgection p rposes.
/Signature (Owner/Agent-) Date
BUILDING PERMIT' PERMIT# ;
r
DATE VALUATION. LOT TRACT
JOB SITE
ADDRESS
APN
.. . 7f 4W2 `1 AY '.I'G RO= TURN
769-930-029
OWNER
CONTRACTOR / DESIGNER / EN'INEER
��:1� r�:(�C.f5�3t,:�:R3�:G?
�, i�l''.:.���"i"C)� f.'"��v�T'&?.'�C�.:�t��?S, �•�'.
i.ONTERAC11 CA '90803
CATHWIRAL C"IrC CA 92234
5525
USE OF PERMIT
(1WOU FAM1rC Y DWR Y,, NG
V0 t PYXMIT DOESSO'1; ENf"za1J1`bis ti. it.lC f,`TJa7.Ld>ptbfaf a5"T+.ft DR.
APPROACH DNtIVi1:W.A'f COMPUANCR WITH ALL FEDERAL &19't:AT9 LWO,
3ldUL1.Ifi91M10 Tkit F,�MDANOEMW SPECI S AACT OF' 'Irn (16 U.S.C.
IUS` OM CC 14.114TRUCV014 6.097:00 SF
IRORCH9taA.Tl b f1ss.0crip We
C1APMORMARPO T ) M
-
ltiMKI1� D COST aF C.CNWINUMON
ns,mto
CC?NOTRatDCTION 'YER 101.000-41 t-000 V.1"0150
PL &N CHECK M9 101.000.439.318. $1,707AX
RVE DEPOSIT 101.000.439,,318-B.1,ma
t+RF,CHANIC:AL F99 101-000-421-000 $198.00
FIRC`,T131C",n L . 101-000-420-000
PZ.►,7ka1M:0 FFIE 101-000'.419'.0(}0 �1f7 f3ti
STRONG Me'k'1"ION F19F, " 1MR., 10 k -000.241.4 00 01,87
ORADWO 1M,1? 101-000-423-000 $7,0.00
.ART rN it%'UFJIaJC�r`1ACIAS - 1{01..r 701-000-W-0,00 (706:'id'
�•
i
082001 CORMIRDM M
rev
� ��$.�� a
sem;-I'MAT.,
y'.)�Pi+z4:A 4�W���f , y�7r [a
p p i-d?Wo6 A'9U.+ d6'_L'dii7
-$1,2,20,00
.. .,.R..U`eia�J
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s
RECEIPT
DATE �. 1
BYI tr
DATE FINALED
INSPECTOR
�•s8Z INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & FootingsJ
,
Ducts
Slab Grade
-"r �' f�
Return Air
Steel
Combustion Air
Roof Deck
.. p,�
Exhaust Fans
O.K. to Wrap
Framing
_
T
/p� b /
F.A.U.
Compressor
Insulation
17-4,6
Vents
Fireplace P.L. dg
( 7
Grills
Fireplace T.O.
Fans & Controls
Party Wail Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final y/?/ o Z�
BLOCKWALL AP ROVALS
Final
POOLS - SPAS
steel
Set Backs
Footings
�p_�, p t .5�
�Z/�3 �� /Z
Electric Bond
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
Water Piping
Plumbing Top Out
? Q / i _ , j
/�
Heater Final
Plumbing Final
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Sewer Connection
3/(�j �O� �—
Pool Cover
Encapsulation
Gas Piping
Gas Test
�(
Appliances
Final
COMMENTS:
46 4(.0 M 31G,e- BZA, 4 —5�. K
A69-,-6+ -.AO- 19 f �T
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
Utility Notice (Perm) eBe- - p z/
.�� �•�. .1 ,,-. .« iy ,,...�* �� �,. .a „,:1„r=,_ .,.�•r--fia;,� �rr"�:"'�Fv�:.,��,,�; �q,,,.r •.k,:� ,•_—.. .r. .-�� .
t '
�/c � Colo - /-)CF
P.O. BOX 1504 APPLICATION ONLY
Building T F7_B-495 CALLE TAMPICO
Address � lam- �JL\LK/ (� kC7 LAQUINTA, CALIFORNIA 92253
O.ner e r
l h k_+� ��/� 6 �"' ~' n.�
Mailing BUILDING: TYPE CONST. \/ OCC. GRP.
r
Address& �2 L �
A.P. Number �'7
City // Zip
n / G Tel. L �% / ?•11
LL,N�
lie �! C A • % e Y LJ 12, 2 l %_ 3%2Legal Description 1
Contractor /I �^
Project Description 11 /L /
Address /^ it pT
City Zip ' / Tel.
Cell ,t&ll��/�Z3Y 71�01321-�3�� o\l- Pte. SC
State Ljc. / City
&\ ,
Classif. (,( 1 44�i Lic. #Sq. Ft. No. I No. Dw. Size Stories Units
Arch., Engr., , j
Designer I 1 c � C / 1�c. C ( I %r C - New,Esal' Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel. 7Gr G
C�itj ( Zip / State �- r- ��,� .. L / ULl C 7 6V 16
f f-�� `\�l /'�C11-•' .S � �.� tG`� Lic. N 1.,. � {{ ''� �/ � / J ,,yam►. �
r LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section //'' y /-ry
7000) of Division 3 of the Business and Professions Code, and my license is in full force and (,•, L ✓4 157-5 0_r_ /
effect. / /' w►
SIGNATURE DATE ! ..� r/ / >>Lr✓!1 ice• �� F�
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following /1
reason; (Sec. 7031.5,Business and Professions Code: Any city or county which requires a l
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 PERMIT I/ / AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section IOOO) o/ j
Division 3 o/ the Business and Professions Code, or that. he Is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 703 1. 5 by 'any applicant for a permit Plan Chk. Dep. '
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
I: I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.
Professions Code: The Contractor's License Law does not apply to an owner o/ property who
builds or improves thereon and who does such work himself or through his own employees. Mech.
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 shave the burden Electrical
of proving that he did not build or improve for the purpose of sale.)
I'1 I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
struCI 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 conflicts for S.M•1.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
17 I am exempt under Sec. B. & P.C. for this reason '
Driveway Enc.
Date Owner Infrastructure
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. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i/ the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY:
subject fo the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: '
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center'Line
Ihereby 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 r '
This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR '
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
construction, and hereby authorize representatives -of this city to enter the above. !
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
Notice:
Document Cannot Be Duplicated
Date 3/5/01
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
No.. 21728 Jurisdiction
Owner NameN ike & Lisa Osborne
No. 78-582 Street Talking Rock Turn
city La Quinta Zip 92253
Tract #
Lot #
Type of Development Single Family Residence
Comments
APN # 769-930-019
La Quinta
Permit #0010-124
Log #
Study Area
Square Footage 6097
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
2.05 X 6,097 or $ 12,498.85 the property listed above and that ruil+dii�g"�' RI`
.: :'alt.✓ - ` y
permits and/or Certificates of Occupancy for this square footage in this proposed project may iiow be issued
Fees Paid By CC / Bank of America - Richard Green Telo Fore 76.0-275-7775,
Name on the check r
By Dr. Doris Wilson -
Superintendent
Fee collected /exempted by Annette Barlow
Signature
Payment Received . $12,498,85
Check No. 2007979177
40ME: 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
W
0:x/13%2001 13:36 , 760,327821411
AU
Km Ameriratt side W. Co.
A" VMN ar"OUDED MATT. M.
MicWl 1. Osborne and Lisa L. Osborne
6092 Lido We
laII A LAeb. CA 90803
A.?
1:d2c
WE UNb4FA ONIED GRANTOR(s) DECLARS(s) THAT
i ]
poled oa full value of property cone}
{t at oa sUtO4 cit fdI value less value of �ieni
u worpotated race; l l City of -La 04:
'��/}�/(r•,v C7 Roc (G TVA
JAMES CIOFFI ARCHITE PAGE 01
DOG as ,000--i(W4,F�
Ism/t. _ - 48-M [+N:A.00
Paan 1 o1 S -flea T Taft paid
Rrardad An oilletal Roaards
county of Qtvatwada
Gary L, nraa
Mawr, county Clerk & fteardor
111111111111111111111111111
TRANSFER TAX W COMTY 1WL
or
encumbrances remaining a time of aIle,
t. MW
FOR A VALUABLE CONSIDERATION, Iteceiyi of abicb is hereby acknowledged,
Fidpa C3pW Corp>m ion, a Colorado corporation
bcnby GRANT(S) to Micbad J. Osborne ind Lisa L. Osborne Trustees of the Osborne Family Trust ,
dated otttober 17, 1985, as amandod and Restated BabruarF 11, IM
gDe WUow4 "cribad property in the City of Lo Qukita, Coutay of RIVERSIDE State of California;
IAA 37 of Tnct No. 28470.2, ss shown by neap on file In book 266 pages 57 through 60, of MAP&, Records of
Wve. *de Covat7, CaBtorrils.
Fisbw Capita) Corporation
By;
DMI T. Fl
,-.nes vac'- l 99
OF CALM >5S
C0tyRrf°d of i �fdi4�s • )
Tg J and T �.�.—
ga:rv=tt°1 kaawn to tr►e to be the perlonfrlwhoae tuunc(o 44N.Cubacribed to me widtin iaYraatlMt
wo actmwiedtea tome tbu hzhh6dKy c><ecuird the ams in authorized cquity6p) Ano that by trisleeuettelr dgwamto on am iptesatutae
tt P;Mrt * or the entity upuu rehatt of which fire penatim acted, executed taw intttt WE.
itlTM U my haAd nal official oaal.
5�1022141 41
W oa+naal>ti.+ ImD
Mail Tait Stalm nts to: SAME AS ABOVE
City.of La Quinta
Developers Project Approval.Form
Prior to the issuance of Building Permits for the project listed below, the following Departmental
clearances must be obtained. Please return this form to the Building and Safety Department only
after approval. .Contact applicant for resolution of conditions preventing or delaying approval.
Ab
Project: 78-582 Talking Rock Turn ��� ° i ` �occ
SFD plus Wine cellar Covered Terraces l
Applicant Contact: D W Johnson- 324-9315 %-111V
Applica ion / Circulation Date:
Comm>>.nity Development Department
. Christi% Di Iorio, Planning Manager
Public Works Department
V LV Y�r V�/V4t1,
Building and Safety Department
Greg Butler, Building and, Safety Department Manager
Please return to Nickie Gormley asap
t!;P'
ez;; C_'c "a r,- '97
X28 +70.2
l Acc— D W c
fL A /0-0
Date(
Date
ate
Date
r
C:
C!1Y OP ? A
ns jojVTA a
ORANGE COASTTITLe CO..
GEAR 13 RECD Doc Is 2001-075100
02/26/2001 08:00A Fee: 15.00
RECORDING REQUESTED BU1Wt1,4UPage 1 of 4
Vj.; r�.a Recorded in Official Records
County of Riverside
City of La Quinta Gary L. orso
Assessor, County Clerk 8 Recorder
Community Development Department
La Quinta, CA 92253 I IIIIII
IIII
VIII
III
IIII
IIII
I
IIII
II
IIII
I I
II
WHEN RECORDED PLEASE MAIL TO:
City of La Quinta M $ U PAGE SIZE DA PCOR NOCOR SMF MISC.
Community Development Department
c/o Greg Trousdell
P.O. Box 1504 GDPV LONG REFUND NCNG EXAM
La Quinta, CA 92253 ' R `
COVENANT AND AGRE_ EEMMENT RESTRICTING THE USE OF THE RESIDENCE AT 78-
582 TALKING ROCK TURN, LA QUINTA, CALIFORNIA
This covenant and agreement is made and executed on this the 29"' day of January, 2001,
by the Osborne Family Trust for property described herein. The City of La Quinta, a Municipal
Corporation, is hereby made a party to this agreement for the purposes set forth below.
The undersigned hereby certify that they are the property owners of the following described
real property in the City of La Quinta, County of Riverside, State of California:
Lot 37 of Tract No. 28470-2 in the City of La Quinta, County of 'Riverside
In consideration of the City of La Quinta issuing a building -permit for certain improvements .
which will be constructed on said property, the undersigned does hereby covenant and, agree to -and
with said City to restrict the use of said property as follows:
1. The guest house may not be rented nor sold independent of the main single family
residence(QV rioi Us_e Permit No. 2001-270);
2. No kitchen or cooking facilities shall be constructed in the guest house per the
provisions of Chapters 9.30.030 (RL Zone District) and 9.60. 100 (Guest Houses) of
the La Quinta Municipal Code; and,
3. All on-site facilities are intended for the, sole occupancy of the property owner(s),
nonpaying guests, and domestic employees.
This covenant and agreement shall run with the land and shall be binding upon future owners,
their successors, heirs, or assigns, and ourselves, and shall continue in effect while said accessory
building remains on the real property or unless otherwise released by the authority of the City of La
Coven2700sbome -p -_
r ,
Quinta. All leases of said dwelling and/or property shall be'subject to this restriction. This
agreement shall be entitled to the remedy of injunctive relief in addition of any remedy in law or
equity.
This covenant and.agreement and the provisions hereof are irrevocable and nonmodifiable
except by the written consent of all parties to the agreement, including the City of La Quinta, a
municipal corporation. The City shall have the right to enforce each and every provision hereof and
the parties agree that the agreement shall not be rescinded, revoked, modified, or otherwise amended
or changed, without the expressed written consent of the City first being obtained.
In the event that the owners, their heirs, assigns or successors in interest, shall fail to perform
any obligation hereunder, they hereby agree to pay all costs and expenses incurred by the City of La
Quinta in securing performance of such obligation, including attorney's fees.
Dated:
By:
Mi ael J. Osb me, Trustee
YOUWDAPADILLA-MORM +
Commission # 1291582
i Notary Public - California
Los Angeles County
MvComm.r-,iresJan21,2Dos By:
Lisa,L. Osborne, Trustee
.4
ary
By:
Christ ne di Iorio, Planning anager
City of La Quinta
Cov=2706sbome -p
I IIIIII IIIIIII VIII �II� VIII VIII IIIIIII III VIII IIII IIII, 82/26/228(3188:808 080
CALIFORNIA, ALL-PURPOSE ACKNOWLEDGMENT
State of California t
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County of"
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persona y appeare 1-VVF1 L A .r-
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R"proved . to me on, the basis of satisfactory
evidence
to be the persons) whose name(s) .jattre '
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acknowledged -to me that he/e4e,/they executed
the same in h+~/their authorized
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capacity(ies), and that by hie herr/their
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YOLANDAPADILtA MORENO
signature(s) on the instrument the person(s), or.
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Though the information below is not required by law, it may prove valuable to persons relying on the document
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and could prevent fraudulent removal and reattachment of this form to another document. ;)
Description of Attached Document
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Title or Type of Document:
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Document Date:
Number of Pages: )
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Signer(s) Other Than Named Above:
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Capacity(ies) Claimed by Signer
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Signer Is Representing:
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®1999 National Notary Association • 9350 De Soto Ave., P.O. Box 2402• Chatsworth, CA 91313.2402 • wwwAittionalnotary.org Prod. No. 5907 Reorder. Call Toll -Free 1.800-676-6627
2001-075100 `
' IIIIIIIIIII III 30o4602/26/fIIIIIIIIIVIIVIIIIIII.IIVII .00E
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State of California
County of, Riverside
On �I3� I �� 1 before me, Phyllis Manley, Notary Public, personally
appeared Christine di lorio, personally known to me to be the person whose name is
subscribed to the within .instrument and acknowledged to me that she executed the
same in her authorized capacity, and that by. her signature on the instrument the
person or the entity upon behalf of which the person acted, executed the instrument.
WITNESS my hand and official seal. (Seal)
PHYLLIS MANLEY
Commission # 1196590
Notary Public - Ca11f0mi0
Z _®' Riverside County
Mcomm Bpk-es Oct 16.2=
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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
XREINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑
❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER
❑ REINFORCED MASONRY ❑ FIRE PROOFING
JOB LOCATION < 573 Z Tef'T `K,*,)&- R-de.� T �e.r.3 La. C�2 �.; n� � A
REPORT SEQUENCE NO.
TYPE OF STRUCTURE
•SFD 0Se NE <QES ® Tr1E
PERMIT NO
0010-1Z4
DATE,
y 2SI'D I
DAY OF WEEK
MATERIAL DESCRIPTION
S� CoNC�Q.j'"�
ARCHITECTtt•rr
�RMES Q" o r'�1
INSPECTOR
l� . � •
HRS. CHARGED
ENGINEER -- 11
.3o��►SoN � rvl=�SQi,.i
ASSISTANTS
HRS. CHARGED
SUB Lip /1 1
INSPECTION GENERALSUB
DATE CONTRACTOR Yr � - �.JOVIkiSrOO CONTRACTOR / A0Ober dip- - 661JC/2.�T e.
4 2s ai
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CONTINUED ON NEXT PAGE O
PAGE OF
CERTIFICATION OF COMPLIANCE
I HEREBY4CERTIFY 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.
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SIGNATURE OF REGISTERED IN PECTOR
2.510/ z cl. o IItIL Z6 -y4
DATE dF REPORT REGISTER NUMBFR
REGISTERED INSPECTOR'S WEEKLY REPO
TYPE OF ❑ REINFORCED CONCRETE ��S�TRUCT. STEEL ASSEMBLY ❑ -S- do
INSPECTION ❑ POST TENSIONED CONCRETE O ASPHALT ❑ OTHER / '
PERFORMED ❑ REINFORCED MASONRY ❑ FIRE PROOFING l,[AStjt�'(
JOB LOCATION F ' nju'yuo� �V CA a �` REPORT SEQUENCE NO.
-ss
T 0 S RUCTURE Jf ,Y6f` PERMIT N0. DA DAV OF WEEK
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MATERIAL DESCRIPTION -� ARCHITECTIN CT� HRS.CHARGED
ENGINEER ASSISTANTS HRS. CHARGED
INSPECTION GENERAL I �n1�iJSn.K RA �' LLL 11 -V) Ihj�-
DATE CONTRACTOR J ��11 CONTRACTOR
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COPY SENT TO CLIENT ❑
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.
NEXT PAGE O I PAGE OF
IGNAT ARE OF REGISTERED CTOQ a
DATE OF REPORT REGISTER NUMBFR
JON TANDY
37630 Medjool Ave.
Palm Desert, CA 92211
Office (760) 772-7192
Fax (760) 772-7193
Pager (760) 776-3338
REGISTERED INSPECTOR'S WEEKLY REPO
TYPE OF ❑ REINFORCED CONCRETE ��S�TRUCT. STEEL ASSEMBLY ❑ -S- do
INSPECTION ❑ POST TENSIONED CONCRETE O ASPHALT ❑ OTHER / '
PERFORMED ❑ REINFORCED MASONRY ❑ FIRE PROOFING l,[AStjt�'(
JOB LOCATION F ' nju'yuo� �V CA a �` REPORT SEQUENCE NO.
-ss
T 0 S RUCTURE Jf ,Y6f` PERMIT N0. DA DAV OF WEEK
� i t of
MATERIAL DESCRIPTION -� ARCHITECTIN CT� HRS.CHARGED
ENGINEER ASSISTANTS HRS. CHARGED
INSPECTION GENERAL I �n1�iJSn.K RA �' LLL 11 -V) Ihj�-
DATE CONTRACTOR J ��11 CONTRACTOR
PLN tA &
AIT rCik� Re -4^0-T-
�u Cow.lUi eb
A L- 'FLO te-S l oot C&-5
Adt--q s S -(MM
_A l_ , 4-45 st
COPY SENT TO CLIENT ❑
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.
NEXT PAGE O I PAGE OF
IGNAT ARE OF REGISTERED CTOQ a
DATE OF REPORT REGISTER NUMBFR
•tificate of Occupancy
City of La Quinta
Building and SafetyDepartment
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: 78-582 TALKING ROCK TURN
Use Classification: SFD Bldg. Permit No.: 0010-124
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: MIKE & LISA OSBORNE
Building Official
Address: 6032 LIDO LANE
City: LONG BEACH, CA 90803
By: RICHARD KIRKLAND
Date: 04-12-02
POST IN A CONSPICUOUS PLACE
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