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0002-435 (BLCK)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 spate 2 r1�' `f' ' Signature of Contractor_ OWN ER-BUILDER•DECCAkRATION 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 -Policy No. STATE FUVA L) 15;4'36-0 (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 subje Yto the workers' compensation provisions of Section 3700 of the Labor Code l shall forthwith comply with •tho seprovisions. .Date: h ' / _ Applicant-w--'�"" I— ..r t Warning: Failure to secure Workers'Co 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 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 I the t ove-mentioned property for ,inspection purposes. 1Signature (Owner/Agent) - � _ Date PERMIT # BUILDING PERMIT ,, Y 00024�5 DATE2/2'91200 VALUATION *�� LOT �� TRACT f7av , 1 •4 ADDRESS 78-591 �'a�i,k1l�(G ROCK A UWN JOB SITE APN 774-3W, 0.41 OWNER CONTRACTOR DESIGNER ENGINEER I WACiL7 FINANCIAL i,.• CTy3 01.Til"YO 7TRUCTION =8203 Ski± C KEEKSIDE. PL 75-9601-s".WY 11X, SCJfI-E k6 REAVEIZ01\1 OR 97008 PALM DESERT' CA 92260 {7e+01�68-1712 s".1�Lf� USE OF PERMIT GENERAL BUILDING 23 L.C., G OARDEti WALI., C1't'St STANt7ARD Lr ESTIMATED CONST OFICUINSTIRUCTION 6,250600 . CON.S.TRUC; d'ION FU, 101.0{)0-418-000 71 q'O + " S r Sf iR-TUF T, C(­_)1NS U.fJC1'10N .AND P1', N ("fiKK rig) OD LESS PRE -PAID FEES 'S0.00 TOTAL PERI1I1:'f VEFS llUE NOW' $90.00 RECEIPT DATE By D NA� INSPECTOR 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 F.A.U. Framing 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 Final Final SLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs ��r Electric Bond Footings 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 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 Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: 111-4�L00v Ell- % I 1 0 1 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 ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCA I / 1 J _ � �J L' TT (��` '(,� -) Jko r fk• REPORT SEQUENCE NO TYPE 0 RUCTURE✓\ t-�I -Sv� PERMIT NO. obo a— °` r DAY OF WEEK MATERIAL DESCRIPTION �� ARCHITEC �� V A IN P _ HRS. CHARGED 16 _ —I ENGINEER _— Su 1AMuh L 1 ASSISTANTS HRS CHARGED INSPECTION DATE GENERAL CONTRACTOR ��� SUB a, I ' CONTRACTOR I lW S . ; C.' Z vC.TU �. (,A- �{ 0 1 tea' G ��� o i=s, C -s e,L- .ta ct4 . COPY SENT TO CLIENT ❑ CONT 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 5 N UR - OF REGISTERED INSPEf T R TKP a & �-t DA E OF It RT REGISTER NUMBER T4ty/ 4 4Q" .1 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) FOR INTERNAL USE BY PUBLIC WORKS DEPARTMENT TRACT: � �'�! LOT: PIALIC, WORKS AUTHO IZATION 'DATE COMMENTS: F \PWDEPTIDOCS\FORMS\PW CLEARANCE LETTER ss r CITY OF LA QUINTA .iUB-CONTRACTOR LIST JOB ADDRESS ]��6-cif P'IKi, �� xfe- T /"J PERMIT NUMBER OWNER ^ i Q. r BUILDER Ql,u This form shall be posted on the 'ob with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees 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 oermit. For each agglicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade / Classification Contractor tate-Contractor's License Workers Compensation Insurance City Business License Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xxlxx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) l 3 - S►'�% CONCRETE (C-8) FRAMING (C-5) � N CC va.r 9N i d STRUCT. STEEL MASONRY (C-29) PLUMBING (C-36) LATH, PLASTER (C-35) DRYWALL (C-9) lot IMf .5 O* HVAC (0-20) 1e G �v�-� o }- — fxi0 1 O+ ELECTRICAL (C-10) (� C. O 0 2 1 3t 0(p R4AxLvA Rt.G (At. 0i0 ROOFING (C-39) C, ( t S� �QQD fi 1 © o SHEET METAL (C-431 FLOORING (0-15) GLAZING (C-17) it Qb INSULATION (C-2) � � of 0+ to SEWAGE DISP. (C-42) PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C-27) POOL (C-53) Summit Structural Engineering 2283 Fifth Street La Verne, CA 91750 February32000 (909) 596-0842 , Fax (909) 596-5187 Yuma Truss Company, California Branch 78-060 Calle Estado #12 La Quinta, CA 92253 Attn: Truss Engineer Subject: Roof Truss Shop Drawings and Calculations Dutfield Residence The Traditions La Quinta, CA Dear Truss Engineer, The revised roof truss drawings by Yuma Truss Company for the subject project were received by our office on February 3, 2000, and are 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 Benjamin Herbst, P.E. CC: Duane Valencia 6H d:\99jobfi les\SA-117\117_truss2.doc IN No. C054193 m Exp, 12/31 /99 x 7k � Civic- R OF CAL- ry Residential, Commercial, Industrial, Land Development T-itT4114a" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 June 9, 2000 Mr. Geoffrey Henkle Dutfield Financial, LLC. 73-960 Hwy. 111, Ste. 6 Palm Desert, CA 92260 (760) 7 7 7 - 7 0 0 0 (TDD) (760) 777-1227 Subject: Time Extension #1 for Minor Use Permit 2000-222 (Lot 48, Tract 28470- 2; 78-591 Talking Rock Turn) Dear Mr. Henkle, The Community Development Department has approved your request for a temporary construction trailer (8' x 28') on Lot 48 of Tract 28470-2, subject to the following conditions- 1 , Obtain a building permit including an electrical permit for temporary power. 2. Provide restroom facilities to accommodate on -site personnel. 3. Mounted to the exterior of the trailer close to the front door shall be a written notice providing emergency personnel your 24-hour emergency phone number they can call in case of problems arise that need your prompt attention (i.e., minimum 1" high letters). 4. Install one 2A10BC fire extinguisher inside the trailer by the front exit door. 5. No temporary signs are permitted unless separately approved by this Department. 6. Removal of the temporary construction trailer is required upon completion of the home. 7. Trailer shirting shall be installed within 30 days if the trailer is mounted above finished grade level. 8. The City may elect to add Conditions to this application request to mitigate any problems that arise not previously addressed herein. 9. This permit will expire on December 9, 2000. P:TrapprovaIMUP2000-222Hen k1econstrtrailer6-9-00.wpd g�r9 This decision may be appealed to the Planning Commission provided the necessary paperwork and filing fee of $175.00 are filed with this office within 15 days from the date of this letter. If you have any questions regarding this letter, please contact the undersigned at 760-777- 7068. Very truly yours, JERRY HERMAN COMMUNITY DEVELOPMENT DIRECTOR ILIIQU N E MOURD Associate Planner Attachments C Community Development Director Building & Safety Director Greg Butler, Building & Safety Manager Code Enforcement Department Fire Department Sheriff's Department File: MUP 2000-222 P:\ItrapprovalMUP2000-222Henkleconstrtrailer6-9-OO.wpd