Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
9912-224 (SFD)
LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapteri9 (commencing with Section 7000) of Division 3 of the Business and Pro(�ssionals Code, and my License is in full force and effect. _License # Lic. Class Exp. Date \.%--- 0Date =-�'� `� � ' Signature of Contractor 4 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&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. (y) 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. STAI'LZ FUND (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 subjecf to the workers' compensation provisions of 3700 of the Labor Code, I shall forthwith comply with those provisions' i ,/Sate: 7;7 d ; -, r Applicant ! , .„ „1"7 Warning: Failure to secure Workers•"C pensation 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 the above-mentioned property of r inspection purposes. % ySip ture (Owner/Agent) �Date BUILDING PERMIT PERMIT# DATE 02/29/200 VALUATION Sa11,S1g-4Aii LOT - TRACT A. 70- JOB SITE-- APN0/ 3ADD4 OWNER CONTRACTOR/DESIGNER/ENGINEER i 1t r�rzrVr n tos n rT.�r n Z r r /+w ✓1� IlLL,,.t.* �. 1.,. `fX%A111 1J%tI$1.1� C�rr1t T (11-oo r,"r'li i t/ *i,ai %a, i ,JiVVt 1..411.'1►it A�V�.. s,lV 1•, i £1205 SW CREE4:,5'DE PL 73.960 HWY 1 t 1., SUME #6 BEA.VERION OR 97008 PA-L,m C)!?Sta12C CA. 972160 !76'7�5rft-! 712 Cf�L,#i' USE OF PERMIT 8.INl IA, FAM }. ,Y 0bV1:1.L,3Nli SFEi, -140 hLCKK WAU,S 6P, POOL. CO&P1. X04CM W'FM ALL FU-iE.,.t LL Ix ?STAI'&:.1.,AW.S.ltrit,`t.l1,I.)11VG'li-EENUANisWtED 4114GWS A,(:f op 24'/:i(o. 'U.S.C. § 1531,.K.1' SliQ-) IF APPLICABLE, IS R ?QUERED. TT CISJ 31 0111 C0144 J. Ula. i i01V 6,175.001 3 Pt`)RCT &A:i`IG 915.00 f0; t�ASAtsktG'1�12k+(U1t7' 1,4b{t.iJU SF r . ,rr,S��i�i i a 1IM 4:4)Sa� :7 CON S�1"a�v+�"1�IO s '��+ 21 1yu'aii.itit PERMIT FEE,' SUMMARY ~`" CX)t151'R(_f(:110N FEE 101-000-418-000 32.1U5.5t► , + ! p>.Tlrf11 r,Kr. 1(Fi3!8 a.,0e + iiL' 0003110101-000,439.318 411,,2?R5� 10 i�iEe."'�I�CCAt, I 1G%-OGti-42.t-t:�titi s!�a.ui • "'= ErLF 71X1 A1_.h.E2 101-(1W-420-000 V,W.33 'sir.[ 1MI►317 r, ti's►:, 101 -IM -419-()00 76. fHt M'RONC r10T1C114 FLEE-,R13SiU 101-UUO-441-000 X52. 1.0 GRADING -T,13 i0t-000-423-000 42o.vv I)b'Vk1.011HK IMPACT k'1; K 31,907.00 ART i?�1.PUBT C P1,A.0 F,�S - R1,ST- 701-00 -255-010' $1,05455 Iaf SS P °'E-1"Al S FES -S1,2:OA0 TOT Ali, PERMIT 1+"L+,'1•:i1 AIM NOW .56,413.24) RECEIPT DATE BY' DAT INA D INSPECTOR 1 INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR ` BUILDING Set Backs Forms & Footings APPROVALS MECHANICAL APPROVALS Underground Ducts Ducts Slab Grade p 517 Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap .yam F.A.U. Framing 7' - BLS S-7 Compressor Vents Insulation Fireplace P.L. —(o- o o Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath S Drywall - Int. Lath Final Final �,-- - O Z KIS POOLS - SPAS BLOCKWALL APPROVALS 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 Test Electric Final Waste lines Water Piping _ _ �rj a Heater Final Plumbing Final Plumbing Top Out f Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection . Encapsulation Gas Piping -J-7,1 c Gas Test Appliances Final COMMENTS: f3 �c>✓�S s��--oo ,5—t�—m g� .Bb�.,�-� G[� St ' Final Utility Notice (Gas)— ELECTRICAL APPROVALS Temp: Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) << Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta; CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 2/28/00 APN # 770-300-031 No. 20071 Jurisdiction La Quinta Owner NameDutfield Financial, LLC Permit # No. 78-591 Street Talking Rock Turn Log # City La Quinta Zip 92253 Study Area Tract # Lot # Square Footage 6175 Type of Development Single Family Residence No. of Units 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 1.93 X 6,175 or $ 11,917.75 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now�beissued�f l Fees Paid By CC/Bank of America/ Ross Stout Tele tione " 760z-568-1712, Name on the check By Dr. Doris Wilson' r .Superintendent ` Fee collected /exempted by Mary. Ann L. Bora Payment. Received $11,917.75 Check 'No. 0000495053 Signature NOTICE: Pursuant of Assembly Bill 3081 (CHAP W, STATS. 1996) this will serve to notify you that the 80 -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 collect 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 " M 4 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 6,175 or $ 11,917.75 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now�beissued�f l Fees Paid By CC/Bank of America/ Ross Stout Tele tione " 760z-568-1712, Name on the check By Dr. Doris Wilson' r .Superintendent ` Fee collected /exempted by Mary. Ann L. Bora Payment. Received $11,917.75 Check 'No. 0000495053 Signature NOTICE: Pursuant of Assembly Bill 3081 (CHAP W, STATS. 1996) this will serve to notify you that the 80 -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 collect 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 " M -.9.3448 02, rig American TitiN pL CUrll �.rl.. WHEN RECORDED MAIL TO: Dutfield Financial, LLC C/0 FIRST AMERICAN TITLE 45-200 Club Drive, Suite D Indian Wells, CA 92210 MAIL TAX STATEMENTS TO: Space above this line for Recorder's Use DOCUMENTARY TRANSFER TAX $ q67 --9P XX Computed on the consideration or value of property conveyed; OR SAME AS ABOVE Computed on the consideration or value less liens or encumbrances remaining at time of sale Swe-- 6H► - KZu3 APA' 770 -300-031 _ The Undersigned Grantor Signature of Declarant or Agent determining tax -Firm Name APN: -760f -930 -0 1 TRA: Oto . c>(S- GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,, Zr-- ` TRADITION CLUB ASSOCIATES LLC., a Delaware limited liability company (r hereby GRANT(S) to Dutf ield Financial,' -LLC c the real property in the City of La Quinta County of Riverside State of California, described as Lot 48 Tract 28470-2 (See Exhibit "A" Attached Hereto) Dated: September 21, 1999 State of California ) County of ) On 99 before me, personally appeared personally known to me ( asis�€setisf�tstci� -evidensg) to be the person(&) whose name(s) is4w subscribed to the within instrument and acknowledged to me that hekhe4hey executed the same in hi.V+*fA wir authorized capacity(4%), and that by his/4efMmir signature(s) on the instrument the persons) or the entity upon behalf of which the person acted, executed the instrument. WITNESS N.1)' AND AND FFICIAL S AL Signature TRADITION C a DelawareAimit BY LSSOCIATES, LLC., d lability co ny . 5 ITS: EXECUTIVE VICE PRESIDENT ConWrft*M # 1127459 -� Notary Pieft — Ca l fOnta Rtrerdde co dy My Comm. EMm Feb 2D, 2MI (This area for official notarial seal) !11lI 1111111111111111 Jill! 1111111111111, 1111 1111 r©111— 3 329 a t: FEB`-222-2000 09:46 TRADITION GOLF'CLUB 760 564.2356 P.01i011 �iortqradi, ARCHITECTURAL DESIGN REVIEW a February 22, 2000 via Pint Cl= Mail and Facsimae Mr. Greg Butler CITY OF LA QUINTA . 78-495 Calle Tampico La Quinta, CA 92253 Re: Dutfieid/Stout Residence. Lot 48, Tract 28470-2, 78-59I Talking Rock Tian Dear Greg, Please accept this letter as approval for the above referenced residence to obtain a building { permit. Conditions that apply to this submittal will be forwarded directly to the architect, Mr. Gordon Stein. _ if you have any questions .or need additional information, please do not hesitate.to call., Sincerely, Christina I Dores Architectural Review Coordinator (-1 d' pc: Gordon Stein MOW Ross Stout (v+.a fad . 785050 1 Li) AvtNUE 52 ~ LA Qut,7A — CA 92253-1120 -r PHONE 760/564.3355 --- FAx 760/564.2356 _ j TOTAL P:01 do-d!`old 1D v'+ �+l t•Y UI LGblu 111 bG %..0 WUI IJCV LG I'G ♦ �/ - I u Yl 1 1 1 i L J J City of La Quinta Community Developrrient Department 78-495 Calle Tampico La Quinta, California 92253 (760) 777-7125 FAX: (760) 777-1233, OFFICE USE ONLY Case No.�'� Date Recvd. Qj / CIO FCC: Rclatcd Apps.: _ Logged in by: APPLICATION FOR MINOR USE PERMIT" APPROVALUN 11 MINOR USE PERAIT applications are reviewed and approved by the Comrriunity L. ent ect�r pursuant t& Section 9.210.020, of the Zoning Code. The purpose of the review is to ensure that land uses requiring the permit do not have an adverse impact on surrounding properties, residents.; or businesses. APPLICANT (Print) .MAILING ADDRESS "13- 9(00 t• wtA I l l Phone No. CITY, STATE, ZIP: PbAvvi DeGe vt Ch Q a-ak0Q Fax No. 1100 - 34 (— -7 G 31 PROPERTY OWNER (If different): pG�f%�«.twtahC«�, LLG (Print) MAILING ADDRESS: SAwtPi Phone No. CITY, STATE, ZIP: • Fax No. PROJECT LOCATION: The Zra�ifrah5 75-5-671T2l,�in j leoek 7- n-6 - Ga Q�cc iv�G PROPOSED USE ANDiOR CONSTRUCTION (Including operational information): 9aa53. attach sheets if needed) LEGAL DESCRIPTION (LOT & TRACT OR A.P.N,): ' 1,o4- y g Tv4e�- C28(�'7 - AP f 770 -30,0-081 , Al SWinor Use Permit db-di-dd 15 a5" u.ity of Lawuinta, uomm•L,ev•ueFz iL- r001 i r i lYJJ r•tYa SUBMISSION ❑ Plot Plan, floor plans and elevation plans (as determined by Community Development Department staff): Five (5) sets of plans on 8'/z" x 11" sheet or folded down to.8%z"'x l l O Filing fee for Minor Use Permit. If filing multiple applications, the most expensive application will be charged full fee, with remaining related applications discounted 50% for each. This discount does, not apply to Environmental Information form. _ t NAME OF APPLICANT '(Please.print) '1 SIGNATURE OF APPLICANT DATE L lP '2) " NAME Of PROPERTY OWNER C10 S'tv� (Please Print) SIGNATURE OF PROPERTY O'WNE S IF NOT SAME_ AS APPLICANT: DATE (o t (Signature provides consentfor upplicant to use site for proposed activity). DATE (Separate written authority by owner to submit application may be provided) NOTE: FALSE OR MISLEADING INFORMATION GIVEN -IN THIS APPLICATION SHALL BE GROUNDS FOR DENYING APPLICATION: , A18% inor Use Permit ,� v r , i. � � ,� v A 0 Q Certificate of Occupancy City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform BuildingCode, 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: 78-591 TALKING ROCK TURN Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9912-224 Occupancy Group: R-3, U-1 Type of Construction: VN Land Use Zone: RL Owner of Building: DUTFIELD FINANCIAL LLC Address: 8205 SW CREEKSIDE PLACE City: BEAVERTON OR 97008 By:' KIRK KIRKLAND d Date: FEBRUARY. 1, 2002 Building Official POST IN A CONSPICUOUS PLACE