9807-192 (SFD)CONTRACTOR DECLARATION
-�1146, .by affirm under penalty of perjury that I am licensed.under provisions of
Ch�pter 9 (commencing with Section 7000) of Division 3 of the Business and
?�o_fession als Code, and m y License,is in full force and effect.
E(a`te Signature of Contra
OWNER -BUILDER DECLARATION
I hereby affirm underpenalty of perjury that I am exempt from the Coniractor-s.
License Law for the following reason:
1, as owner of the property, or my employees with �vages as their sole
compen sation, will do the work, and the structure is riot intended or offered for
SaW (Sec. 7044, Business & Professionals Code).
( ) 1, as owner of the plfteriy, am exclusively contracting with licensed.
c . ontr . actors to construct the project (Sec. 7044, Business & Professionals
B&P.C. for this reason
Date Signature of Owner,'
WORKER'§ COMPENSATION DECLARATION
I hereby affirm undo, penalty of perjury one o/ tl�e� fD,l lowi rig'uovlamhon$:
( ) I have and will mainitdih a certificate of consent to self -insure for mors'
compensation, as providea3for by Section 3700'of the Labor Code, -'for the
performance of,the.%Work f6r which this permit is issued.
1. ha.ve',�nd'will maintain workers' compensation insurance, as required by
S66tion,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.
(This, section need not be completed ifthe permit valuation isfor $100.00mless).
( > |nertify that inthe performance ovthe work for -which this permit is issued,
| axaU not employ any person in any manner 0000m become subject mthe
workers' compensation laws ofCalifornia, and ogroo`thauif| should become
subject tothe workers' compensation provisions ofSection 87noo,the Labor ^
All forthwith comply with. h
0101 Alpplicanv!!� 28'.
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employerto criminal penalties and civil fines up to $100,000, in,
addition to the cost of compensation, damages as provided for in Section 3706
o/the Labor Code, interest and attorney's fees. �
IMPORTANT Application iuhereby made mthe Director ovBuilding and Safety
for a permit subject to {ho conditions and ,omhouono set 'forth on his
application. -
1.Each person upon whose behalf th isapplication iomade & each person at
whose request and for whose benefit work iuperformed under o,pursuant m
any permit issued aoa result o,this app|ioamn agrees to, & o»on. indemnify
8 hold »a,m|000 the City of La Ouinto, its o#icom, agents and employees.
o.Any permit issued aoaresult ofthis application becomes null and'voidif
work is not oommonooU within 180 days from daxo,of issuance of such
pe,mit, o,6eooahp? ofwork for 180 days will subject permit -to cancellation.
|oortnfy that | have ,00dthis application and state that 8`eabove information io
oo,mot` | agree tocomply with on Qty, and State laws relating tothe building
oonstmmion, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection w
/sIgrat"m Owna��g t
^ ,
BUILDING PERMIT
DATE� VALUATION .60 TRACT,_.
LOT -74
99
JOB SITE
ADDRESS 7&351TALKINGROCWTURN.
APN
6.91(043
OWNER
CONTRACTOR DESIGNER ENGINEER f
MON CO. I
SAN LXE(30% CA. 92101
SAN DIEGO CA 912, tl 049"
(619Y19M-2117 CUP 5164
USE OF PERMIT
CUSTOM, CONSTRIUC71 ioiq 5,290.00 SF
00WORT W-'
HENTLI MATED COV OF C0'N1_5T91JCTK-NN
437,307-10
PERMYC Ful it, MAMMARY
COMSTRUCTIONFER 10140418-000
PLAW CHECK FEE, 101 -mo-m-.A
vo, 51
fNFJMS1r,KUC71UR9 FEE 225-000-443-1-421
'TRUCT110N AND PLAN CHECK
PA71-194LCON LN
S!0,904M
LESS PRF,,-RX.D RE ES
31,0090
SEP 2 9 1998
ILI
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Forms 8 Footings
�Q�—
�—
Underground Ducts
Ducts
Slab Grade
��
�/� 9�
Return Air
Steel
Waste Lines
gAc. CTI+No"�
Combustion Air
Roof Deckrj�
Fixtures
j Plumbing Final
i Exhaust Fans
O.K. to Wrap
_ Z2 -
_
F.A.U.
Framing
7-
j
Compressor
Insulation
�__
S
; Vents
Fireplace P.L.
/fes
E
Grills
Fireplace T.O.
i Fans & Controls
Party Wall Insulation
i Condensate Lines
Party Wall Firewall
Exterior Lath
-
Drvwall - Int. Lath
Iq _ 2- 94
Final
POOLS - SPAS
Notice
BLOCKWALL APPROVALS
Steel
Set Backs
Electric Bond
Footings
Bond Beam
%Z- fi$
Main Drain
Approval to Cover
jl
Utility Notice (Gas)
Equipment Location
Underground Electric
Underground Plbg. Test
Final
ELECTRICAL APPROVALS
Temp. Power Pole
Gas Piping
�/� 9�
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
gAc. CTI+No"�
i Heater Final
Water Piping
Fixtures
j Plumbing Final
Plumbing Top Out4
Equipment Enclosure
Shower Pans
I
} O.K. for Finish Plaster
Sewer Lateral
G.F.I.
Pool Cover
Sewer Connection -�
I Encapsulation
Gas Piping
i
Gas Test
/fes
E
Notice
s Final
COMMENTS:
Final
� `£ �40,
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
/C l
�/� 9�
y • 3_/
Underground Conduit
Rough Wiring
gAc. CTI+No"�
Low Voltage Wiring
SVL dti Lbv�E �Bo O f- y >?Y -9Lr
Fixtures
6 C -;,a5 L.;e �'�
Main Service
Sub Panels
I
Exterior Receptacles
G.F.I.
j
Smoke Detectors
j
Temp. Use of Power
i
i
Notice
Q / P.O. BOX 1504
Building zU - 3s` 8-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
malting
Address � �, Lo , �' �7c I-,NaVsAV It &cc
City Zip Tel.
Aaaress
-'Z-l4-7�
City. J� Zip Tel.
�r11/I ���- re�71 ci!ow
State Lic. City
& Classif. 199 (% .�- Lic. #
Arch., Engr., \ /
Designer �) w s l_ % OF"fz-' Aoi c R
Address Tel. .-f 191,-1
Cit Zip,,,,,1 State I
y C !A Z.► Lic. # Cel "7c),y
LICENSED CONTRACTOR'S DECLARATION
I herebMfifirm thatm licensed under provisions of Chapter 9 (commencing with Section
7000) of I ision3,011e Business a d°Professions Cod€,"�arLd my license is in full force and
effect. �l\ // '�, A`v
GNATUR M rte �� DATE
dWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
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 thealleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
C', 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, Bulsness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
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 have the burden
of proving that he did not build or improve for the purpose of sale.)
Il 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.)
V! I am exempt under Sec. B. & P.C. for this reason
Date Owner
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
Fl Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
APPLICATION ONLY
BUILDING: TYPE'CONST. t/ /y OCC. GRP.
A.P. Number
Legal Description 1,,= 6,o o 79 194 7b r�
Project Description r^6 eZo& 15-7- (vV
Sq. Ft.l„s; �,c,JQ NO. No. Dw.
Size a,,.,A ��_2-nStories Units
NeW)Q Add ❑ Alter ❑ Repair ❑
(Estimated Valuation 4r/r;ol vav
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
Demolition ❑
AMOUNT
TOTAL I I /"19f_ _ d✓ 1i
REMA
ZONE: BY:
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
�
Lender's Address FINAL DATE INSPECT13-h
This is a building permit when properly filled out, signed and validated, and is subject to Al
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 JUL N 4 1998
construction, and hereby authorize representatives sof this city to enter the above-
mentioned property for inspection purposes. Validated by:
Signature of a0pficant —Date—
Mailing
ateMailing Address Validation: >*
NIB, 111111"A
City, State, Zip v
to J I
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
. rM tr �. ditibou,
AFP ,►C.
'//VZ
i Rev
//�G ,4
1V4) ti
September 25, 1998
Via Facsimile
Mr. Greg Butler.
CITY OF LA QUINTA
Building & Safety Department "
Post Office Box 1504
La Quinta, CA 92253
Re: Lot 60, Phase 28470-2 ;
787351_Tdlking_Rock.Turn.
Dear Greg, `
As requested, the Assessor's Parcel Number for the above referenced,lot is 769-930-043.
If you have any questions or need additional information, please do of hesitate. to call:.
Sincerely,
Christina J. Dores
for ARRC at Tradition Golf Club
/cjd
pc: James Cioffi, via fax
Chris Thompson,- via hand delivery
Mr. and Mrs. Bryan Gerstel
•
78505 OLD AVENUE 52"-- LA QUINTA — CA 92253-1120 — PHONE 760/564-3355 FAx 760/564-2356
Notice:
Document Cannot Be Duplicated
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE F'
Date 9/29/98.
No. 17818 Jurisdiction
Owner NameBryan Gerstel
APN # 769-930-043
La Quinta
Permit #
No. 78-351 Street Talking Rock Turn Log #
CityLa Quinta zip 92253 Study Area
Tract # Lot # Square Footage 5290
Type of Development. Single Family Residence No. of Units
Comments
By
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:
r
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of
1.93 X 5,290 or $ 10,209.70 the property listed above and that building
permits and/or Certificates of Occupancy for this s4uare footage in this proposed project may now be issued
Fees Paid By CC/Bank of Commerce/Chris Thompson
Telephonet 619-296-72117
Name on the check Iv
Dr. Doris Wilson
Superintendentp n .�
Fee collected /exempted by Ellen Patino Payment Received
Check No. 044615
Signature
40TICE: 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
i
TRADITION GOLF,CLUB 760'564 2356 • 09/25/98. 09:40 (9':02/03 NO:722,"
.r1radition7
- .• • ! 4 _ y
(VI
' ,..n, .•. T Tip ,•t . • r •�). {
July;9,,1998
I via Pint CIUU Ml a
l 'Mr:'and Mi.. Bryan Gerstel
SHEARER'& BREGANTE
W. Broadway, Suite 600
.
San Diego, CA 92101 ' • i k `
- • 'Re: Lot 60 # T .. • ._ _ .• • � � «' :.. . •.� .- .
F. ,Phase 2842'0-2
'Construction Documents —1' Submittal
Dear Mr. and Mrs. Gerstel,
The ARRC of Tradition.Golf Club met on July'8,1998 and a motion ''Was passed to approve ,
Your Construction Documents subject to the following
conditions.: All comments to be
,complied with prior to construction of .prospective items: <
Auhitectural R ve iet►+
I. :Grading Plan 1.01.
A. Show all proposedyard. walls -with height measured from approved pad -
• - B. - Show proposed locationsair conditioning, k � , � • -
for nditioning, pool equipment, etc.
C. All roof drains must be connected to underground drainage system. ,
J' 2. Architectural' Plan A.1
-,k Show-
location of air conditioning condensers'on site plan, T'he Committee
y will take a look at the proposed north side property line walls. They. appear ~
- to be quite minimal relative to exposure to adjacent ro e
E P p. nY•.` -
3< Architectural Plan A.4 .r
Provides r the
` <-and finish��cations and details fo- •proposed BBQ unit, including colors.'-
es_
P ! 1.
` 178505 OL) AVL'NUE .52- - 2 /
LA QU1NTA - LA 92253.11 0 - P�u�Ni,76Q/.564 3355 FAX 760 564'-23.56'
TRADITION.GOLF CLUB 760.564,2356 09/25_/98' 09:40.15 :03/03 NO:722-
4. Architectural Plan A.8
Provide' details for the dome at entry.-.,,'
' B. Chimney caps appear to be too small taccept`prefabricationflue design as
drawn. (Reference sheets A•-8 and A.12) ;
5 r Architectural Plan A.10
A.- Wrought iron gates and'fencin = submit shop dra "
r g p wings prior to fabrication.
6. Architectural plan •A.13
A. Show flues for HVAC and W/H units on Roof Plan. . 3
B. Provide details for scre
ening.-
7. Electrical Plan, E.1 .
A. Provide manufacturers brochures or shop drawings for all wall and surface
mounted light fixtures.on exterior building.
K• B. Motion detectors and flood lights are not allowed: '
La a ev'ew
1. Change, Baccharis groundcover to a more lush' -
_type groundcover shrub and •
intersperse with Bougainvillea.:
2.� . x-Specify front yard to be photocell on/off. T
3. Specify warm spectrum PL lamps.-
If you have any questions,or need additional information, please do not hesitateao call. 1
Sincerely, _ •' • - • • , • • . �• . -
Christina J. •DoreS �. _ • '
for ARRC at Tradition Golf Club" ^. ,
• /cjd
X: James Cioffi, 'Wa fax ,
• •+ + •, a , + - r -.• .« x • acwrwo�o�..+,ma..ya ~ ;tit ..
Dear Builder:
Prior to • issuance of a building permit, you will be required 'to obtain Public Works
Department approval for one of the following:
OVerification of pad elevation by'a licensed surveyor or -engineer.
-2. ineered grading plan for project requiring on -lot retention.
Tract 6524 (Estancias
Tract # ain View Estates)
3: rrflcation that the building pad has bee ed and compacted in accordance
with the soils reports, and tract. grading plan. '
Tract #28034.(SouthValley Estates)
Public Works Authorization
ry70 - 2- .
(o .
c:PWauth.ltr/da