9909-099 (SFD)LICENSED CONTRACTOR. DECLARATION
I �hereby affirm under pen.alty'of perjury that 1. am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 o the Business and,
Professionals Code, and my License is in full force and 'effect.
License # Lic. Class E
Signature of Contr �/Z
Dat act _77.
OWNER -BUILDER DECLARATION. '
I. hereby affirm under.penalty of'perjury that'l 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 & Profegsionals. Code).
'
1, as ownerof the° property, am exclusively contracting with licensed
contractors to construct'the pfoject (Sec. 7044, 'Business & Professionals'
Code).
O +am exempt under Section, B&P.C: for this reason
Date Signature of Owner
WPOER'S COMPENSATION DECLARATION
I hereby affirm. under per4ty of perjury '.one.of 'the following declarations:
-1 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-permitis issued. t
eg�I have and nd �vill maintain workers'• compensation insurance, as required by
c� ion 3700 of the Labor Code, for'the performance of the work for which this
permit is issued. My workers" corTipensatiom insurance carrier & policy no.' are:
,C.*er''TAMPolicy No.
S. .-Z r UND 13=211111901 -
(This section need not be completed if the permit valuation is for'$1100.00.ordess).'
O I certify that in the performance of the 'work -for which.thisp6rmit 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 prqvisions of Sect' 2n 3700 of the Labor
Code; I shall forthwith comply with those p o),4isio s
Date: ".Applicant Y"Ad I
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines.up-tdi $100,000, in
addition to the cost -of compensation, damages as provid6d'fof 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 ermit 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 performe d under or pursuant to
any permit issued as a result of this appliciton agrees to, ,& shall-, indemnify
& hold, harmless the City of La Quinta, its.off icers, agents and employees.
2'. Any permit.i§sued as a result of.this application becomes null andv6id if
work is not, commenced. within 180 'days from date of "issuance of such
permit, or cessation of work for 180 days will subject perm.it to cancellation.
11 certify that have read this,applicati6n and state thatthe above infor . mation 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 aboje-mentioned property. for,i _.-,)ecion purpose . 4 1
nsps. V
Signature. (Owner/Agent) Dater'
• ge
/Vr
BUILDING PERMIT -
DATE ,1/19/!'"VALUATION S32:43",,,40 PERMIT#
;LOT "LlTRACT ,22WQ_2
JOB SITE '7&3191 TAL.lKfNr APN
ROC'K TJjXN
ADDRESS
OWNER
f"r- 71ILY & susto., S, PUS -
HERMOSABEACH CA 902,54
USE OF PERMIT
NINQUFAMI.LY UWHLLJNG
CONTRACTOR1 DESIGNER ENGINEER
77899VOLF.
PAJM1 DIRSEAT CA 92VO
CRIL41 5193
.6
QX'A_1 — 6vvVTA-a..t.s3 %_11%%A%-,-nW%.. VV; LAZJIFLA.. M
S'YATH LAWS, 11Nc0,U1)11N0T1W ENVIA1140r,90.) 1817-1ZIES AC- OF 1,9Z) (16
Sr,
E'1'Sj�Q) J.F
RL J'L
CUSIUM CON-STRUGUCYN 3,748.00 SF
tf w"
RECEIPT DATE By/LED INSPEC
DATE FINA..
it I'vINTEUX M811'Or CGINS
Sn T" r TRUC."I
.F-CRUIT FE SUMMARY
CONSTFIUCI"1110N FEE
10 1 _0001-12 I 8 -ow
P1:- kN VII-WX M.'g
9
'FELT VOMIT
E4.1w,ril }cm; ime
Atli,
$200)
MAN
Cr ECK
1.x S
'TOTALI r4l'Amry FE1.1e.1 MAI I' ow
RECEIPT DATE By/LED INSPEC
DATE FINA..
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE 7T.INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Tv
Return Air
Steel
Combustion Air
Roof Deck
-
S7
( Exhaust Fans
0. K. to Wrap/��
Framing
InsulationF
/Bd
3 / w . `. s 1
��i
p'j,
�_` -
i F.A.U.
`, Compressor
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior lath
Drywall -Int. Lath
(-
/Ers
gazC. Glx-`_
/ 2 -•gl - e IF
S
Final Jr. t!� 5%
BLOCKWALL APPROVALS
Final
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground PIN. Test
Final
I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Water Piping
_ t
Heater Final
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
-
O.K. for Finish Plaster
Sewer Lateral
Sewer Connection
_ _
'j/Q�Bp
b 7
Pool Cover
Encapsulation
Gas Piping
Gas Test
Appliances
�. Q tp
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole _ M - 4
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 (Penn)
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 11/18/99 APN # 769-162-002
No. 19624- - Jurisdiction La Quinta
Owner NameKelly Sims II Permit #
No. 78-391 Street : Talking Rock Turn Log #
City La Quinta zip 92253 Study Area
Tract # - Lot # Square Footage 3748
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 amounfof
1.93. X 3,748 or $ 7,233.64 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/Citibank/KellSims - Rob Capetz Tele hone 772-2626 "
P ,
Name on the check .r `
By Dr. Doris Wilson
Superintendent +
Fee collected /exempted by Juanita Green Payment Received $7,233.64
Check No. 126-382080540
Signature64t&4t_!�,
F
TICE: Pursuant Assembly Bill 3081 (CHAP 549, STATS. 1998) this will serve to notify you that the 90-0ay approval period in which you may protest the fees or other payment identHied
ve will begin to n from the date on which the building or installation permit for this project is sssued or on which they are paid to the Districts) or to another public entity authorized to
lect them on the District('s)(s') behalf, whichever is earlier.
Collector: Attach a copy of county or city plan check applicatioe form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt . Copy - Accounting
9
i 9�#t! nC uaat�u '.'� nt:wwvtu FOR RECORD
liscrow No. M104F•�t.Y- 4
f,,unn No. . gnt I l+�n �'d a Csmpaa AT S:flO AAA
PAID
wf ION RECORDED MAIL TO: tea. Tnnsfer'�e MAY 2 199
Mr. b Mrs, M. Kelly Sims t`
1824 The Strand Rlv, fes. R�Ot+dAt ��
Hermosa Beach, CA 90254 liaaerder
MAIL TAX STATEMENTS TO; Space above this line fbr Reco ees se
DOCUMENTARY TRANSFER TAX $' ?�_, '_- �=•F J
,. —Computed on the corisideratlon or value of property
conveyed; OR
"SAME AS ABOVE Computed on the consideration or value less liens or / r
encumbrances rattaining at time of sale
` 1114,Undeuiiad 901M }�
Signature of Declarant or Agent determining tax-Firm Name.
APN: 769-162-002
'TRA: O 20' GRANT. DEED
Y.) ,
,I FOR A VALUARLC CONSIDERATION, receipt of which is hereby aeknowiodgad,
TRADITION CLUB ASSOCIATES LLC.; a Delaware lltttited labititi company
hereby GKANI'(S) to M. Kelly Sires and Susan Coq Sims, , ^
Husband and Wife at' Joint Tenants
the reel property in tim City of La Quinta "
County of Riverside State of California, described as
Lot 58 Tract 25470-2 (Sea Exhibit "A" Attache! hereto)
Datcd: February 22, 1998
Stoic oPCalifornia )
� -
0 b4% me. TRADITI C ASS A . LLC., •
Megoc a Dolaw ed liabili co any
personally appeared ,
personally known to me ( lou. �j �-----
to be the persont*wItm namv*IsW# submr1bed to the BY;
within instrument and acknowledged to ms that hahkAhey executed the
sante in his4wFAheit authodaid capacityflw� and that by hI&66 h&
signaturc*on the instrument the person(e) or the entity upon behalf of ITS;, XEUM VE
which the person acted, executed the Instrumot.
WITNESS MY AND AND OFFICIAL S L p �,
•' - OontP�arte ttar+tw
WARM
Signatur --OWJ
Irw► Qolnn► It b & we
4
(This area fbr official notarial seal),,
Received
5-02 17:96pm from 760 564 2356 ' SUN 760 564Tpage 1
2356 11/17/9913:31 :01101 N0:539
TRADITION GOLF CLUB
Tradition
ARCHITECTURAL DESIGN REVIEW
November 17, 1999
Mr, Rob Capetz
SUN VISTA DEVELOPMENT
Post Offlce'Box 1144
I -a Quinta CA 92253
Via First Ciuss Mail
and fassimiis
Re, Sims Residence, Lot 58, Tract 26470-2, 78.391 Talking Rock Turn
Construction Documents -- 3^' Submittal -
Dear Rob,
The ADRC of Tradition Golf Club met today and reviewed the Construction Documents
for
the Sims residence. These documents have been approved to obtain a building p ,
however, the following conditions must be submitted for review within the next 30 days.
,architectural Review
1. Provide wall and hardscape details as they are not shown on Site plan, Sheet C-1 or
C-2.
2, Provide specific details showing finish grading on either grading/drainage plan or
landscape plan for proposed berming and planting areas. There is a detail; however,
it does not show where the berming and planting areas will occur.
Lan cape Review
1. Turn rear yard gate so it is not visible from golf course.
if you have any questions or need additional information, please do not hesitate to call.
Sincerely,
Christina J. bores
Architectural Review Coordinator
/cjd
78305 OLD AvWA 52 -- LA QjKrA — CA 92253.1120 -- NoNE 760/564.3333 — Fax 760/564.2356
I
'°F�WQ�w
PUBLIC WORKS CLEARANCE LETTER
- FOR
CUSTOM HOME LOTS
TW
S
- x
Dear'Bullder
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-.
:> 4..,
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: s`
Work' "
Department.
2: Verification that infrastructure improvements and other required tract improvements
are complete, or sufficiently advanced to warrant'buildmg permit'issuance.'
.: •' •�_ � a z �-u. 'sit
•3. Prepare an engineered grading plan that provides. for, on lot storm water retention,
.and have it checked and approved by the Public Works Departments
t a trt
• Tract 26524 (Estancias) Y,2
3:
• Tract 26769 (Mountain View Estates) t_^`�JJG
4. Prepare an engineered grading plan that provides -for building pad' grading �4'
accordance with the existingsoils report and tract iadin plan;. :and have '�� x
P 9 9 P
checked and approved by the Public Works Department. =P�`
• Tract 28034 (South Valley Estates)
Lr T
L r
s u_;:irs
FOR INTERNAL USE BY PU13UC WORKS DEPARTMENT
TRACT: o�(_�)
LOT:
PUBLIC WORKS AUTHORIZATION I 6ATt
F:IPWDEPT1DOCS%FORMS%PW. CLEARANCE LETTERss
COMMENTS:
r
„ CITY 07 1 A n!,I'NTA
ACTION NOW ! APR 27 RECD
Maximum Performance Housing �SIJILCli ellrE-I-y
Affordable Comtbrt through Energy Management
House Physician - Diagnose and Cure
Y Scott Johnson California State California Home Energy.
2575 Westminster Avenue Contractors License Efficiency Rating d
Costa Mesa, CA 92627 # 713228 # 30027
Voice: (949) 631.2274 tax: (949) 631-2293 pager: (949j719-8140 e-mail: an1(a)pacbe1Laet
T -24 -ACM Tight. Ducts, Credit
Sun Vista'Development
C78:N11-Talking--Rock Turn
La Quinta, CA
3748 sq.ft.
Micro -Pass Default Target 157.4 cfm
Four Systems Calculated and Installed:
System Max. Target Leakage Tested Leakage
24 K Heat Pump_ . 48 cfm 17 cfm
• 42 K Split 84. cfm 56 cfm
60 K Split ° 120 cfm 77 cfm
36,K Split 720m 60 cfm '