9910-169 (SFD)LICENSED CONTRACTOR DECLARATION.
a,J hereby affirm under penalty of perjury that I am licensed under provisions of
Char t.%,zi (commencirig with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full forc&and,effect. -
License`a# ' Lic: Class Exp. Date
)1541
j(, , �C
/Date lot
!'Signature of Contractor 77
F OWNER -BUILDER DECLARATION ,
I hereby affirm under penalty of perjury that 1'am exempt from'the Contractor's
License Law for the following reason: .
( ) I,,as, owner of: the property; or myemployees, with wages as their sole
compensation, will do the work, and the structure isnot 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)..
O I`am exempt-underSection , B&PC'for this reason
Date Signature of Owner L
-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 willmaintain' 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, 77 TTeeii t7��ypr� t�pp ,�'��h/�< Policy No :M-, f' ))-'.� 99p,ry 1-,
.. V..�i'i1i� l4M ;tdYr ..1..`.f' + t i SIX- ',t Vri4t-CWI, L,i3i .. , fi
(This section: need not be completed if the permit 4uatlon.isfor $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 Callfornia,'and.agree that if I should become
subject to/.the wgirkers' compensation pro slons'bi Stiction 3700 of the Labor
Coded shalt forrthvylt , comply With, those _prov, ion „
,i
Want—
arning: 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 IApplieation is hereby made to the Directorrof Building and hSafety
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 issue d.as a result of this applicaton,agrees to, &'.shall, indernnify
& hold harmless. the.- City of La Quinta,,its off icers,:agents and employees.
2. 'Any permit issued as a result of this :application becomes. null and void if
Work is not commenced within 180days from date. of• issuance of'such
permit, or cessation of Work for,180 days will subject perrhit to cancellation.
I certify that Ihave 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,up66
the above-mentioned property for inspection purposes
t jr
g�Snature' (Owner/Agent) t " Date /
ki
BUILDING PERMIT PERM 0-
�
DATE' VALUATION ,gtS ,P�J��y. ��, ,LOT`?+-. r ..
TRACT
10
JOB SITE ' 47-705 VI,I11 MONT VOIL
64.342,0452ADDRESS
FPN
OWNER
CONTRACTOR/DESIGNER/ENGINEER
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IKA1'1U��,:.A.•NA _
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92705
�CA
fi�1 •!�'� &-list
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USE OF PERMIT
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• 1 . • .. •' _ . - •.�'1,7TAL V.S�A4.SiEF R.' �,JWN AM11 -Now
•.
1 �,.. fit. _
RECEIPT
DATE
BY 1�
D E N ID
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
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 f'
Final
Z G�
b-0
—QD y
POOLS -SPAS
BLOCKWALL APPROVALS
steel
Set Hacks
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 r
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
COMMENTS:
Final 2y-..4 _4 �
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)
• 4,Q"
P.O. BOX 1504 APPLICATION ONLY
Building1 I� ��}' 78-495 CALLE TAMPICO
Address `7 1 4 Ail rJA e1% LA QUINTA, CALIFORNIA 92253
Mailing
Address
V1,Ly^'^ ) LIFI ICI.
v 5f
Contractor
Address
Zip j Tel..
BUILDING: TYPE'CONST. OCC. GRP.
A.P. Number Q-0 05
Legal Description 1�' . �• Y�� �ja �' �I`'
Project Description
State Lic. City
& Classif. I.Lic. # Q t' ,� Sq. Ft.
Arcn., tngr.,
Designer
\'V _ d UA iTel
Address Q! bOD 1�1 `4
•�`�' i
City
JZi,� State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section'
effect.
Division 3 bl the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031. S,Business and Professions Code: Any city or county which requires e
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 the alleged 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).
I.: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, Buisness 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.)
1'1 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.)
i 7 1 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
n 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 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, alter making this Certificate of Exemption you should become
subject to theWorkers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
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.)
Lender's Name
- Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
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.
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.
Signature of applicant Date
Mailing Address
City, State, Zip
' No. No. Dw.
Stories Units
Add ❑ Alter ❑ Repair ❑ Demolition ❑
ation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
AMU UP
r -F -1
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
Hn
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION +At xr}`�r41 TMp f r*yrw `
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
Date -10/21/99 •,-APN # 643-120-052
No. 19498 Jurisdiction La Quinta
Owner NameCanaday & Company Permit #
No. 47-705 Street Via Montana Log #
City La Quinta Zip 92253 Study Area
Tract # Lot # 280 Square Footage 3018
Type of Development Single Family Residence No. of Units 1
Comments
Lake La Quinta
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 Y m the amount of
1.93 X 3,018 or $ 5,824.74 the property listed above -aid that building
permits and/or Certificates of Occupancy for this square footage in this proposed project may now'be issued
Fees Paid By cc/B of A/Canaday & Company - Telephone; 771-9636"`'`
Name on the check
By Dr. Doris Wilson
Superintendent'
Fee collected /exempted by Juanita Green Payment Received $5,824.74
Check No. 2016297584
Signature
NOTICE: Pursuant of tembly 8111 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 rom 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
4
ri
G
U
cFy
OF
PUBLIC WORKS CLEARANCE LETTER `
FOR.
CUSTOM HOME LOTS
Dear Builder:
Prior to issuance of a building permit, you will be requiredAo 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:
LOTS'23`� 3 Z q,
Lopr6 Z 6e s- i Z7 , z80, ZS I
PUBLIC WORKS AUTHO IZATION TE
' R: WDEPTIDOMFORMSIPW CLEARANCE LEiTER.ss
I
COMMENTS:
aN!=,"Or
ESI/FME, Inc. _
Structural Engineers Date: Feb. 10th, 200 By R.R.W.
1921 E t C A
as 01 "WV L. 3 J
Santa Ana, California 92705
Company :
CANADAY AND CO.
Arch't / Designer.,
Len Nobel
Address :
47650 Via Antibes,
Project Name:
"South Shores"
La Quinta, CA. 92253
.. ESI / F M E Job
No.: 8436-17
Contact :
Bob Walker/ Roger Moore Project Eng.:
R.R.W.
Phone :
(760) 771-9636 FAX:
(760) 771-0564 PH.:
(714) 261-1811 /Fax 261-8506
=Phorie Conversation EX]Field
Meerg aMeeVg @ Client's aIn-House Meeting
MEMO Page 1 of 1
City Of La Quinta
Department of Building and Safety
78495 Calle Tampico
La - Quinta, CA. 92253
RE:, City Of La Quinta
Tract 26152, Phase . 5A
On Feb. 5th, 2000, we conducted a field visit on the above named property
and proceeded to point out areas that needed his attention. Upon
completion of these items, the homes will be in compliance with the approved
set of construction documents.
Field observation on the following lots
Lot. 233 Plan. R4 -2C 47-133 Via Montessa
Lot 234 Plan R4 -1A 47-600 Via 'Montessa
Lot, 263 Plan R4-1 B 47-600 Via Montana
Lot 264 Plan R3A 47-730 Via Montana
Lot 265 Plan R4 -2D 47-700 Via Montana
Lot 266 Plan R3 -GA 47-670 Via Montana
Lot 279 Plan R4 -1_B 476-7.5—Via—Montana--
Lot 280 Plan R3 -GD 47�
05—Via—Montan �OFESS/pN
R. 9
Lot 281 Plan 'R4 -1A 47-735 Via Montana's e N W
c7 5 m
UJ rn
1.
OF
E.SI/FME, Inc.
Structural Engineers Date:, Feb. 13th, 2000 By .: R.R.W.
1921 East Carnegie Ave., St. 3J (ted 2-232000)
Santa Ana, California 92705
Company: CANADAY AND CO. _ Arch't / Designer, Len Nobel
Address: 47650 Via Antibes, Project Name : " South Shores "
La Quinta, CA. 92253 ESI /FME Job No.: 8436-17 .:
Contact : Bob Walker/ Roger Moore Project Eng.: R.R.W.
Phone: (760) 771-9636 FAX :76( 0) 771-0564 PH.: (948)281-18111Fax. 2 -MG
UPhone Convention [K]Field Meefg EiMeeCgament's Uln-House Meetnq
MEMO. Page 1 of 1
Field meeting of February 6th, 2000.
PLAN . R.4-1. and R 4-2:
R4 -2C Lot 233: OneCarGarage: ADD 2x4 collar tie under hips.
Two -Car Garage: ADD 2x6 collar ties w. 4-16d's under hips.
R4 -1A Lot 234 : Garage: ADD 2x4 collar tie under flips.
R4-1 B Lot 263: FamilyRm / BED2: ADD (2) 2x4 studs at ends of both Girder Trusses (4 places)
R4-21) Lot 265: FamilyRm / BED2: ADD (2) 2x4 studs at ends of both Girder Trusses (4 places)
R4-15 Lot 279: MasterBed/Bathl : SHIM Girder Truss at mid -point for full bearing.
FamilyRm / BED2: ADD (2) 2x4 studs at ends of both Girder Trusses (4 places)
Two -Car Garage: ADD 2x6 collar ties w. 4-16d's under hips.
R4 -1A Lot 281 : BATH1: add (2) 2X4 cripples to support Girder Truss.
MasterBed/Bathl : SHIM Girder Truss at mid -point for full bearing.
FamilyRm / BED2: ADD (2) 2x4 studs at ends of both Girder Trusses (4 places)
KITCHEN: ADD 2x4 collar ties under hips.
BED3/BA3: ADD (2) 2x cripples to support Girder Truss at mid -point.
BED4: ADD 2-2x4's to support Girder Truss at Garage.
Two -Car Garage: ADD 2x6 collar ties w. 4-16d's under hips.
PLAN R 3:
ALL PLANS .MasterBED/Porch: ADD detail 01/133 shear panel blocks over top plates.
R3A Lot 264: ( see ALL PLANS comments )
R3 -GA Lot 266 -.KITCHEN: ADD 2x4 collar. tie -under hips.
FAMILY: ADD 2-2x4 trimmers to support Girder Truss at exterior wall.
Garage: ADD 2x4 collar tie under hip apex.
LIVING ROOM, 'ADD 2x6 collar ties under apex of four hips. ( 2 ties)
R3 -Ge Lo_t 280 :K TCHEN: ADD 2x4 collar tie under hips:
FAMILY: ADD 2-2x4 trimmers to support Girder Truss at exterior wall.
Garage: ADD 2-2x4 trimmers at each end of main Girder Truss.
Garage: ADD 20 collar tie under hip apex. -
ESI / FME file: FR021300 . wk4
TOTAL P.01
O'Certifidate of Occupancy V.,� � o
City of La Quinta
Building and Safety Department
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: 47-705 VIA MONTANA
Use Classification: SFD Bldg. Permit No.: 9910-169
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RC
Owner of Building: CANADAY&COMPANY ' Address: 1570 .BROOKHOLLOW DRIVE,SUITE.208
City: SANTA ANA,CA. 92705
-d/%l By: GARY HARTMAN
Date: 12-7-00
Building Official
POST IN A CONSPICUOUS PLACE