0108-053 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
l Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
WProfessionals Code, and my License is in full force and effect.
O =) ch License t# Lic. Class Exp. Dya�tyep y q )
4 09 1
Z r- t Date " Signature of Contractoci" f• •'!' �
~
CO "M OWNER -BUILDER DECLARATION` 9
J
W W r— I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ co License Law for the following reason:
Z_ ( ) 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. 704¢, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
co
V7 I am exempt under Section B&P.C. for this reason
N Date Signature of Owner
N
d Z WORKER'S COMPENSATION DECLARATION r
C) cc: I hereby affirm under penalty. of perjury one of the following declarations:
Lin H O () 1 have and will maintain a: certificate of consent to self -insure for workers'
X W compensation, as provided for by Section 3700 of the Labor Code, for the
O J Q performance of the work for which this permit is issued.
IM Q U( ) I have and will maintain workers' compensation insurance, as required by
O uQ Section 3700 of the Labor Code, for the performance of the work for which this
LO d rn H permit is issued. My workers' compensation insurance carrier & policy no. are:
It z Carrier Policy No. Bd�l.it.C(td2fia'�'l
ao ;
J (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
3 subject to the workers' compensation provisions of SectipA of 700 of the Labor
e •prov
Code, I shall forthwith comply with thosns. I
r Date.. -'e -::d. rt ! Applicant ,..... „r� '
`-TWarning: 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 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. � }J
1. Each person upon whose behalf this application is made & each person _-
whose request and for whose benefit work is performed under or pursuaw tato
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 authorizLf represent' hues of this Cify ;to eriter upon
the above-mentioned property,fo nspection p 'r oses--
Signature (Own er/Agentjr Date'�O__ 2'YV
BUILDING PERMIT PERMIT
le
DATE VALUATIONLOT TRACT
$324,
34AO 9 28611
'
JOB SITE ADDRESS 'r + � � �xY ?� � � w�'
APN 70-10')-0
OWNER
CONTRACTOR/DESIGNER/ENGINEER
XYR ��.x�I1XY
oISTA :�::'T�::�.�3t�:i�Ii��:��'1' �wOi�R
T�p`1A D
sf p
USE PERMIT
yygOiiFy gy7 5y 1�g{�Ty
hAi,��t:•.P-..Y:. .Y:'�,Wk6A...3�J'W`�1:.•E.+7..n$7.'+f+.i
SRT W7 C;#ST k1'.SF- :1,.X°t"-d.lfDES 6D,�J:��''6��Sd.'k�.`s', ;{�P.}L�IJ��F1� D3�.'�'"t7 ALA
APPROACH.:. OMPIANCE Itb'.I ALL FF'3,113TA a E, LAWS, INCL MAM1;g;IYED
iPi�. re"..AC^.,' OF i6.y'Y. (16 U -s-6. f`r wl, n sl*A2.) IV
Cl.9OTOM WHSTRbl,"TION 33;W)D100 Sp
POP HIP A,'1'IO 1,144.00 S1t
R,AE.'6MARPORT
:E:UM".1" M COST OF COk STRUG` fi) 1
:324,734.40
C1C9MMUC TIO% VE �E►1-Ext#a l �E? 3 F1 a°T C
PLAN CHEM VVI 101-000-439.318 S1,10;9431
n`<Ea.T:Ap�y'ys�lr�rlf,'T -Si3O 0.00
¢y¢(p Q101--�'1p/i��f�y?^4e3jvy-318
M.ECk
L%IVCTl'1414u a ME 1.01..t.100,4'� E�-O 3 S22150,
MLU y 01130 0 M y 01,.OM 4.19-(3A4
S 1'RONO MOTION :FEE •RESID 101-000-241X000 VIM?
ORM)11~i0 My '101-000- 23-f,�€ 0 $20.00
1.iEVEWPER 1
.hRT IN l*UMLIC. ls?:a::IP ' 2 lZ 2,1t'3...fi11.0,441.01 0
i
..
i.CO1u4ttrT41AMID t3r�n,C,
,463.2
yZUSS P,2>krDFEK$
2001
41yd00,0018
CITY OF (LGA d.*,9MT,aA
4
L
.
RECEIPT
DATE
BY
DATE F ALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs.
(-���
Underground Ducts
Forms & Footings
r&S,a(5
'
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
�0
�"
F.A.U.
Framing_
p
—�Compressor
Insulation
2 �f��
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wail Insulation
Condensate Lines
Party We Firevvdll
Exterior Lath
_ - CJ -2—
Drywall - Int. Lath
Drywall
Final
I
Final
POOLS - SPAS
BLOCKWALL APPROVALS
Std
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines00-1
Heater Final
Water Piping
0 Q (
/
5
Plumbing Final
Plumbing Top Out
14011_
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
/10—
Encapsulation
Gas Piping
Gas Test��—
Appliances
Final
COMMENTS:
t g.vplez aF'1•G
c t — 5—oc �T
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
7
Temp. Use of Power
Final
Utility Notice (Perm) 7�i —�i'02
_
/CA/
of 0
BOX 1504
Building 1".)LA 78-495 CALLE TAMPICO
QUINTA, CALIFORNIA 92253
Address
Mailing r
Address e__ cy
City Zip Tel.
Contractor
Address
City Zip Tel
/-) A,A,4 �Al S 34111041
State Lic City
& Classif. Lic. #53 9 3
Arch., Engr,,-
Designer Dr
Address jel.
4'
City I State
[,A�f/N_J e- Dl?,50 L i c. #CC'
LICENSED CONTRACTOR'S DECLARATION
I hereb i of Chapter 9 (commencing w th Section
000) �afflrm that I am licer d unod Pfe0sys11 f
7 of ivision 3 of the Busir=es and Pro = Code, and my license is in uIll force and
effect.
,.—I 'i N Y_�–
SIGNATURE '1 0 DATE
f' OWNER-SUILDER DECLARATION
I hereby affirm that I am exemP t from the Contractor's License Law for the following
reason: (Sec . 7031.5,Susiness and Professions Code: Any city or county which require 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 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).
1 1 1, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is (lot 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 no, build or improve for the purpose of sale.)
I 1 1, as owner of the property, am exclusively contracting with licensed contractors to con-
rlruc t 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 contraclor(s) licensed Pursuant to the Contractor's License Law.)
11 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
Worke r's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Po Company
y. 0 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 (11100) valuation
or less.)
I certify that in the performance of thp work for which this permit is issued, I shall not
empl oy an), 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 shag 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 it 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
APPLICATION ONLY
LDING: TYPE'CONST.—OCC. GRP.
Ir
Description 4or 7 - ?6?- ?t90 - 00Z
" f- 7 7A r /- V ) (;- - / ( / A�,� ,
;t Description - I tr/
Sq. Ft.
Size
New 0
No. No. Dw.
Stories Units
Add 0 Alter El Repair 0 Demolition 0
PERMIT
Plan Chk- Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Driveway Eric.
Infrastructure
TOTAL
REMARKS
AMOUNT
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 Propertyi,
FINAL DATE
Issued by:
Validated
Validation:
—Date Permit—
AUG —2 W
I 177 A Q _U11 N I A
F I.W, N -1^ E I'D E P T
WHITE = FINANCE YELLOW = APPLICANT PINK BUILDING DIVISION
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
Date 10/10/01
No. 22566
Owner NameJoe Finley
No, 78-381
City La Quinta
Tract # 28470-1
Type of Development
Comments F_
CERTIFICATE OF COMPLIANCE
Street Deacon Drive West
Lot # 9
Single Family Residence
APN # 769-900-006
Jurisdiction La Quinta
Permit #
Log #
zip 92253 Study Area
Square Footage 3760
M
No, of Units 1
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
2.05 X 3,760 or $ 7,708.00 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 Money Order/Janesville State Bank - Rob Capetz Telephone
Name on the check f
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Annette Barlow
Signature
'j'�� f, �"'_
r�
Payment Received $7,708.00
Check No. 104863
JOTICE: 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
ibove 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
Tradition
October 17, 2001
Mx. and Mn. Joseph Finley
Re: 78381 Deacon ]hive West
Dear Mr. and Mrs. Finley,
The Tradition Architectural Committee has reviewed your tbkd submittal of construction
drawings for your Tradition home. The plans were revised in response to our letter dated
October 5, 2001. The plans have been approved'as subrliitted, approval is given for the
issuing of a l ding permit.
We have received your construction performance deposit of $5,044, thank you. 1 look
forwwd to working with you on the construction of your Tradition home. Please do not
hesitate to call me at 346-1161 ifyou would hike to des any Association matters.
sincerely,
� 6 av-0-1; �
Mindy Gut' rme Property Manager
Tradition Community Association
cc: Sun Vista Development
PCWDESERT RESORT PROPER Y MkNAGEbMEN T COMPANY
POST 0FFTCE` BCK 477-, RkLM DESERT, CATIE02NIA 92261-477-2 - 73.550.ALEssP,N R0, SUI.r,E 5, PAM DESW, C4UFORNL iA 92260
Jct• S. )hill -1:HAM
RECORDING REQUESTED BY:
Fidelity National Title Company
Escrow No. 3992 -CAH
TitirOrderNo, 9772025
When Recorded Mail Document
and Tax Statement To:
Mr. Joseph Finley, Jr.
JA.NESVILLE STATE BANK DOC 1M 200 N A - 0 411 9p, P- I
03/30/2091 08:00R Fes:0,00
Page i of !
Recor4hw In offlelel Records
Ceundy of Riverside
Clary L, Or20
Assessor, Caunty Clerk 3 Recorder
M 51 U VAGL I 8Q8 I CA PCO NocoR ftp �BqQ
"1
i
A R L COPY LCNd RR"D Ncrc FJNM.
GRANT DEED
The undersigned grantorts) declare(s)
Documentary transfer tax is $ ,, City Transfer Tax is11"�
[ I computed on full value of property conveyed, or
[ l computed on full value less value of lions or encumbrances remaining at time of sale,
[ ) 'Unincorporated Area City of La QUInta
FOR A VALUABLE CONSIDERATION, receipt of whlchAs hereby. acknowledged, Joseph M. Finley: Jr., a Single Man
.hereby GRANTW to Joseph M. Finley. and Marjorie A. Finlay, Husband and Wife .as Joint Tenants
the following described real property in the City of La Quinta,
County of Riverside, State of California:
Lot 9, TRACT 28611, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 269,
PAGE 1 THRU 17 OF MISCELLANEOUS MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.
FIDELITY A'AT(4NAL TIi i r IN9LIr1r,NCE•COMPANY
R*RE0yi1DED Th$ 14JRUMENTSYREQUESTAS
'0 AOCDMI;lDDIATiO,B CNLvA(D W S V DARNED
IT" RECU(A DASD SufrMiENCY ORAS TO ITS
E"FECT'UPON THE TITLE TO ANY REAL PROPERTY
THAT MAY BE DESCRIBED THFREiN.
DATED: February 12, 2001
VA= N W,zv"a
STATE OF Cft"P6~
COUNTY OF W�3'eCA
ON, r Zoog before me,
personally appeared
.�csNa�c.S��tit1
personally known to me (or proved to me on the basis
of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the
some in his/her/their authorized capacity(ies), and that
by his/her/their signature(s) on the Instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the Instrument.
Witness .my hand and official seal,
Signature .
Joseph . Finley Jr.
SHEN.1lA. SET
(wpfllRKIK�C •1�8d[A
liyawl�iisGwwi� x,'006
AIL TAX STATEMENTS AS DIRECTED ABOVE
FD -213 (Rev 7/96) GRANT DEED
Summit Structural Engineering
September 21, 2001
Sun Vista Development
P.O. Box 1144
La Quinta, CA 92253
Attn: Rob Capetz
Subject: Roof Truss Shop Drawings and Calculations
Finley Residence, Lot 9 @ Traditions
La Quinta, CA
Dear Rob,
2283 Fifth Street
La Verne, CA 91750
(909) 596-0842
Fax (909) 596-5187
The roof truss drawings by Trussworks for the subject project were received by
our office on September .21, 2001 and is 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.
BH
g:\2001 jobfiles\sv-155\155_trussl .doc
my ��sm
No. C054193 jD
Exp. 12/31103
r�
;:
Residential,;,Commercial, Industrial, Land Development
FROM': SUMMIT STRUCTURAL ENGINEERS PHONE N0. : 909 596 5167 Tan. 23 2002 12:3-," F'1
:., Summit Structural Engineering
2283 Fifth Street
La \Mme, CA 91750
(909) 596-2442
January 23, 2002 .RECENT&&) Fa.x (WQ) .51s7
SunVista Development, Inc. JAN 2 3 2002
P.O. BOX 1144
La Quinta, CA 92253
Attn: Rob Capetz
Subject Structural Observation — Finley Residence
Lot 9, Tradition Course pe e,
La Quinta, CA= r
X78 ,5CA ._
Dear Rob,"
Per your superintendent Bilis request, we visited the subject job site an Januwy
22, 2002 to perform a structural observation. While we were. at the job site, we
found .several omissions and deviations from the. plans. All missing stems were
installed while we were -at the fab site and at that time we found the structure to
be. in general compliance. with the struma al design concept.
.If you have any questions, please give me a call.
Yours truly,
SUMMIT STRUCTURAL ENGINEERING
Benjamin Herbst, P.E. s�,.- _ cr�r►4
SH
9AMy Docu.rents\2001\iobfaes\Sv-IM166 r►aWt(ceN.doe
Residential, Commercial, Industrial. Land Development
Certificate of Occupancy
City of L,a 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:
Use Classification: SINGLE FAMILY DWELLING
Occupancy Group: R-3 Type of Construction:
78-381 DEACON DRIVE WEST
Owner of Building: JOE FINLEY
—7-6004-t
r� �"R
Building Official
Bldg. Permit No.: 0108-053
Land Use Zone: RL
Address:
By:
RICHARD KIRKLAND
Date:
05-17-02
POST IN A CONSPICUOUS PLACE