05-4972 (SFD)' P.O:�,B0X 1504
78=495 CALLE TAMPICO
�i �t'4�LA QUINTA, CALIFORNIA 92253
T,iht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
1
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d1
Applicant: Architect or Engineer:
Lic. No.: OOR SQUARE FOOT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
LAOUINTA GRAYSTONE CONSTRCTION COMPANY
r,E0_6PT. 79405 HIGHWAY 111, SUITE 9-414
LA QUINTA, CA 92253
(949)412-7931
Lic. No.: 863749
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B /� Lic se N . 863749
Date: i �P, 0 6, Zo trac� io,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she 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 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 and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
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 or she did not build or
improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Date: 1/13/06
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 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 and policy number are:
Carrier EXEMPT Policy Number EXEMPT
_ 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 subject to the workers' compensation provisions of Section
3700 of the Labor Code, I Mall forth compWwith,4ose provisions.
Date: (//)/'w�w Applicant:
WARNING: FAILURE TO SECURE WORKERS' _Pq 1PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this 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 application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
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 county ordinances and state laws relating to building construction, and hereby uthorizelepresentatives
of this county to enter upon the above-mentioned property for inspgttion_pwFposes.
Date: t / r -f Af Signature (Applicant or
BUILDING PERMIT
Application Number:05-00004972
Owner:
Property Address: -
7.84-0=1 DEAGON—DR—W
—
TRADITION 7 WEST LLC
APN:
770-210-021-- -
1801 AVENUE SALVADOR
Application description:
DWELLING - SINGLE FAMILY
DET
D d
SAN CLEMENTE, CA 92672
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
427342
n
JAN 13 2006
1
rb
d1
Applicant: Architect or Engineer:
Lic. No.: OOR SQUARE FOOT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
LAOUINTA GRAYSTONE CONSTRCTION COMPANY
r,E0_6PT. 79405 HIGHWAY 111, SUITE 9-414
LA QUINTA, CA 92253
(949)412-7931
Lic. No.: 863749
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B /� Lic se N . 863749
Date: i �P, 0 6, Zo trac� io,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she 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 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 and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
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 or she did not build or
improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Date: 1/13/06
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 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 and policy number are:
Carrier EXEMPT Policy Number EXEMPT
_ 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 subject to the workers' compensation provisions of Section
3700 of the Labor Code, I Mall forth compWwith,4ose provisions.
Date: (//)/'w�w Applicant:
WARNING: FAILURE TO SECURE WORKERS' _Pq 1PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this 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 application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
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 county ordinances and state laws relating to building construction, and hereby uthorizelepresentatives
of this county to enter upon the above-mentioned property for inspgttion_pwFposes.
Date: t / r -f Af Signature (Applicant or
n
e
Application Number .
. . . . 05-00004972
Permit .
. .
BUILDING PERMIT
Additional desc
. .
Permit Fee . .
. .
1787.50
Plan Check Fee
1161.88
Issue Date
Valuation
427342
Expiration Date
7/12/06
Qty Unit
Charge
Per
Extension
BASE
FEE
639.50
328.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
1148.00
Permit .
. .
ELEC-NEW RESIDENTIAL
Additional desc
.
Permit Fee
. .
218.56
Plan Check Fee
54.64
l
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
. .
7/12/06
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
5016.00
.0350
ELEC
NEW RES - 1 -OR 2 FAMILY
175.56
650..00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
13.00
1.00 15.0000
----------------------------------------------------------------------------
EA ELEC
TEMPORARY POWER POLE
15.00
Permit
GRADING PERMIT
Additional desc
.
Permit Fee . .
. .
15.00
Plan Check Fee
.00
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
. .
7/12/06
Qty Unit
Charge
Per
Extension
---------------------------------------------------
BASE
FEE
------------------------
15.00
Permit .
. .
MECHANICAL
Additional desc
. .
Permit Fee . .
. .
163.50
Plan Check Fee
40.88
Issue Date .
. .
Valuation . . . .
0
Expiration Date
. .
7/12/06
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
4a
5.00
9.0000
EA MECH
FURNACE <=100K
45.00
5.00
9.0000
EA MECH
B/C <=3HP/100K BTU
45.00
8.00
6.5000
EA MECH
VENT FAN
52.00
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
LQPERMIT
Application Number . . . . . 05-00004972
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . .
202.50 Plan Check Fee
50.63
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
7/12/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00 6.0000
EA PLB FIXTURE
120.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
"^ 2.00 7.5000
EA PLB WATER HEATER/VENT
15.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
14.00 .7500
EA PLB GAS PIPE >=5
10.50-
1.00 15.0000
EA PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes and Comments
5016 SQ. FT. SFD THIS
PERMIT DOES NOT
INCLUDE POOL & SPA BLOCK WALLS OR
DRIVEWAY APPROACH.January 9, 2006
10:57:21 AM JJOHNSON
----------------------------------------------------------------------------
Other Fees . . .
. . . . ART IN PUBLIC PLACES -RES
568.35
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
116.19
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
42.73
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
-----------------
Due
----------
�P Permit Fee Total
------------------------------
2387.06 .00 .00
2387.06
Plan Check Total
1308.03 750.00 .00
558.03
Other Fee Total
4423.27 .00 .00
4423.27
Grand Total
8118.36 750.00 .00
7368.36
LQPERMIT
-- f
Ii
P.O. BOX 1504 APPLICATION ONLY
3u S1-LA/n^ .� 78 495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Owner
R. L1r c '�I o w 7 L /-,S r LLC BUILDING: TYPE CONST. _E-3 OCC. GRP. L' It
Mailing `77e- 710— O Z/ — O
Address p U t 4 S y � -X D i g A.P. Number
City Zip Tel. Legal Description 1� Z �fj LJ j 7
S A,-,- C_ Lter, gi>TY > i q y - 3 sv - iJ4 f
Contractor Project Description S F
IZI'N,yS7-0AC' if AN
Address
-7 - 4os l --c,,
City Zip Tel.
z Z s'5
State Lic. City
& Classif. G-5 Lic. #
Arch., Engr.,
Designer Ii l4 L/ � 9 Vv aL V /+.RG/-/
Ill" 1Z -t sr C-Ah,cc &,
City Zip State
2253 1
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Divisio 3 of a Busi ss a Professions Code, and my license is in full force and
effect. f (/0, T—
SIGNATURE c'� DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's 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 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, 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 and Profes-
sions 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 im-
provement 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).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct
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.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S 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
❑ 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 sy as to ecome bjec to Workers' Compensation Laws of
Date_J,
o 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.
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 A, (( t ry ,� C a- 5rt--d4
Lender's Address i , „, e- r
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 porpurp(gses.
Signature of applicant' ! Date C`le/ e
Mailing Address 7 - O (� W 4
City, State, Zip n [o v i A.tA. C_ A- 9:rZ=
WHITE = BUILDING DEPARTMENT
Sq. Ft. No. No. Dw.
Size Stories Units
New Add ❑ Alter ❑ Repair ❑ Demolition ❑ 4
I Estimated Valuation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Gradina
Driveway Enc.
Infrastructure
_
lV I 1VUV ( a'1r1r ��.thI
TOTAL ice_
REMARKS t'IT;" O' _i r.
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:
YELLOW = APPLICANT PINK = FINANCE
Date
1/13/06
No.
28032
Owner
Mark Schneider
Address
78-401 Deacon Drive West
City
La Quinta Zip
Tract #
Type
Single Family Residence
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
Jurisdiction
Permit #
Study Area
No. of Units
���F1EDSc
0
BERMUDA DUNES
v= RANCHO MIRAGE d
INDIAN WELLS
PALM DESERT y
LA QUINTA ,.�.
U'Z1O INDIO y^�
770-210-021
La Quinta
1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 78401 Deacon Drive West 5016 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. R has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
This certifies that school facility fees imposed pursuant to
in the amount of $2.24 X 5,016 S.F. or $11,235.84 have been paid for 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/Pacific Mercantile Bank/Mark Schneider Check No. 0044745
Name on the check Telephone
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempte y Espe Lara Payment Recd $0.00
$11,235.84 Over/Under
Signature
4�
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District(s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy - Accounting
RECOROIMG RSQUESTEDBY:
SOUTHLAND TITLE - INLAND EMPIRE Mft)
AND WHEN RECORDED MAIL TC:
OwN A. Scloolft
Odder No- 95921tM6
Esaow No- WMWT-t5
A.P.N.: 770.210-021.0
.. GRANT DEED
DOC of 21300-0613858
07/29/2e0S ea:na Fee:30.9a
page 1 of 2 DOC T Tax Paid
Recorded in official Records
County of Riverside
Larry L. card
llAssessor, County Clerk i Recorder
M1" 1 "w 1 a, 1— l MPOP 1 aer I re.
THE UNDERSIGNED GRANTORS) DECLARE(S)
DOCUMENTARY TRANSFER TAX IS $W5.00
[ X 1 computed on fun value of property conveyed. or
[ ] computed on full value less value of liens or encumbrances rem k*q at time of sale.
[ ] unincorporated area [ X ] City of La Qutrft
FOR A VALUABLE CONSIDERATION, recut of v"ch Is hereby adwaMedged,
John O'DonnelL Tnlstee of the Nextm 1989 Revocable Trust
hereby GRANTS) to
David' Schneider, an unmarried man
the followft described real property in the County of Riverside, State of California
Lot 7 of Tract No. 29611, in the City of La Quints, County of Riverside, State of California, as
per map recorded In Book 276, Page(s)12 through 17 of WrA*Nanpous Maps, In the office of
the County Recorder of said County.
Dated: June 10, 2005
STATE OF CA
COUN1Y OF %.IRM -AYi ixI2 )SS.
On tyle
e Notary Public in and or my and State any
- appeae+ed-- _
nafty wn ar proved to me on the bases of
nm to be the person(Kwhose nemo(k
ala aubsonbed to the witMn instrument and
to me 1hat(l�ilelthey executed the sere inch/their
authorized Capacity(tbej W4 the byt60wfih w eignmure ft
on the inclrument the per3MX&,k or the amity upon behaR of
which the pemon40,,,aded, emxx ted the Instrument.
John O'Donnell, Trustee of the Hexon 1989
Revocable Trust
By: 46M O'Dortnell, Trustee
C0100VA WOtlq�/
Itbdt/tlltln: •O�tl<r
t41i/d1�0o�
WITNESS my hand ard–afts seal. �f OoeaNa tratDetA
Signature
Sign @ of Not T (This area for official
notary Seel)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
CITY OF LA QUINTAJSUB-CONTRACTOR LIST-��
JOB ADDRESS ' �° �r C O'`� s� PERMIT NUMBER OWNER BUILDER.64ZA�7s7 Ae CCI -5L C�
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. °On File" is not an acceptable response.
Trade / Classification"',.Contractor
.; .
:., .
>r::s: ;.::: <:::State::Contractor .s License .. :.. ......
Workeis Com a sation:Irisurance: `:::' : =:::.
p.. n
Cit . Busrie5s License:::::..
y
Company Name
Classification
(e.g. A, B, G-8)
License Number
(xxxx/xx)
Exp. Date
(xx/xx/xxl
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK 1C-12).:
k� 1 ��rN oRc
C- l Z
SS- 4 Z U 6 9
c((g, f u 6
S %�`ITZ' C o
��
Mc GEE SUR VEYING, INC.
79-301 Country Club Dr., Ste. 102 — Bermuda Dunes, CA 92201
Phone (760) 345-3828 — Fax (760) 772-5705
January 25, 2006
City of La Quinta
78-495 Calle Tampico
La Quinta, CA 92253
Re: Pad Certification.— Lot 7, Tr. 28611
Pursuant to your request a field survey was conducted on the above referenced project to
determine the vertical location of the building pad. The above mentioned was found as
follows:
LOT - ADDRESS PAD (DES) PAD (FIELD)
7 78-401 Deacon Dr. W. 45.5'
%S A. Myo
3
Sincerely, 1 S�
Wayne A. McGee
L.S. 5479
45.5'
DAVID YORK, ARCHITECT
(949) 887-8034
Re: FRAMING OBSERVATION
78401 DEACON- DR -WEST
LA QUINTA, CA.
I have inspected the above project and found the framing to be completed in accordance
with the approved structural plans and calculations.
Sincerely
David York
AR
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DAVID YORK, ARCHITECT #12 W. AVE. SAN GABRIEL, SAN CLEMENTE, CA. 92672
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YISI`4�C N S
JCM'Inspections
39725 Garandlane SbiteYF
Palm Desert, CA 92211
Phone: 760-3;45-5554 - Flax: 760-72-3895
INSPECT [ o N S
WELDING INSPECTION REPORT
Project Name:
Traditions Lot 7 Deacon West
Project No:
z 06-024
Date,
3 o G
Project Address:
78-401 Deacon West
City:
La Quinta, CA
AWS ❑✓ IBC ❑ Title
� D 1.1
❑ D 1.3
❑ D 1.4 ❑ Other
24 ❑ Shop
Field
Client: ` Sub -Contractor:
Owner Palm Springs Welding
General Contractor:
Graystone Construction
Architect: Structural Engineer:
David York
Description of Work Inspected:
—i[Zr $ i�r✓ cT c��
Weather:
L)
Unresolve d Items:
E] None/
E] see Below
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Welder
Cert on
File
Electrode
Detail(s)
Location/Comments
Yes
No
Type
Size
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I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability 1 have found this work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion.
Inspector:
Contractor's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page T of
-'
I if S P.$P A S
JCM .Inspectionsit
Lane Suite F'
Palm Desert, CA 92211
Phone: 760-3fi45-5554 - F?x: 760-772-3895
JL39725-Garind
INSPECTIONS
WELDING' INSPECTION REPORT
Project Name:
Traditions Lot 7 Deacon West
Project No:
.06-024
Date:
3 v G
Project Address:
78-401 Deacon West
City:
La Quints, CA
AWS ❑✓ IBC ❑ Title 24
�.D 1.1
E]D 1.3
❑ D 1.4 ❑Other
❑ Shop
n Field
Client: Sub -Contractor:
Owner Palm Springs Welding
General Contractor:
Graystone Construction
Architect: Structural Engineer:
David York
Description of Work Inspected:
Weather:
O
r� �>
Unresolved Items:
F] None
❑ See Below
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Process
Welder
Cert on
File
Electrode
Detail(s)
Location/Comments
Yes
No
Type
Size
G2v 1r
I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion.
Inspector: )
Contractor's Representative: *� --
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of
TIP
I N S POFD TIO N S
JCM1InspeT' ions
39725 Garand Lane Suite F
Palm Desert, CSA 92211
Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
Project Name:
Traditions Lot 7 Deacon West
WELDING INSPECTION REPORT
Project No:
t 06-024
Date:
O (e
Project Address:
78-401 Deacon West
City:
La Quinta, CA
AWS ❑✓ IBC ❑ Title 24
1.1
D 1.3
❑ D 1.4 ,❑ Other
❑ Shop
Field
Client: ° ^ Sub-Contractor:
Owner Palm Springs Welding
General Contractor:
Graystone Construction
Architect: Structural Engineer:
David York
Description of Work Inspected:
/
5G-� Ui✓
Weather:
OZ S _ �G.Y, G-- Z �� d r-- S /
Unresolved Items:
❑ None
❑ See Below
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;Process,
Welder
Cert on
File
Electrode
Details)
Location/Comments
Yes
No
Type
Size
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I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion.
Inspect
Contractor's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _U of
4CM11irspections
' 39725 Garand Lane Suite F
Palm Desert, TA 92211 _
I SP CyC I DNS Phone: 760 -345 -5554' -ax: 760-772-3895 INSPECTIONS
` WELDING INSPECTION REPORT
Project Name: f Project No: Date:
Traditions Lot 7 Deacon West '66-024
Project Address: City:
78401 Deacon West La Quinta, CA
AWS ❑✓ IBC ❑ Title 24 Shop
"ED 1.1 ❑ Field
❑D 1.3
❑ D 1.4 ❑ Other
Client: ��Sub-Contractor:
Owner Palm Springs Welding
General Contractor: Architect: Structural Engineer:
Graystone Construction David York
Description of Work Inspected: SfTt%%� S Z 77 v
Weather:
'
S%� ZTi✓� % — (� �•.� n /— / LC CT /�-�GZ- �/�
Unresolved Items:
❑ None
❑ See Below
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Process
Welder.
Cert on
File
Electrode
Detail(s)
Location/Comments
Yes
No
Type
Size
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I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion.
Inspector: /
Contractor's Representative:
Copy 1 JCM Inspections
Copy 2 Project Superintendent Copy 3 Governing Agency Page � of
I R S P EdC N S
yr.
AM Inspections
39725 Garand L ne Suite F
Palm Desert, A 92211
Phone: 760-345-5554 - Flax: 760-772-3895
I N S P E CTIONS
`
WELDING INSPECTION REPORT
Project Name:
Traditions Lot 7 Deacon West
° Project No: •
14J06-024
Date:
Project Address:
78-401 Deacon West
City:
La Quinta, CA
AWS. ❑✓ IBC ❑ Title 24
p'D 1.1
❑ D 1.3
❑ D 1.4 ❑ Other
Shop
❑ Field
Client: Sub-Contractor:
Owner Palm Springs Welding
General Contractor:
Graystone Construction
Architect: Structural Engineer:
David York
Description of Work Inspected:
Z V
Weather:
Z7Z 71
L _ = T� �� Z� /� (� /2/-1 sC-
Unresolved Items:
❑ None
E] See Below
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Process
Welder
Cert on
File
Electrode
Detail(s)
Location/Comments
Yes
No
Type
Size
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I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion.
Inspector: /
"��!/✓ 57t--/r7✓ /�✓v vr�
Contractor's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I_ of
I iv S P E C `r I o N sPhone:
JCM Inspections
39725 Garand Lane Suite F
Palm Desert,, CA 92211
760-345-5554 - Fax: 760-772-3895
I N s P E C T t o N s
-
WELDING INSPECTION REPORT
Project Name:
Traditions 'Lot 7 Deacon West
Project No:
06-024
Date:
,gam/ 4G
Project Address:
78-401 Deacon' West
City:,
La Quinta, CAD
AWS IBC Title
1.1
ED 1:3
D 1.4 Other
24 Shop
Field
Client: Sub -Contractor:
Owner Palm Springs Welding
General Contractor:
Graystone Construction
Architect: Structural. Engineer:
David York
Description of Work Inspected:
/ ��- 7.7,) J
Weather:
"
— LJ O 3/9-
Unresolved Items:
F] None
❑ See Below
C-'moi/U� �L/-i 7��. I E' l �LUS PJM f
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7-�- I'D
Process
Welder
Cert on
File
Electrode
Detail(s)
Location/Comments
Yes
No
Type
Size
Tc.S 5� L
ce S
sZ Y
I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability 1 have found this work to comply with the approved
plans, specifications applicable building laws. Final report issued at project completion.
Inspector: %
'Contractor's Representative:
Copy 1 _ JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page --I— of
E
INLAND INSPECTIONS & CONSULTING
7336 Sycamore Canyon Blvd., Suite 4 - Riverside, CA 92508
(951) 697-1000 ' FAX (951) 697-1030
DSA FILE # N/A
SPECIAL INSPECTION REPORT DSA APPL # N/A
Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions
must be dlsvibuted immediately. Separate reports shall' be prepared for each type!of special inspection, on a daily basis. Each report shall be
completed and signed by the special Inspector conducting the Inspection.
Client/Project Name: ICM06-024/Traditions Lot 7
Date: 3-13-06
IIC lob No. 14860
DFR #: 1
Project Location: 78-401 Deacon West, La Quinta CA
Time Arrived:
Contractor: PSW Bldg Permit #: N/A
Time Departed:
Reviewed by: Date Reviewed:
Travel Time -
Type oi-Inspectlon ❑ Reinforcing Steel ❑ Pre -Post Tensioned Tendon ❑ Fireproofing
❑ Engineered Fill ❑ Concrete ❑ High Strength Bolting X Other (Specify)
❑ Foundation ❑ Shotcrete ❑ Metal Decking (Ultrasonic Testing)
❑ Batch Plant ❑ Masonry ❑ Welding
DSA Approved Documents: N/A
Work Inspected:
As requested.by the client, an Ultrasonic Inspection was performed on the above project. 16 welds were
Inspected and were found to meet AWS D1.1 minimum requirements. Please see attached ultrasonic report for
pieces Inspected.
Use Additional
Sheets If Needed
The Work N/A
INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS The Work Inspected N/A
OF THE OSA APPROVED DOCUMENTS THE REQUIREMENTS OF THE DSA APPROVED DOCUMENTS
Material Sampling N/A
PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMENTS Signature of Special Inspector
cc: Project Architect -
structural Engineer -
Project Inspector- Pr Name and Tide
DSA Regional Office -
School District- Wade A. Clark (Project Inspector)
Certified By II&T Certification Number Level II
INLAND INSPECTIONS & CONSULTING
7336 Sycamore Canyon Blvd., Suite 4' Riverside, CA 92508
(951) 697-1000 - FAX (951) 697-1030
ULTRASONIC TESTING REPORT
CLIENT: JCM Inspections DATE: 3' 1 4 6
JOB NO.: 148600
INVOICE NO.:
REPORT NO
ReAswed by;
PROJECT: Tradif ions Lot? (Wencon WesO CODE; AWS VIA
FABRICATOR: PSW TECHNICIAN: Wade Clark ASNT LEVEL; II
WELDING PROCESS: FCAW SURFACE: As Welded
EPUIPMLNT: Epoch II B PROBES: 1) NORMAL pq ANGLE pq HIGH ENERGY I ) NORM ENERGY
CALIBRATION: PX] SOUND PATH a PROJECTED DISTANCE COuPLANT: (] OIL() GREASE pq PASTE[] GLYCERINE 11 OTHER:
O
1
2
ITEM IDENTIFICATION
Bm 5B East Top Flan e
Bottom Flange
LU
u
a
X
X
z J
70
70
1&2
1&2
DECIBAL READING
DEFECT LOCATION
�O
8
8
W
$pV
Me
9116
VLu
H..
c
W-�
LL w
�a� W.
orc
62
62
sx
W
W
�Q v
Wa
3
Sm 5B'West T Flange
X
70
182
52
8
9116
4
Bottom Flange
X
70
1&2
52
S
9/16
5
Bm 5C North To Flange
X
70
1&2
52
10
5/e
6
Bottom Flan e
X
70
1&2
82
10
5/8
7
Bm 5C South TopFlange
X
70
1&2
52
10
518
8
Bottom Flange
X
70
1&2
62
10
5/8
9
Bm 5D East To Flange
X
70
1&2
52
10
11/16
10
Bottom Flange
X
70
1&2
62
10
11!18
11
Bm 5D West Top Flange
X
70
1&2
52
10
11116
12
Bottom Flange
X
70
1&2
52
10
111116
13
East Col. -5A East Fig.-
X
70
1&2
52
8
8118
14
West F19.
X
70
182
52
8
9116
15
West Col, -5A East Flg.
X
70
1&2
52
8
9116
16
West Flg.
X
TO
1&2
52
8
9116
1-18 Mort+entFramea
SIGNATURE:
Certifica fe of Occupancy
- U+r uav
Building & Safety Department
F g Y p
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 78-401 DEACON DRIVE WEST
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4972
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: TRADITION 7 WEST, LLC Address: 1801 AVE. SALVADOR
City, ST, ZIP: SAN CLEMENTE, CA 92672
By: DAVID GATICA
_
d'L"L Date: OCTOBER 24, 2006
Building Official
POST IN A CONSPICUOUS PLACE