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9701-105 (SFD).q, . Aw N W O ::) co � LLJW � Z r 0 , ca � rn W W cD Z INCENSED CONTRACTOR DECLARATION I hereby affirm ender penalty of per jury 'that I 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 # Lic. Class Exp. Date Date, v � Signature of Contractor �! OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). () I am exempt under Section B&P.C. for this reason Date Signature of Owner 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 �!rformance 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 & policy no. are: Carrier Policy No. ZURICH IN& Cloa 6f,138,916505' (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 subject to the workers' compensation provisions of Sectio`ri 3700 of the. Labor ode, I S all o h. 'th comply with th se provi ions •� Date: F Applicant _ y Warning: Failure to secure Workers' Compensation coverage is unla ul and shall subject an employer to criminal penalties and civil fines up to $100, 00, 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. 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 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 constfuction, and hereby -authorize representatives of this City to enter Upon th 'above-mentioned property for inspection purposes. Signature (Owner/Agent) r f' �' to J if d d BUILDING PERMIT PERMITq CONTROL"#= '• 5:1`9 7 DATE IV22/` 7 VALUATION � 2 .� LOT. � ��.....�. TRACT 1.R1 IK JOB SITE APN ADDRESSt8(1�i2flti�,fy�l-iAiv'� . '7C►.�-7t�ti39 OWNER j CONTRACTOR / DESIGNER / ENGINEER KSL I.,AI`7D11. �( KSL DEVTI.CJt'1ti1I N r CORP M -I40 PGA 111:4'13. 56i4o PGA BLVD r.,A Q1131MA CA 42753 LAQUINTA CA 91253 (760)7-71-1647, C:ULP 4676 ' USE OF PERMIT i"10AMA jf.�IRS, A., AN, :tB i�1t:.'it?�is.'>7`MIC''!.•lueV 4,127.(K1 43-F PIDRt,'W-PA IQ Si3(j.t1{i 8F, t`i.�i.�estl.�r:'�•s1t¢.PP,s�.�i' K!'�.oti S+� b13111MATH 0 COST OF PCONX.f1'iA'UCTION P1, AN CH1aCXFEE )01-000.439-318 (X)'NS1M(1CVYX4 FEW, M-000-41 8-000 Mf.1XMIAMCAL 11112 .. 10.i^00:4121 siIti00 � to f C'f,i2it Fif; :14 h 101-000420- 000 37. CY) !"1.t,RVIBfNOPF,E $2210.00 cal�ea lvc F� k E - r�;re;1, 10 s ,�ulo.;>.1 e -Dolt "19.52.� � GRADING FRE $4ozoj y irkt',Rka l lZUl%'t, RIII }.'.f'. 21:15-000-441.3-34.21. � Q RFCiSV PL AN 101-000-441-345 $25.0 � Ari! ttJ >tJT3ls'tC,'!'?.nom%.-.0<_i^5tl X01_-ot�fJ-2554)00 f, CONMO XTIck:E:t tr;NJ) 'IC:lAN HE�CjyK $9,'at3t8, 79 ����� 1;13+.1'�i • t 1J,.t.�'�i lift ��Fi.V.t/{.'t ,w. _ TOTALPi+;l2144•' TV,CIN 01T,NOW' � S9,9a`t'�S.79 RECEIPT DATE BY ' _ DATE FINALED INSPECTOR I 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 Exhaust Fans OX 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 Q Drywall - Int. Lath Final Final 2 BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover 0 Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines. 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 2 Appliances Final Final Utility Notice (Gas) ELECTRICAL AP ROVALS 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 �,LG `Utility Notice (Perm) COMMENTS: 101/16/1995 15:11 VC+ A Kim Fincher KSL 714-978-9926 56140 PGA Blvd. La Quinta, CA 92253 VCA ENGINEERS VANDORPE CHOU ASSOCIATES, INC. CONSULTING ENGINEERS 295 N. Rampart Street, Sulte A Orange, CA 92868 Tel: (714) 978.9780 Fax (714) 978-9926 Subject: Masters @ PGA West Lot 1, Plan IB, 80122 Hermitage Dear Kim, PAGE 02 Since 1979: Facility Planners Cade Consultants Structural Engineers Fire Protection Engineers August 23, 1997 Per your request, we visited the job site on August 21, 1997 to perform a structural observation for the subject house. Listed below are omissions and deviations we observed, and our repair recommendations. Masters Plan I B. Lot 1: i . Install boundary nailing .across the garage header at the garage front shear walls. 2. Install 2-2x under girder truss at the outside wall of the service and 2-2x cripple studs above the header at the opposite end of the truss. 3. Install. anchor bolts at 16" o.c. at the outside wall of the service as marked on the sill plate with, blue paint. 4. Install ST6224 strap vertically down the back of the 6.3/4 x 16 '/, glb to the 4x post below. 5. Install 2x6 on edge below the girder truss at the back of the family per our discussion, and a 2x nailed to the stud at the opposite end. (Truss vertical reaction = I. Sk) 6. It is permissible to run the return air through the #10 shear wall between bedroom 2 and the family room. 7. Coil strap from 12' plate to 14' plate missing at the # 12 shear wall at the back wall of the house at the master bedroom. Install a MSTA36 from blocking in the low wall to blocking in the high wall per our discussion. 8. Extend slab 2" and provide structural support for the sill plate at the left edge of the dining room pop -out under the 6x 12 beam per the attached detail "A". SEP -10-1997 08=39 714 978 9926 913% P.02 _01/16/1995 15:11 714-978-9926 VCA ENGINEERS PAGE 03 Masters @ PGA West Structural Observation Lot 1 August 23, 1887 Page 2 of 2. 9. Install a ST6224 strap wrapped around the bottom edge of the 6x12 drop beam where the beam was notched to fit into the hanger. 10. Install boundary nailing to the post w/ HD at the #I 1 shear wall at the left side of the grand room. H. It is permissible to eliminate the ST6224 straps from the 6xI2 beam at the entry, as the beam was installed as a header with 2-2x top plates.rnnning continuous across the beam. 12. Install 5/8 anchor bolts at the #11 shear wall at the back of the bar. 13. Install boundary nailing, to the post w/ HD in the hall outside of bedroom 4 (near the courtyard). 14. Add one % anchor bolt in the #10 shear wall at the back of bedroom 4. 15. Add anchor bolts at the right outside wall of bedroom 4 in the # 10 shear wail. If you have any questions, please contact Benjamin Herbst of our office. Very truly yours, Robert Chou, S.E ATT: Detail A F:UobFi1cs1095\CYP 11251ficld21.wpd SEP -10-1997 08:41 714 9789926 98% P.03 01/16/1995 15:11 714-978-9926 Attn.: Kim Fincher KSL 56140 PGA Blvd. La Quints, CA 92253 VCA ENGINEERS VANDORPE CHOU AS=ATES, INC. CONSULTING ENGINEERS 296 N. Rampart Street, Suite A Orange. CA 82868 Tel. (714) 978.9780 'Fax (714) 978-9926 Subject: The Masters Collection, Lot 1, Plan 1B. 80122 Hermitage, PGA West, La Quinta Dear Kim, PAGE 06 Since 1979: Pian Checking Building Inspection Code Administration USC. UFC, Tine 24. ADA September 10, 1997 In accordance with your request we visited the jobsite on August 21 and September 3, 1997 to perform structural job walks for the subject house and found the structure to be in compliance with the plans, calculations, and design concept during the back check on September 3, 1997. If you have any questions please call Benjamin: Herbst of our office. Very truly yours, VANDORPE CHOU ASSOCIATES: Robert Chou, S.E. BH f:I{obONW9AW 125kfl id24.wpd SEP --10-1997 08:45 714 978 9926 JON TAN DY ,, 3580 Condalia Ave. kiic,a Valley, CA 92284 (61 9) 365-5045 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY O FIRE PROOFING ❑ /^l �[ OTHER JOB LOCATIONREPORT CSU IATgr SEOUENCE NO. T�'Pf�9f��'1'�UCTURE I h P P ; �}jQl-AYL�\OF$1 PERMIT N0. DAT- 1 3-q? /J DAV OF WEEK M AAT1C;T10N A^, ARCHITECT ( OR�� HRS. CHARGED o n l Q� ENGINEER ASSISTANTS HRS. CHARGED INSPECTION GENERAL SUB DATE CONTRACTOR �. S• . CONTRACTOR S ^ ..0 c N '� C gS L'�. t,�-� 2i.A r �� ©tom► � � S . �� T C j A 2 a4 TZ o�� a u�l� 00 COPY SENT TO CLIEN 7 CON N ON NEXT PAGE 311 PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE. ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. V& "'` A'kx1 SIGNAT F REGISTERED SPECT R �— (3,4t -Ve 1) 6 DATE OF REPORT REGISTER NUMBER Certificate of Occupancy 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: Use Classification: SFD Occupancy Group: R 1 Owner of Building: KSL LAND II 80-122 HERMITAGE Bldg. Permit No.: 9701-105 Type of Construction: VN Land Use Zone: RL Building Official Address: 56-140 PGA BLVD. City: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: 3=12-98 POST IN A CONSPICUOUS PLACE