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9701-107 (SFD)a N W `A O =) ch d ur) w Z r0 (CY) W W �a U) Z D LICENSED CONTRACTOR DECLARATION I'Aiereby affirm under penalty of perjury'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 /�i?1A kip �i�11 64 y Date p 2/_ Signature of Contractors 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' con pensation, as provided for by Section 3700 of the Labor Code, for the ormance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by S ction 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. Z(JWC-1.11114S. CO. W%C1 �. 38914505 (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 thatITlI should become sybject to the workers' compensation provisions of Section 3 00 of the Labor_ �odej.s �I o i comply with those • rov1-11N YDate• �� A Applicant Warning: Failure to secure Workers' Compensation coverage is unla I 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. 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 co struction, and hereby authorize representatives of this .City to enter upon t above-mentioned property for inspeActi,6n pD poses, ySignature (Owner/Agen j�sV f Date' . BUILDING PERI�11 �'� PERMIT# CONTROL# t7llt_ii17 5199 DATE %azr�i7 VALUATION �,�7�t•a2G �I LOT Q TRACT 7ic1I1► JOB SITE APN ADDRESS Vii; itM,i".il�t;t�L iaT 49(1-1i�3 OWNER CONTRACTOR/DESIGNER/ENGINEER CORP 36-1 tali PGA. BLVD, 56140 Pr-ri� BLVD LA fA1.(WA. C.'A. 92251 LA, QIJAh .'A C.A. 92251 C"1301 4676 USE OF PERMIT rr �' Sf.i:) /�gS7�tZS t��C»A ivi,irti ss%t§, T°�,ItN "std ' s - CUSTOM, CONS' iDN 4.542.00 SF ' KyRO PA` 10 1715.€ 0 8F i�itO:R.A�3kJC:AItt'+.�Ct,'1' �t9:.�0 �ht LIS3 kfi+ti��'4'.� CUST C) ' 4�(1�R' t' G�r�"L'' �� 379,226.90 PLAN CHr.-r`K FUH 101-000-439-3.18 �l,ztz2£,z C0N;yTRLT1:7F1(,Xy '.r, RX 101-(1(194MOOO $1,()!930 MECHANtCA';w SMS 10I.-OW421-000 P.i,;i}1+ti��IN(l MR1.3 too -000-414-000 2 i3.bf! �- `� �• ' :i:f'izt3NCi mr1'rm (11116) l01 (lfll?-2 1..Of}() Sr .n MA:r2INO 101 -0th 423-000 $70.0 il` VkA3T0r,,1,'lJi2.L A1i2:T IN!✓'L�;ALIC PLACES (RES) 701.000-255-000 S6".07 F �J ST?t3-'Cr'):C'ATE�wC7NS't'9tCJia'liC,�N:�IN.!)!'r.ANC:Ia�TCsis � �t,f},:3fJl R� LESS .iy.%.1•:-•1'AID FEES $0,00 TO'.11i P KRAW PEEN DUE, NOW $10,306.80 RECEIPT DATE BY' DATE FINALED INSPECTOR r A ' � `INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS 'MECHANICAL APPROVAL Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck / Exhaust Fans O.K to Wrap p F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wali Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final - BLOCKWALL A PROVALS . POOLS - SPAS steel Set Backs Electric Bond Footings Main.Drain Bod Beam Approval to Cover / Equipment Location Underground Electric J d 9 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 r Sewer Connection Encapsulation Gas Piping Gas Test Appliances ,.. Final :. Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sufi Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. -,Use of Power "•Final Utility Notice (Perm) COMMENTS: 03/07/1994 14:12 9099551566 BETTY ANTON PAGE 02 s j L V UT �Soc �.��, J February 11, 1998 Re: 50-154 Hermitage PbA La Quinta, CA Dear Mr. Harold, Steve Traxell told me to fax you this letter reque folbwin cider . Time is of essence for my ' so c w ve a nse asqureWas possible? 1. KLS at PGA to be released from flooring that the building depar`rineni requires and the building deparUnent to sign off for oornpletlon for a May 1, 1996 close of escrow. My clients have ordered limestone for the areas marked "Oth a T and colored. The crates will not be in the states for 4 months. To lay another floor in the areas specified by your department will incur the added expense of removing and reconditioning the floors. 2. se ba responsibility and the building department to sign off without these two bat rooms for a nay 1, i 998 close of escrow. The house was purchased on January 17th, but my clients lire in Indiana and time has been a definite factor. Please let me know as soon as possible what your decision will be for the two requests. Because we need to proceed as quickly as possible, we need an answer as quickly as possible. in January a Couple of days after the house was purchased, Mike from KLS called the building department and told us there was no need to be concealed auptrt. r-Foaking ail tie c;Solces instantly because all that :tie building department r €quired eras the kincNer, and = bathroom needed to be completed. My client.- have moved along under that premier, Today, almost a month later, i got a call from the decorator who said they had been misinformed anWthat the inspector who signs off on each project said everything had to be done. She did not even mention the floor. It was only when I decided to check and see what was the correct statement, that Steve even mentioned that the flooring in specified areas (which I still don't have spelled out) also needs to be done. This is very frustrating u^d 1 don't want to Tose a client because there :rill not be enough time to finish an $600,004 home plus upgrades. As I said earlier, they do live in Indiana, shipments take time, and they are making these decisions asqulddy as possible on this large investment. I will appreciate any help or suggestions you can oflffer. Please let me know as soon as possible what your decision will be on the above 2 requests. You can fax me or call frie. Thank you for taking MhiQ into consideration. Sincerely, Betty Anton Prudential CA Realty Corporate Office 3333 Michelson Drive Suite 900 Irvine, CA 92614 Off: 714-955-1650 Fax:714-955-1566 02/07/1995 16:34 714-978-9926 Attn.: Kim Pincher KSL 56140 PGA Blvd. La Quinta, CA 922.53 VCA ENGINEERS VANDORPE CHOU ASSOCIATES, INC. CONSULTING ENGINEERS 295 N. Rampart Street, Suite A Orange, CA 92866 Tel: (714) 978-8780 Fax (714) 978-9926 Subject: The Masters Collection, Lot 3, Plan 3A gW . ermk'tag' e, PGA West, La Quinta Dear Kim, PAGE 02 Since 1979: Facility Planners Code Consultants Structural Engineers Fire Protection Engineers October 2, 1997 In accordance with your request we visited the jobsite on September 18, 1997 and October 1, 1997 to perform structural observations for the subject lot. We found the framing to be in general compliance with the plans, calculations, and design concept during the back check on October 1, 1997. In addition to performing the back check, we also performed the required special inspection for the installation of two threaded rods in the foundation using Hilti epoxy. The drilled hole was of the correct depth, found to be clean, and the installation was done in accordance with the manufacturer's i-nstructions. If you have any questions please call Sharad Patel of our office. Very truly yours, VANDORPE CHOU ASSOCIATES:R oFESS/ Robert Chou, S.E. SP QO,y C07 Ul © N0. S OQ3516 o n cc -d Exp. 3.31-00 C *`t'�' sTRUCTU�`P� F:\JobF1les\095\CYPI125\Fielti26.wpd OCT -02-1997 10:01 714 978 9926 - ri � J � CIS' OF L'o, OL11" JUIV18REC'® JON TANDY slleLot� 3580 Condalia Ave. 8,jF ,Y.�ucca Valley, CA 92284 (619) 365-5045 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALT OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING UkLj JOB LOCATION8o LCL REPORT SEQUENCE NO. TV r j�UCTURE3hk /�6-74 `CL� l/ /N1G J PERMIT NO. OgE (3, DAV OF WEEK MAT,ERIIAAL DESCRIPTION SU(J !E-�. ARCHITECT ARCHITECT I SPECTOR HRS. CHARGED 1 -718 ENGINEER ASSISTANT HRS. CHARGED INSPECTION DATE GENERALC , CONTRACTOR I�. J SUB CONTRACTOR , , l �/ S , (� )et-�j / " wLs . SEE %gPoc.h6d('S2i�� io►J EPaoL4 at) rn le e j0 p r--1' COPY SENT TO CLIE CONT N NEXT PAGE ❑ 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. NATURE OF REGISTERED SPECTOR 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: 80-154 HERMITAGE Use Classification: SFD Bldg. Permit No.: 9701-107 Occupancy Group: R 1 Type of Construction: VN Land Use Zone: RL Owner of Building: KSL LAND II Building Official Address: 56-140 PGA BLVD., City: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: .. 5-1-98 POST IN A CONSPICUOUS PLACE