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0209-077 (SFD)LICENSED CONTRACTOR DECLARATION , I hereby 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 744091 Dates—%J Signature of Contractors � .._...._.=_-rte. ,,.fie.,.._...,..,.... 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 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 & policy no. are:. Carver T!'ArS PUN,f) Policy No. 2�4^ • - � (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 Section 3700 of the Labor Code; I shall forthwith comply with those provisions.,. ,Pate: Applicant— Warning: pplicant Warning: 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: 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 i correct. I agree to comply with all City, and State laws relating to the buildin construction, and hereby authorize representatives of this City to enter upo the above-mentioned property for inspection purposes. / 8ignae (Owner/Agent) -R-'A-- %y =' Date /-,'•✓ BUILDING PERMIT PERMIT# DATE _,� VALUATION$412,416.5.0 LOT 16 ��'� �� TRACT` JOB SITE r APN ADDRESS o ✓^: �. .li,.&TJi0.BJ; TA 11 � -770-341} OWNER CONTRACTOR / DESIGNER / EN (NEER %°a, (,)1r1NTJ) . CA 92253 C160)772,2626 2,2626 i il# ,5393 USE OF PERMIT smf 1XC.0x1I)ESWITH Alain FEDUAL & SIATE :IAW9,SPeCTES ACT OF 29" 3.111' APPLICAULS,1 r k29Q01R&D CUSTOM COINSTRUCTION 4M b0 art PORCIYPATIO - S' CGo sr E?,ARAC31i.�C%•%iPORT 709.00 3 11 I 1.TIM COST OF CION°ST:fi )'�"�10H 412,41.6.50 Fr"IT Via! SUMIARY C 0 N TRUC T1:Ok4 FIT, 101-000-418-000 $1,333,00 PLAN C HEC X F'EER 101-000.439-318 $1,414.06 'FEE DEP0 d'.li' 1011 -NO -499-318 __,00.04 / U19CHANIC,At,FrJ!:S 101a,000_`211-000 $IIi3.5U RXCTRICAL 101.000.420-000 trn.63 PLUMBINS:9.P?U 101 _00c"19_000 $239.00 STRONG NOTIGO FRE,- RNYD 101.000-2441-000 541,24 01 f 1?iCf £�IvI: 101-000-4-23.000 $15.00 i EWTIER IMPAC FEE $2405,00 ART 1,N PU11k:d'w PLACES ; RIMIr 270-000-"5-000 $5n.04 ►� i- Vk .4�Ci 1'907-10 T;fai`41(r:Jq�1?��.:yftyy CEWZ�;��(:y, �r��9 gip$ ,(1g36}pn}.�47 100 LEDDEC30 2002 .. I tt a + a RECEIFT,%JA i k) ,� t DATE BY ` , �� DATE % E � � INSP C OR -_ ti ✓ • "^s INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs — Q Underground Ducts Forms & Footings I Ducts Slab Grade Return Air Steel 1 Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing �2� G 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 _ �V2_ t� 3 Q� 001� Final Final d POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines 7. 03 Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection O,3 _(�z Encapsulation Gas Piping Gas Test 3 �GG Appliances Final COMMENTS: /,0 A,/,0 T25 Final Utility Notice (Gas) s�� e` 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) .S 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 (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that 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 Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 4,947 S.F. or $10,586.58 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/Bank of the West - Rob Captez Check No. 7081604245 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Monica Guillen $10,586.58 $0.00 Payment Recd Over/Under Signature �l 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 or 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 De It-11ber - 1002 and k4lrs- John Gas :112981- 5 L at -0 b'S I I T. :and 31+15e- Sv-S ts, ciymlm ae,- hasrel�lew fj as drawinds for your home on Latrobe. The architectural Plans were 3 -PPI ve fo; I M. f th ,j ,i:zp n Barbecue area. it, is recomme"Ided t13' gallon TeMi.; RaTlgef adljacetl"' theBarbecue n . t thce, "ime OT 41.g -w=: chn th,:- tey- I fnr frept,'r screFin .0 a propot p --o-,rd was reviewed in relation to the PrM-blies dose to. yc.ki. The ej�qh.boes 1�jat h�5s beetj Orevjojg,;jy approved. Pteass is your n ,O,,Or%.Vj-re apurOV-1 ?ns-p�Vjew, The et'ner -seL--,C.t a Jid--,der ooi-W roor, We for wyn, shav,m on vou", morboa�. 1-ha:4:. -You Or Your suttmi-tkal Rnd patience, in our review Of the iqfOrmat!On- kf4e joo-k frsrr a; to xvor1king with you further on Ivie-Of-:1Veioprnent Ot YOuf "'Gffita. ,lei Tradiliorl V-Ist-a. Development DESEST o� Certificate of OccupancyU 15 I.caroSLATM G� ot 5 G� of Building & Safety Department artment 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: 52-985 LATROBE LANE Use classification: SINGLE FAMILY DWELLING Building Permit No.: 0209-077 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building- JOHN &ANDREA BOSBOS Address: 28724 STOCKDALE HWY City, ST, ZIP: BAKERSFIELD, CA 93312 By KIRK KIRKLAND Date: NOVEMBER NOVEMBER 10, 20032003 , Building Officia POST IN A CONSPICUOUS PLACE ClIN OF LA QUINTA b BUILDING SAFETY DEPARTMENT c``^'OF � t� ', 77-7012 �INS�P ON REQUEST LINE 777-7153 )W�� r\1 `3(?H�1%& ONDREA BOS ',ontro AA VISTA DEVELOPMENT CORP. Permit Number 0209-077 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES 52-985 LATROBE LANE JOB ADDRESS SFD/ EXCLUDES WALLS/POOL/DRIVEWAY APPROACH/COMPLIANCE WITH ALL FEDERAL & STATE LAWS, INCLUDING THE ENDANGERED SPECIES ACT OF 1.973 IF APPLICABLEJS REQUIRED TYPE OF INSPECTION I DATE INSP. TEMPORARY POWER SETBACKS C l U/G PLUMBING / WASTE O U/G ELECTRICAL/ GROUNDING FOOTINGS/STEEL CONCRETE SLAB DO NOT POUR CONCRETE U T L ABOVE SIGNED ROOF NAIL / PRE -ROOF OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION U moi( COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION • O SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING Summit Structural Engineering P.O. Box 813 270 North Main Street Donnelly, ID 83615 (866) 862-8148 (208) 325-8148 Fax (208) 325-8149 November 18,'2002. City of La Quinta Department of Building and Safety La Quinta, CA Attn: Greg Buttler Subject: Roof Truss Shop Drawings and Calculations Lot 15 at The Tradition (plan check # 0210-106) La Quinta, CA Dear Truss Designer, The roof truss drawings by Trussworks for the subject project were received by our office on November 15, 2002, 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. CC:, Rob Capets, Sun Vista BH c:\2002jobfiles\sv-179\179—truss2.doc Residential. Commercial. Industrial. Land Develonment SPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE RUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ C', HER J� JOB LOCATION V e u `w REPORT SEQUENCE N0. TY STRUCTU E 3MATERIALDDESCRIPTION I�/ /� o3 �� If iJ`A PERMIT N0. T P� o3 DAY OF WEEK .� ARCHITECT INS EC a _ HRS. CHARGED c ENGINEER ASSISTANTS NRS. CHARGED INSPECTION DATE GENERAL( � S SUB \ CONTRACTOR t CONTRACTOR 7j) T S, L. S o a - COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT 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. N TUR OF REGISTEREDSPECTOR / OAT OF R ORT REGISTER NUMBER REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ S�.tp./� ❑ POST TENSIONED CONCRETE . ❑ ASPHALT ❑ OTHER 1I�r ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION A O �� ` ` F )v l��A r. l►PE(�RMIT REPORT SEQUENCE N0. TYPNF $�iUCTUREh7�1 Q �I�Yf✓\ /`�•!• J d NO. OAT Ik D DAY OF WEEK MATERIAL DESCRIPTION `3 „� JARCHITECT (/jJ ��J (J If,fjCI(�' ` MRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION �-r.—�_ _, e • COSUB DATE ^ F ! _ CONTRACTOR 1 NTRACTOfi — WLT i.a� l* -s -ro ip eLA� -!�vd s TO 1A 0- u Xx coc- =5 &OLs I G � _ -, COPY SENT TO CLIENT 0 CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV 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. S TOURS OF REGISTEREDT61R ATE 61 REPORT REGISTER NUMBER