Loading...
0007-096 (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 4 Lic. Class I Exp. Date Date, S;gniture 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). ( . )•r 1, 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. U.J.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. M'if. i't'17 +wc,?MP YNS PIS' II'm R07•i►0• (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 Code,.l s all fo,orkers' compensation pr visyion§ of Section 3700 of the Labor^hwith comply with thole oons. Date:Applicant � Warning:.Failure to secure Workers Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as. provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit. subject to the conditions and restrictions set forth on his application. 1. Each person upon,whose behalf this application is'made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify .& hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application. becomes null and void if w' work is not commenced within 180 days from date of issuance of such I permit, or cessation of work for 180 days will subject permit to cancellation: h —ertify that I have read this application and state that the above information is correct. I agree to comply.with all City, and State laws relating to the building construction, and hereby authorgqze representatives of this City to enter upon the above-mentioned property f ftins`pection purrpo S. Signature (Owner/Agent)d�-,►^'?"f, s/1 /I� Datea + BUILDING PERMIT PERMIT II DATE VALUATION LOTTRACT � � , lu 13 i7 - •'Tltti1 kt•�i�.F."d'k 2!!; 2�:' �s2 JOB SITE APN ADDRESS 4 l� A CURT)C$'N'$ 354 VI �f4�1��12�d-dYt3. OWNER CONTRACTOR/DESIGNER/EN INEER OR 4%`D'2!ifa PXLN. DEOE 'T CA 92211 ("i60)403.305 t,'TL$;F 61.135 I USE OF PERMIT - SIVIDIPERMI VC*1i3i'NOT INC WA i''. t �'HI.A= WAirUPDOUwDP.i'i. OrvAiPPROA;.IH j::RYVEb°aAY , yyADSiONSry4U1I&A: , JpW1)0100 011F rD[4C1,1!U �ie63%� NJ' WA1.7-D C0fl1f OF C0.K11n%V1M0Y'`f, 204Xti ,00 FAMO.'C li'3a:h. SMIAWRY -. CN;TuUC?l'aKE 101110I�M�43,R;r)-00 §1,pp07,t00 P-i,A axiCK ki ��.F••�9.7J S:7^YISCV $LJ�i5.83 - RE DXPOSIT 101!-�ft)-439 318 • 750,00 MEC:H.ANICAL PEP- $1 s l.50 . PLUMBING FIM .o` -S 'F3QNO Ms:}7'.ION FEE RESID 101-0€ 0.241.0001 120,49 Ciftt><iX140 FEIP, DEVEUMAI IMPACT FE E 00 A9<,"l IN PUBLIC PtJVC, S Rair 701-000-255-000 SUE 'i'C?'lAf... t:C;DN.R'SWkX"NC31� Ai M PT" Cl"C < �b•,'��(l.Fif� U.71W :milk?.=PAD :l,�.�.} S' 4750,00 'IDTAL PYM, 9711'9Y6 DUN NOW $ 3�5" PAS . RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSFFECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings %X �_ 1 Underground Ducts Ducts Slab Grade _2—/— V vv Return Air Steel Combustion Air Roof Deck <— 5l-� Exhaust Fans O.K. to Wrap F.A.U. Framing _ l � Compressor t�Insulation �dt' � Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final 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 Gas Piping PLUMBING APPROVALS Gas Test Waste Lines /2 Gz7 Electric Final 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 Appliances Final ` COMMENTS: 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 Temp. Use of Power Final Utility Notice (Perm) f�.:��.¢.t3.er.,k.'"s:.e:•.>tri'"4rfti,rsll+..,,a�_-'^"an^'«R^+a•twr.rr-rec��..,�..r�r-- �1::„•xsr7q•.�'�'zv.ar»7`�}r'++iVr.. `7:.wt-: x.;-atY:�-�F"Y'}".,hiS'.%.ii:�.ti,+ `.�+�" of � 1 • _ P.O. BOX 1504 APPLICATION ONLY Building�1y )• �1 78-495 CALLE TAMPICO Address if2 �Ii/77� 1/iA LA QUINTA, CALIFORNIA 92253 J )r1V1V/5 s Mailing Address -0o City,) / / /) Zip I TeJ. --Az I State LiC. City & Classif. 77d V Arch., Engr., �� r Designer 7Me Ol Alle G,viq,/ 3.11— 3 S2 2V1P.0-ii��ic. IPZ214yl I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereto affirm that I am licensed under pepvisions of Chapter 9 (commencing with Section 7000) of • ivision 3 of the 18 i ess and ro essions Code, and my license is in full fo ee and effect / /1/ GNA UR ✓ / IA ` owNER• UILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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). f; 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, 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 not build or improve for the purpose of sale.) . I ) I, as owner of the property, am exclusively contracting with licensed contractors to con- struct 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.) J^ l I am exempt under Sec. B. 8 P.C. for this reason Date[ Owner 1WORKERS' COMPENSATION DECLARATION 1 hereby affirm that 1 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 n Copy is filed with the city. O -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 (5100) valuation ...s.) I certify that in the performance of thg 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. Date Owner NOTICE TO APPLICANT., It, 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 v t Lender's Address _.._.. 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 sof this city to enter the above. mentioned property for inspection purposes. Signature of applican Mailing Address_ City, State, Zip_ JILDING: TYPE•C`O,NST.�O1CC:•aGRP. P. Number '<-�a�-,�� :gal Description Zl �a)� 7/_e-5K%"•V /. /. t'2_ Project Description - S Sq. Ft.3`7 No. Size / Stories M No. Dw. Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ Valuation PERMIT 4h AMOUNT Plan Chk. Dep. - �� (� r15- ,, Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line �t Side Setback from Property Line FINAL DATE INSPECTOR Issued by:Date P Validated by: 4 Validation: JUL 14 2000 ATYOF LAAQUIN - WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISON AA W 5Lop2 ; ( *70 ? 3 CSR C42 Ru[r'��? 1'�4 AIR. cwku4o�C2 �5, I Desert Sands Unified School District 47-950 Dune Palmi Road ' Notice:' La Quinta, CA 92253 , Document Cannot Be Duplicated 760-771-'8515 }. w CERTIFICATE OF .COMPLIANCE Date 11/6/00 k APN'# .543.-100-039 No. 21174 Jurisdiction La Quinta Owner NameDennis Yost Pef_nit # No. 47-350 -Street Via Cordova Log # City La Quinta - Zip 92253. Study Area a * ' Tract* 26152 � Lot #, 210 Square Footage 3370 *° i y. Type of Development Single Family Residence - No. of Units 1 f 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.exeinpt from paying school fees at this time due to the:following reason: - r t ' EXEMPTION NOT APPLICABLE } i This certifies that school facility fees imposed pursuant to Government Code 53080 in tie amount of ' 2.05' X 3,370 or $. 6,908.50 ti. • the property listed above and that beilding' permits and/or Certificates of Occupancy for this square footage in this proposed project may, now be issued j Fees Paid By CC /Mountain View Federal C. U. /Dick Scott >f'elephone 760=408-3495 Name on the check By Dr. Doris Wilson'- 'Superintendent ilson' Superintendent Fee collected /exempted by + Annette Barlow Payment Received '$6,908.50 .� Check No. 100907 Signature ..,.:.; NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549; STATS. 1996) this will servetonotify youthat the 90 -day approval period in which',you may protest the fees or other payment identified- ,-,-Ag above 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 • :. 011 collect them on the District('s)(s') behalf, whichever is earlier. r#atllg�torachra5eopy of county or city plan check' application form to district copy, for all waivers. 8� y . „Embossedcigti�al urldtfig`Dept./Applicant Copy - Applicant/Receipt',Copy-'- Accounting _ - RFCORDING REQUESTED BY:' Lawyers Title Company AND WHEN RECORDED MAIL TO: Mr. Dennis G. Yost 948 N.E. 102nd Suite 103 Portland, OR 97220 ESCROW NO. 04407 -CB DOC 83 .1999-366863 09/02/1999 08:00A Fee:19.00 Page l of 2 Doc T Tax Paid ` Recorded in Official Records.. County of Riverside Gary L. Orso ! Assessor, County Clerk B Recorder M . u PAGE SIZE DA PCOR NOCOR SMF MISC.' 1s A R L COPY LONG REFUND NCHG -. EXAM • I 1 'INDIVIDUAL GRANT'DEED - • THE UNDERSIGNED GRANTOR(S) DECLARE(s) DOCUMENTARY TRANSFER TAX is 5143.00 Ai1� [X1 computed on full value of property conveyed, or ( 1 completed on full value less value of liens or encumbrance_ s remaining at time of sale. 1 Unincorporated area V 1 City of La Quinta, AND - FOR A VALUABLE CONSIDERATION, receipt of which is hereby -acknowledged, LA QUINTA BEACH 23, LLC, A CALIFORNIA LIMITED LIABILITY COMPANY 1 hereby GRANT(s) to: DENNIS G. YOST, an Unmarried.Man and VIVIAN H. MACLASKEY, an Unmarried Woman as Joint Tenants the real property in the city of La Quinta, County of Riverside, -State of California, described;as:---- Lot 210, of Tract 26152 as shown by Map on file in Book 227'Page 77 to 85 of Maps in the office of the County Recorder of Riverside County, California as more fully described per legal description attached hereto and made apart'hereof. - ALSO KNOWN AS: VACANT LAND LOT 210 TRACT 6152 PN 643=100-031, La Quint/a, CA 92253 A.P. # L _ 2 (� eo �-loo-o3q , J J V A of DATED August 19, 1999 La Quinta Beach 23, LLC, a California ,Limited STATE OF CALIFORNIA Liability Company COUNTY OF O/QAn/GE { _ On _ ffLCGLCST' o?3i-d , 1999 before me, BYaintCent FinancialInc., managing a Notary Public in and for`said State, personally appeared AW BY personally known to me ( .- Dan J. Har , President setisfaGuIxy 1 to be the personoi whose name04. is/are-subscribed to the within instrument and acknowledged' to me that he/sbeEfhey executed the same in his/baI44h K M. GWEN MELANSON authorized capacity(ies), and that by his/beFAht4r signature(( , Commission # 1181894 on the instrument the person* or the entity upon behalf of z which the person( �Q acted, executed the instrument. `z = Notary Public - California Orange County WITNESS my hand and official seal. MyComm.Expires May 1,2002 Signature\` /// (This area for official notarial seal) Mail tax stateme. is to: Mr. Dennis G. Yost, 948 N.E. 102nd Suite 103, Portland, OR 97220 ORDER NO,.: .03-435743 -10 A TEM DESCRIPTION PARCEL 1: Portions of Lots 209.and 210 of Tract 26152, in the County of Riverside; State of . California; as per Map recorded in. Books 227, Pages 77-85 of Naps, in: the Office of the County Recorder, Riverside County; -more particularly described as -follows: Beginning ng at the Southwesterly corner of said- Lot 210, said point being on a curve. coxxzve Easterly and having a radius of 99.50 feet, a radial bearing passing through said point bears North 89° 20'.37: West; Thence South 870. 00' 00" East a distance of 111.00 feet; Thence.South 64° 56' 32" East a distance of 37.17 feet to a point on -a non -tangent curve concave Easterly and having a radius of 28. CO. feet, a radial -- bearing passing through said point bears , South: 84° 16'._11" _West; _ 4_ . Thence Southerly along said curve through a central angle of 2° 10' an arc distance F of 1.06 feet; Thence South 70 53' 58"'East; tangent to said curve, a distance of 45.57 feet to the beginning of a tangent curve concave'Westerly and having a radius of '175.50 feet; Thence Southerly along said curve through a central angle of 120 04' 04" an -arc distance of 36.96 feet to a point on a non -tangent line, a.radial bearing passing through said point bears South 85' 49' 54" East; < Thence North 720• 10' 13" West a distance of.84.66 feet; Thence North 890 '121-34" West a distance of 51.23 feet; Thence North 180 301. 28" West a distance of 47.73 feet to the beginning of a tangent curve concave Easterly and having a radius of 99.50 feet; Thence Northerly along said curve through ' a , central angle of 190-09' 51" an arc distance of 33.28 feet to the point of beginning. • Comprising 11,-205 square -feet, more or less. ---_---- -- _ 1999-396863 ' I I IIIIII IIIIII IIID VIII VIII III IIIIIII III VIII IIIDII�I 09/02/28of 28 00R ` YOUNG ENGINEERING SER VICES • Engineering • Architecture -Surveying- Building & Safety Services Letter of Transmittal w: To: City of La Quinia Date: 10/16/00 Project. PC # 0007-096(3 check) 47-350 Via Cordova Attn Greg Butler W. 0.: , Tel No.: Tract No.: We are forwarding: 'X, By Messenger By Mail Your Pickup No. of Copies Description: 1 Plans (1St submittal) ` 1 Plans (2". submittal) 1 Structural calculations , 1 Truss calculations Comments Greg — I have attached the remaining structural comments. They are minimal and may be checked at the counter or sent back to us for review, your choice. Call if you have any questions. This Material Sent for: f x Your Files X Per Your Request Your Review Approval > Checking , At the request of: ` 1 Other 4 , • By: John W. Thompson Phone # 760-342-9214 47-159 Youngs -Lane • Indio, CA 92201 • (760) 342-9214 J„ •Bron Young • , MOUNTAIN IIII �. ARCHITECTURE Crr, ARCHITECTURE & ENGINEERING Q� LA BIG BEAR CITY AIRPORT • SUITE A-1 &AR .1 e5 ®PCD P.O. BOX 6167(909) 585-6311KE, CA 92315 81JJLDWG AIV � v , John F. Acosta III, Architect, AIA 3/13/01 ;I City of LaQuinta Department of Building and Safety PO Box 1504 La Quinta, CA 92253-1504 RE: Yost Residence 47350Nia Cordova La Quinta CA Gentlemen: This is to certify that a Structural Observation on the above referenced project h.1s been completed by me or under my direction, and that the building is in compliance with the approved plans. inc ely, O AIN ARCHITECTURE Jo E. AZc sta,. AIA Lice sed hitect CALIF LICEN5E.#C24055 • ARIZONA LICENSE #28023 • CALIF. O.E.5. REGI5TEREP EARTHQUAKE DAMAGE A55E550R #5A1373 MOUNTAIN 611111'id ARCHITECTURE ARCHITECTURE & ENGINEERING BIG BEAR CITY AIRPORT s SUITE A-1 I10. BOX 6167 • BIG BEAR LAKE, CA 92315 (909) 585-6311 John F. Acosta III, Architect., AIA 3/8/01 City of LaQuinta Department of Building and Safety La Quinta, CA RE:- Yost Residence 47350 Via Cordova La Quinta CA Gentlemen - This is to approve the substitution of a.4x6 header in lieu of a 6x6 in the 3 foot door in the garage. AIN ARCHITECTURE Jo T. Acosta, A,IA Lic sed Architect JOHN F. v C� A.i.q, NO, cie0ss N� REN .4.3p,01 FDF CALIF ' r - 11%111,ARCHITECTURE , ••a ARCHITECTURE & ENGINEERING BIG BEAR CITY AIRPORT • =50ITE A-1• _ P.CIM3 6167 'BIG BEAR LAKE, CA 92315'.'t., ' "'(909) 585=6311 Johii F: Acosta III, Architect, AIA 3/8/01 , i 3 City of LaQuinta Department of Building and Safety..,,r.- : r `La Quinta, CA ' RE:'~1'ost'Residence a° - 47350 Via Cordova La Quinta CA Gentlemen: I have checked the revised truss layout.plan on the above referenced project, and find that it j T y T conforms to the design intent of the.:project. , , ' AIN ARCHITECTURE,',,:'j • 5�0 AR, Jocosta AIA �V ~ ; (t.lLicnsedArchitect ..� T �o F arcgrA_ 11t. M' t Flo. LaLLl1�'Q • . - (P AEiN. 4=30 01, OF m CALIFQ - d F, Fx { CALIF. LICEN5E #C24055 • ARIZO.NA LICENSE #28'023 • CALIF. O.E.5. REGISTERED EARTHQUAKE PAtvAGE A55E550K'#SA1373 t _ _ MOUNTAIN IIII 1. ARCHITECTURE ARCHITECTURE & ENGINEERING BIG BEAR CITY AIRPORT SUITE A-1 P0. 50X 6167 • BIG BEAR LAKE; CA 92315 (909) 585-6311 John F. Acosta 1111,. Architect, AIA 3/8/01 City of LaQuinta Department of Building and Safety fJ La Quinta, CA a RE: 'Yost Residence 47350.Via Cordova La Quinta CA Gentlemen: I have checked the revised truss layout` 'Ian on the above referenced project; and find that it conforms to the design intent of the project. S. ce ' AIN ARCHITECTURE VA. JohY Acosta, AIA Lic sed Architect JOHN f, drily N0. rn Rl� �38•Qi F CALF p CALIF. LICENSE #C24055 • ARIZONA LICENSE #28023 • CALIF O.E.5. REGI5TERED EARTHQUAKE DAMAGE A55E550R #5A1373 r °t-"POli:•: Feiro Engineering, Inc. FAX N0. 760'346-2548 ,+ Dec. 20 2000.11:36AM, P2 � r t t t }i ti l • f ' Y !.. 1 S l I S[ 1ti [ ,, � Q�� t Fe>Iro Engi g;.� ,'• w i r.',r a S. r y�. 3, ° ,.1 [ [_ S t ,i r s •�^i Civil Engmeenng land urvey�ng ;Yt }1 Fh 'Palm Desert,Ca. LSJ,f F%tai r. n.. c) #7 x' Vit• [ (760) 34fi $615.fz FAX (760 346 248 � f 1tr + rs �R,z :'ir �n9 i... i, Kj ftFT •Si x .. .t ,, , 1 f+ IT, i{ A t.T'y„�. �; of i' y+ . t �- r•. i 7 _ � I � t t1i.yL 'nJr � t ', ` s , . % ► Oct. 30, 2000 y of La C' Quinia 78-495 Calle Tampico + r i La Quinta, Ca. 92253 • ' 1 [ 1 [ ��il� E P K7 Building Fr Safety RE. =Lot 210 Tr.,26152 "4 APN:643-100-03t T`.,iis teller will serve to slate that we have field checked the pad n to be as follows: elevation for the above project and found them H Low. Plan: P.ad,- 59.7 59.6 59.6 i �, fh'l - Sincerely, �o� o. qr es 1) Feiro, �S �F• Vice President ± �, V o � + RCE,24176 lit �' 17b N. 2 1I t