Loading...
0211-124 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under ps I" ions 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 516282 B Date Signature of Contractor OWNER -BUILDER DECLARATION 0w`!/71( I hereby affirm under penalty of perjury that I am exempt from the Contractor's License, Law for the following reason: ( ) 1, 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). (!4 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). O I am exempt under, Section B&P,Crfor thi's reason .9 Date 01 t Owner/-- 7r: / `s Signature of Own {" � %q %✓ `s.+� rJ" ✓ . �.�- � 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: Carrier STATE FUND Policy No. 229.98 UMT0013911 is 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 abor C9de,41shall;fortthwith comply with.those provisio6s.., f', �� PIF -rintc �:+ % /.� J sAnnlinn nt .�^�1� ✓ Jir, ir�. ,.�r 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. e 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 employePn 2. Any permit issued as a result of this application becomes null and void work is not commenced within 180 days from date of issuance of su permit, or cessation of work for 180 days will subject permit to cancellatio I certify that I have read this application and state that the above information correct. I agree to comply with all City, and State laws relating to the buildi construction, and hereby authorize representatives of this City to enter up the above-mentioned property -for inspection', rposes. —� rte•'' �� � �...�"" / �' � / !T' .,,Signature (Owner/Agent) � - X1. 11, �` llt-.-��, '` '�''•1T bate BUILDING PERMIT PERMIT# t�'.�11t-'tom DATE VALUATION LOT TRACT 2117 go JOB SITE S —rt � wti � � �� i�i�il a ADDRESS APN 7771280 - 71280-O- O AQ -780 OWNER CONTRACTOR/DESIGNER/EN (NEER TOTbT & CTINIDY ANDMH:OLT !TYPIMT Cidh1M C. 0148TRUCT?4?M 41.625 MLEC'S'1:C UUT , P 437 W SUNSI " DR ,PAL,MDES-EW CA 92:60 P', MLANDS CK 923'x'3 (909)798.9755 MIN 4908 USE OF PERMIT SNOTY, F•AI T.Y° MM:.ING 4540 SIF SPD. PeRMIT I7Gt,E....i` NOT INCL.UrM k31 OCIi: WAL,.1, a, POOL OI2 DRIV M, A.'YAPPROACH.,200i CBC. • t CUSTOM CONSTRUCT!ON 4.340.00 SF PORCI•I9PATIO ;491,00 SF 0ARA(MCARPORT $1 t.00 3F 009.. OF (77O Ad.7�144AJlwi. ON 4G'.1Y1«7w� -90 •�j'y ?�y �y� 9. �Y�! {��(��p��pyESd.d.Li:7dmTFX .T. Jf.f.'Cd�" . .i5 rX. C1C7,4YA.IY3t]RV CONSTRUCTION FEE 1011-000-418-000 $1,700.00 PLAN GI"(EC:K M 101-000-439-318 $1,112.94 FEtr DEPOSIT 101.000-439.318 -31,000.00 MUr,HaAN IC.Al, MU 101-000-421-000 $1,67,50 21ACTIZICAL HER 101.000-420.000 3250.12 PLUMBING Y- EY, 901-000-499.000 $251.'73 STRONG MOTION WE - RESID 101.000.241.000 $40.26 CIRADINQ ME 101-000-423-000 $20.00 OL.VEWPER IMIPACT I'TE $7,405,00 ART 114PUBLIC MACKS - MIX: 270-000-445-000 $506.40 scM-MAT. COzJtiYRUC IOIT XI)1<1'..AAi cErX 100 1'P -PAL%7 � 1,,OOO, ESO 'AY1*A1,;f'�F_`TE:%:f�4'd`�' . S X}UF NOW n72003. CITY OF LA QUINTA — ,� �,�•7, I BY , r DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & FootingsDucts Slab Grade Return Air Steel Combustion Air Roof Deck . 0.K to Wrap Exhaust Fans 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 Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS 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 Electric Final Waste Lines Heater Final Water Piping Plumbing Top Out Plumbing Final Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Is �— Appliances Final 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) COMMENTS: April 6, 2005 T- Vf 4 4QuiRrw P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Mr. Richard Hargis Mapping Department Riverside County Assessor's Office P.O. Box 12004 Riverside, CA 92502-2204 Dear Mr. Hargis: BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 Please be advised of an address change for the following property. The parcel formerly addressed as 51-745 Vista Bonita Trail, APN: 772-280-008, Lot 8 , Tract 21176, is now addressed as: 80-780 Vista Bonita Trail. Please make a note this chan-c. if 1 may be of further assistance, you may contact me directly at (760) 777-7074. Sincerely, Therese Vella-Finorib Senior Secretary ,Building Address Address ,ter (..0fCG`^� CityZi ZZ(D Contractor STFUL C Ram Address I , ] P.O. BOX 1504 8-495 CALLE TAMPICO n} 1 ,/�- LA QUINTA, CALIFORNIA 9223 State Lic.I City ' & Classif. Lic. # Arch., Engr., Designer Q Address dZ11-12Y APPLICATION ONLY L BUILDING: TYPE'CONST. OCC. GRP. A.P. Number % -T LO 6 I n ' 211 76 21 Legal Description 76 Z-409—GGL& 772 -2 -go - ODP Project Description Sr-- D (6yI Zip I State I eT"1) -A wf1C ©i1 -?o42 Lic.# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION Ihereby 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, atter, 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). 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, Bufsness 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 in:)rove for the purpose of sale.) III, as owner of the property, @g+ exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, vr•siness and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and who Contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) f! I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' 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 Cl 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 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: 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 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 -of this city to enter the above. mentioned property for inspection purposes. Signature of a0plicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE Sq. Ft. No. No. Dw. Size D Stories Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. ! Plan Chk. Bal. Const. Mech. Electrical Plumbing \\A S.M.I. Grading Driveway EdAU t Infrastructu �os TOTAL REMARKS 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 Froperty Line FINAL DATE INSDECTOR Issued by: Date Permit Validated by: Validation: WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE Coachella Valley Unified School District P.O. Box 847, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: This Box For District Use Only DEVELOPER FEES PAID AREA: -MOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/IND.AMOUNT: DATE: RECEIPT: CHECK M: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Date: October 27, 2003 Owner's Name: John & Cindy Anderhol t Phone No. Project Address: AIX91AXIMIAKXXKXXXZMXXN 51-745 Vista Bonita Trail La Qui nta, C Project Description: single family dwel 1 i ng APN: 772-280-008 Tract #: 21176 Type of Development: Residential XXXX Commercial Lot #'s: 8 Industrial Total Square Feet of Building Area: 4540 sq. ft. Certification of Applicant/Owners: The person signing certifies that the above in son is correzt and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on bAhalf o the owner/developer. Dated: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing No- Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Number of Sq.Ft. 4540 Amount per Sq.Ft. $ 2.19 Amount Collected $ 9.942.60 Building Permit Application Completed: Yes/No By: Carey M. Carlson Asst. Supt., Business Serv. Certificate issued by: Elyi ra- Mattson Signature: ` Office Technician NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this Distrkt provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020'of the Government code and otherapplicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees'or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days stats on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District,.and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. M V:c/mydocs/devfees/certificate of compliance 09/30/02 LA QUINT.A, POLO ESTATES ASSOCIATION c/o FORTUNE` ESF MANAGEMENT G. E. W7.6a ComPANy 73-"0 Fj Pasco, Sum 3 ptaa* %kn nom. C bfcm a BMW ("0) M64M FAX (960) 799-1370 June 23,1999 httpc//wv�fortunew+eat.ce,on J. John Anderholt A.nde"t & Bounheirn, LLP 45-200 Club Drive, Suite A Indian Wells CA 92210-88W FAX 360.2303 360-1006 RIFs LOT 8 - 51-745 YISTA BONITA TRAIL Den Mr. Anderholt: The Ar""i"' "I & L28*cape Committee Architectural Consultant Robert Ritchey has conducted a final review of yaar resubadtted plana. TWe final technical review, which is a follow+ up from our March 24, 1999 Architect" do Undsape Committee review, completes the review of your plans prior to building. Apptuval is provided and at this stage you are required to submit a check for $2,500.00 as a security deposit. The Association may use the secudsy deposit as needed to repair nay dunages prised by your construction efforts. You previously submitted 01,500.00 mon-refundable Architect al Fee on Januatp 20, 1999. 8032. If you have my questions os need any further assistance, pk"t c8II the asanagerttent office at 346- FOR T14E ARCHITECTURAL AND LANDSCAPE COMMITTEE LA QUINTA POLO ESTATPS Gary Wiedle, PCAK CCAM, C.M(A ManW g Agent FORTUNE WEST MANAGEMENT, ,AAMC v I4ITY OF RIVERSIDE COMMUNITY HEALTH AGENICY ASSESSOR'S PARCEL NUMBER CO?5 DEPARTMENT OF ENVIRONMENTAL HEALTH 2-- APPLICATION FOR WASTE WATER DISPOSAL APPROVAL APPLICANT: Submit this form with four copies of a SCALED plot plan (1"=20' to 1"=40' SCALE) drawn to County specifications as indicated on the attached check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of payment. LMS Agent, Contractor, C) Person Address City R State Zip Telephone ;%' A t'V { r9 '-.� 4 t i ? %i �1 If o:i �'l l J —4 Owner Address City State Zip Telephone Al Z Address. Job Property City Zip U-1 tot Size Water Agency/Well Use of Permit, P/P, SUP, PUP, etc. l� `a Legal Description DBA <' 'V�� �s� �� '�j O7 / Dwelling, MH Site PreV., etc. Signat ofApplicant f "'� �••.'nC�/`7/,6F,/law �/yf/e'A Date ` �9'Y: 'I FOR OFFICE �.. USE ONLY CHECK,iBOX IF REQUIRED If any box is checked, this application shall be considered rejected until the k ❑ ' Detailed Contour Plot Plans Required (1 to 5 foot interval) information is provided and the fee paid. Resubmittals later than 90 days after date noted below may require repayment of fees. ❑ Other C)Staff Specialist Lot Inspection Required ZO Holding Tank Agreements Completed LD ❑ Certification of Existing S.D. System Required Thomas Bros. Page Grid W C3WQCB Clearance Required C]Date Lot Inspection Completed: Initials ' U (Attach for DOH -SAN -007, Santa Ana Region Only) Remarks: ❑ . Soils Percolation Report Required ❑ Maintenance Booklet Provided ❑ Special Feasibility Boring Report Required ❑ Final Inspection by Department of Environmental Health is required. ❑ Rereview Required Initials Date Please call 24 hours PRIOR to inspection. C/42 / Soils Percolation Boring Report By Lic/Project # Date Soils Map Page Soil Type Approved By Date No. of Systems Type of System(s) No. Dwelling Units (1) Septic Tank Soil Rate Grease/Sand ❑ .Holding Tank ❑ Replacement Bed roo s, Fixture Units 2'q¢ l Grease Intcp/Lint Trap New ❑Addition Existing � Q�_ ami ttLy► SOO �� C3 L) Connect to Sewer e Gal. Gal. Sq. Ft. Bottom Area Total Linear Ft. Sidewall Allowance -3 Q '" -3 Leach Bed sq. ft. 1 OU /Q ft. rock/ sq. ft. running ft. Install Line(s) (�- ft. long ft. wide of Bottom Area �� ��, V Inlet Tested Depth ❑ N/A Proposed Bottom with mi inches rock below draainlines cIV U Tested Depth or �i. V4 n Z Leach lines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (61) Seepage Pit Maximum Other: Applicable Total Depth ADleowable WN/A Overburden Factor ❑ 5'i ❑ 6' TD P Well Review Approved: Date: Well Drilling Permit# SIGNATURE Grading Plan Approved: Date: SIGNATURE , Plan Check Only Approved: s Date: I^CAC4 C REMARKS: M+ i A C zap— �/ % -, —zap— M-1 / � 1154t "V% 'rh i, CA r f: � 1 ;1 ill � Lf k c y k� This application is APPROVED' /DENIED for the category checked in SECTION B above, regardir g4he design of a disposal system as indicated on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above- Revenue Code Fee $ designed system. No construction is Permitted in the required reserved 100% expansion area. 3 Check # 1 (1) Septic Tank must be 100' minimum from any wells. Z (2) Leach lines must be 100' minimum from any wells,, including expansion Date Initial O area. F– () (3) Sewer lines must be 50' minimum from any wells. W (4) Seepage pits must be 150' minimum from any wells, including expansion RIVERSIDE: 909-955-8980 area. INDIO: 760-863-7000 Signature 1' r, - SOUTHWEST. 909-600-6180 Date f 9 Den-aNry-fez (Rev eaui) Distribution: WHITE—Office File; YELLOW—Applicant; PINK—Bldg. Dept.; GOLDENROD—Plans/Records 06/13/2003 11:40 7606740925 ABC LAW ANDERHOLT & TURNER LLP ATTORNEYS AT LAW 74-770 Highway 111, Suite 2(11 J. John Anderholt Indian Wells, Califomia 9221( - James D. Turner Telephone (760) 674-0998 Fax (760: 674-0925 (E-maiD janderhohQpalmdesertlaw.cc m J. John Anderholt III June 13, 2003 Transmittal Via Facsimile Only (760) 777-7011 Greg Butler Planning & Building Dept. City of La Quinta 78-495 Tampico Lane La Quinta, CA 92254 Re: 51-745 Vista Bonita Trail - APN 772-280-(108 Dear Mr. Butler: PAGE 02 Of Counsel: Richard C. Houghton Henry C. Casden Naran Reitman This letter will serve as a request to extend .for .in additional 18C days the time within which we have to complete the revisions and corrections to the plans which were previously submitted to the City, returned with change,; and corrections, and have been corrected by our architect and engineer. We have obtained the permit from the County of Ri verside for the sewer installation and the plans are currently in the hands of our engineex to correct the grading plan. As soon as we receive them from the engineering firm we will return them to the City for completion. JJA/bb If you have any questions about this please call me. It 7 1 T CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED C'osv. 60440"p �. DATE 0111105- BY. AJUC4Tiv� 9L%'PV6 CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS ...... PERMIT NUMBEROWNER BUILDER-- !Ws farm shall be hosted an the fab -with lhe filifidjUnkUl3action Card at all times In a cnnspGmiss gdffim. Only persons. appearing an this list or that employees are authorized to work onthis job. Any changes to this list must be approved by the Building Division prior to commenceiTICInt of work. Failure to comply will result in a stoppage of work and/or the voidance r ReAkL4i_ is Vul 0 Certificate of Occupancy T4hf ot 4 Q" Building & Safety Department 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. Use classification: SFD Occupancy Group: R-3 BUILDING ADDRESS: 5i=745 -VISTA BONITA TRAIL Building Permit No.: 0211-124 Type of Construction: VN Land Use Zone: RVL Owner of Building: JOHN & CINDY ANDERHOLT Building Official POST IN Address: 41-625 ECLECTIC SUITE City, ST, ZIP: PALM DESERT CA 92260 By: GARY SHOWALTER Date: 12-28-04 PLACE