15524 (SFD)•4, aCP
"
P.O. BOX 1504 No. 15524
Building �1: 78-495 CALLE TAMPICO
Address "" '� a - t=�-'��' ��i3 �% LA QUINTA, CALIFORNIA 92253
Owner �- �' . f i► si 31'1 '! 1
R 3
Mailing BUILDING: TYPE CONST. OCC. GRP.
Address
A-R. Number
City Zip Tel.
Contractor
p & M -Builders
P.O. 366
City. Zip Tel. ,4
L „tt� tar Ch S).G:'-'53 ?J�
State Lic. City
& Classif. B 4087584 Lic. # G uF
I
Des gnergr., S.feber' s %2u--E:r
rests. Tel. ,�
342 096
City - Zip State
LICENSED CONTRACTOR'S DECLARATION
(I hereby alfirm that I am licensed under provisidns of Chapter 9 (commsncing with Section
_ 7000) of 0lvisiort 3 of the Business and Professiens_?qoe, and my license is in full force amp
SIGNATURE i 2 OATS
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031-5,Busirress 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 vlolaCan 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).
❑ 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, 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 )
❑ I am exempt under Sec. B. & P:C. for this reason
Date
WORKERS' COMPENSATION DECLARATION
I herkWY1y affirm that I have a cartifluate of consent • to, salt= or a certificate of
Wdrker's•�rnpet65a Wr ihaurance, or a eT.1fled on" thei+evY c- tCIO, Labor Code.)
Pellicy O. ff:3 44 / Company ''
IVopy is filed with the city. ❑ Ce tiled 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 (S100) valuation
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
Date Owner
NOTICE TO APPLICANT: N, aRer making this Cerfocafe of Exemption you should become
sukeet to the Workers' Componsaffon provisions of the Labor Cade, you must forthwith
comply with such proYWWS or this permit shah be deemed revoked -
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($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.
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 Ibis application and stale that the above information Is correct_
I agree to comply with all city and county ordinances and slate laws relating to building
construction, and hereby authorize representatives -of this city to enter the above•
mentioned property for inspection purposes -
Signature of applicant Date
Mailing Address
City, State, Zip
Legal Description ;Jot 20 Tract 7`5397
Project Description _=.o D
Sq. Ft. No. No. Dw.
Size 4051 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Pc_ir—,Eii eloe-.s r r -include block w 11s
gaol.
Estimated Valuation ; 3 a 6 0 5.
PERMIT
AMOUNT
Plan Chk. pep-
? 51 0 . 011_
Plan Chk. Bal,
js .
Const.
1,45P
Mech.
Electrical
Plumbing
ri ,
S.M.I-
Grading
Driveway Enc.
?
Infrastructure
i
'
TOTAL
`) St 4 _ 6
9.5 L
REMARKS '
ZON E: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by:
Validated
Validation:
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBIW%3 FEES
1ST FL.
2ND FL
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. rg
SQ_ FT. 0
SQ. FT. (&
SQ. FT.
SQ. FT. p
SQ. FT.
SO, FT.
VALUATION
$
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B T U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 1 Vi c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
L TOTAL FEES
MICRO FEE
L
MECH.FEE
PL.CK.FEE CONST. FEE
ELECT. FEE
SMI FEE
PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
ETBACK
r
OUND PLUMBI - I
UNDERGROUND
BONDING
A.C. UNIT
COLL. AREA
LAB GRADE
ROUGH PLUMB.
HEATING (ROUGH)
STORAGE TANK
FORMS
EWE OR SEPf
ROUGH WIRING
DUCT WORKd- Z {
ROCK STORAGE
41FOUND. REINF.01, 6 JO/ —)
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP,
REINF. STEEL
S (FINAL) 20 g�106
EMP POLE / -95
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$ _$
LUMBER GR.
AL INSP. 7
jj ii
L�FRAMING O'
FINAL INSP.
ROOFING
J / ,
p%L r7 V '/J (J w. / �` V.- CZ r- &91-I
n�! /��GC ��
�f c (
;n (� /� �� 2� (`-- q�
ICI
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
MESH
INSULATION/SOUND �-�
FINISH GRADINGor—
INAL INSPECTION'
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIG NATURESIINITIALS
GARDEN WALL FINAL
RECORDING REOLIESTED SY;
AND, WHEN RECORDED, MAIL TO:
James R. Paul
549.67 Tanglewood
La Qu'inta, CA 92253
THA SPACF FOR RMADFR'A t IAF GIN; Y
ASSESSOR'S PARCEL NO:^ 769-62,0-020-2 . The undersigned Grantor(s) declare(s) that the DOCUMENT' TRANSFER
_._.._.._TAX IS:
TITLEORDERNO.: 58045.7 _.._.. $ ]..$Z._Q.D_. County $ _— City
ESCROW NO.: 2-5-199-002 XX computed on the full value of the interest of property conveyed, or
- - — computed on the full value less,the value of liens or encumbrances
RANT � E E D remaining thereon at the time of sale
— OR transfer is EXEMPT from tax for the following reason:
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
,.Trnnathan A. Mork, a single man
hereby GRANTS) to
James R. Paul and Sharon Lee Paul, husband and wife as joint tenants
all that real property situated in the City of La Quin,ta
County of Ri vers.i de , State of California, described as:
L6t 20 of Tract 25397 as per map rerrr,IrdPd in Book. 218 Paye 20 in the City c)f r, aQuinta,
County of Riverside, State of California _
Dated ......:. February 15, 1995.
STATE OF CALIFOPINIA, }
COUNTY OF ) ss.
On _..... , before me — —_
�jh!...., , Notary Public, personally appeared
personally known to me (or proved to me on the basis of
satisfactory evidence) to be the personis) whose narrme(*
care subscribed to the within; Instrument and acknowledged
to me that(50 �he/they executed the same it fis her/their
authorized capacity(i O, and that byo Is her/their signature(s)
on the instrument the person(K, or he entity upon ,behalf of
which the personOg acted, executed the instrument.
WITNESS my rid and official spay
Signatureil.�- r�
MAIL TAX STATE=MENTS TO:
3AMF AS A30V ,*-
Ndut nooHESti
`440LL,�L649
iazn A. Mork —
— 0496 99-9 649 ![ Lb: I.1. 96 - oz- L
(711i8 Brea for oHiclai notary scat)
CITY, STATL'a Z)P
!M080931SV03 OIdIZ)Vd :A9"iN3S
f
WARALYN R. WADY
COMM X9%396
-..
-t° 4
Notary pubec — ccnrorr�a
WS ANIGELES 0AINTY
W Corrmn i:.,E0res OCT 9,1.997
— 0496 99-9 649 ![ Lb: I.1. 96 - oz- L
(711i8 Brea for oHiclai notary scat)
CITY, STATL'a Z)P
!M080931SV03 OIdIZ)Vd :A9"iN3S
VALLEY UN1FIED SCHOOL UISTRICI'
CERTIFICATE OF COMPLIANCE
(Government Code 53080)
Project Name:
Project Address: 55-525 Cherry Hills, La Quint -a. CA 92236
Project Owner's Name; Mr & Mrs. James Paul Pltone No.: 7.71-0040
Project Description; Dwelling
lluilding Type (Check one). Residential xX (1i!,cjp1de No. of Dwellings)
Conuuel-did
"Tract No.: Lot No.:
(I1'tract attach Schedule "A" ufall I0,1s by tract; squive rootage tui each lot and total.)
Assessor's Parcel No.:
769-620-020
(If Schedule "A" is used show Assessor's Pafcel No. till- each lot if one exists or Assessor'~ Parcel
No, t'or parcels before subdivided.)
Total square feet of Building Area:
405.1. Sq.Ft.
Certification of Applicant/Owners, The person sit;ninb •"til s that the above illfonliation is
correct alai nt�tkes this slatentent under I�enalty of•peijur and further repfesents t -hat he/she is
authorized to :sign on behallofthe owner/developcf.
Dated:�� fY Signatm•e:
city/county Certification:
(Signature) Optional
("Title)
SCHOOL DIS7'RIC'1' REQ'UI:lIEN/1.EN"I'S FOR THE ABOVE PROJECTHAVE BEEN
OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING:
(CIRCLE ONE)
I. C;ode. Gov. Code Agreement Existing Not subject to
80/65995 65970 prior to 1/1/87 fee requirements
181, SB 1287) (SB 201) Note:
Total Nuber of Sq./Ft. 4051.
Amount per Sq/Ft.
Amount Collected $ 6,.967.72
v
School District Official: /$ • I/ Title: Asst Su mediffendent Adlnln. Set v.
Foch "Tut" Pen is Date: , _
Phone: 619 399-5137 Ext. 235
Note: AB 2926 and SB 201 fees arc capped at $1.72 per square foot for all residential
Construction, and at $0.28 per square foot for projects,
TM_
A L1MI'TE.e PA,14.11 UR SRI P
August 2, 1995
Flying Buttress
73661 Highway 111, Suite G
Palm Desert, California •92260 ,
Attn: Denise, Poeltler, S.E,
Re: -James & Shari Paul Residence;,at:
552-525 Cherry Hills;; PGA West
La Quinta,:,CA 92253
The enclosed four (4), calculations have been prepared bythe Trus Joist MacMillan
'representative in Corona,: CA for structural components to be used 'in the subject building.
The time and date the calculations were run,are listed in the upper left comer of the sheet and
correspond "to the following list:
08-02-1995, 08-02-,1995 ' M02-1995 08-02-1995
_ 09:48:06 10`.10:01 10:14.12 '09:27:15
The prrofessional engineer's seal on this letter is to. indicate that the analysis'presented on. the
calculations conforms with. accepted design values.
The specific product-.application, design loads and'dimensions shown on the calculations have
been selected by our representative.. I have not reviewed the project plans to verify that this
input`information is correct: -
-Tor the calculations to be valid -for°the'subject project you should verify that the spans.and
loads- shown agree with the project-plans. Building Inspectors'should look for the Silent. , ' .
Floor@, Microllam® LVL and Parallam® PSL marking,'on Trus Joist, MacMillan products to
confirm that the calculations are valid for the_products actually used.
Please let me know :if there are any .questions about the calculations.
Sincerely,
Trus Joist MacMillan Esq e�yc,
31647
Alan C: Eskuri, P. E. W � 9G
Regional Engineer'
Desert Pacific Sales Regi lglf o ! %% , 't-
ACE/lam
Desert Pacific Sales. Region A '650 East.Parkridge Avenue #108 A (orono, (alifornia'91719 A Phone 909:371.1170 Fox 909:37,1.0634 ru a,, U.S.A.
July 20, .1995
City of La Quinta
Building Department
La Quinta, CA 92253
Dear Sir/Madam:
PGA WEST RESIDENTIAL. ASSOCIATION, INC.
The plans for Mr. James Paul to build a custom home at 55-525 Cherry Hills have been
approved by Don Adolph the Architectural Committee Chairman. Don Adolph has also
approved the drainage to the common area lakes on PGA West Residential Association property.
If you should have any questions, please, call me at (619) 771-1234.
Sincerely,
Rachelle A. Thompson
Business Manager
PGA West Residential Association, Inc.
r -P 0. Box '1060, La Quinta, California 92253, Telephone 619-771-1234 Fax 619=771-5125
a
ARCHITECTURAL/LANDSCAPE VARIANCE APPLICATION
PGA WEST RESIDENTIAL ASSOCIATION, INC.
Please complete and include this request form, along with
four (4)sets of your proposed home improvement plans to:
PGA WEST RESIDENTIAL ASSOCIATION, INC.
P.O. Box 1060
La Quinta, CA 92253
or, 5:5-940 PGA Boulevard
La Quinta, CA 92253
Attn: Property Manager
NAME
ADDRESS • �S
PHONE: 1!55 ?7 i- ouua
PROPOSED STARTING DATE:
APPROXIMATE COMPLETION
Homeowner's Signature
The following appropriate
completed application:
DATE: f
UNIT:
information should accompany your
1.
Four (4) sets of complete plans to include:
a. Improvements and/demolitions
b. Plot plan
c. All dimensions proposed
d. Relationship to neighboring units
e. Material and color scheme
f. Planned modifications of all external systems (landscape,
sprinklers, gas lines, electrical,
etc.)
2.
Agreement and Covenant Running with
the Land completed and
notarized. Two (2) original.
3.
Conditions of Approval and Disclaimer
form (.signed)
4.
Facing and Adjacent Neighbor form (if
applicable)
5.
Construction Regulations form (signed)
ELECTRICAL
[ ] Approved [
] Disapproved
Signature
Date
LANDSCAPE
] Approved [-] Disapproved
Signature Date
ARCHITECTU COMM TEE .Approved [ ] Disapproved
Signature Date .a
ARCH/Rev 4/95 1