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0106-060 (SFD)LICENSED CONTRACTOR DECLARATION I her eby 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 7 11 203, P, 343 110 1 14 DafVA '27V Signature of Contrar4r��"�.:-��` If DECLARATION 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). ( ) 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 1 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 Labdir 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: Carridr Policy No. FWKIMONT C01WKNO (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 700 of the Labor Code, 1,,ghall forth ith comply withth. p:rg Datv, 1 Annfinnntl" W Wd�ffi1Fg-7_F5ilU—re to -secure , �r , kers' Co pen's'ation coverage is unlawful and 01 shall subjectan employer to criminal penaltiesand civil fines upto$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 anc Ity for a permit subject to the conditions and restrictions set forth c S application. 7f� 1. Each person upon whose behalf this application is made & each PE r whose request and for whose benefit work is performed under or purl LJnnt tao any permit issued as a result of this applicaton agrees to, & shall, in( e ni & hold harmless the City of La Quinta, its officers, agents and emp oyees. 2. Any permit issued as a result of this application becomes null anc void 1i work is not commenced within 180 days from date of issuance I such permit, or cessation of work for 180 days will subject permit to canc 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 construction, and hereby authorize representatives of this City to enter upon the above-mentioned Droi)ertVL.for�insi)ection.o.uri)oges. .10' 1 1. -1.. '� KkDate Signature (Own er/Agprit). BUILDING PERMIT PERMIT# DATE VALUATION LOT 01064A_0 TRACT JOB SITE ADDRESS APN 770-370-018 OWNER CONTRACTOR / DESIGNER / EN61NEER TIZOWMON CLUB AMMTHS A1%7R_)RXW.PTFRCE CORMaKlION 7 8- � 05 IDLV AWE ME 5 2 4 4 R 3 5 DEEP CMYOK RD I LA QUXTA C, A 92253 PALMI MOM CA 92261 �-P60)346­3228 CK4 03031 USE OF PERMIT SM OLE F NVA)LY DWELLDIG SYD(113)4)ERMIT DOES NOT TNICLUVE BLOCKWAIJ000UNRA OR APPR0ACH Df WKWAY,00-MPLUMIZ, W 1TH ALI, FF.M. fW, & ST.ATE. LAWS. SPECIMM ACT 01? 1973 (16 U.S,C. 4, CUSTOM C0118TYWCTION 3,437.00 V QARAGWCARPOP�T 820.00 sy FUUIAUXED UM OF C0.15MMMOA V 0, 8 A 4 "m Pi.?4.N CHWIX PLU, 101-000-439..318 $1,060.73 TAWHNNICAL IIFX 101-000-421-000 SIX1,00 ELIXTIUCAL PEZ 101 _000-420-1000 $204,20 PUNDWift FZZ 101 -000 -419 -OW $231.00 MOTIOki KTg � IM -1D 201-000-241-000 ORAJANO FF12 101-000-423-000 D K EV&LOPElt IMPACT VFM ART IN PUlUX PLACES RY,911701-000-255-000 $209,54 101.,000-439.,318 4333.00 T J U L 2 0 200ffr"" PLM C'flwx $5,wl.r LESS PRF -PAID YMES 4333,00 CiTY OF LA QUINTA TMAL PERPM n -ES DAW NOW S4,748J7 FINANCE DEPT RECEIPT DATE,/ 7 1 1BY ZQTE FINALED TNSPECTOR _3.02 00 , J1, 14 INSPECTION RECORD OPERATION I DATE I INSPECTOR OPERATION I DATE TINSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Roof Deck O.K. to Wrap -40 X Z 9 j To 7- ornbustion Air ExhaustFans 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 POOLS -SPAS BLOCKWALLJ" PPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam, Approval to Cover Equipment Location Underground Electric I I Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure ShowerPans 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 Voftage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Ternp. Use of Power Final Utility Notice (Perm) 77 o 40 r ,qo6 - )0 .; n rkct. r. (e T) A -2 y - n ;n -t, v g4 C407 -0�33 -7 PO BOX 1504 B lu,?d i n g 7e,,,,q2 C-Orai I-otne-1 78-495 CALLE TAMPICO APPLICATION ONLY Addre -rrZAC_r J,0,0 L�Lrr J(-) LAQUINTA,CALIFORNIA92253 ss City Zip State I I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (comme9cing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. DATE OWNER -BUILDER DECLARATION I hereby 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, after, 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 th 7e 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). t-11 I as o ner of the property, or my employees with wages as their sole compensation, will do ihe wwrk, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and 0 Professfor's 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. It, however, the building or improvement is sold within one year of completion, the oner-builder will have the burden of proving that he did not build or improve for the purpose of sale.) t 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 La. does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractort's) licensed pursuant to the Contractor's License Law.) 1-3 1 am exempt under Sec.- B. & P.C. for this reason Date -Owner WORKERS' COMPENSATION DECLARATION I hereby aifirm that I have a certificate of consent to sell -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. 0 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 thp work. for which this permit is issued, I shall not empI oy 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. 309 7, Civil Code.) Lender's Nam Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it 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 Addres City, State, Zip ILDING: TYPE'CONST.—OCC. GRP. Number -3 kI Description e Description �0 137 70- a r 7 7?0-3 70- o J I 10 770J70-04 - Sq. Ft — No. No Dw Size -3 -7 Stories Units New 0 Add 0 Alter 0 Repair 0 Demolition 0 Esti PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS FA AMOUNT 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 Property Line FINAL DATE —INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION I. Mailing Address 144- 4;16;� �D &6 to i 4:1AA1,11,0 'k C't Zip Tel. P'. P� (L?., fc- t-, Cont tor N.P Address City Tel. State Lic. City & Classif. Lic. # Arch., Engr., Designer Address Tel. City Zip State I I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (comme9cing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. DATE OWNER -BUILDER DECLARATION I hereby 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, after, 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 th 7e 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). t-11 I as o ner of the property, or my employees with wages as their sole compensation, will do ihe wwrk, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and 0 Professfor's 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. It, however, the building or improvement is sold within one year of completion, the oner-builder will have the burden of proving that he did not build or improve for the purpose of sale.) t 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 La. does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractort's) licensed pursuant to the Contractor's License Law.) 1-3 1 am exempt under Sec.- B. & P.C. for this reason Date -Owner WORKERS' COMPENSATION DECLARATION I hereby aifirm that I have a certificate of consent to sell -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. 0 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 thp work. for which this permit is issued, I shall not empI oy 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. 309 7, Civil Code.) Lender's Nam Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it 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 Addres City, State, Zip ILDING: TYPE'CONST.—OCC. GRP. Number -3 kI Description e Description �0 137 70- a r 7 7?0-3 70- o J I 10 770J70-04 - Sq. Ft — No. No Dw Size -3 -7 Stories Units New 0 Add 0 Alter 0 Repair 0 Demolition 0 Esti PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS FA AMOUNT 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 Property Line FINAL DATE —INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION I. Desert SandsTnified School District 47-950 DunezPalhis Rokd Notice: La Qpftita, CA- 92253 Document Cannot BeDuplicated- 760-771-8515 CERTIFICATE,OF COMPLIANCE .Date 7/19/01 APN`# 770-370-018 No. 22i76 Jurisdiction La. umta Owner NameCoyote Cbrnei LLC Permit # No. 78-210 Street Pinnacle Point Log # city La Quinta zip 92253 Study Area Tract # Lot # Square Footage 3437 Type of Development Single Family Reside nce No. of Units Comments At th�"pr'esent time, the Desert S�nds Unified,. School. Di��ct does . not collect' fees on, garages/carports, covered patios/Walkways, residential'ad'ditions under 500 -square feeti deti6fied access6ry structures or replacement mobilehomes. It has been determined the -above-named owner is exempt from paying school fees at this tir6 due to the following reason: EXEMPilONAOT APPLICABLE This certifies that school facility fees imposed pursuant to Government, Code 53080 in the ar,nount of r 2.05 X 3,437 -or 7,045.85 the property listed, above and that building permits and/or Certifil3ates of Qceupa�c� for'this'square*footage in this prop o*sed project may fiow be issued Fees Paid ty,cc/PD National'B'ank/A�tumn Sims Te I lepho e Name on the cb�c� By Dr..Doris Wilson Superintendent Fee collected /exenipted by Juanita Green Payment, Received $7,045.85 CheckNo. 08230 Signature NOTICE: Pursu'ant'bt Assembi ill 3081 (CHAP 549, 'STATS. 1996) ffils will serve to notify yo*6 that the 9U�y approval period in which you may protest the fees or other payment identified above will begin to run from thtte on which the�building or installation pernniffor this project ig'si�su6d of on vgich they are paid to the District(s)lr to another public entity authorized to collect them on.the DistrictCs)(s') be�alf, whichever is earlier. - I . - 1, . I Colle&or: Attich a copy of 6unty,'or city plan cleck application form to district copy for all waivers. Embossed.Original- Building Dept./Aoplicant, Copy - Applicant/Receipt Copy- Accountirig ................. . . ........ ...... . ...... ................... . ...... .. ................ CITY OF LA QUINTA PLAN CHECK CORRECTION LIST Gouvis Engineering 4400 Campus Drive, Suite A Newport Beach, CA 92660 PLAN CHECK NO.: 0106-060 JOB ADDRESS: Tradition Village Lot 5,7 & 10 Plan 2B AREA-S.F.-: 4257 July 10, 2001 FINAL CHECK OCCUPANCY: RNIJI TYPE -OF -CONST.: V -N The submitted plans and specifications have been reviewed by VANDORPE CHou AssoCIATES. It is our professional opinion that the plans are in substantial conformance with the building codes and regulations. adopted by the CITY OF LA QUINTA and the State of California Amendment. APPROVAL FOR A BUELDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND ASSOCIATIONS. Plans checked by: Dorothy Gordon, P.E. VANDORPE CHou AssoCIATES. 295 N. Rampart Street, Suite A Orange, CA 92868 (714) 978-9780 VCA File No. LQ- 1 3196A 1 VCT A VANDORPE CHOU ASSOCIATES TO: Greg Butler, City of La Quinta, Building & Safety Department FROM: Dorothy Gordon, VanDorpe Chou Associates DATE: July 10, 2001 SUBJECT: Planchecknumber 0106-060 See correct beam size as marked in green ink on sheet S-2.3 (left side). Transfer change to second set of approved plans. Thank you CITY OF LA QUINTA PLAN CHECK CORRECTION LIST July 10, 2001 Gouvis Engineering 4400 Campus Drive, Suite A Newport Beach, CA 92660 PLAN CHECK NO.: 0106-060 FINAL CHECK JOB ADDRESS: Tradition Village Lot 5,7 & 10 OCCUPANCY: R3/U1 Plan 2B TYPE -OF -CONST.: V -N AREA-S.F.- : 4257 The submitted plans and specifications have been reviewed by VANDORPE CHou AsSOCIATES. It is our professional opinion that the plans are in substantial conformance with the building codes and regulations adopted by the CITY OF LA QUINTA and the State of California Amendment. APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND ASSOCIATIONS. ' Plans checked by: Dorothy Gordon, P.E. VANDORPE CHou AssoCIATES. 295 N. Rampart Street, Suite A Orange, CA 92868 (714) 978-9780 VCA File No. LQ- I 3196A 1 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 0 REINFORCED CONCRETE 0 STRUCT. STEEL ASSEMBLY 0 POST TENSIONED CONCRETE 0 ASPHALT 0 REINFORCED MASONRY 0 FIRE PROOFING 13 0110THER p(n)( JOB LOCATION REPORT SEOUENCE NO. TYPE OF STRUCTURE SFnII - PERMIT NO. oko(o DATE I I - 13 -(Z\. DAY OF WEEK Tye-& MATERIAL DESCRIPTION ARCHITECT AVE INSPECTOR C -M HRS.CHARGED ENGINEER ASSISTANTS HRS.CHARGED INSPECTION DATE GENERAL SUB CONTRACTOR CONTRACTOR -,�,\ej- Z, b�-ApeQnk 'I ,N p Wr )rizz"rA At C- U *',A pspa SeX Leo, w, All hok-S brcxs aa at kl6u,'p- elkp'o L2�:i& onmhre-Ssp COPY SENT TO CLIENT 0 CONTINUED ON NEXT PAGE 0 PAGE of CERTIFICATION OF COMPLIANCE I HEREBY CER71FY 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. (-FGNATURE OF p EGISTERED INSPECTOR 3'::� 0 1 QN0 60-7:1 -1 X-1 -811 DATE OF REPORT REGISTER NUMBFR 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 0 REINFORCED CONCRETE 0 STRUCT. STEEL ASSEMBLY 0 POST TENSIONED CONCRETE 0 ASPHALT 0 REINFORCED MASONRY 0 FIRE PROOFING 0 k ER JOB LOCATITg_a F ;q / 0 (VI 0 (4 A.(, LA Qu REPORT SEOUENCE NO. TYPI!�MRE L (otf)7f PERMIT NO 6 10 (6- DATE 6F RPPORT D A& a , 'o / DAY OF WEEK MATERIAL DESCRIPTION ARCHITECT INSff.UOK--.o 0 --T HRS.CHARGED ENGINEERr ASSISTANTS HRS.CHARGED INSPECTION DATE GENERAL SUB CONTRACTOR kQA_j pLeAU­R—CONTRACTOR Len NJ -Dn 'S. L:f=� 0-,,- V COPY SENT TO CLIENT 0 CONTINUED ON NEXT PAGE 0 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. WGNATUF�E OF REGISTERED6NSPECTOR / ojxp-c (otf)7f DATE 6F RPPORT REGISTER NUMFIFR Certificate of Occupancy City of La Quinta Building and Safety Department This Certificate issued pursuant.to the re�qut�emehts of -Section 109 of the Uniform Building Code, certifying that, at* the time 'of issuance, this structure was in compfidnce vidth the various ordMances of the City regulating building construction oruse., For ihe follow'ing: BUILDING ADDRESS: UseClassification': SINGLE FAMILY- DWELLING 78-2-10 PINNACLE POINT - Bldg. Permit No.: .0,106-060 Occupancy 6roup: R-3 Type of Construction: �VN Land Uie -Zone: RL Owner of Building: TRADITION CLUB ASSOCIATES Building Official Address: 78-505 OLD AVENUE 52 City: LA QUINTA,. CA 92253 By; RICHARD KIRKLAND - Date: 06-03-02 POST IN A CONSPICUOUS PLACE