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0101-167 (SFD)v CV LU O � C) f` d u7 W rZ X a Z 0' 0. H� J ►w— 'C' V^_ / Z co L0 N UO rnJ _: CLLOQ Z Q O X W — m J Q U U, O QMH "t Z_ Co �O Q J 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 '144091 F3 � � f � 6ate` _�? Signature of Contractor -';;/ i 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 heretiy.'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 Policy No. . M79 22.940.4020714 (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 Se tion 3700 of the Labor .Code, I shall foNrthwith comply with those provisions. � Date: — ;'�..+,, Applicant err Warning: Failure to secure Worke rvcbmpensaioV coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & eachVcellatii whose request and for whose benefit work is performed under or p any permit issued as a result of this applicaton agrees to, & shall, & hold harmless the City of La Quinta, its officers, agents and a ye 2. Any permit issued as a result of this application becomes nullwork is not commenced within 180 days from date of issuancpermit, or cessation of work for 180 days will subject permit to ca I certify that I have read this application and state that the above infoi mation is correct. I agree to comply with all City, and State laws relating to the construction, and hereby authorize representatives of this City to enter upon the•.above-mentioned property for inspection purposes. Signature (Owner/Agent)?/� "Date BUILDING PERMIT PERMIT# DATE / P /fie VALUATION LOT0101-167 TRACT - 93 2RRV JOB SITE APN ADDRESS 53-3W 1XV, GA'AO '1'70.3 15 OWNER CONTRACTOR / DESIGNER / EN (NEER i91~:. km T?LUMMM E3124 VISTA Dlr V.';s'[,CiFkJLKNT CORP. PAi:MU1MA&T C"..A. 92260 (160)T12-2626 C11BL 3 5393 USE OFFPERMIT SVy,12 FpQn1y' rJ 1V LwI.:1.s3J.V i.7• SIVI -P—P.041T DOES NOT fNI.Cf i.Mr B1,0(.:KU9"AI..4, PG.0? JDR1V�^f. J!'AY .1l3�1a$�O.f1C'fI C.TSa1`OM CONSTRUCTION 4,199,00 3F ��T!'C'i+�Y.AvT1cIO U9i.00 S? ,PORI ri f. �f n LiBT.Gi.�SsO,C�JirdYo.fY-P'�.isV>�l (iA11) 14,229.64 . .C"raV Y. 9u'.VA.,¢,IID 4sL.7n'9.& 0%• 'k olligmUc �,.Y4Aff 3,521.35770 :i'INNITF:IRY WMAI'ARY 00,148 RUC` ION FFIF, 101 -CIN -4.18.000 $1,52i'Do MAN CHECK F.JW 101-000-439--318 $B,"s3'r1.69 i+ 1[fit,CHANIc"A VIM' 101.000-x21.000 $1.30.50 X"I,.3ieX,TP.1CA ",1: 101-(3ik0-420-0.00 $211.. PLUVaI"a VkF, 101a000-419.000 '$233,`7s a TRaNG MOTION PER, - MM 101-000-24-1-000 $3517 t,RAMG N E 1101 000-423-000 $24,00 Dar??VI?3OPER.MPlhCT FEE $1,507:00 A `17 114 PUSd, C i'LACI-X -1i1: E 701-C10CI--255.000 $380,30 Ii`FZ F)PPOSIT ` 101-000-439-319 -$1,000.0 W 8U.1 ,L Cw0»°6 ;Y3' d 02d,AND Sri y&a'�!' G1I!�iC:� 31S,700.06 ix, 23 :I>:Fti3ol'',Ai11� M3 $'1,1)130, C4f3 AR 2 8 2001 i CITY OF LA QUINTA FINANCE DEPT RECEIPT DATE +, BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap 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 8- 8— o Z S'Z Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS Steel t 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 i Waste Lines 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 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: i 1 Certificate of Occupancy City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: Use Classification: SFD Occupancy Group: R 3 53-300 DEL GATO DRIVE Type of Construction: VN Owner of Building: DENNIS PLUMMES Building Official Bldg. Permit No.: 0101-167 Land Use Zone: RL Address: By: STEVE TRAXEL Date: 11-09-01 POST IN A CONSPICUOUS PLACE 4)�93 T4ht44Q" P.O. BOX 1504 APPLICATION ONLY BuildingOO / �'"T� al • 78 495 CALLE TAMPICO Address L LA QUINTA, CALIFORNIA 92253 Mailing Address City Contractor Contractor ^� Cit �C), Zip a Tel, 9g+ A6),6 State LjC.' 9 City 5'3 51� 8 Classif. Lic. # Arch., Engr.T )( ��A Designer L Ni M" LICENSED CONTRACTOR'S DECLARATION I hereby all Irm, that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisfon_3•of the,0usfness and,f rofessions Code, and my license is in full force and /a/ N�R•BUILDER DECLARATION I hereby affirm that I m exempt from the Contractor's License law for the following reason: (Sec. 7031.5,8usiness 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). I; 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, Pro vided 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 II' 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.) I1 I am exempt under Sec. B. 8 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.) Policeeey��No. Company v� 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 ($100) 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: If, alter 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 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 applicant Date Mailing Address City, State, Zip BUILDING: TYPE•CONST. OCC. GRP. -7 A.P. Number 1 -7 0 - C — (D t 5 - Legal Description G Project Description L -r- i Sq. Ft. No. Size Sto No. Dw. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS 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 Q c� 1� Issued by: Date Permit Validated by: .. A do 12 Validation: v , QUINT WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 Date 3/22/01 No. 21781 CERTIFICATE OF COMPLIANCE APN# 770-350-015 Jurisdiction La Quinta Owner NameDennis Plummes No. 53-300 Street Del Gato city La Quinta Zip 92253 Tract # 28867 Lot # 93 Permit # 0101-167 Log # Study Area Square Footage 4199 Type of Development Single Family Residence No. of Units 1 Comments 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 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 Government Code 53080 in the amount of 2.05 X 4,199 or $ 8,607.95 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/Farmers Merchants Bank - Rob Capetz Telephone Name on the check By Dr. Doris Wilson Superintendent Fee collected /exe pted by Annette Barlow Signature &r[V-0 Payment Received $8,607.95 Check No. 091726 JOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified ibove 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 :ollect them on the Distdct('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting 01/`-10/2001 14:58 FAX 1 209 340 5481 . -c �• r tel - RECORDING REQUESTED BY: Fidelity National Title Company Escrow No. 3546 -CAH Title Order No. 9 119 /0? -6 When Recorded Mail Document and Tax Statement To: Mr. Dennis Plummer P.O. Box 229 Lodi, CA 95241 F,ieA} 020015/770-350-015-4 PLUNNER PONTIAC 2001 DOC a 2000-236452 06/20/2000 08:00A Fee:9.00 Page 1 of 2 Doc T Tex Paid Recorded in Official Records Orwu oD County of L. Orsolde Gary L. Orso Assessor, County Clerk 8 Recorder _ I11111111111111111111111111111111111111111111111111111 IN M S U I PAGE SIZE I DA PCOR I NOCOR SMP MISc, r �i A R L COPY LONG ' REFUND NCHG E%N1 GRANT DEED The undersigned grantor(s) declare(s) Documentary -transfer -tax is $687.50_. [ X ) .computed on full value of property conveyed, or [ J computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area City of La Quinta I .—..—. . _. .-• L FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Tradition Club Associates, LLC, A Delaware, a Limited Liability Company hereby GRANTS) to DENNIS 'W. PLUMMER, AS TRUSTEE OF THE DENNIS W. PLUMMER REVOCABLE TRUST DATED FEBRUARY -_15, 1996 the following described real property in the City of La Quinta County of Riverside, State of California: Lot 93, TRACT 28867, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 276, PAGE 69 THRU 78 OF MISCELLANEOUS MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY. DATED: June 9, 2000 STATE OF CALIFO NIA COUNTY OF ON L3 o2DOD before me, sonally appeared personally known to me (of pfeved to nie on tHe basis to be the person( whose name(&i is/we subscribed to the within instrument and acknowledged to me that he/s�executed the same in hisPieNtbeir authorized capacity(ies), and that ty Nsihetitheir signatures) on the instrument the person(s-, or the entity upon behalf of which the person(s)-acted, executed the instrument. Witness my hand and official seal. Signature FO -213 (Rov 7/96) Traditi n CI ssoci tes, L , A Delaware, a Limited Liabil' By: David Chapman, Managing Member CHRISTINA J. DORPS Comm(s(on # 1127459 Notary. Public - Callfornia Riverside County Njy Carrtrn. 6pies feb== MAIL TAX STATEMENTS AS DIRECTED ABOVE GRANT DEED JAN -10-2001 15:00 1 209 340 5481 9 % 'Tradition ARCHITECTURAL DESIGN REVIEW March 23, 2001 Via first class mail Ms. Nickie Gormley CITY OF LA QUINTA 78-495 Calle Tampico La Quinta, CA 92253 Re: Plummer Residence Lot 93, Tract 28867, 53-300 Del Gato Drive Building Permit Dear Nickie, Please accept this letter as approval for the above referenced residence to obtain a building permit. Conditions that apply to this submittal will be forwarded directly to the developer, Sun Vista. If you have any questions or need additional information, please do not hesitate to call. Thank you. Sincerely, Christina J. Dores Architectural Review Coordinator /cjd cc: LRob Captez, _Sun Vista (via first class mail) 78505 OLD AVENUE 52 -- La QUiNTA � CA 92253-1120 -- PHONE 760/564-3355 — FAx 760/564-2356 1031.2001 23:34 FA1.760+3471,957a LmcxALI) KUUrlAV -C-1 v& Emerald Roofing Inc. 83-600 Peach Street. Indio, CA 92201 (760) 347-9569 April 27, 2001 Sun Vista Development P.O. Box 1144 La Quinta, CA 92253 To Whom It Maty Concern: Emerald R(x)fing has installed O'hiigin veers. IA)L# Plan# Address # Of Vents 9353�3{� De`-Dn've. 26 rY: Thank You, o , J un-cs � � - i�residcnt !SPECIAL INSPECTION SERV E 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 01+060RUCT. STEEL ASSEMBLY ❑ S"u 0P DST TENSIONED CONCRETE ❑ASPHALT �`B�THER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION(� _ ti .RC1 ^/, `/ i oxo -REPORT �9J `� F, V .P�EGR..M V SEQUENCE N0. TVP F RUrTUAE Fjo L-0� IT N0. D � O( DAY OF WEEK MATERIAL DESCRIPTION/L _ ARCHITECT INSPECTOR NRS. CHARGED 8 F(- K/ ENGINEER ASSISTANTS HRS. CHARGED INSPECTION GATE O GENERAL ��_\ 1 c TA CONTRACTOR t< , 1 �J `T'G (SV7,� CONTRACTOR 1iV �f L-� l �� W fT ` �-�-� J 4L. U .W eA-Z It4 , q,J40 - p �� S l NLp w- COPY SENT TO CLIENT O ' CONTINU ON NEXT PAGE ❑ 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. 31 AT RE OF REGISTERED INSP CTOs- o .�-4�-^p3a 7 D TE OF REPORT REGISTER NUMBFR Y t •'• Summit Structural Engineering 2283 Fifth Street La Verne, CA 91750 (909) 596-0842 March 22, 2001 Fax (909) 596-5187 A.C. Houston Lumber Company 29.42 La Madre Way. North Las Vegas, NV 89031 Attn: Mike Subject: Architectural Revision Revised Roof Truss Shop Drawings and Calculations Traditions, Lot 93, La Quinta, CA Dear Mike, The revised roof truss drawings by A. C. Houston for the subject project were received by our office on March 22, 2001 and are approved. The submittal was modified from the original approved truss drawings, dated February 16, 2001, in that the 16' high plate roof was moved towards the rear of the house approximately 5'. The revised 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 No. C054193 Exp. 12/31/03 Benjamin Herbst, P.E. CC: Rob Capetz BH g A2001 jobfi les\sv-148\148_truss2. doc Residential, Commercial, Industrial, Land Development Summit Structural Engineering 2283 Fifth Street La Verne, CA 91750 February232001 ( 596-5187596-0842 96 518 , Fax (909 )) 87 A.C. Houston Lumber Company 2912 La. Madre Way North Las Vegas, NV 89031 Attn: Mike Subject: Roof Truss Shop Drawings and Calculations Traditions, Lot 93, La Quinta, CA Dear Mike, The roof truss drawings by A.C. Houston for the subject project were received by our office on February 21, 2001 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: BH Rob Capetz g:\2001 jobfiles\sv-148\148_truss 1. doc Exp. 12/3'i i cr-, Residential, Commercial, Industrial; Land Development x