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0001-114 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of •F�— Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 04 W Professionals Code, and my License is in full force and effect. p c) License # Lic. Class Exp. Date LLJ o Z r` VDate'-eI6711 1 Signature of Contractor OOWNER -BUILDER DECLARA ION HLU I hereby affirm under penalty of perjury that I am exempt from the Contractor's co License Law for the following reason: Z_ ( ) 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). CV) O I am exempt under Section , B&P.C. for this reason O N Date Signature of Owner o) d< WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: p () 1 have and will maintain a certificate of consent to self -insure for workers' K LU Y: compensation, as provided for by Section 3700 of the Labor Code, for the D -i Q performance of the work'for which this permit its issued. n Q () ( ) I have and will maintain workers' compensation insurance, as required by j U Q Section 3700 of the Labor Code, for the performance of the work -for which this L LO Z permit is issued. My Workers' compensation insurance carrier & policy no. are: oo 5 FREMONT COMPE142 Caffier Policy No. SAMO"10320 to C Y g (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 s A. to he workers' compensation provisions of Section 700 of the. Labor ode I hall fo 'th comply with ttfFae'( Dw Da Y Applicant Warning: Failure Failure to secure Workers' Co pensation 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, indemnity & 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 work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. 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 Zignatuvre boe-mentioned property"o� inspectipr ses. (Owner/Agent) /' f ��� Date • f -�' �� BUILDING PERMIT PERMIT# DATE VALUATION LOT 0001-1.14 TRACT € 4126M C $214,42590 JOB SITE APN ADDRESS 2- 10 DTINT. -D., CC11( r _ OWNER CONTRACTOR /DESIGNER / ENGINEER HANIfI.biso2d, MW. JOPI%1 MDR -RW 1'%a�M t'MPO'I AMION PA"I i7L"MRT CA 42.261 (760)346-322.8 C;i]* 03031 USE OF PERMIT I�..FIC3M FAWLY DWELIDI0 SFD- I -DT 3 PM 18613-MMIT DOHS INOT INCLUDE BLOCK' -WALLS OR POOL, CUSTOM CONSTRUCTION $442,00 U PORMPATIO M.00 Sf? OARA,CIEICARPORT (FF) t2,Sg3.20 ` i)S'T 011' C()_NYF �tUC3 t{?N 234,425,90 II RFV. I' FKE SUMMARY Y r CONSTRUCTIM I FEE 301-000-418-000 bl,0000 PLAN CHECK FEE 101,00c"439-318 052.80 "M DEPOSIT 101.0009.31.6 4500100 A/1EVRANICAL VZE 101-000-421-000 $98.30 ELECTRICAL FELL 101 -WO-420-000 .31 PLUMBING FEI? 101-000-419-004 STRONG MO T I0N FEE - RUI Q 101-000-241-000 M-44 ORADINO FRE 101-000=493-000 $20.00 ; DEVELOPER IMPACT FEE Si,�707,00 ' ART frrf PUBLIC PLACES - A.ES11701.004-2653-000 $36.06 , :Ute-IMAl, C°0WffRUCUM AND PI -W r7ICK � 4,3111.35 IX PRE PAJD FR&S 4500,00 OTAL PYRMY YFFS DU:K .NOW RECEIPT DATE DATE FINALED INSPECTOR iNSF'PELTINN9*10111' OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR B4.D LDING APPROVALS MECB AN► CAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck _(Z-.00 Exhaust Fans O.K. to Wrap n p 151 F.A.U. Framing eo Z • Compressor Insulation CC 5:. Vents Fireplace P.L. -13-Oo S'Z- Grills Fireplace T.O. - - dp SZ•- Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath - DrIwall - Int. Lath p Final Final ®LOCK@f ALL APPhOVAL S 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 PLUM BWG APPROVALS Gas Test Electric Final 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 d Encapsulation Gas Piping Gas Test Appliances Final Final? Utility Notice (Gas) ELECTRICALS APPROVALS Temp. Power Pole vc 0 1�0 � 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: sem. slr Awc OK S 7,_ Building Address Owner Mailing Address State Lic. & Classif. � Arch.,,Engr.,, Designer• City 0 Cv P.O. BOX 1504 78-495 CALLE TAMPICO �T• LA Q.UINTA, CALIFORNIA 92253 APPLICATION ONLY I C3'" r-% jurrm BUILDING: TYPE'7CONST.- te, OCC. GRP. � A.P. Number f -7 0 -,Z40 — Ow Zip Tel. L 3 inN� 2- Z Legal Description D'�� Project Description P C�1 32 Z 26 City Lic. 4 031 Sq. Ft. No. Size. Z4-171 Sto I Lic. #' DECLARATION of Chapter 9 (commencing:wlth';Ssctlon :ode, and my. license Is In full force and r� N T � l M ...• • OWNEMUILDER DECLARATION t� I hereby 'affirm thA11 am .exempt from the Contractor's Llcense Law for the following reason: (Sec. 7031.5,8uslness and, Profe"ealone, Code: Any city or county which requires a pemilt to 6onahUnt, 'atter, briprove, dsrI h. or repair any structure, prior to'8s issuance. also requires the <applfcgnt for such pe(mh to lila a 'gned statement that he is Ite ised pursuant to me provislorrs of the Contractor's License Caw, Ch'spfei 9 (commeridleg w1tA Sectlen X7000) of Lkv/sbn 3 of the eusinesa+and Professions Codii or that. he Is exempt therefrom, and the basis, 'for the alleged exemption. -Any wlolatlon of Section 7031.5 by any applicant for a. ,permit subjects the,applicantto;a civil penalty of not morelhan rive hundred dollars ($500). ID I, as owner of, the property; or my employees.with wages as thetbaole compensation, will do.the work, and the, structure, is not intended�or of tered for sate. (Sec: 7044, Sularresirind, Professions Code: the Contractor's License Law does not apply -to an -owner ofproperty who builds or improves thereon and who does- such work himself ;or through h*, own employees, provided that such improvements are not intended or offered for sale. ti, however, the building or improvement Js, sold' within one year of- comWletion, the :ownerbuNd' r will have the burden of proving that he did not: build,00improve for the purpose of sale.) I J I; as owner,of the property, am, exclusively contracting with Iicensed',contraotofs to con- struct the project (Sec. 704.4, Business and Professions Code: The Contractor's License Law does not apply to an owner of'property who bonds or improves thersonl, and who contracts for such,pro)ects with a contractor(s),Ikensed pursuantto the Contractor's License_ Law.) ID I am exempt under Sec. a. B.P.C, ,forthis'reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm -that 1 have a certificate of consent, to selMnsurei or,a certificate of Worker's Compensation Insurance„or a.cerNtied copy thereof: (Sec. 3800, Labor Code.) Policy No Company (7). Copy Is filed with the city: O Certified. copy is hereby furnished. CERTIFICATE OF.EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (Thls sectfoo hood not be completed .If the permit is for one hundred dollars (411.00) valuation . less.) I certlfy'that)n the performance,of-thg work -foe which this permit is Issued, 1 shall not employ say, ny person In any mannir`so'as to become. subject to the Workers' Compensation L;aweof Calrni Date_ wrier NOTICE . ~ NOTICE TO APPLICANT., ti, after making this' Certmlwts of Exemption you 'shouldbecome subfect to .the Workers' Compensation provisions of Me Labor Code, you must'Yorttiwllh comply,wimtsuch provisions or this perms shelf 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 paimit'is issued: (Sec. 3097; C/O Code.) Lenders Name Lender's Address This Wa:building permit when properly filled out, afgned.and vaildated„and is,subjecl to expiration, it work thereunder is suspended for180 days.. I certify that I have read .this application and state that the above'Inf6mration Is correct. I agree to comply; with sll city and county ordinances,'and state laws relating, to building construction; and hereby, authorize representatives of this city 20 enter the `above mentioned. pro partyfor inspection purposes Signature of applicant Date Mailing Address _ City, State; Zip Dw: New'❑ Add,❑ Alter 0 Repair ❑ Demolition.❑ ZONE: BY: Minimum Setback Distances: FrontwSetback from Center Line RearSetback 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 a APPLICANT PINK r= BUILDING DIVISION ? 00 AW Estimated Valuatiofr,',• PERMIT AMOUNT Plan Chk: Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driyeway Enc: Infrastructure TOTAL. REMARKS ZONE: BY: Minimum Setback Distances: FrontwSetback from Center Line RearSetback 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 a APPLICANT PINK r= BUILDING DIVISION Notice: Document Cannot Be Duplicated Desert Sands Unified School District 47-950 Dune Palms. Road La. Qainta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE Date 4/26/00 APN # 770-240-020 No. 20338 Jurisdiction La Quinta Owner NameJohn Hankinson Permit # No. 52-1.10 Street Dunlevie Court Log # City La Quurta Zip 92253 Study Area Tract # PM 28612 Lot # 3 Square Footage 2442 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/wa&ways, 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 2,442 or $ 5,006.10 the property listed above and that building permits and/or Certificates of Occupancy for thi& square footage -in this proposed project may now, be.issued Fees Paid By CCNalley Independent Bank/John.Hankinson Telephone Name on the check By Dr. Doris Wilson Superintendent -r Fee collected /exempted by Mary Atm L. Bo& Payment Received $5,006.10 Il l / _ „ i n 'Jo - Check No. 216314 Signature INOTICE PWm and of Assembly BW 3081 (CHAP 549, STATS. 1988) We wl8emve to notify you that the 86dey epproval Period In wtdoh.you may Piet the hes or otirer payment Identified I above will begin to nar from the dere an wtdch the building or trgtalletlon permit for tlds project is $woad or on whldi V" are paid to the Dishicgs)'or to arWw purple entity Gut zod to collect Mem on the Dtefrbt('e)(s') behalf, wtdchwer Is.eereer. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original -Building DeptJApplicant Copy - Applicant/Receipt Copy- Accounting -1 03/14/00 13:12 a rmwgwliiv nu4umwu Joy RWM"m Ta Cmp" am�q- firm "moi SU ps Do& L Raddbom oft Of ON PAID Cm TMW&Tat Form rhiL 760 * oum MR Pon m Npx.- FEs -s im 7;1 WON A VAIXIA39.w COMMUMIMIK ftg* a(mmall M�C*6 M, 134 lkbftNftl&"umftcw*w IMARMS AM MM W Mi .MWNO. 210% of=y#g= 1pl MgM dg,"VgG CM PAUM um =N= cw, I - I VdTmftuffftM&% &WEASARM Ar ;T 04/14/00 13:33 _ **I.F 'I R S T AMERI CAN T I T L E*** wwwwYe.+ti+k.�ew�Y. ror�k9e**r.ek,h9r 3 6 2 5 r, O U R T E E N T H' S 'I R I V E R S I D E, C A 9 2 5 0 2 * Parcel Number : 770-240-020 Owner 7st : TRADITION CLUB ASSOC * and * Site Address Mail AddrUSIS : -k phone wumber * Legal Desc. : .35 ACRES NET IN PAR 3 PM 191/065 PM 28612 * Acreage : .35Acres * Census Tract Map Mage -Grid / * ------------------------ Property Characteristics A Use Description Vac Residential Zoning * Bedrooms : Bathrooms : Square feet * Yr. Built: Lot Size :15,246 Constr. Type: * Fireplace: Pool/Spa - Structure Num Units.: Lot Dimens: Shape : Num Story: NUM Rooms : Roof * Gas Water Acoess * View lot Floor Garage Type Heat 2nd Floor Garage/CarPt: * coal Addition Gar/Car SgFt: * Sewer Patio # Garage Spc: * Electric -Basement Appiiances * * * --- -- -------------- Sale Information Sale * --------- -------- * * Last Sale Date; 02(O5/99 Prev Owner TRADITION CLUB A * Amount. : $1.25,000 F Frev Sale Date 'Document Num : 48992 Amount * Cost/SQ Foot Document Num * Last Transfer W/O Transfer Tax Doc Num * -- - --------__------- * Assessment/Tax Information * -__ ....-.. -- --- ----------- ---- ---- Assessed Total: $6430 Tax. Amount : $93.04 Assessed * Land : $6,630 Tax Rate Area : 02011 * Percent : 0% Exemption * Any Questions:' Please Call (909) 787-1730 * The information contained herein ;is an accommodation only. A search of the county records is necessary to complete the examination of any documents affecting said property: No assurances can'be given, express or implied, that the information is complete and accurate without the benefit of a policy of Title Insurance. THE ABOVE INFORMATION 15 SOURCED FROM PUBLIC DOCUMENTS AND IS NOT GUARANTEED Copyright (C) 1998 Acxiom Corporation w,. -W10 April 5, 2000 Mr. & Mrs. Joh_ n Hanldnson 5 Circle West Edina, MN 55436 Tradition ARCHITECTURAL DESIGN REVIEW Re: Cottages Lot 3, Tract 28612 Construction Document Submittal Dear Mr. and Mrs. Hanldnson, vid Hmed vim► The ADRC of Tradition Golf Club has approved your Construction Document submittal to move forward, in obtaining a building permit: If you have any questions or need additional Information, please do not hesitate to call. Thank you. Sincerely, Christina J. Dores Architectural Rev! oordinator /cjd pc: Gary Lohman, APC, via fax Greg Butler, City of LQ, via Jaz Nake Marsh, via fax 78505 Otte AVEwE 52 -- L4 QUNTA -- CA 92253.1120 - PHONE 760/564-3355 - FAX 760/564.2356 Ce''dific,ate of Occ*upancy- City of La. Quian'ta Building and Sa'fety'Department I This- Certificate. issued pursuantto 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 ollowing:BUILDING ADDRESS:— 52-110 DUNLEVIE COURT -Use Classification: "SFDBldg: Permit No.:' '0001-114 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: M/.M JOHN HANKINSON Address: 5 CIRCLE WEST City: EDINA, MN 55436 By: STEVE TRAXEL Date: 12-07-00 Building Official POST IN A CONSPICUOUS PLACE JNJOHNSON & NIELSEN ASSOCIATES CONSULTING STRUCTURAL ENGINEERS 647 N. Main Street • Suite 4-B Riverside • CA - 92501 • (909) 686-5122- FAX (909) 686-6752 LOS ANGELES 0 RIVERSIDE •. IRVINE January 19, 2000 Andrew Pierce Corporation 44835 Deep Canyon Road Palm Desert, CA 92260 Attn: Bill Burgess Re: Dolinar Residence 52124 Dunlevie Court (Lot 4) @ Traditions Country Club La Quinta, CA 92253 Dear Bill, Carl B. Johnson Svend H. Nielsen Per T. Ron Wen Y. Lin Lonnie P. Mount Steen T. Thomsen Jackson K. Wu J & N Job No. 43-004 This letter is to serve as written confirmation of the framing inspection I made at the above address on the morning of January 19, 2000. Based on that visitation, it is my opinion, that the framing is ready for final framing inspection by the city building department. _ If you have any questions, please feel free to call. Sincerely, t AQ N0.3W nie P. Mount, S.E. EXP 3.31.2= JOHNSON & NIELSEN ASSOCIATES Consulting Structural Engineers 1\43-004\LETTERS\INSPECT. LTR McCEE SURVEYING, INC. 43-755 Skyward Way — La Quinta, Ca, 92253 Phone (760) 345-3828 — Fax (760) 772-5705 Thursday, April 20, 2000 City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 Re: Pad Certification — Parcel 3, PM 286.12 Pursuant to your request a field survey was conducted on the above referenced project to determine the vertical location of the building pad. The above mentioned was found as follows. IAT ADDRESS PAD (DES) PAD (MLD) 3 Dunlevie Ct. 46.0' 45.5' SOeMc(Gee W L.S. 5419 REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 922.11 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED )� REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY D ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING' JOB LOCATION.S'?//D !MUNI/� �� La 6K`� REPORT SEQUENCE NO. TYPE OF STRUCTURE (LES �i�f SFDr4jo R -G PERMIT N L OO 5 - 2 &D pc n� OO DAV OF WEEK MATERIAL DESCRIPTION 3 coo s e "tJ cc(wXe- ARCHITECT �T / ' , J+ .INSSPECTTOjRR A, , MRS. CHARGED ENGINEER J o {�NN $ So1'.S PIJ ASSISTANTS HRS, CHARGED A ��ff pp�� sue DATE ECTION GENECONTRACTOR Atidlo� Rizo icce CONTACTOR J S �Ele- 5 0o b,5,# -"ed l ac e-rwe,*J1- I-1 l cu A ' s UbS-ett.ae lace ,eon- oE 10bD S'i C,0QrA +e . -Pt irU ullopAyeck i 40%o c e+ 3 r, A, 7 -es+ IIIc ;,.gid Nd x-med s /&cam. �-es Y s L l+ - s '' V9 ids IQ �d COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THEABOVE REPORTED WORKUNLESS'OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. w �?, SIGNATURE IF REGISTERED SPEGTOR 5 2 &10 a DATE 6F REPORT REGISTER NUMBER.