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9811-068 (SFD)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 671203 tl Date Signature of Contractor OWNER -BUILDER DECLARATION Tn1j;. 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 hereby affirm under penalty of perjury one of the following declarations: ( ) ,1 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 issded. My workers' compensation insurance carrier & policy no. are: Carrier Policy No. �'ir+34le4+-!6 (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 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant 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. 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 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 the above-mentioned property for inspection purposes. Signature (Owner/Agent) Date BUILDING PERMIT PERMIT# '.11i l �-tl(tA1 DATE VALUATION $247,947.20 LOT TRACT 28470-1 JOB SITE ADDRESS 78-511 DFACON DRIVE EAS - APN 769.950-001 OWNER CONTRACTOR / DESIGNER / ENGINEER JOHN STRfINGEIR. JI; XNDR.E.:' P11: RCE, CORtl'(MRA 10N 18621 ST KIELL1s3N PL X14-834 ,D.I:LP CANYON R13 EDEN Pltr RIR N1N 5.5347 PALM 01-SHIcr Cts 92261 10 (76{))346-3228 (111119 ;:31 USE OF PERMIT ttiINGL3 PAWL V U1r4;1i1.i.iNO 4.1, - ? ij". i DOES NOT 4tdi{ RNI BLOL• K WAUS OR POM g CIJ3i'0fr.iCOi`iiltiii"i:10E4 s,b.(ii3F 14QRCfVPA*r10 cY+��.t r QA <A0fYC:A€tP0Wr i 11.tit0 1 1E3TH,,.A't'ED COST OF CONS T R C`s ION 247,9147.42 0 MNiff ME- SOMMARV (_X: NVTR.1.JL 410N FEF 101-U00-418-0011 51.157. et1 PLAN M3f;(;'K 1•. F 1(it-%IfltA1-4t�(y11-3Sif{ Ry514^. 17.fi'T: b3a.:.tIOWT 1;1.!?C;11ClCAL, FEE f i! 1 • t1(!{)-420-i1ti0 $214.44 r VIpfpt{NMAINCI17PI {{/�141111M)-410-{/iyf�!0 %191%0 A' .­.Jd i\4 i.d t.i �'j.�'r�1�f �� 1'.{!d.: ^ t�i� .M.i ioi-��i., ).24t- o �1�i.'l �i di4<tii„+11�4+ t't�1; ltik-Uuih•�I63-i�1�1 ai!i).!N! 116+1 A,S'iltltC"1't!1 FEE L2S f?f)fi-111 $=i? $5,:3Si'..50 gf2.i' tf3 PIfR1,1(- F'i,A(:l `3 - f!itt; 7{)f.(lilfl-►.55-f1(1{! $169. R7 LESS PH -PAID FEES •$7541,00 Tt3'll'ti►l, PCRM1'r b'1X; i 1W11'N :1 57,fi(i4.117 Ao RMEOT( ` �, , DAVE ,(","j Y DATE FINALED INSPECTOR I t 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 / — . - 490 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 -2 - 9T Drywall - Int. Lath 72 c7v �Z7,-(8— Final Final BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste LinesHeater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection K Encapsulation Gas Piping Gas Test —o / Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVAL Temp. Power Pole x Underground Conduit Rough Wiring Low Voltage Wiring FoRures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) O COMMENTS: n5{ r Building Address Titivl 4 4 " P.O. BOX 1504 78-495 CALLE TAMPICO (� LA QUINTA, CALIFORNIA 92253 WING: TYPE•CONST. \ OCC. GRP r n f;r tnr . I i City Zip TI W X32? 9 State Lic. City G & Classif. 1 Lic. # tngr., Designer fV_ E11670 . `y D I Zip olliQ I Statee-�H �T 1 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 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 e 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). (7 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.) I1 I, as owner of the property, am exclusively contracting with licensed contractors to con• strucI 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.) 17 I am exempt under Sec. B. 13 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 n 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, 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 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 applicant Date Mailing Address City, State, Zip �i8i I -a�8 APPLICATION ONLY 7 J A.P. Number Q +� Description Project Description Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ l , 74/5 Estimated Valuation PERMIT AMOUNT Plan Chk. Dep.tj Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 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 Property Line FINAL DATE INSPECTOR Issued by: Q Dat1A�Firlit Validated by: ` ` Validation: r r . • WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION ( t Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 4/20/99 APN # 769-850-001 No. 18600 Jurisdiction La Quinta Owner NameJohn Stringer No. 78-511 Street Deacon Drive East Permit # Log # City La Quinta Zip 92253 Study Area Tract # Lot # Square Footage 2892 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 1.93 X 2,892 or $ 5,581.56 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/Palm Desert National Bank - Johnny Telephone „ Name on the check = _ r By Dr. Doris Wilson .� Superintendent Fee collected /exempted by Ellen Patino Payment Received $5,58;1:56) Signature Check No. 80473 ,L. c VOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 9D -day approval period in which you may protest the fees or other payment identified above 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 milect them on the District('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 i'►ecording Requested By First American Title Company Order No. 2084001 EacrovtNo. M1056 hoan No. PAID 53'7047 RECEIVED FOR RECORD AT 8:00AM WHEN RECORDED MAIL TO: ppG. Trat>s�er Tax DEC 10 1998 John Graham Stringer, Jr.L ft""Inp Wram" Karen Morgan Stringer Riv. Co R0001da a """" t �` o"eoi" dlit 18621 St. Mellion Place �i001 Eden Prairie. MN 55347 Fw =-- --•.•. t:� MAIL TAX STATEMENTS TO: Space above this line for Recorder's Use / DOCUMENTARY TRANSFER TAX $ 110, ?'0 h _XX_Computed on the consideration or value of propusty conveyed; 07' SAME AS ABOVE Computed on the consideration or value less liens or encumbrances remaining at time of sale , w She Undersigned Grantor Signature of Declarant or Agcnt determining tax -Finn Name APN: `f- 06'0-001 TRA: 020-015 GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Q TRADITION CLUB ASSOCIATES LLC, a Delaware limited liability company hereby GRANT(S) to John Graham Stringer. Jr. and Karen Morgan Stringer, Husband and Wife .as 'Tenants in Common each as to an undivided 50% interest the real property in the City of La Quinta County of Riverside State of California, described as Lot __I_ Tract 28470-1 (See Exhibit "A" Attached Hereto) Dated: November 12, 1998 State of California ) ss. County ofy� ) On/l before me, O(a /1/atary_T&211L. personally appeared 'T7a ✓id Tmi!� I personally known to me *videnw).to be the person( whose narrte(s) is/emsubscribed to the within instrument and acknowledged to me that hehhefthey executed the same in his/6edtheir authorized capacity**, and that by his+e0@v, r signatureW on the instrument the person* or the entity upon behalf of which the person acted, executed the instrument. WITNESS MY HAND AND OFFICIAL SE CHM MA;1. u0M Conndiion • 1127W r000w kgft — Cdlwrb a ftr** CouMr 10 My Comm boaaw:O 2a• XM L50=0N 0/20:-[g N:U 1,6/81,/50 .®, TRA By: K/y Its: By:_ Its: (This area for official notarial sea]) _C EXHIBIT "A" Lot 1 of Tract 28470-1, as shown by map on file in book 263 pages 76 through 90 of maps, records of Riverside County, California. THIS DEED IS MADE AND ACCEPTED SUBJECT TO THE FOLLOWING: 1) Non -delinquent . real estate taxes assessments. 2) All matters of record, including without limitation, that certain Declaration of Covenants,' Conditions, Restrictions and Reservation of Easements for the Tradition Community, recorded on July 25, 1997 as Instrument No. 262677 and re-recorded August 15, 1997 as Instrument no. 292176 both of Official records of Riverside County, California, which.is incorporated by reference herein as if fully set forth at length (the "Declaration'). The Declaration includes, among other matters, certain architectural and development guidelines and restrictions which will apply to the construction of a residence on the above-described lot. 4. L50:0N 0/0:[g 0£=6L 1.6/91,/50 .�, 53'704'7 Y ,J�16-01 MON 02:33 PM DEW ROOFING Andrew Llierce 0orp. 44-83.5 Deep Caiiym Rd, P.O. Box 3420 1);Alm Desert, - 92261 RF: Brown Re.�ideace C k Tr The Tr. ,ads t .i on-. ;':a Quint.,, ".'A. ATTNI' FAX:760 327 3039 PoM Office Box 914 640 Williams Road Palm Springs, California 92263 Phone (714) 327-3393 License No. 266960 July 18, 2001 PAGE 2 0/� 42'-e " C' /7 .T)t of Dew Roofing, Inc., checked the roof for vents. There ano 3") 143,villl v:--n',,s in the roof. 11-v - Clifford Essary PX(!*i-J(1-,)t - DOW -Roofi.ng, .. -mp:" APR -09-1999 01 61 PM YOUNG ENGINEERING SERVIE 760 342 6164 P.01 YOUNG ENGINEERING SERVICES , 47-139 YOMP LM. hl". Ca 92201 (760) 342-9214 floc (760) 342.6164 March 18, 1999 Tom Hartung Building Official City of 1A Quinta Re: Truss Rsr/ew S7rha4er lital ttce - 1<"be YAMkm, La Otilm Dear Torn. C" Y OF LA; otip oT,4 APR 13 RECD 801L®NVG AP4D SAFE We have reviewed the "ss submittal package prepared by Yuma Truss Corp. for the above project and found it to be in substantial conformance with the approved plana, If you have any questions or concerns please call. Sincerely, Jeffery S. Young S.E. 0 Dear Builder: T4'1�t 4 4 Q" PUBLIC WORKS CLEARANCE LETTER FOR CUSTOM HOME LOTS Prior to issuance' of a building permit, you will be required to obtain clearance from the Public Works Department for one, or more, of the following: 1. Verification that rough grading is complete,' and the pad elevation certifications prepared by a licensed surveyor, or engineer, are on file in the Public Works Department. 2. Verification that infrastructure improvements and other required tract improvements ate complete, or sufficiently advanced to warrant building permit issuance. 3. Prepare an engineered grading plan that provides for on -lot storm water retention, and have it checked and approved by the Public Works Department. • Tract 26524 (Estancias) • Tract 26769 (Mountain View Estates) 4. Prepare an engineered grading plan that provides for building pad grading in accordance with the existing soils report and tract grading plan, and have it checked and approved. by the Public Works Department. • Tract 28034 (South Valley Estates) FOR INTERNAL USE BY PUBLIC WORKS DEPARTMENT TRACT: D!6�r �3�3y " LOT: P BLIC WORKS AUTHORIZATION ATE F:kPWDEP'RDOCSTORMS%PW CLEARANCE LETTER.ss � co JON TANDY o 37630 Medjool Ave. ��`���; �'F�O Palm Desert, CA 92211 REGISTERED INSPECTOR'S WEEKLY REPORT Office (760) 772-7192 y Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE . ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCAT QUth� REPORT SEOUENCE NO. T fiF1 F TUBE A.� ,� �� �llilJ� PERMIT NO. E _ 11 DAY OF WEEK MATE R_IA DESC IPTION ARCHITECT IN ECTOR HRS. CHARGED 1HRS.CHARGED U ENGINEER ASSISTANTS �Iou U,, Ct INSPECTION GENERAL L/� ��® SUB DATE CONTRACTOR h �`r^4 1 ects-e- CONTRACTOR LR.C.I-o l l-1 COPY SENT TO CLIEN I CONTINUED ON NEXT PAGE ❑ 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. SIG ATURE OF REGISTE D INSPECTOR DAT OF EPORT REGISTER NUMBER C' y L4 QJ,M7q JON TANDY JUL A 2 37630 Medjool Ave. Q RRC`R Palm Desert, CA 92211 . REGISTERED INSPECTOR'S WEEKLY REPORT Office (760) 772-7192 FE7Y Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE O ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ O OTHER JOB LOCATION A C o o - .� �` / �` _ _ L �`'\�" REPORT SEQUENCE N0. TV OF ST UCTURE \ ^,� /'� J 1 43J` 1 PERMIT NO. DATE DAV OF WEEK MATERIAL DESCRIPT106A7S-V V T ARCHITECT INriwo6 SS HRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION GENERAL DATE CO TRACTOR` N� jZP.c() ( �� SUB CONTRACTOR-� l c ck a, A - E L x6t,'K k2s i6 x3._ we � COPY SENT TO CLIENT O CONT UED ON NEXT PAGE ❑ 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. S GNATURE OF REGISTERFig INSPECTOR DA OF RE ORT REGISTER NUMBER 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 78-511 DEACON DRIVE EAST Type of Construction: Owner of Building: JOHN STRINGER JR. _ �"t Building Official VN Bldg. Permit No.: 9811-068 Land Use Zone: RL Address: