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0001-208 (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 637252 B �' 28/2( Date 7'� 'r aSignature of Contractor 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 struelur'e is'nul 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: ( ) I have acid will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the pe ormance of the work for which this permit is issued. �( 1=have and will maintain workers' compensation insurance, as required by Sec ion 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 ROVA,.:1 21. CO3 0.r Policy No. PTC 4592137 (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 S ctio 3700 of the Labor Code, I shall forthwith comply with &se p oI isit JL,07t Date: tT Applicant V 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) J� �6 a � �i> i3 Date 7-2 ,.BUILDING PERMIT PERMIT# DATE VALUATION LOT7�— TRACT JOB SITE ADDRESS 52-925 LAT. OBE LANK APN OWNER CONTRACTOR /DESIGNER /ENGINEER M//M ryEyyBA'r 6iTt-LIXTS RF81Dr,,t7W, COMnpITIS, R 1C, 52.,925 LA TRORI:, 1WIP< 4000 VM- MMRLY 1"L LA ( UMQTA CA 922SS , brKWPDXXI BRACH CA g2k,1:0 (949)?.51.6100 CBILH 5072 USE �OgFp�P*E�-RyMI•T+ y+p� p�� y P�t�y� A72lYl. Lr—,.['.C'+3YA,iL D W.�a��7t.wb 46, . L[1y3�T��,3gM CONSTRUCTION :? 8�r61.6n0 SF POS�.Ne,It:'A IO 374-60 S . olOA 1A(3UMA.RPORT COP) 13,b 'AI1 FSiTKJlTXD CESS"".0 OF CO3V9rREYCrrJ01•T. FERA f F", 'SUMMARY CONSTRVICTIO? FEE 101.000.418-000 $1,409.50 ` `- PLAN CHFXK FEL 101-000-139=31€3 $1,153.43 ME DEPOSIT 101.000.439.318 47MOD A4EX:HNNICAL VEZ 101-000-421-000 $130.50 \ ELECTRICAL FEE 3231.54 PLUME INQ FEE $2.70.50 STROW. MOTION ME -HASID 101,000.241.000 3X04 ORA JW40 F3:E 101-000=4.23-000 $20.00 DEVELOPER IMPACT FEE $1190/,00 ART VN P`UH1JC PLACES - i2WE E 701.000-2SS-000 $298.43 co'Ui3-'TWAL CC9IN:1T12(TC` (ON' A141D PT..A1J CtH,WX �5,d•02.8`3 i�GSS ��.F-1.'AIJ.� 1�'.1•a',� �91'J.5O.>ra RECEIPT DATE BY// DATE FINALED INSPECTOR Vete `. INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans OX to Wrap //-9-4910 57 F.A.U. Framing , p % Compressor Insulation 67 Vents Fireplace P.L. % Grills Fireplace T.O. �S — .57' Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath S o 57 Drywall - Int. Lath of 5 Final Final BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Water Piping _ �� 1� O� Heater Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Gfl Encapsulation Gas Piping Gas Test a - p / Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: '+`It....p".�w'Y•$�Yy�'i��eb:.�71" i,.4�..,*i�.c.'-t✓,a+r.,i;F'iE•^.,.r'r 'af1w.P�'�IfA3f:�� -ice+►" .a"^�'7.�+.'.�� r�" 5�,,,'. ""`l�c�`�` ..r P.O. BOX 1504 APPLICATION ONLY Building 78-495 CALLE TAMPICO Address LA OUINTA, CALIFORNIA 92253 Owner Mailing Address �- City Zip ITel. Contractor i L //? l%/A112�5_ I qe2 -74&- r7 5"/' 07 / State Lic., City 8 Classif.& -� ,�-y Lic. fi .�5. Arch., Engr., 6/:K, lfoe"-/1 � s� Designer Address Tel. , City izip gi,�707- State &X Lic. ft LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 ofRhe winesa''fpad,Professions Code, and my license isinfull force and �Lr"/�� / �D $GNATURE/ DATE/ t�L/! l�' _ DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness 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 thealleged exemption. Any violation of Section 703.1.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).' l: 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, y provided that such improvements are not intended or offered for sale. 1!, 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.) x, as owner of the property, am exclusively contracting with licensed contractors to con. ucI the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law doesnot 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'] I am exempt under Sec. B. & P.C. for this reason w Date %' ,`3� '/+� Owner h r�/9.�/ . t ,✓. ./.`,i i"1;a, S I f v if -� WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's C..o�,^pensation Insurance; or a certified copy thereof. (Sec. 380 Labor Code.) Policy /N o. +'�Y/ Z1ompany -tr.i J%% IWCopy 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, 1 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, after making this —Certificate o! 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 4 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 representa 've -of this city to enter the above• mentioned property for inspectioprpo Signatureoadnlicant fn may► Date •'D'(N Mailing Address_ City, State, zip r v/Avc, c-11 BUILDING: TYPE'CONST. OCC. GRP P. Number Legal Description 71. iU�. .�f7'1�f 7 Project Description"f9_ /,U.tJti-tw' ZONE: BY: Minimum Setback D' t e A i back from Center Line ffiRear Setback from Rear Prop!. Line i Setback from Center Line fifep� INSetback fr roperty Line FINAL DPECTOR IssueDate Permit Validated by: `t Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Sq. Ft. r // No. / No. Dw. Size J i• Stories Units e,'�&r!57' 145-, New 01( Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. ,Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback D' t e A i back from Center Line ffiRear Setback from Rear Prop!. Line i Setback from Center Line fifep� INSetback fr roperty Line FINAL DPECTOR IssueDate Permit Validated by: `t Validation: 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 CERTIFICATE OF COMPLIANCE Date 7/25/00 No. 20773 Owner NameN4/M Lehman No. 52-925 Street Latrobe Lane City La Quinta Tract # 28867 Lot # Type of Development Single Family Residence Comments APN # 769-180-020 Jurisdiction La Quinta Permit # Log # Zip 92253 Study Area Square Footage 3861 No. of Units 1 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 3,861 or $ 7,915.05 the property listed above and that building % t..,. .w permits and/or Certificates of Occupancy for this square footage in this proposed project may, ,!iaw be issued ^P Fees Paid By CC/Wells Fargo & Co./Brian Geis -Telephone,, Name on the check By Dr. Doris Wilson r Superintendent Fee collected /exempted by Annette Barlow 4rV� Signature Payment Received $7,915.05 Check No. 0692003032 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 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 :ollect 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 - ApplicantfReceipt Copy - Accounting MAY -09-200'0 02:02 PM LEHMAN 759 9406 P-02 RECORDING REQUESTED -By FIRST AMERICAN TITLE COMPANY "a rVwsm Alconoco.mAit. TO: . ........... 00 pea; 12. ,04 1, I oat* I of a 0;0 T Tax P'4d 00010SIled in offlow Records County Of Riversida ftesseep, 04ry L. ape, IJINN �Iy VIII u�ul� IMES INS" TRA: DTT: 316 -to GRANT DEED � /'fo ":e cl (.;ocurren! T r r T1111 Al RK 1 E L, (1 t ��i� r I TC) ,y TH!S Pt" -f. rt) pt A L'FC",- ..NF0ii.,',A NC -N .,'.'I;lioral Appi*.,*S) MAY -09-2000 02:02 PM LENMAN wvv�v�tta I tv4UGOLOU E)y . +ret Amedw Title Company Ordot No. 2130807 Ewraw No. P2270 Loan No. 759 9406 WHEN RECORDED MAIL TO: Bruce T. Lehman Kathleen T. Lehman 812 Aleppo Street seaport Beach. CA .92660 MAIL TAX STATEmtNTS T0: Space above this line for Recorder'/ Use P.03 DOCUMENTARY TRANSFER TAX S 3/6-50 XZ Computed on the consideration or value of property SAME AS ABOVE. conveyed; OR _,_Cotteputed on the consideration or value less liens or encurnbnncea remaining at time of We Sinuture of Deelatant or Agent determining tax -Firm Name APN: • / TRA: GRANT DEED O40 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, TRADITION CLUB ASSOCIATES LLC., a Delaware limited liability company rl hereby GRANT(S) to . Bruce Lehman and Kathleen Lehman, husband and wife as Community Property / Todd Towle the real property in the City of La Quints County of Riverside State of California, described as Lot 7 Tract 29867 (See Exhibit "A" Attached Hereto) Dated: August 6, 1999 State of California ) County of On before me, 7 personally appeared personally known to me mid. )to be the person(*) whose name(a) isdam subscribed to the within instrument and acknowledged to me that hejsh#M y executed the same in hiaAser4tbsj►authori2ed capacity(ies), and that by hit;vaebMeir signature(* on the instrument the personal or the entity upon behalf of which the person acted, executed the instrument. WI I'•J83S N -?Y HAND AND OFFICIAL S);a1L Signator 190-435479 11111 ON !1111111111111111111111 IN III It P of 3 TRAD(TI N ASS a Delswa I' liability ag4,,'0/ cowpossion • PuOae t� w Crt•IMrast amifta W corm &"a s M, (This area for official notarial "'Al) \•: #'MAY -09-2000 02:03 PM LEH MAN 759 9406 P.Oq EXHIBIT "A" Lot _? of Tract No. 28867, as shown by map on file in book 276 pages 69 through 78 of maps, records of Riverside County, California. THIS DEED IS MADE AND ACCEPTED SUBJECT TO THE FOLLOWING: 1. Non -delinquent real estate taxes and 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 2S, 1999 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 "Deciaration'j. 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. film. I g1Al NNI fN1 �{ tlft# INN 1999-1 "/38//?Ai 1MOO 08 96H 7 0[ 3 Tradifion ARCHITECTURAL DESIGN REVIEW June 28, 2000 Via Hand Delivery Mr. Greg Butler CITY OF LA QUINTA 78-495 Calle Tampico La Quinta, CA 92253 Re: Lehman Residence Lot 7, Tract 28867, 52-925 Latrobe. Lane r Dear Greg, Please accept this letter as approval for the above referenced residence to obtain a building t permit. Conditions that apply to this submittal will be forwarded directly to the owner's representative,-.Mr..Brian Geis. If you have any questions or need additional information, please do not hesitate to call. Sincerely, Christina J. Dores Architectural Review Coordinator /cjd p C: j* Decum &"RULeh-012P—m Lvgd 78505 OLD AvENuE 52 -- LA QuINIA — CA 92253-1120 -- PHONE 760/564-3355 -- FAx 760/564-2356 YOUNG ENGINEERING SERVICES • Engineering • Architecture -Surveying- Building & Safety Services Letter of Transmittal To: City of La Quinta Date: 6/27/2000 Project: PC No. 0001-208 — 2 check Lehman Residence Attn: Greg Butler W.O.: Tel No.: Tract No.: We are forwarding: By Messenger By Mail X Your Pickup No. of Copies Description: 2 Plans (1" submittal) 2 Plans (2"d submittal) 1 T-24 calculations, structural calculations 1 Non-structural plan check comments/responses 1 Structural plan check comments/responses 1 Truss calculations Comments: Greg — Structural is "OK" (provide truss letter or is shop drawing approval stamp by Engineer of Record adequate?) Non-structural has some remaining items that need to be addressed. This Material Sent for: Your Files X Per Your Request Your Review Approval Checking At the request of.- Other f:Other By: John W. Thompson Phone # 760-342-9214 47-159 Youngs Lane • Indio, CA 92201 • (760) 342-9214 -Bron Young • 1, ,:.M4y-09-00 02:52P Jim Hegge 760 771 1163 P.01 LIc. 048 CUSTOMER CATELLUS BRIAN GIESS PLAN 2 W/ DATE lOctober 28. 1999 SQUARE FEET 3,861 3 GO 1,500 1 11,583 DW 1,500 1 1,500 SMALL APPLIANCES 1,500 2 1,500 MICRO 1,500 1 3,000 OVEN 8,000 1 1,500 COOKTOP-ELECTRIC 8,000 0 8,000 COOKTOP-GAS. 1,500 1 0 WASHER 1,500 1 1,500 DRYER -ELECTRIC • 5,000 1 1,500 DRYER -GAS 1,500 1 5,000 FAU 1,500 3 1,500 POOL FUTURE 4,500 1 4,500 LANDSCAPE FUTURE 3,000 1 4,500 TOTAL -KW 3,000 48,583 1 st 10,000 KW PERCENT KW REMAINDER 100% 10,000 10,000 A/C COMPRESSORS 7,500 3 40% 38,583 15,433 TOTAL 100% 22,500 DIVIDED BY47,933 240 V 199.7217 AMPS _ USE lie, pig n; c L - /DO /t2c� •� o c r9 7�� /ti' 6 162 /1<G F, r 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 52-925 LA TROBE LANE Type .of Construction: Owner of Building: M/M LEHMAN �iAEit*'L Building Official VN Bldg. Permit No.: 0001-208 Land Use Zone: RL - Address: 52-925 LA TROBE LANE City: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: 06-28-01 POST IN A CONSPICUOUS PLACE