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0005-0031 (RC)44996 Adams St 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 Signature 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: V(/f 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 y✓ith licensed contractors to construct the project (Sec. 7044, Business & %PP rofessionals Code). / () I am e:fem i A under Section B&P.C for isson -n ,Date 8V200o Signature of Owner c . 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 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.. (This section need not be completed if the permit valuation is for $100.00 or less). ,,,(r<l certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so ap to become subject to the workers' compensation laws of California, and a fee that if I should become subject to tl e workers' compensation provisjons f Section 3700 of the Labor Code, I shall f Dry comply with,v `eirowi'o s -- ' Date: Applicant ' f Warning: Failure to secure Workers' Coi4pelsation covtage 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. -t 1. Each person upon whose behalf this application is made & each person at x 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 or insp con urposes. ignature (Owner/Agent) /+ . Dater r f BUILDING PERMIT PERMIT# - DAT E }}I ? VALUATION LOT OQS1i TRACT JOB SITE ADDRESS 44-"6 ADAMS SMMT APN' 686452.022. OWNER CONTRACTOR / DESIGNER / ENGINEER H"MT0315EVTl i 00%,M'T HAS9lINGS DEVELOPM.LW 2300 i?, RACQUET CLUB ROAD 2300 F.„ RAC91 ET CLUB RO, PALM SPRWGS CA 92262 PALM SD. R'WGSf CA 92262 (760)32-5005 MAU. USE OF PERMIT C010MCIAL COMMERCIAL SUILDFNCt. 6350 S.P. C;HIL,t7CAR9 1PACIUTY AS PER APPROVED FLAWS ONLY OFFICE i95,OD SF C LAS5ROOM'S 5.983,00 SF VALUATION (J a n i t o x/ 2tIG, 0f1 SF closets/storage) ES T94AT D COST Off' CCJJIS MUC:"ITO.Eri' , 4 0,(M. ,40 j • j ji].1 SRS (.Jt i"dJE S.BMARY FEE DE,POSIT 101-000-439-318 4!1000,00 PLAN C;HWIK WE 101-000-439-318 $1,559.3.3 CON12TRUCION FER 101-000-418,-000 5118313100 MYCHANICAL PW. 101-000- 421-000 $297.50 FUCTRICAI, FRE 101.000-424.000 S229.58 PLUMBING ISE 101-000-419-000 $113.23 ORt*t,.17fNO FM 1.01.000.42]=000 $15,00 .,, . ART IN PUBLIC PLAMS o COMP 701-000-255.000 $A200.19 DE ILO.PI:Tb MP,ACT FEE STRONG MOTION FLE - COMM 100-000.241-000 $9141 Wil?- C17Riik`'i'iC31`3ANDPIA CMCJ: LESS PRE -PAW FRE3 41,000,00 OCT. 2 6 20GO TOTAL PEWM FERTDnE NOW ATY 4 LA, . .. IIIIIIIIIIIIIIIIIIIIIIIII 13 IE I / RECEIPT DATEV) BY D (r N INSPECTOR '�F 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 Drywall - Int., Lath 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 O Heater Final Water.Piping Plumbing Final PJumbing Top Out Equipment Enclosure 5hokv_gr Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation �.Gas'Piping Gas Test �Applianoes Final Final = Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Futures -Main Service Sub Panels Exterior Receptacles 'G•. F.I. ' -Smoke Detectors —Temp. Use of Power ..Findl„ ' Lltiltty`Notice (Perm) COMMENTS: koontractor 0005-031 Permit Number POST ON JOB IN CONSPICUOUS PLACEr INSPECTOR MUST SIGN ALL APPLICABLE SPACES j,� S.F. CHILDCARE FACMITY AS PER APPROVED R PLANS ONLY TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK FOOTING STEEL MAIN GROUND SYSTEM GROUND PLUMBING PRE-GUNITE DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ! CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED i ROUGH ELECTRIC i ROUGH PLUMBING 1 ROUGH GAS & GAS TEST cf j HEATING & VENT- A/C FIREPLACE I BOND BEAM O.K. TO WRAP Ae j GROUT ❑ 4' ❑ 8' FRAMING INSULATION PRE-RO F COVER NO W- RK UNTIL ABOV A BEEN SIGNS DRYWALL INTERIOR �y.. EYTERIOR LATH _ - C POOL PRE PLASTER POOL NCE & GATE �EWER EPTIC TANK u' FINALS ELECTRICAL - f! PLUMBING s• 7 FINAL GAS TEST r HEATING - A/C { HOUSE NUMBERS ' JOB COMPLETED TEMP POWER C OVE AP R �;ia1�$t S`D'O NOT INCLUDE RIGHT Tb " TURN ON UTILITIES OR OCCUPY BUILDING O apps R-� I 3 P tt\2iloo c.Q C- A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. I NO EXCEPTIONS! 44996 Adams St 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 10/19/00 No. 21121 Owner NameHastings Development No. 44-996 City La Quinta Tract # Street Adams Type of Development Commercial Comments Lot # APN # 686-152-022 Jurisdiction La Quinta zip 92253 Permit #0005-031 Log # Study Area Square Footage 6979 No. of Units 3 'ommercial building will be a childcare facility of 6979 sq. ft. and consist of the following: )ffice - 796 sq. ft. Classrooms - 5983 sq. ft. Valuation (janitor/closets/storage) - 200 sq. ft. Received a construction voucher no. 005929 for $2,300.00 and $4.00 cash- donation of )3 cents* 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: Private School Facilities EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of .33 X 6,979 or $ 2,303.07 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may.n©Wbe issued Fees Paid By CK / Canyon National Bank / Mark Hastings Teieiihone _760-327-5005 Name on the check By Dr. Doris Wilson ;fir Superintendent Fee collected /exem ted by Annette Barlow Payment Received $2,304.00 Check No. 005929 Signature NOTICE: 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 instella8on permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect 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 Building 4 4 " P.O. BOX 1504 78-495 CALLE TAMPICO rj? LA QUINTA, CALIFORNIA 92253 I - G r tvl Mailing Address f,2300 r-_ 3,)GC u2-4 C+t.� Zip FTv' l. YIGIw �JtttAC�L.(�L ress Zip I Tel. & Classif. X `l q (0 I C„[ 'O I Lic. N Arch., Engr., Designer Address Tel. CityZip State Lic. ff LICEN� CONTRACTOR'S DECLARATION I hereby affir that � km Iicens d under provisions of Chapter 9 (commencing with Section 7000) of Djvj,si n hof th¢ q_usi�s and Professions Code, and my license is in full force and effect. WNER-BUILDEV DECLARATION I hereb affirm t at I a exempt from t1fe Contractors License Law for the following reason: (Sec. 7031.5,Busin ss and Plofessiogs 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 (5500). 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, 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.) I 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 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.) I-3 1 am exempt under Sec. B. & 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. 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 (S 1004,0;b ton or less.) I certify that in the performance of the work for which this permll;;,,yy7��tii d, I sha I nolo employ any person in any manner so as to become subject to the Wori a 6htgEnsytion Laws of California. VV Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should b subject t0 the Workers' Compensation provisions of the Labor Code, you must forfhwit comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 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 sof this city to enter the above- mentioned property for inspection purposes. Signature of a0plicant Date Mailing Address City, State, Zip APPLICATION ONLY M- e UILDING: TYPE'CONST./ OCC. GRP. .P. Number x*62- 15 2- 62 -2- 1 egal Description roject Description K f G04 �1 t C. r ✓ W Sq. Ft&(J{ "" No. ) No. Dw. j Size ((� Stories f Units / New ' Add ❑ Alter ❑ Repair ❑ Demolition ❑ 11 ' Q/_ I -1a IQ 1 ion PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL AMOUNT n5 rZONE: JQZONE:BY: 1 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 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 N Lic. Class Exp. Date Signature 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: V, -J 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 ith licensed contractors to construct the project (Sec. 7044, B siness & rofessionals Code). () I am a em t under Section B&P.r r this q n 10ate %U 7000 Signature of Owner WORKER'S COMPENSATION WECLARIA40N 1 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. 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. (This section need not be completed if the permit valuation is for $100.00 or less). certify that in the performance of the work for which this permit is issued, I shall not employ any person in any mannerVaee to become subject to the workers' compensation laws of Californi , anthat if I should become subject to t e w rkers' compensation �ovi 'oSection 3700 of the Labor Cod I sh fo hwith comply with e irp ri/OAPPlicant Warning: Failure to secure Workefs' cqlnpedsation codrage 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 Don 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 St to laws relating to the building construction, and hereby authorise represen tives of this City to enter upon t�he ove-mentioned property f Insp ct'on urposes. , gnature (Owner/Agent) Dat BUILDING PERMIT PERMIT# �TF� � ` �� `.��� VALUATION LOT OCDO.S�I�ii ' TRACT / (, WOAY38.40 JOB SITE ADDRESS 44-51%.ADAMSi T.rr rlr APN W64,52-022 OWNER CONTRACTOR / DESIGNER/ EN INEER HAST11 GS DEVELOPMWN'I Il[AST INNS DEVF-LOPMENT 2300 E, RACQUE-T CIATB ROAD 2300 T.. RACQC.>ET CLUB ROAD PALM SPR114 S CA 92262. PALM SPRINGS CA 92262 (760)327-5005 CB11ffE USE OF PERMIT CONOvMCIAI.. COMMERCLAL SUILDINCt- 6350 S.F. CHILDCAPF. FACILITY AS PER .APPROVED PLKK8 ONLY OFFICE ?96.00 SF . CLASSROOMS 5,983.00 SF VALUATION (j an i t o r / 200.U0 131 .closets/storage) JS..S TI"TRD COST OF CONWIRETC11011 440,W8.40 PRRAUTFFY 9[18 X FEE DEPOSIT 101-000-439-318' -S1,000.00 PLAN CHECK FELE 101-000-139-318 $1,589.83 CONSTRUCTION FEF 101.000.418-000 $1,333.00 MECHANICAL. FEE 101-000-421-000 $397.50 ELECTRICAL FRE 101.000.420.000 $229.58 PLUMBING FEE 101-000-419-000 $113.75 (311AD1790 FEE 101.000.423-000 ART IN PUBLIC PLACES - COMP 701-000-255-000 $1,200.19 DEV ELOPER IMPACT FEE $7,795.54 STRONG MOTION FEE. COMM 100-000-241-000 $92.41 Q SLT'U-TOTAL. CON51'R.UCTLON At•I:D Pi ,fi ll CIECK $14,166.30 LT133 PRE-F.ALDk'U»9 -$1,OQO.OL1 TOTAL PERWT YKESr DUI, NOW $13,166,3U OCT 2 6 2000 CITY U1= LA QUID 16 IE RECEIPT DA C L`G DATE FINALED INSPECTOR A Certificate of Occupancy City of La Quinta Building and Safety Department This Certificate_ issued pursuant to the requirements of Sedtion 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: 44-996 ADAMS ST Use Classification: COMMERCIAL Bldg. Permit No.: 0005-031 Occupancy Group::,. E3 Type of Construction: VN'; Land Use Zone: LDR Owner of Building: HASTINGS DEVELOPMENT Address: 2300 E. RACQUET CLUB DRIVE 'Tei-► 14-w Building Official City: PALM SPRINGS CA 92262 By: KIRK KIRKLAND Date: 6-29-01 POST IN A CONSPICUOUS PLACE .. . T4ht 4 4 Q" MEMORANDUM TO: Kirk Kirkland, Senior Building Inspector FROM: Raoul Martinez, Assistant Engineer I V DATE: July 17, 2001 SUBJECT: Tract 29288, First School of the Desert pre " The developer of the subject project has completed the onsite improvements. The Engineering Department agrees with issuing a permanent Certificate of Occupancy, as all punch list items have been addressed and/or completed. rm