0206-0101 (SIGN)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
.124483 C45 C61 A42 OV28/2(
DateSignature of Contractor' •^j k—,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's'
License Law for the following reason:
( ) 1, 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:
( ) 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 STATE FUND Policy No. 046-11301,02
(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 thoye provisions?
Date: f.. I , ?1-, Applicant` - °' -r•
VJ
,---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) !a. J, I Date
BUILDING PERMIT PERMIT j#
DATE 06113r2oc VALUATION , LOT TRACT
JOB SITE
ADDRESS 44.9% &IDAMS
APN
OWNER
CONTRACTOR / DESIGNER / EN (NEER
MARK J eras
BrIsr 51049, n4c. _
2300 B RA.QUEr CLUB
1336 S, CUM?MITR T ?`RZ
PAT. M ,gPR1ATGsS C:
PALM S1IM101S fy,',Ei 92264
76C)320-3042 MIA 3703
USE OF PERMIT
GIWM .AL BU1TZDIG
E' `,"A1.d.. MONUMENT SIt' N A'1' ENTRANCE, PER. APPROVED SICIN PlrIUMIT
VALUATION 31000.00 LIP,
c r A' ►1r()4,a' OF C0NIS IR13C'i" ON
31M).00
i jh.i: @133'X° bpi t F SL17A4MMY
PLM C1lWK FEE 1.01- 439.318 535.I0
CONSTRUCTION F eE 101-000.41M400 $54m
STRONG MOTION 1TSE - COMM 100 -OW -241-000 S,63
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1X333 RX-PAIF31<k s""
Pl-
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JIIN 13 1002 I`3UMTFEES DUE HOW
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COOFIAI UIMA
FINANCED
1111111111111111111111111 17
IE
RECEIPT
DATE
BY
DAT FINALED
INSPECT
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
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:
,
amity or Lawuinta uomm.uev.11ept L1)= 760 777 1233 p.02
Y.O. Box 1504
=18-495 CALLS TAAIP1C0
Shtmny,"W"rIrkalEltr LA QUIN1'A, CALIFORNIA 9` 2,53
May 31, 2002
Mr. Mark Hastings
First School of the Desert
44-996 Adams Street
La Quinta, California 92253
SUBJECT: SIGN PERMIT APPLICATION 2002-621
Dear Mr. Hastings:
(760) 777-7000
FAX (7 60) 77 7 -7101
This Department hereby approves your request to install a freestanding monument sign
at the northeast corner of Adams Street and Miles Avenue to identify the your. school
pursuant to Planning Commission Minute Motion 2001-002 (Ref: SA 2000-526). Enclosed
are the approved sign exhibits. The following Conditions of Approval shall be met:
1. Obtain a building permit; and
2. Contact the City's Code Compliance Department after the sign is erected.
Regarding your request to install a directional sign at the driveway entrance. this sign is not
allowed because only one ID sign is permitted. However, this Department can approve a
directional traffic sign at your project entrance without your business name as long as it is
no larger than three square feet and T-0" high.
The City of La Quinta's Municipal Code can be accessed on the City's Web Site at www:la-
quinta.org. Should you have questions regarding this letter, please contact the
undersigned at 760-777-7076.
Very lysouP§
ER
DEVELOPMENT DIRECTOR
E RO SDELL
,g., to P.l2nner
Enc.
c: Best Signs
Community Development Director
Building and Safety Manager
Code Compliance Department
i; ,t Sign( 1 Greg; s