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Home My WebLink About0307-310 (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 Date Signature of Contractor. OWNER-BUILDERALLARATION 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: ( ) 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 IE-:�;EWI T Policy No. (This section need not be completed if the permit valuation is for $100.00 or less). ( I I certify that in the performance of the work for which this permit is issued, I hall 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 Sec)jn 3 o700 of the Labor Code,•I shall forthwith comply with thos provisions.._,v D"ate: � � % '0';/Annlicant � �''i � 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 suchD permit, or cessation of work for 180 days will subject permit to cancellation nformation . I certify that I have read this application and state that the above iis 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) f l `•'/y/'��= "r ' Dates BUILDING PERMIT DATE VALUATION S:F& .8 -; II LOT JOB SITE ADDRESS OWNER 81 •Q'7R) C4'IA?ML'L &R. L.t t }i f1ld'i int k'% 97"M USE OF PERMIT M. CiLE1?l'ihM11Y. DW..F.L1J1:K+ PERMIT # C 4t I_31,0 25 APN TRACT at');4- CONTRACTOR / DESIGNER / ENGINEER 4- CONTRACTOR/DESIGNER/ENGINEER .78-070 CADIZ C.A. 922,53 (7hC1>564-IS32 cffi.;� 32717 3ri,a - A.AJ•i caq r"tum TJ: rlx71/. 41O. iz"a WALL, P001,, 3PA OR 1J RIN FWA Y APPROACH C. STO'M CONSTRUCT.WN 4,3$4,.00 V FOft.GblP ATIG W42.40 St" 0PARAMUCARPQR11 8)5.04D SF w i a'i'.'94. I: FS6 FRE P. ' 5 • "W"oo Lr.l U TMAL n3:ORT.""T!?'S r, 7.*S SEP 03 2003. CITY OF _L_A _Q_USN_TA CEIPTYtl6`�'�r"' ` .OAT BY DATE NED/ INSPECTOR Cf111''MUt"..'')'10r6 5TS 10T..(1CK).•tAC 0r1* sI,6yno i'LtW*CHWK:FUNIP MECilAMCAL FEN' 1':)1.0100.471-0MY $169.00. ELECT RICA 1, TEI: °� fJ2 -(? tU•4 f) aOG" $�9 �.6� ,P(,f,5:lIHIM0 RE 10$-f'u()-AI9_000 :;.CI•517233C1,':JiOTIG)€ YEE • RESU) 101 -C-00-111-DO0 �38.die O1YADD-40 FAR 1£?,. -0004?., -{)tib WIN DE5i"jU. HIP. INCE PA.C't' FRE1. 'f7,40!,.01 ART IN rPiyBLIC. Ply' cy.13 -1° IL 2'RK*0-145.0?uQ 146AIN w i a'i'.'94. I: FS6 FRE P. ' 5 • "W"oo Lr.l U TMAL n3:ORT.""T!?'S r, 7.*S SEP 03 2003. CITY OF _L_A _Q_USN_TA CEIPTYtl6`�'�r"' ` .OAT BY DATE NED/ INSPECTOR 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 8 Controls Party Wall Insulation Condensate Lines Party Wali Firewall Exterior Lath — D II - 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: Feb 07 04 04:29p RRYMOND FRRNGIE 760 936 0956 pr2 RAYMOND FRANGIE STRUCTURAL CONSULTANTS, INC. 44-100 MONTEREY AVE. SUITE 201-C, PALM DESERT, CA. 92260 PHONE (750) 836-1000 FAX (760) 836-0956 E-MAIL R.FRANC3IE@VERIZON.NET FEBRUARY 6, 2004 SOUTHERN HILLS DEVELOPMENT 51-070 CHANTICLEER DRIVE LA QUINTA, CA. 92253 Attn.: JIM EVANDELL Re.: THE SUMMIT, LOT # 25, PLAN # 4 OR "A" 57-570 BALL.YBUNION LA QUINTA, CA. 92253 FOLLOW-UP TO WALK THROUGH JOB NO.: 4034 DEAR JIM THIS LETTER ADVISES THAT WE HAVE OBSERVED THE STRUCTURAL REQUIREMENTS THAT ARE VISIBLE DURING CONSTRUCTION AT THE TIME OF OUR SITE VISIT. WE BELIEVE THAT THE AS -BUILT CONSTRUCTION AT THE TIME OF OUR VISIT IS IN GENERAL CONFORMANCE WITH OUR STRUCTURAL PLANS AND RELEVANT CORRESPONDENCE ISSUED BY OUR OFFICE. WE OBSERVED THE BUILDING IN ITS FRAMED CONDITION PRIOR TO INSTALLATION OF DRYWALL AND STUCCO. WE OBSERVED THE VISUAL AND ACCESSIBLE STRUCTURAL REQUIREMENTS. ( EXCLUSIONS ARE ITEMS SUCH AS: FOOTING SIZE AND REINFORCEMENT, TOP PLATE SPLICES, ROOF SHEATHING, AND ANY STRAPS ABOVE THE ROOF SHEATHING.). RESPECTFULLY SUBMITTED ;zii)-i;: NICHOLAS ABOU FADEL PAGE:2 FEB -7-2004 SAT 03:14PM ID: REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED O REINFORCED CONCRETE 14TRUCT. STEEL ASSEMBLY O� ❑ POST TENSIONED CONCRETE ❑ ASPHALT TWHER �� (� ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATIO n' 600 8 , ( LA VN {V Q1�� REPORT SEQUENCE NO. TYgE�O� $TaUCTUR1E( O� dr PERMIT NO. D/� E DAV OF WEEK MATERIAL DESCRIPTI N_� A �.,p.:.� ARCHITECT I/JP.• HRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION CONTRACTO M+iG GOA H iAi 0 Q -u • CONTRACTOR DATE a -SA ASS W ar si c-6 s Wet4- �l8 COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV 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. SI �.ATU E OF REGISTERE Id- 3 �- INSP T DATE OF REPORT REGISTER NUMBER LICENSED CONTRACTOR DECLARATION Cn I hereby affirm under penalty of perjury that I am licensed under provisions of H Chapter 9 (commencing with Section 7000) of Division 3 of the Business and N W Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date r- C3 `O 783503 BI C10 HIC 8/31/04 1 W � oZ r-- Date Signature of Contractor (0O1� r— OWNER -BUILDER DECLARATION �Wa r_ I hereby affirm under penalty of perjury that I am exempt from the Contractor's to 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). CY) () I am exempt under Section , B&P.C. for this reason NDate Signature of Owner v rn Q WORKER'S COMPENSATION DECLARATION CL p 2i Z I hereby affirm under penalty of perjury one of the following declarations: r F2 O () 1 have and will maintain a certificate of consent to self -insure for workers' X W u- compensation, as provided for by Section 3700 of the Labor Code, for the O J Q performance of the work for which this permit is issued. m Q U ( ) I have and will maintain workers' compensation insurance, as required by Q 0 Q Section 3700 of the Labor Code, for the performance of the work for which this a H permit is issued. My workers' compensation insurance carrier & policy no. are: �? Z Carrier EXEMPT Policy No. ob 0 0 J (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 3 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 PERMIT # BUILDING PERMIT 0307-310 DATE VALUATION $384,831.00 LOT 25 TRACT 29147-1 JOB SITE ADDRESS 57-570 BALLYBUNION APN 761-820-012 I OWNER CONTRACTOR/DESIGNER/EN INEER WEISKOPF PARTNERS KP.HUZLA CONSTRUCTION INC 81-070 CHANTICLEER 78-070 CADIZ LA QUINTA CA 92253 LA QUANTA CA 92253 (760)564-4832 CBL4 3237 USE OF PERMIT SINGLE FANELY DWELLING r WALLS, POOL, SPA OR DRIVEWAY APPROACH CUSTOM CONSTRUCTION 4,594.00 SF PORCH/PATIO 708.00 SF 4ARAOEICARPORT 895,00 SF ESTIMATED COST OF CONSTRUCTION 384,831.00 PERMIT FEE SUMMARY CONSTRUCTION- FEE 101-000-418-000 $1,637,00 PLAN CHECK FEE 101-000-439-318 $1,336.44 MECHANICAL FEE 101.000.421-000 $169,00 ELECTRICAL FEE 101-000-420-000 $253.69 PLUMBING} FEE 101-000-419-000 $241,25 STRONG IMOTION FEE - REBID 101-000-241-000 $38AS GRADING FEE 101.000-423-000 $15,00 DEVELOPER IMPACT FEE. $2,405.00 ART IN PUBLIC PLACES - RESIE 270.000-445-000 $462,08 SUB -TOTAL CONSTRUCTION AND PLAN CHECK $6,557.94 LESS PRE -PAID FEES $0.00 TOTAL PERMIT FEES DTTE NOW $6,557.94 RECEIPT DATE BY DATE FINALED INSPECTOR 0ow,h0la Valley Unified c )ool District p.0. Box 847, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: Owner's Name: Project Address Project Description: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Date: August 29, 2003 John Read Phone No. 57-570 Ballybunion La uin a, CA 922�53 single fmaily dwellino APN: 761-820-012 Tract #: 29147-1 Type of Development: Residential XXXX Commercial Lot #'s: 25 Total Square Feet of Building Area: 4594 sq. ft. Certification of Applicant/Owners: The person signing certifies that the above under penalty of perjury and further represents that he/she is authorized to sign on Dated p — ,-� ? " Q -3 Signature: Industrial correct and makes this statement owner/developer. SCHOOL DISTRICT'S REQUIREMENTS FOR THE J =PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project 17620 65995 Approval Number of Sq.Ft- 4594 Amount per Sq.Ft. $ 219 Amount Collected $ 10,060 86 Building Permit Application Completed: Yes/No By: Carey M. Carlson Asst. Supt., Business Serv. Agreement Existing Prior to 1/1/87 Note: Not Subject to Fee Requirement Certificate issued by: Elyi ra- Mattson Signature: // T Office Technician NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. M V:c/mydocs/devfees/certificate of compliance 09/30/02 �10 QI