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Home My WebLink About0305-269 (SFD)LICENSED CONTRACTOR DECLARATION f'. C/).I hereby affirm under penalty of perjury that I am licensed under provisions of I— Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 04 W Professionals Code, and my License is in full force and effect. p = M License At Lic. Class Exp. Date o Z r` Date -„' CA Signature of Coriti•a.. , (O _J w OWNER -BUILDER DECLARAT ON W a I hereby affirm under penalty of perjury that I am exempt from the Contractor's U) License Law for the following reason: J 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). ( ) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). M () I am exempt under Section D7 B&P.C. for this reason N Date Signature of Owner ON 0) a z WORKER'S COMPENSATION DECLARATION C) 2 Z I hereby affirm under penalty of perjury one of the following declarations: LO O () 1 have and will maintain a certificate of consent to self -insure for workers' X W compensation, as provided for by Section 3700 of the Labor Code, for the m0 J Q performance of the work for which this permit is issued. Q C) (+�)' I have and will maintain workers' compensation insurance, as required by O U Q Section 3700 of the Labor Code, for the performance of the work for which this LO H permit is issued. My workers' compensation insurance carrier &' olicy no. are: ? Z Carrier STAJE Pt ND2 Policy No. G(111-si��4 Iii;! -fit ob 5 C) 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 subject to the workers' compensation provisions of+Section 3700 of the Labor Code' shall forthwith comply with ttiose.provisions. Date: f ;� �•. Applicant _ _• f- __ .�, Warning: Failure to secure Workers' Compehsation/coyerage is unlawful and shall subject an employer to criminal penalties and,6vil 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 a, 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""s made & each person at whose request and for whose benefit work is perfcWmed 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 �% '4 construction, and heieby authorize representatives of this City to enter upon the above-mentioned -propbr y for inspection purpos. s._ , Signature (Owner/Agent) .� "<` " C Date L_,�:;` BUILDING PERMIT PERMIT” DATE VALUATION LOT ZS TRACT 2-9053-1 JOB SITE ADDRESS fl �Ji �1♦lavZe�) ,.R� ±� APN f;.!4' - G30-020 OWNER CONTRACTOR/DESIGNER/EN INFER 201411.. ••1 DDIGO C12 9,2131 SAY10V[1u'r1"J CA 92 13 1 USE OF PERMIT 41 -i�;, z<z «r » r.hiep�aa.��arr�4<y %N •pv ,�aua.. c<s�eae uns iy:r ti s : 4*,e &'CYt7M(!PA-13.0 33'4.0 S :c" s Lv�ko `L��t C'-E;�.°"s" ,' OF t�i1x :=0 w.MT UYGT1t?z•' FEB 101, �,000-41 c,� 000 990M 1r±..AH CHECK FTF'• Mfk?ti;'NANt �Cq',�EVa.L.MW -[t�900,-421-Of(-`10 yyst ,'CJI?',+1:'7'.121i:�Sr ►��ii C�I'�^f�1/tt"i{�l,t-l3Uf� W�11S1."rV Z' 1'1.u"BYWHO ng 111,.WD-4) 9-000 R1RO'210 40TiCX4r0Z•RE,110 "0)-000-•2,41-000, °S19.i,3 $7,405.60 C9.77, E)EP081�3."00I•43 31S' _V50.00 x.4,630.03 1.4 Q111 jff� 4750,00 JUN 0 2 2003 CITY OF -LA QUINTA FINANCE DEPT. " RECEIPT DATE fir"- • c'.r'� BY 3 1�!� A-( DATE FINALED' � '� �O INSPECT INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings -/7- j Ducts Slab Grade aQ- cp A Return Air Steel Combustion Air Roof Deck -7— — 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 steel POOLS - SPAS 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 6. - ,3 .. Heater Final Water Piping Plumbing Final Plumbing Top Out Z4Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test :5. Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring - p 4_3 Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) —/� - COMMENTS: t CERTIFICATE OF COMPLIANCEt�sC, :sect Sands Unified School Distrr 4� �o 47950 Dune Palms Road z o Q' BERMUDA DUNES r Date 6/2/03 La Quinta f CA 92253 RANCHOANWE LLS LS C � "r INDIAN WE No. 24492 (760) 771-8515 �� PALM LA QUINTAT y INDIO Owner PM Renaissance, LLC APN # 649-630-018 Address 9968 Hibert St., Ste. 102 Jurisdiction La Quinta City San Diego Zip 92131 Permit # Tract # 29053-1 Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 27 49545 Brian Court 2937 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Certs #24492, 24493, and 24494 all used for CC 07113 totaling $19,373.42 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 (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that 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 Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 2,937 S.F. or $6,285.18 have been paid for 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/California Bank & Trust - David Trask Check No. 07113 Name on the check Telephone 619.843-3048 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by cGilvrey $6,285.18 $o.00 SA n / -` Payment Recd Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), 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 issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting Date 6/2/03 No. 24493 Owner PM Renaissance, LLC Address 9968 Hibert St., Ste. 102 City San Diego Zip 92131 Tract # 29053-1 Type Single Family Residence Lot # No. Street Unit 1 28 49565 Brian Court Unit 2 Unit 3 Unit 4 Unit 5 CERTIFICATE OF COMPLIANCE -sert Sands Unified School Distr 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit # Study Area No. of Units S.F. Lot # No. 2899 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Comments Certs #24492, 24493, and 24494 all used for CC 07113 totaling $19,373.42 r q J�1FtEDsc�o Q BERMUDA DUNES O RANCHO MIRAGE INDIAN WELLS t, PALM DESERT {`�y V(%LAINOUtINTA^l 649-630-019 La Quinta 1 Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions unde 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobilE homes. It has been determined that 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 Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 2,899 S.F. or $6,203.86 have been paid for 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/California Bank & Trust - David Trask Check No. 07113 Name on the check Telephone 619.843-3048 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by SharoMcGilvrey $6,203.86 $0.00 %I / : Payment Recd Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), th1WI 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 issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting CERTIFICATE OF COMPLIANCE ��ZPtED c� -sert Sands Unified School Distr 47950 Dune Palms Road zzC 13ERMUDA DUNES r Date 6/2/03 La Quinta, CA 92253 Uln RANCHO MIRAGE b No. 24494 (760) 771-8515 � INDIAN WELLS �� PALM LA QUINTAT y �36INDIO Owner PM Renaissance, LLC APN # 649-630-020 Address 9968 Hibert St., Ste. 102 Jurisdiction La Quinta City San Diego Zip 92131 Permit # Tract # 29053-1 Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 29 49585 Brian Court 3217 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Certs #24492, 24493, and 24494 all used for CC 07113 totaling $19,373.42 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for Irving, sleeping, cooking, eating or sanitation) or replacement mobilE homes. It has been determined that 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 Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 3,217 S.F. or $6,884.38 have been paid for 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/California Bank & Trust - David Trask Check No. 07113 Name on the check Telephone 619.843-3048 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempte by Sharon McGilvrey $6,884.38 $0.00 177 � . , , Payment Recd Over/Under Signature C+ NOTICE: Pursuant to Government Code Section 66020(d)(1), 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 issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting r r PERMIT FEE SUMMARY r 7i Date: May 27, 2003 LL` d Owner Imo: PM Renaissance, LLC 9968 Hibert St., Ste. 102 San Diego, Ca 92131 Builder: Trans West Housing 9968 Hibert St., Ste. 102 San Diego, Ca 92131 Proiect: 3 SFD. Tract 29053-1. Renaissance i,nts 27-29 tmnd,-IQI Lot Plan Sq. Ft. Address APN Permit Fees 27 2&�' 2,937 49-545 BRIAN COURT 649-630-018 g1 (0, ,3 28 3AL 2,899 49-565 BRIAN COURT 649-630-019 a Z:(o +-"4 29 1 C G' 3,217 49-585 BRIAN COURT 649-630-020 .Oq 4C04a TOTAL AREA 9,053 TOTAL PERMIT FEES $0.00 750 . oV 3 56' 1-30 plan check fee deposit spread over 3 plan types q-7Z1 (04 Is° - d" 3 ��lZ.�4 ox- 03 7'W vo 03 Certificate of Occupancy V = II,,II • ��N�� OFTBuildin & Safet Department 9► Y p This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the - provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 49-585 BRIAN COURT Use classification: S.F.D. Building Permit No.: 0305-269 Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: R -L Owner.of Building: PM RENAISANCE, LLC Address: 9968 HIBERT STREET STE 102 City, ST, ZIP: SAN DIEGO CA 92131 By: G. SHOWALTER �! Date: 01/13/04 Building Official/ __ POST IN A CONSPICUOUS PLACE