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Home My WebLink About0303-111 (SFD)U) H C14 W O =) M f` d ' W � tY O Z'r` F— co J U I� W LU U) Z ch V) N ON U °) dQ r Q 0 O J Q 1:10 _J O 11 rn H Z_ cb ry V J 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 t Exp. Date 640L$ A5130103 34 i 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: ( ) 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: Carcier NATIONAL UNION Ir Policy No. 708'4300 (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' compensatioprovisions of Section 3700 of the Labor Code;l-shall o hwith comply wits thoseprov sion . Date: -_0 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 j & 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 j f permit, or cessation 'of work for 180 days will subject permit to cancellation. D I certify that I have read this application and state that the above information is correct. I agree to comply with all CityI and State laws relating to the buildin construction, and hereby authorize representatives of this City to enter upo the above-mentioned property for inspection purposes. { Signature (Owner/Agent) Date BUILDING PERMIT PERMIT -111, DATE t CALU,TION $ �; �� LOT � � � � TRACT JOB SITE ADDRESS t ��-�,�GT�TTrF+�TI�ALI,A�N APN OWNER CONTRACTOR DESIGNER/EN (NEER 3,A LA QUIMA, Tr— RAFA HC32iltl 9 60.311 MILOG f PARK)Pa'B' Y 81-,260 .AVENUE 62 LA QUINTA. CA Sill 233 TmKa CA 92883 (909)3.33.'8396 t�°.�TX 6816 USE OF PERMIT SWOL ' FA2 J1y DWMWG 1 dflj • WT 0-1, N 4411rA ti -V416. 1010ts MA rilizil' s�tt_r o. aaj \' PERWi'i I�OFSt NOT 1PIMIJID9 BLOC '��4.AIA4 P001., SPA Olt DR!VIE WAY,, . AIPPROAC H C:L3139'OM C014STRIICTION JJMAD 2F PCIRC;HWATIO 214.00 Sig' C ARAG CARPORT 53i.p(i SF d',,Uf..i`[.tYJ.li ��Cs 174y.I.Mf��:H CONSTRUCTION KE 101.000.418.000 $710," PLAN Cfr1ECIC ",9 101-000-4393.318 MFIC11A1 IC;'li,Lmy, 101-OOID 421.000 ;yf-,fX* f RtCA1:, I •101-000-420.000 PLUMBING V99 . 101-000-419.0011 STRONCI MOTION FEE REBID 101.000441-000 MAI 0PLA 1)IN0 I'F. R 1.01-000.423,000 515,110 DP.5f>?�LU3��K. Ih+IP:FsO'I' 'l�EE $12,409.00 FUR DEPOSIT 101.000.4.39.318 -MO.00 SUB. T'C3IAL MA1,i7."IZ.L'iC-11t tT AND PLAN MEM 9 7'�2L:-PAMFE a''' -411 io,00 ft�,�i9 � �• LC`t� rj C:I3 RECEIPT DATE. c7 } c, A, BY 1� 1� DA FI D INSP TOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS 'MECHANICAL APPROVALS Set Backs Underground Ducts Forms 8 Footings Ducts Slab Grade 7 1 Return Air Steel Combustion Air Roof Deck6 03 Exhaust Fans ; OX to Wrap / fJ F.A.U. Framing Compressor Insulation ki (i Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath 714 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 i Gas Electric Final Waste Lines 0 Heater Final Water Piping Plumbing Final, Plumbing Top Out PI,00 4 Equipment Enclosure Shower Pans OX 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 Fixthires Main Service Sub Panels 7 Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Penn) F -- % — 3 COMMENTS: • Coachella Valley Unified Se.11 District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: Owner's Name: Trilogy at La Quinta Shea Homes This Box For District Use Only DEVELOPER FEES PAID AREA AMOUNT LEVEL ONE AMOUNT LEVEL TWO AMOUNT MITIGATION AMOUNT COMM,IND. AMOUNT' DATE RECEIPT CHECK H INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Date: March 19, 2003 Phone No. 760 777-6032 Project Address: Lavender Court — Brittlebrush Lane — Chelsea Court — La Quinta, CA 92253 Project Description: 14 Single Family Homes APN: 764 270 018 Tract #: 30023 Type of Development: Residential xx Commercial Lot #'s: 121-126 & 157-160 & 162-165 Total Square Feet of Building Area: 25,447 Industrial Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code 65995 25447 $ .34 $ 8651.98 Building Permit Application Completed: Yes/No Project Agreement Existing Not Subject to Fee Approval Prior to 1/1/87 Requirement Note: By: Carey M. Carlson, Asst. Supt., Business Services Certificate issued by: Marcela Valdez, Facilities Clerk Signature: 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) ZiLt. 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. i:: t , , r'nl,t:,:c c ?tnph:nlce ;tnn lablcsl't l l,`1 1/16/03 T 03/18/2003 12:18 FAX 760 777 6039 03/18/2003 10:20 760777 11 TRILOGY LA QUINTA 10002 PAGE 01/02 TWY 4 4 404 P.O. Box 1504 78-495 CALLS TAmpico (760) 777.7000 LA QUINTA, CALIFORNIA 92253 FAX (760) 7774101 PERMIT FEE SUMMARY Date; March 5, 2003 Owner: Shea La QUInte, LLC Builder: Shea La Quints 60-311 Trilogy Parkway 60-311 Trilogy Parkway La Quinta, Ca 92253 La Quinta, Ca 92253 Prolert- Trlln—, I w rluintw is can r_ nnnn� - - -I - .S,-,Lv, 10/` IOU, IOL- 10:3 Lot Plan Sq. Ft. Address APN Permit # Fees 121 5210C 2,185 81-687 Brittleb/ush Lane 764-270-018 0305-110 #`53,710.96 157 4210A 1,378 81-556 BrittlebAsh Lane 764-270.018 D3o3.(It #`83,266.68 168 4520C 1,917 80-431 Levender Court 764-270-018 0303.112. #*63576.42 159 45308 1,733 60-d07 Lavender Court 764-270-018 0303-113 #153408.70 160 5320B 2,078 60-387 Lavender Court 764-270-018 0. l84 #*$3649.94 162 55158 2,122 60-414. Lavender Court 764-270-018 303-1r1. #°s3654.93 163 4510C 1,530 60-436 Lavender Court 764.270-018 306-1tT #*" 3374.91 122 5505C 2,068 81-699 Brittleb/ush Lane 764-270-018 0303_ii8 #"$3697.66 123 4530A 1,733 81-71 1 Brittleblush Lane 764-270-018 Dpj_ IlR 4$4173.00 124 4510E 1.779 81-723 Brittleb/ush Lane 764-270.018 0.303- vo 6$4275.56 125 4620A 1,917 81.735 Brittlebrush Lane 764-270-018 3,803.91 0303-1 7.1 126 4210C 1,355 81-747 Br)ttleb/ush Lane 764-270-018 aso�.tz,Z '$3,989.26 184 451CIA 1,630 1 60-419 Chelsea Court 764-270-018 o303-tt3 '$4123.78 165 5515C 2,122 60-397 Chelsea Court 764-270-018 0303-12.4 653.883.62 Total Area 25,447 Total Permit Fees 52.589.33 " Denotes full -fee permit, All other permits reflect 75% reduction to plan check fee for multiple issuance of same plan type. # Feas reflect 8750 credit Spread over firac 9 plan CyNes mose