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Home My WebLink About0303-125 (SFD)H CV to W Ouch 1-0U) r� LU r` of C Z CIDo H� LIJWa� Z 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 ffect. License # Lic. Class Exp. Date r 1534 j 6/: 410.3 bate � .Signature of 6ontrasto� 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 S&flon 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:. Cartier 2+iATIO14A1: UMON 7 Policy No: 7183300 (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 a ree .that if I should become subject to the Workers' compensatioh.provisions ectioa 3700 of the Labor r ---rte Code; �. ' al(f h ith comply these ovislons. ate::-� 4i Applicant t<.1 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 INS 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 buildinlL construction, and hereby authorize repro entatives of this City to enter,upon the above-mentioned properthor-i see n purposes. d""' Signature (Owner/Agent)^-'" Date PERMIT # BUILDING PERMIT DATE _ VALUATION & iD6,�f� M LOT 166 TRACT ADDRESS 60-:375 C—W.LSE cA CU �r JORSITE APN OWNER CONTRACTOR/DESIGNER/EN INEER SHEA LA QWNTA, $ UKA Ho las 60-313 TitTa.00YPAI:ISV AY 81.260 t.MME 62 LAQUfNTA, CA 9225 TFC CA 92883 (QO4)8 33-6996 03T A 6876 USE E OF PERMIT ff&0 L F'.*AMMY DVM— i.UJG ..ta awe r WALLF, P001, EPA OR DR-I'VEWAY APPROACH CUMM CONSTRUCTION 21398,00 SF PORCHIPATIO 376.00 SF (JARAGOC,ARPOR.T 733M SF ENTIMi'i'E D COSr OF CO-N6'.E',rr'ITCUOR 206AW.00 PERWfY, kT SutVDAaRY CONSTRUCTION TI i0a-(nJQ-41>�C!(10 �1,Iil4.Rit PlI Id CHECK FEE 141-000-4'39.318 X313.S;� UPCHANIC,AL FEE 101.000-421.000 $75,00 ELECTRICAL V99 101-000-420-000 $133.53 P1,UMf IWO FEE 101.000.419-000 S149.00 STR.ONO MOTIO21 FEL - RE31D IM -000-2411-000 ORtADiWO I! ER 101.000.423.000 DEV ELOPFR IAAP.L+CT FXE $2,403.00 ART IN PUBLIC PLACES - RESIC 270 -000.445 -COO 81 -6. -sl Iai. B -TOTAL L03+i'°LI'D.`k2T.1'C'L10PT AND PT d X CY-WICK: $4,640.55 t-? LE 33 PR P.A@ F M T1O.UO MeNQW � 4 RECEIPT DATE, Y D FIN INSP INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings 4zDucts Slab Grade Return Air — — Steel Combustion Air Roof Deck Exhaust Fans OX to Wrap m F.A.U. Framing JW 71 AALI-A15 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 Pibg. 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: 4DMainiero, Smith and Associates, Inc. Planning / Civil Engineering /Land Surveying 777 East Tahquitz. Canyon Way, Suite 301 I Palm Springs, California 92262-6784 Telephone (760) 320-9811 / FAX (760) 323-7893 • e-mail info@mainierosmith.com www.mainierosmith.com May 7, 2003 Department of Building and Safety CITY OF LA QUINTA 78-495 Calle Tampico La Qtiinta, CA 92253 Re: Form Certification Tract No. 30023-2 Construction Sequence 1-E Gentlemen: This letter is to verify that the following building forms have been checked for elevation and horizontal location by Mainiero, Smith and Associates, Inc. and found to be in substantial conformance with the approved Precise Grading Plans. Finished floor elevations for lots 122 – 1.26 and 'lots 16.4 -166 are as follows: Very truly urs, Steven J Van,. L.S. 6500 SJV:tt STEVEN'J.VAN, v REG. - cc: - Hector Guzman, Engineering Department J+J, N0'o Mike Groessl, Shea Homes 0F CAS U Pad Elevations Lot # Address Plan Field Difference 122 81699 Brittlebush Ln 430.80 430.75 -0.05 123 81711 Brittlebush Ln 429.70 429.62 -0.08 124 81723 Britflebush Ln 429.00 428.98 -0.02 125 81735 Brittlebush Ln 428.30 428.27 -0.03 126 81747 Brittlebush Ln 427.60 427.62 +0.02 164 60419 Chelsea Ct 427.80 427.84 +0:04 165 60397 Chelsea Ct428:3v" 1 428.33 +0.03 166 60375 Chelsea Ct 428.50 1428.52 +0.02 Very truly urs, Steven J Van,. L.S. 6500 SJV:tt STEVEN'J.VAN, v REG. - cc: - Hector Guzman, Engineering Department J+J, N0'o Mike Groessl, Shea Homes 0F CAS U r Coachella Valley Unified Se.11 District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 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 # INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Trilogy at La Quinta Date: March 19, 2003 Owner's Name: Shea Homes Phone No. 760 777-6032 Project Address: 60-392 Lavender Court — 60375 Chelsea Court, La Quinta, CA 92253 Project Description: 2 Single Family Homes APN: 764 270 018 Tract #: 30023 Lot #'s: 161 & 166 Type of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 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 5074 $ .34 $ 1725.16 Building Permit Application Completed: Yes/No Project Agreement Existing Not Subject to Fee Approval Prior to 1/1/87 Requirement By: Carey M. Carlson, Asst. Supt., Business Services Note: Certificate issued by: Marcela Valdez, Facilities Clerk Signature: Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (la vritten 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. 1/16/03 T 03/18/2003 12:18 FAX 760 777 6039 TRILOGY Z 003 ns/lb/:Z0UJ 10:20 760777 1 LA QUINTA PAGE 02/02 P,O. Box 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 PERMIT FEE SUMMARY (760) 777-7000 FAX (760) 7774101 Date; March 13, 2003 Owner: Shea La Quinta, LLB Guilder: Shea La Quinta 60-311 Trilogy Parkway La Quinta, Ca 92253 60�311 Trilogy Parkway La Quinta, Ca 92253 Pro'eCt: Trllo Le Quinta 2 SFD, Tract 30023, Lots 161,166 Lot Plan Sq. Ft. Address APN Permit # Fees 161 6505C 2,676 60,392 Lavender Court 764-270-016 0303. it 166 65056 2,398 60-375 Chelsea Court 764-270-018 30•sa.5 'S4,640.59 Total Area 5,074 1 Total Permlt Fees €8,802.20 * Denotes full -fee permit. All other permits reflect 75% reduction to plan check fee for multiple issuance of same plan type, # Fees reflect $750 credit spread over first 9 plan types r V