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Home My WebLink About0403-365 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjurythat I am licensed under p"rovisions 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 7 ar. fall• 74 z�. 13 /0,; Dater "`% 'w� Signature of Contractor ' ' - �% t1s--- / — / .� 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;ilS ue�1. rF�tiw rkers' compensation insurance cjftj 8�pslicy no. are: Caner Policy No. (This section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify that in the performance of the work for which this permit is issued,. 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of$ection 3700 of the Labor Code, I shp'll forthwith comply with those prov'siopsp Date: rfs Appllcant:lr!»�—_ Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicator agrees to, & shall, indemni(ry & hold harmless the City of La Ouinta, its officers, agents and employees I 2. Any permit issued as a result of this application becomes null and void i work is not commenced within 180 days from date of issuance of suc permit, or cessation of work for 180 days will subject permit to cancellatio ir I certify that I have read this application and state that the above informationi correct. I agree to comply with all City, and State laws relating to. the buildin construction, and hereby authorize, representatives of this City to enter up the above -menti p roperty for inspection purposes. f Signature `14Zr/Agent.) Date BUILDING PERMIT PERMIT# 5 DATE VALUATION i�.tkt�ff� •- � LOT ^a TRACT .4 v, JOB SITE x"13 • �.r..f .i APN �'+r�'ve�r�•• (1 v� ADDRESS OWNER CONTRACTOR /DESIGNER! EN (NEER CSiIcI7sI� M"��?,ties 11 f, LL+_; {�7it5'.t' tlA�C fJWA �.1:f��/d'7..��?YI�I:E�:��'I''=.'��17P- 5 l+.'. (111T13 - F.M.2it5 s _w. tarn u.9 .Avi% sem:, _m f1 i'13$ rel : CA 92 17 IkODL ANIM CA 923 � P yj l�eg.t CiE C`I' g alai 1. USE'31]PIE L�% i/11i� r 1�1.f 1si�lCi ,. •r � A; .i a _ �.t • r7 err vr•7� r� .� ur r�r� �' e�Y� 110()L.0PA` R1'litiVi?W4',.YYAf°}'fIC..AC'H< CU-OTGM COW TRUC TION 050,09 OF PQRCHIPAT10 Q3.00 3F 0Q,12A0 FJCA' WK)RT 6(VLO!D V Pk[.MCVb1S SUMMARY CON1D`I"RUCTION FEE 01-1000-118-000 000 5105610 PLAN C.HZC . FEE Ii)I_000_4;$t-318 OKI, 17 M.ICHA.hd.ICAI.VEE lil:•C1i14-�y'I^QOIi 41b .DFS Lam. M.,.A,. F.'F. 01 5."Y q PL,I,IM.C1YNOf'.I? 101-000, 419.001 :110.50 STRI Y.40 M0T!( --a TALI? , RY—SID 101 -000- 41-600 $21.111 ORA17OW WE 314,00 .f_1EVELOPbU IM<ROXI" I' FRE, $2;405.00 ART 04 PUBLIC Pi,::Sl[ 2"711-Q00-445-000 $4.3•11 r 1V)B-'MT A% C:O 1'I; YC"'P.ti X1 AlTD PI_11.N' (444 K 5d,ySS.? "t Ip"N,1 3+'.i3M 1 ° 1 i'01AL i FJa ?J!M` 11L:d ]DUE Jqi Vir $0.010 , AiPR 0 5 227,4 U . f:iTV Cu LA RECEIPT DATE ., BYDATE FINqED INSP 9R 7/A s- INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade i o Return Air Steel Combustion Air Roof Deck Q Exhaust Fans O.K, to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final SLOCKWA,LL APPROVALS POOLS _ SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster r a e Pool Cover ewer Encapsulation Gas Test App ances 46 - Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior ReceptaGes G.F.I. Temp. Use of Powe Final Utility Notice (Perm) COMMENTS: TANDY'S INSPECTION INC. PO BOX 13766 PALM DESERT, CA 92255 QI*f:f^IAI IM4MPVr `TInPJ P1AI1 V ==lMn9 r OFFICE/FAX 909.769.9717 TYPE OF INSPECTION. -r PERMIT NLAWBER PHYSICALADPW-381d , �}S l� Gi4- N lA C" JOS NAMff P , OF MUCTURE ARCKTECT L.c. ENGINEER A GENERALt A A�. SUBCONTRACTOR 1 HERBY CERTffY THAT 1 HAVE INSPECTED ALL OF THE ABOVEf OMrED WORK, UNLESS OTHERWISE NOTED: AND TO THE SESTiPF MY ABILITY I HAVE POUND THIS WORK TO COMPLY WITH THE APPROVED PLANS: SPECWATIONS 3 APPLICABLE DAMING LAWS. CC: b Ic'so Is®n UMPECTORS CERTIFICATION AGENCY . NUMBER DESCRIPTION -OF WORKr SUPPLIER TICKET NUMBER MD( NUMBER SATIIPLED IIME AM TEMP TEMP SLUMP TIME IN MIXER +�$ U J Q' �,� V e 1♦� VVELDING INFORMATION PROCESS WELDERS NAME i � , _ Lei.:! A� ' 'Jl . � • • ��`r�r � � dk Wq 7M �a •_S\L�"�f'��a ■ 4Z 1 HERBY CERTffY THAT 1 HAVE INSPECTED ALL OF THE ABOVEf OMrED WORK, UNLESS OTHERWISE NOTED: AND TO THE SESTiPF MY ABILITY I HAVE POUND THIS WORK TO COMPLY WITH THE APPROVED PLANS: SPECWATIONS 3 APPLICABLE DAMING LAWS. CC: b Ic'so Is®n UMPECTORS CERTIFICATION AGENCY . NUMBER SAMPLE INFORMATION. SUPPLIER TICKET NUMBER MD( NUMBER SATIIPLED IIME AM TEMP TEMP SLUMP TIME IN MIXER LOCATION VVELDING INFORMATION PROCESS WELDERS NAME CERTIFYING AGENCY AND CERTIFICATION NUMBER 1 HERBY CERTffY THAT 1 HAVE INSPECTED ALL OF THE ABOVEf OMrED WORK, UNLESS OTHERWISE NOTED: AND TO THE SESTiPF MY ABILITY I HAVE POUND THIS WORK TO COMPLY WITH THE APPROVED PLANS: SPECWATIONS 3 APPLICABLE DAMING LAWS. CC: b Ic'so Is®n UMPECTORS CERTIFICATION AGENCY . NUMBER 3achella Valley Unified School District O. Box 847, Thermal, C. 2274 60) 398-5909 — Fax (766) 398-1224 This Box For District Use Only DEVELOPER FEES' AkEA: AMOUNT LEVEL ONE AMOUNT . LEVEL TWO AMOUNT MITIGATION AMOUNT COMWIND AMOUNT DATE RECELPT CHECK MITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: THE PALMS @ LA QITTNTA Date: March 31, 9004 Owner's Name: Birdie Homes III LLC Phone No. Project Address: Couples Court, Village Drive La Quinta CA Project Description: 11 SFD APN : Type of Development: Residential Tract #• 28983 Lot #'s: 1-568-69 12-15 E1X Commercial Industrial Total Square Feet of Building Area: 34,112 sq. ft. 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 apthorized to sign onlbehalf of the owner/developer. Dated: Signatu 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 Gov. Code Project 17620 65995 Approval 34,112 Number of Sq.Ft. Amount per Sq.Ft. $ 2.24 Amount Collected $ 76, 410.88 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: El vi ra Mattson Signature: 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. 09/30/02 MV c/mydocs/devfees/certifiCate of compliance A X1610 7' P.O. Box 1504 78-495 CALLE TAMPICO (760) 7 7 7 - 7 0 0 0 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 PERMIT FEE SUMMARY THE PALMS Date: March 18, 2004 Owner: Birdie Homes 111, LLC. Builder: First Pacifica Development 5 E. Citrus Ave. Ste 205 5 E. Citrus Ave. Ste. 205 Redlands, Ca 92373 Redlands, Ca 92373 REVISION Proiect: 11 SFD Tract 28983. The Palms n. L.9 Onintn T,nts 1-5_ 6R-69. 17-11; Lot Plan Sq. Ft. Address APN Permit # Fees 1 2CR 2,780 81-997 Couples Court 764-060-035 0403-361 *$5,115.52 2 2A 2,780 81-977 Couples Court 764-060-036 0403-364 $4,416.27 3 lAR 2,550 81-957 Couples Court 764-060-037 0403-365 *$4,958.72 4 1B 2,550 81-937 Couples Court 764-060-038 0403-366 $4,293.34 5 1C 2,550 81-917 Couples Court 764-060-039 0403-367 $4,293.34 68 3A-C2 4,020 56-877 Village Drive 764-050-028 0403-368 *$6,143.81 69 3 AR-C2 41020 56-905 Village Drive 764-050-029 0403-369 $5,228.63 12 3 A-C2 4,020 81-802 Couples Court 764-060-047 0403-370 $5,228.63 13 3 AR-C1 3,742 81-816 Couples Court 764-060-048 0403-371 *$5,867.88 14 IA 2,550 81-830 Couples Court 764-060-049 0403-372 $4,293.34 15 1B 2,550 81-844 Couples Cou 767-060-050 0403-373 $4 293.34 TOTAL AREA 34,112 TOTAL PERMIT FEES $54,132.82 * Denotes full fee. Plan 4 = Plan 3 with extend casita. Remaining permits reflect 75% reduction to plan check fee due to multiple issuance of same plan type M 4 Pi ANn L Certrficafee ofOccupancy Building & Safety Department 77 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: 81-957 COUPLES COURT Use classification- SINGLE FAMILY DWELLING Building Permit No.: 0403-365 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: BIRDIE HOMES, LLC Address: 6 E. CITRUS City, ST, ZIP: REDLANDS, CA 92373 By: GARY HARTMAN Date: JULY 7, 1005 Building Official POST IN A CONSPICUOUS PLACE