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0206-074 (AR)
64h�sb�,Aer provisions dfI hereby affirm under 00.�lty of perjury that I arnii'Chapter 9 (commencing with Section 7000 1 �-o , fbi�isi;W_'� of the Business andProfessionals Code, and my License.is,in,fu'll f6rce and effect.License # Lic.-Class Exp. DateDate Signature of ContractorOWNER-BUILDER DECLARATION'.I hereby affirm u rider penalty of perjurythat I am exempt.from the Contractor'sLicense Law foHhe following reason:1, as owner of the property, or my employees with wages as their solecompensation, will do the work, and the structure is not intended or offered,forsale (Sec. 7044, Business & Professionals- Code)1, as owner of the property, am e"-x6lusively-'contracting with licensedcontractors to construct the project (Sec. 7044, Business & ProfessionalsI-am exempt under Sec tion'Date Signature of Owner P,WORKER'S COMPENSATION DECLARATIONI hereby affirm under.pena Ity' of e of4l(thfe following declarationstperjur' to selfI have and will maintain a,cer fcate, onse -insure for workers'compensation, as provided for" by Sectio 700 of the Labor Code, for theperformance of the work for which this permit is issued.I have and will maintain workers' compensation insurance, as required bySe6lion 3700 of the Labor Code, for the performance of the work for which thi�,.permit is issued. My workers' -compensation insurance carrier & policy no. ar�:"Carrier gggM.T.-p Policy No. (This section need not be completed if the permit valuation is for $100.00 or less). qrtify that in the performance of the work for which this permit is issued ' .� ' workersi. comp ensation laws of California, and agree that.4if I should becornii '%f Section 3700 of the Labor *bject to the workers' compenskoh provisions Cocle,-Vshall fort with comply with those-proyis ions Warning: Failure to secure Workers' Compensation coverage is unlawful and shall oubje�onmnp�ya munm��ponak�uand �w|�neoupm$1oo.oOO.in addh�nm�ecost ofcompensation, damages aoprovided for inSection u7oO or the Labor Code,interest and attorney's fees. IMPORTANT Al5plication is hereby made to the Director of Buildin%and: I Safety for a permit subject to. the 'conditions and restrictions set fo h dn his 1. Each person upon whose behalf this application.is made & each per I t, E whose request and for whose benefit work is performed under or pursua I W any permit issued as a result of this applicaton agrees to, & shall, incle' & hold harmless theCity of La Quinta, its officers, agents and emplo S. 2. Any permit issued as a result of this application becomes null and �, if .work is not commericed within 186 days from date of issuance of Lich permit, or cessation of work for 180 days will subject permit to cancell ion Ty I certify that I have read this application and state that the above inforTat'i nots— correct. I agree to comply with all City, and State laws relating to.th6 building construction, and hereby authorize representatives,idf this City 6�;.,ehier upon V ell the above-mentioried'p rope Ay for in"specti7ion'purgoses. Signature (Owner/Agent)_:_12�_1_11' Date �� DATE \/XLUATION LOT- TRACT. .34 JOB SITE ADDRESS 49-1W QUM, bau. CT APN OWNER CONTRACTOR DE ENhINFER CA 92153 XIM10 92"'101 (160)342-8181 CM -4 1 9W. USE OF PERMIT CONOTMICTION FER 101-000-4187--000 $243-00 MWIRANIM MU, 101..00-121�000 $39.1$0 Snow) manow IIESID 101-00 0-241 -000 GRADING MY, ANITTE ESS PRE-PADF030, $0.00 CITY OF LAQUINTA FINANCEDEPT �� INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings — ©- p -a Ducts Slab Grade 7 - 50 - C,,—Z Return Air Steel p- OZ- Combustion Air Roof Deck - / -& -X__ Exhaust Fans O.K to Wrap -/ -22F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation B- Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final -p Final B - 2- - o 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 I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines q- Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Sewer Connection _ Pool Cover Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Al 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: All_ 0 PARC LA QUINTA HOMEOWNERS ASSOCIATION Avail Property Management P. O. Box 1032 Palm Desert, CA 92261-1032 _ (7601 5684717 May 3, 2002 f Mr & Mrs Scott Fisher 40-100 Quimera Court ° La Quinta, CA 92253 RE: Architectural Variance Request ° Dear Mr;M�s' Fisher: The Committee and Board members reviewed your plans and visited your house. Your request has been approved as submitted. Please obtain all necessary building permits from the City prior to starting construction. No construction debris or materials. may be stored in the street overnight. Any damage -to the common area or neighboring houses will be your responsibility to either repair or replace. Thank you for your cooperation in this matter, and. good luck in your construction. Sincerely, >� r ,:ate ;,,. ,..,, �- - .-t,.. ..-�� •, . ��y., CamfAnderson.P': ..z - , Project Manager Desert Sands Unified School District �tn.SC 47-950 Dune Palms Road Notice: La Quinta, CA 92253 QBERMUDA DUNES r Document Cannot Be Duplicated 760-771-8515 C/)RANCHO MIRAGE b tr INDiAN WELLS �. PALM DESERT CERTIFICATE OF COMPLIANCE 1 QUINTA - � Date 6/21/02 APN # h46-300-034 No. 23319 Jurisdiction La Quinta owner NameScott and Laura Fisher Permit #0206-074 No. 49100 street Quimerra Court LA,g # city La Quinta Zip 92253 Study Area Tract # 21555-1 : Lot # 34 Square Footage. 419 Type of Development Residential Addition t No. of Units 1 Comments Attached guest house addition t At the present time, the Desert Sands Unified. School District does not collect fees on gatiages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replac ment mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less 'EXEMPT This certifies that school facility fees imposed pursuant to Government Code 53080 in -he amount of 0.00 X 419 or $ 0.00 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 Exempt - Laura Fisher Telephone, 760/564-7721 Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Crystal Scott Signature ` Exempt r $0.00 Check No. - OTICE: Pursuant to Assembly Bill 3081 (CHAP 549, STATS. 1998) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified bove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or I. another public entity authorized to 31lect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting _A ' ✓ N 74-869 JONI DRIVE LIC.NO. CIO -252580 PALM DESERT, CA 92260 PHONE: (760) 346 8342 LOAD CALCULATIONS FOR GUEST HOUSE ROOM ADDITION SCOTT FISHER { 49-100 QUIMERA COURT LA QUINTA, CA 92253 AIR CONDITIONING ----------------------------------- 6,600 WATTS 495 _______ SQ.FT X 3 WATTS------------------- 1,485 WATTS APPLIANCE CIRCUITS---------------------------- . 1,500 WATTS FAU----------------------------------------------------- 1,500 WATTS TOTAL 4,485 WATTS 11,085 WATTS = 230 48.2 AMPS T