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0001-147 (RER)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. Lir,Ase # Lic. Class Exp.. Date gZ--�-/* I Signature of Contractor 1 ll 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: Carrier Policy No. a.f tJLiX2V Ef.V f.±1LM J. ..n,y- 11 r. (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 slect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ate: Applicant /%rs 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 & 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 construction, and hereby authorize representatives of this City to enter upon the/above-mentioned property for inspection purposes. Signature (Owner/Agent) ! / .. -� !f Date r BUILDING PERMIT PERMIT# 4011-14 DATE VALUATION ,%5,0(i4(,tJJ) LOT 41 TRACT x()15 R JOB ADDRESS -079- C.tlAJL 1♦ORTE APN 769-022-039 OWNER CONTRACTOR/DESIGNER/ENGINEER rr, arll (I) y f oC)V. rpf i r,i"tA i'A )Y rAfnyt'C \.>•1• aJ.a♦ L \..la. 4 .. ra la vL�+a[ 1Ja.{ •4r a.! c°'T:lo%v l� Y (+�t ltt/F.: L /+rY"�4H ti i1 41'SKtt� •li iV i iia J[• . VaJI aril VlL a !sa 1333 SO. 'V1 Sift i3T, S71— 4200 1335 SO. I'D` STREi r, M. 9200 SAID BEI NA tDINO C'A. 92408 SAN (3E NFVt1ANC) CA 92408 (9(191381-ftX17 t;13[.ta 21211 USE OF PERMIT !tf-::�1.1.)±SNl1Nia tZ31SVlUi..)f:i.. EZ,tSILf0DEL43Al2.r+GE COtVV'L'ksm 11.11 t'1Voi!t,, iioivLt3 q/11.,1 s ISmi. , 2)T w1up 9,9-150 (OUNA. FAIRWAYS) 'vt2e.�uAsi%tiv 5,t)t)u,fi�f i.:i r, sf 11111q a TIED�'`�( "T Oy'i. ,/ten RiSTIRI zr��I``IG(IN 1'nI A. SL�St'i iY:,YJ' i iJa3 .L iJ� �..4.YL ia.D 3. A.bV �.-Y.��J1 `I . •JtSISJ PERMIT VILF SR"W:WAR KAN C;RUC K HiE 1111-000-429-318 $46J80 CONSTR[lc" 1110N f7firl 101-Af}f1-A1111.P,f") IECIUNI KCAL T,13 1`)1: 000-11141I-000 :14.80 1{ titi l! 0- 000 •? i[ .r f IA-l-'CrAf, f.O NSTftfJ("110N ANr.) Tc(�.i�(.�ifN�[1jC�,1-r1�T�CX ISI 34� 30 L.[�, IS 1 RE -1'.1.1.11! j-�.L+S.if�.) $4.i}0 TOTAL PERMIT FEES € UE NOW *134JO RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE F INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing �� . B'a 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 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: P.O. Box 1504 78-495-CALLE TAMPICO (76.0) 777-7000 LA QUINTA, CALIFORNIA 92253 (TDD) (760) 777-1227 July 2, 1999 . VV✓ Mr. Kent Armstrong Century -Crowell Communities 1535 South D Street San Bernardino, CA 92408 Subject: Minor Use Permit. 99-150 - Model Horne Complex for Duna La Quinta Dear Kent, The Community Development Department hereby approves your request to establish a model home sales facility with Units 40 and 41 for. Lot 4 of Tract 20158, and a temporary parking lot on the south side of Calle Norte (Duna Fairways) pursuant to Section 9.60.250 of the Municipal Code, as depicted in Exhibit A, subject to the following conditions: 1. Obtain a building permit(s) to construct the model units.. Prior to obtaining a building permit(s), post with the Community Development Department. a Certificate of Deposit in the amount of $1,000.00 to insure removal of the sales facility improvements upon completion of their use. The Certificate shall name the City as having a controlling interest over the release of the funds, and.the Certificate shall be automatically. renewed at six-month intervals unless released in writing by this Department. Funds deposited will be released to you when all sales office and design center improvements have been removed. 2. Obtain a building permit(s) to construct the pools for the model units, 3. Mounted on the exterior of the sales office front door shall be a written notice providing emergency personnel your 24-hour emergency phone number they can call in the event of an emergency (i.e., minimum 1" high letters). 4. The designated parking areas shall be constructed before the model home complex is used for sales purposes. 5: A sign permit is required for any on-site advertising. 6. Install one 2A10BC fire-extinguisher inside the front exit door of the sales office. 7. The City may elect to add Conditions to this application request to mitigate any r All; P.O. Box 1504 78-495-CALLE TAMPICO (76.0) 777-7000 LA QUINTA, CALIFORNIA 92253 (TDD) (760) 777-1227 July 2, 1999 . VV✓ Mr. Kent Armstrong Century -Crowell Communities 1535 South D Street San Bernardino, CA 92408 Subject: Minor Use Permit. 99-150 - Model Horne Complex for Duna La Quinta Dear Kent, The Community Development Department hereby approves your request to establish a model home sales facility with Units 40 and 41 for. Lot 4 of Tract 20158, and a temporary parking lot on the south side of Calle Norte (Duna Fairways) pursuant to Section 9.60.250 of the Municipal Code, as depicted in Exhibit A, subject to the following conditions: 1. Obtain a building permit(s) to construct the model units.. Prior to obtaining a building permit(s), post with the Community Development Department. a Certificate of Deposit in the amount of $1,000.00 to insure removal of the sales facility improvements upon completion of their use. The Certificate shall name the City as having a controlling interest over the release of the funds, and.the Certificate shall be automatically. renewed at six-month intervals unless released in writing by this Department. Funds deposited will be released to you when all sales office and design center improvements have been removed. 2. Obtain a building permit(s) to construct the pools for the model units, 3. Mounted on the exterior of the sales office front door shall be a written notice providing emergency personnel your 24-hour emergency phone number they can call in the event of an emergency (i.e., minimum 1" high letters). 4. The designated parking areas shall be constructed before the model home complex is used for sales purposes. 5: A sign permit is required for any on-site advertising. 6. Install one 2A10BC fire-extinguisher inside the front exit door of the sales office. 7. The City may elect to add Conditions to this application request to mitigate any r .1 problems that arise not previously addressed herein. 8. Prior to issuance of building permit(s) obtain clearance from the Public Works Department for related drainage issues. The modei-home sales complex shall be removed by .�uiy 2, 2000; unless an extension is granted by'the Community Development. Director, This decision may be appealed to. the Planning C - -nmission provided the' necessary paperwork and filing fee of $175.0a.are filed with th, - Jffice within 15 days. If you have any questions, please contact me at 76: -77-7068. Sincerely, JERRY HERMAN COMMUNITY DEVELOPMENT DIRECTOR LIE MOURIQUA D ssoci•ate Planner LM/lm Attachments. c: Community Development Director Building and Safety Director Public Works Director Code Enforcement Department Fire Department. �Greg.Butler, Counter Technician (B 8 S) . C:1MydatalltrapprovaimUP99-150Duna.wpd