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Home My WebLink About0402-021 (SFD)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 Exp. Date 1753503 131 Cr 10 lr�t°v' j /' 04.1lo..1, Date +s - ^` I Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penklty 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 99EMP T Policy No. J (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' compensation provisions of Section 3700 of the Labor 3 Code, I shall forthwith comply with those provisions. /// S Date: - % Applicant— Warning: pplicant 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)ln�� --� Date '9 !�a"�✓ "BUILDIN&PERMIT PERMIT # DATE VALUATION t r^� LOT O'4Q.V"()21 TRACT 'r • r f _. P12,316.00 6 29147.1 JOB SITE ADORE SS iV" 1d�ik[aTLnt`� APN 7dJ1.t" 2(� -EI06 OWNER CONTRACTOR / DESIGNER / EN (NEER W"k:SI•1,t0:NI,PARIN 2S 1, LLC �{P+1 t'lil.1ACO'NWIttUCTIONINC 91-070 CIMMIC:t,�I IER 7R.- 70 CAD C.P. 92243 LA, 0111 IMAM C!-;,. 92253 r"/60).364a4832 C13L4 3237 USE OF PERMIT SID a LOT 6, PLAN 7. PSR1L IT DO&S NOT INCI.IdIZ BLOCK VIAL.t-% POOI,, SPA 012 DRfV'EWAY APPR.OtaCi 76% REDUM71014 10 PLKtq C:Hi..C'1: FEE DUZ s'O MI L11.. 1PL,i I&UANCE OF SAME PIA14 TYPE CIlf3'POWC ONSTRUC'T1CYN 31632.09 OF P011CHPAI1IO 997.04' Sf? (4.A*RA.QIYCA`RP6 T 378.00 SI? 3`.firl'Q�?'t�lihT.!'w CCyb !' 01+ 4 O.-443 `RUC" °p+C R 312p i.1' 'm iT '�'.q.K.L7.YJ.�lUS�tuG k�f't7YY��7� CONSTI. UCTIO N FEE 101..0100.418-000 S1„135.04 PLAN CHECK FEY. 101-000-439-318 $281.75 S156..t10 ]�yaEC�HAnNICw'AL tlr�RE 8101-000-42).11-0,.000 f�LWTRICAL VISE 101-00 0-420-000 41/11.14 PLIUMBI-No FEE 101-000.419,000 SY".73 STR.C)NO MOTION” REE • RLSID 101-000-241-000 MA) 100 FRE 101-000.423.000 $15.I10 ,OWPIILOP1 R IMPACT "t $7,405.00 PUC'ISE P1w.AW 101-000-441-345 0.441-345 $100.00 - ART 1N PUBLIC PL ACZE • RESIL 270-000--445-000 $780.W Jr. r r.. • = Y I`tATi�' 1.1 CT.101tit LiC D PL5'kitl CRl..+l.+ar CQ � 3,045.66 p S TIaU.P RWo $0.00 FEB 10 2004 . P'0041T Ms Dian NOW $5,045,66 CITY OF LA QUINTA FINANCE DEPT. RECEIPT DATE BY j DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs_ Underground Ducts Forms & Footings / � Ducts Slab Grade - Z7 Return Air Steel Combustion Air Roof Deck Pi Exhaust Fans O.K. to Wrap F.A.U. Framing L 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 POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVAL 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 COMMENTS: Pa�2� 11k./�Y 64t 6 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) �oachella Valley Uniilen nicnoo Listrict '.O. Box 847, Thermal, CA 9_ �4 760) 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 COMWIND AMOUNT- DATE RECEIPT CHECK M INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: The Summit @ PGA West Date. Owner's Name: Weiskoph Partners 1 LLC __ Phone N . Project Address: Shinnecock H111s La Winta CA 92253 -- Project Description: 7 SFD APN:761-820-001 thru 007 Type of Development: Residential Tract #• ?91 47 1 Lot #'s: ffi Commercial Total Square Feet of Building Area: 24,944 sq . f t . 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 obehalf of he owner/developer. Dated: 2 ^ I o — G 9 Signature: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *(* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABO ROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Note: Number of Sq.Ft. 24,944 Amount per Sq.Ft. $ 2.19 Amount Collected $ 54, 627.36 Building Permit Application Completed: Yes/No By: Carey M. Carlson Asst. Supt., Business Serv. 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. M V c/mydocs/devfees/certificate of compliance 09/30/02 1�1. J P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Date: February 4, 2004 Owner: Weiskopf Partners 1,LLC 81-070 Chanticleer La Quinta, Ca 92253 I PERMIT FEE SUMMARY (760) 7 7 7 - 7 0 0 0 FAX (760) 777-7101 Builder: Kahuilla Construction 78-070 Calle Cadiz La Quinta, Ca 92253 7 qPn Tha Qtimmit (al Pr,a \A/Azt Tract 99147-1 1 otc 1-7 Lot Plan Sq. Ft. Address APN Permit # Fees 1 6 3,512 81-010 SHINNECOCK HILLS 761-820-001 0402-016 #*55,105.62 2 7 3,632 81-020 SHINNECOCK HILLS 761-820-002 0402-017 #*55,140.91 3 6 3,512 81-030 SHINNECOCK HILLS 761-820-003 0402-018 $5,019.06 4 7 j 3,632 81-040 SHINNECOCK HILLS 761-820-004 0402-019 $5,045.66 5 6 1 3,512 81-050 SHINNECOCK HILLS 761-820-005 0402-020 $5,019.06 6 7 3,632 81-060 SHINNECOCK HILLS 761-820-006 0402-021 $5,045.66 7 6 3,512 81-070 SHINNECOCK HILLS 761-820-007 0402-022 $5,019.06 Total Area: 24,944 01 Q Q q >e Total Permit Fees: $35,395.03 * Denotes full fee permit. Remaining permits reflect 75% reduction to plan check fee due to multiple issuance of same plan type. # $1,500 plan check fee spread over the 2 plan types.