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Home My WebLink About0402-020 (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 104 Date Signature of Contractor 4 � 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: Carder Policy No. I�C+Iv7PJ' (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 if1I should become subject to the workers' compensation provisions ofsSection 700 of the Labor Code,,I shall forthwith comply with thoseiprovisions. Date r fJ ` .fi rUpplicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal(enalties 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 purposse w�.Signature (Owner/Agent) G�as`t!r Date . /. .W 1-, IJILDING' PERMIT PERMIT# DATE VALUATIONS "' LOT 0402'02,0 TRACT 29143-1 JOB SITE APN ADDRESS OWNER CONTRACTOR / DESIGNER / ENGINEER - VIE SK0 9MV PARaTERS 1, LIX'" KMfl 11A CON§'-RUCIU01 INC 83.070 al-M:t UCTMER X.070 CADZ LA QtINTA CA. 92253 I,.,.'y.QUINTA CA £+225.5 (760)56YS-4832 CBU11 32:37 USE OF PERMIT SM : LOT '� PLAW 6. PERMIT DOES NOTINCLUDE DE BLOCK 'WALL.a, P0014 SPA OP', DRIVEWAY APPROACH. 73% R ?MUCTICIN TO PLAN CHECK FBI, DUE 1*0 MULTIPLE ISSLFA AC E OF SAME PLAN TYPE C1I3'7'OM CON3TRUC TION 3,1112.00 377 PORCKIPATIO MOD V GARACxF7;J4`,ARPORT 996.00 3F ETI'1 .TED COST 010 C.C31\i'a'TRUC',I�ON 3%,007.40 F3f . lA1' 15TR STMIAwly CONSTROCTION ME 303.000. 418.00.) SI,364100 PLAN C111eCK FEZ 101-000-4.:39-318 $1279.95 MECikf UCAL 77U 101--000,421-000 9162.50 ELECTRICAL FEE 101-000-420-009 $119.34 1'LUMff YNG YWI $ 01.000.419.000 $187.73 STPZC: n M911CRN FEE. RESID 101-000-24•'1-000 V0.60 C1R DilyO 'r" 101.000.423-1100 0 OF~'{ Y1,0PER. IMPACT FFE 82,40:5.00 FRED-CISE PLAN 101-000-441-345 $100.00 ART IN PUBLIC PLAC S - 7 IL 270.000.445-000 $'d65.Q2 rD . y ..`". Mgff 1iLTC✓'T1C91+1 AMD PST CMCK LESS PREPAID FM MOO r 3 2004 E$DNO TMAL -PIMMT 1Ai (j CITY OF LA QUINTA FINANCE DEPT r RECEIPT DATE 41 BY I DATE F AL INSPE@T R INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings _ f7Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap d F.A.U. Framing LL Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall / 7 Exterior Lath 13 lo Drywall - Int. Lath Final Final Z - POOLS - SPAS BLOCKWAL 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 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 79ewer connection Encapsulation Gas Piping Gas Test Z Q r appliances Final COMMENTS: 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) 7/ �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.