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Home My WebLink About0305-254 (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 r Exp. Date 640934 13 06 3.onk Date.' _- Signature of Contracforf,� }� - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that, l am exempt from the Contractor's License Law for the following reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is Pot intended or offered.for sale (Sec. 7044, Business & Professionals Code)., ( ) I, as owner of th'e 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. (+a�j 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 . 3+14'1 XON IAL, Utq ON F Policy No. 1053" (This section need not be completed if the permit valuation is for $100.00 or less): O .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' corn pen sation,provisions oeSection 3700 of the Labor. Code, I shall forthwith comply with•t}ose'provisions " Date:'a - 1 " Applicand- .,- '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- mentionedproperty for inspection purposes. Signature (Owfier/A • ent)N+r { M Date PERMIT # BUILDING: PERMIT DATE VALUATION�e7 LOT,; TRACTJOB SITE' ADDRESS ]� � � �t'sad.Fdr ate: APN 764-270-01 OWNER CONTRACTOR/DESIGNER/EN (NEER M HOWS,FORACInVE ADULTS 51X,A H03 0_8 60.31.1 IT_CW0Y PAR_- N.WA 81460 AVENM 6 LA qubrrfi, CA 92253 TFW.RMAI, CA M83 (909)a.�. _8996 C L# 006 USE OF PERMIT 301N(fl:E FAMILY DDWE1. NG S1?D • LOT 73 PLAN 551513. PERMIT DOES WOT INCLUDE BLOCK WAL99 i'004 04PA OR Dt rVFW.a Y APPROACH L CUSTOM M, ?�I5r3,Q(1 SP POP.CWPATIty i7d:i4p S1t' GA'RAQWQMVOW-E 8F, XfV' M4.fATRJ) CIPS. !' OF C0XSM174'Y7IDYr1 CONSTRUCTION -FEE .101-000-41,8.000 PIAN CHECK FE9 101-000-439-319. VAo.79 ' hltWHANICA,I.FER- 101-000421!113W 08150 FOXCTRICAt., YFX 101-000-420-000 x1213 -V PLUMBING FEE STRO'N 3 It a ION : FEE,- SID .10.1-000-.241-000. ._ .101.000.423.000 '�(I1?S7 o 0,RADINGFEE..�.f . +�attE,,�'1. :PZR IMPAC d' I.�Pd`F i'iIK Y .•^� , �..Q��,�• p�,q.�.� �,•,�� }., �y� /. •e�-� {q� yy�j �V`�•^y� s,{�.�,� �'( rq, .�y��ey:� A75JB-W1,w�'!d ��sO NA7:tRUC7'.I.Y:VxV C'AL9JJ�.Sy.uBT..'9. 61•-1FX'rX� � g1A q .. tV�`�� 7.2I I�wPRE-PAW f X �. S now :.I ;rte FF�x NCE EX -f- RECEIPT DATE BY D FININ ECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs ' Underground Ducts Forms & Footings — Ducts Slab Grade _ 3/ . _ Return Air Steel 7 _ — 3J&6 Combustion Air Roof Deck 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 12 4e Drywall - Int. Lath Final Final 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 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 _g / --,3 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: Coachella Valley Unified S Aol District P.O. Box 847, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREAS AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMWIND. AMOUNT: DATE: RECEIPT CHECK k INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Date: 46" (p 0 3 Owner's Name: Shea Homes/Tri 1 ogy 1 a Qui nta Phone No. 777-6032 Project Address: Impala Driyp,WhithbonP Court,Philip Court,Sweetshade Lane, La Quinta, CA 92253 Project Description: 19 single family homes APN: 764-270-017 Tract #: 30023 Lot #'s: 72-83, 174-180 Type of Development: Residential XXXXXX Commercial Industrial Total Square Feet of Building Area: 42,854 sq. ft. Certification of Applicant/Owners: The person signing certifies that the above informatio 's correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of a owner/developer. Dated: Le ju—b� Signatur 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 Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Note: Adult Qualifying residents Number of Sq.Ft. 42,854 Amount per Sq.Ft. $ .34 Amount Collected $ 14,570.36 Building Permit Application Completed: Yes/No By: Carey M. Carlson Asst. Supt., Business Serv. r. Certificate issued by: E1yi ra- Mattson Signature: Office Technician Am�i� 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. O MV:c/mydocs/devfees/certificate of compliance 09/30/02 Date Owner: P.O. Box 1504 78-495 CALLE TAMPICO (760) 7 7 7 - 7 0 0 0 LA Q,UINTA, CALIFORNIA 92253 FAX (760) 777-7101 PERMIT FEE SUMMARY May 29, 2003 Shea La Quinta, LLC Builder: Shea La Quinta 60-311 Trilogy Parkway 60-311 Trilogy Parkway La Quinta, Ca 92253 La Quinta, Ca 92253 Proie(-,t: Trilnay. La Cluinta. 19 SFr] Tract 10091 1 ntc 79-R'l 17A-1Qt) Lot Plan Sq. Ft. Address APN Permit # Fees 83 5210B 2,474 81-636 Impala Drive 764-270-017 4,687.05 82 5505A 1,843 81-648 Impala Drive 764-270-01 7 G ��>r ,. ; 4,257.21 81 5210C 2,163 81-660 Impala Drive 764-270-017 , _ �, . 4,464.76 80 5505B 2,090 81-672 Impala Drive 764-270-017 4,454.79 180 5505B 1,821 60-195 Wishbone Court 764-270-017 G,h „� *3,729.50 179 6420C 2,770 60-217 Wishbone Court 764-270-017 �.,.-.�-� 4,938.43 178 5505C 1,847 60-222 Wishbone Court 764-270-017 �j 4,259.42 177 4520A 1,685 60-200 Wishbone Court 764-270-017,y{�. 4,1 68.29 79 5505C 1,821 81-684 Impala Drive 764-270-017 - *3,729.50 78 5515A 2,456 81-696 Impala Drive 764-270-017 J6(6 4,652.24 77 5505A 1,843 81-708 Impala Drive 764-270-017 :.JL�;. dj 4,244.96 176 6420C 2,770 60-199 Philip Court 764-270-017 z7 *4,268.20 175 6430E 2,769 60-226 Philip Court 764-270-017 'n 361-�44q 4,928.31 174 6505B 2,424 60-204 Philip Court 764-270-017 4,661 .00 76 5515C 2,456 81-720 Impala Drive 764-270-017 4,652.24 75 6430C 2,769 81-732 Impala Drive 764-270-017 t �. *4,258.44 74 6420C 2,770 81-744 Impala Drive 764-270-017 ,gym- *4,268.20 73 551 5B 2,166 60-1 80 Sweetshade Lane 764-270-017 305� 4,427.21 72 4520A 1,917 60-202 Sweetshade Lane 764-270-017 ,� _r� 4,326.42 Total Area 42,854 Total Permit Fees 83,376.17 " Denotes 75% reduction to plan check fee due to multiple issuance of same plan type. All other permits full fee. (760) 777-7012 - Building & Safety Department - Fax (760) 777-7011