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0001-006 (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 19?40!74 � ��• �j d?"d�i/2C Date % Signature of Contractor or'`- ` OWNER -BUIL R.DECL-ARATION I hereby affirm under penalty of perjury that I am exempt from the Contr ca tor'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). ( ) 1, 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 �!nsu ance, 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. (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,provisTns of Section 37,00 of the Labor Code, I shall forthwith comply with;those pro v dons. Date: / Applicant �' ,f•' , r� r,� , s s • J Warning: Failure to secure Workers Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,600, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, .interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth , on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is°performed under or pursuant to any permit issued as a result of this applicator agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes .null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will, subject permit to cancellation; I certify that I have read this application and state that the above information is • correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter. upon the above-mentioned property for insp)-Aion purposes. Signature (Owner/A t, tj ate- ° BUILDING PERMIT PERM T# DATE WALUATION LOT TRACT J06 SITE `J APN ADDRESS. OWNER CONTRACTOR/DESIGNER/EN INEER LA Q)U R'f rA ORCHARD Y. Q'A6"4.d,dV.L`ni�,O 1%)"R .` S CO.LV►7TRUL..-LA YN PQ1OX 1�'Y 16 "15;-V5 RANCHO LA (, )XN A, DR, :L&Q7JW A CA 922i_1 I...A.c21dNTA CA 9:+253 (160j 771.1941 MIX 2996 USE OF PERMIT sF11;PRIZAIJ Ts DOES'I+fOT NcLurn Pa oc.i' "wA1. J12'Of;?i;APA OR APPROACH UPWRWAY g(�$yi •�✓b!li'(/7 � + /��.yy.T�yr{+�yt'pymy ,( +� ,, qA 7� : $i (I i.fLYia J ZOZ`f 4420 r D SSS' .H ��� �{J.i'�,'iCF39P�i'C o 1;%1�.t10 SF i M. ?UM COST 01F CONSIRM.- ION 264X52 AO CC31a€I"1RCi YIiSId FII;:: ]fi1*OC1i; !lR 000 S1,21.7,00 PLAN CH)XV1, pry, $1,6A.94 FEX DEPOSIT 101-000-439-318 4=140 11�1N.i 1i+ ll'Aa; B?, 2L?I-f1tT�t-IS2Y,.000 'WEC RICA11 FEE 101-000-4,20-000 5244,90 IyidfiW240 FES 101 -OW-419-000 $x14.25 STRONG MOTION IM9 • RESID 101-000.241.000 $26,43 C9R.F`,V1010 :FUP 101-00"2 5 _000 E2i1.111Y ART IN PUBIACPILACRS - USII 701-000-2',53-004) $168.63 $ITS. -`Y TA'Y. P"t3:W7Ji"L'cUC".YJON AND FCAR C'ItG4.�KIC TOTM,PIM, !1`1 ITERSDUF.NOW ' RECEIPT DATE ^ BY DA E FINALED IN$PtTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings / fC�� Underground Ducts Ducts Slab Grade Return Air Steel Roof Deck O.K. to Wrap Framing Insulation Fireplace P.L. C1 �_ Combustion Air Exhaust Fans F.A.U. Compressor Vents Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Drywall - Int. LathFinal Exterior Lathi/54 _ Final -Qa t7514 BLOCPROVALS tLs�b-O=- 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 Sewer Connection ✓?© // (0 # Pool Cover Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring •z, Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G. F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) / j'� DDDR -DD �i��,tc uu'Ic1c� P.O. BOX 1504 APPLICATION ONLY Building 78-495 CALLE TAMPICO Address �� 3 to O�.J c r!p /kr/E LA QUINTA, CALIFORNIA 92253 Owner ,4— (0,J/4/r10 0XI'66"W 00WT1/V Mailing Address/.9 7 City Zip 1 Tel -7 7! / �;VA Contractor Ad313 dress r% / .// tO Cjty o Zip„7% Tel. /Fx/ State Lic. ! City & Classif. O t7/ Lic. Arch., Engr.,/ Designer LvR,c /Nl..% Address Tel. 5r ;- /,' O --/, / 'a-lcl e 3kC 0 7 f_0 City Zip State F 2 -Z-/ (:) Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license s in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law `or the following reason: (Sec. 7031.5.9usiness and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior twits issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or thathe is exempt therefnm, and the basis for the alleged exemption. Any violation of Section 7031.5 by any . appli.-ant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500_ 1-! 1, 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. 7.044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through hie own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder wil. have the burden of proving that he did not build or improve for the purpose of sale.) I 1 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Confra:for's License Law does not apply to an owner of property who builds or improves thereon, and' who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Lay.) 1-1 1 am exempt under Sec. B. 8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION _ I hereby affirm that I have a certificate of consent to self -insure, x a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, labor Code.) Policy No. Company C7 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollaz ($100) valuation or less.) I certify that in the performance of thg work. for which this permit is ssued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, alter making this Certificate of Exemption y«u should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated.and is subject to expiration if work thereunder is suspended for 180 days. I certify that 1 have read this application and slate that the above infornation is correct. I agree to comply with all city and county ordinances and slate laws resting to building construction, and hereby authorize representatives sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Dane Mailing Address City, State, Zip JILDING: TYPE'CONST. OCC. GRP. P. Number �l Igal Description 7/L -2 4-5 ZONE: BY: Minimum Setback s , 2-OZo-o21 Front Setback from Center Line Rear Setback from Rear Prop. Line Sq, Ft.No. Size 0 Stories No. Dw. Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ INSPECTOR Issued by: Date Permit Validated by: Validation: Estimated Valuation PERMIT AMOUNT 1 Plan Chk. Dep. Plan Chk. Bal. t Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS � y ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 11/14/00 APN# 7727-020-021 No. 21202 ' • F Jurisdiction La Quinta. Owner NameLa Quinta Orchard Partners Permit #0001-006 No. 79-360 Street Stonegate Log # City La Quinta Zip 92253 Study Area Tract # Lot # 31. Square Footage 4200 Type of Development Single Family Residence No. of Units, 1 Comments At the present time, the Desert Sands ; Unified School 'District .does not collect fees on garages/carports, covered. patios/walkways, residential additions under 500 square feet, detached.accessory structures or replacement mobilehomes.:It has been determined the'above-named owner is exempt from paying school fees at this time due to the following reason: c - EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 2.05 X 4,200 or $ 8,610.00 the property listed above and that building., permits and/or Certificates of Occupancy for this square footage in this proposed project may -row 6e,issued Fees Paid By CC Eldorado Bank/ Judy @ Sparks Construction Teeph on e2l 760=771-1941 Name on the check ! By Dr. Doris Wilson Superintendent Fee collected /exempted by Annette Barlow Payment Received $8,61000 Check No. .461285398 . Signature(Z/v NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS: 1996) this will serve to notify you that the 90 -day approval period in whichyou may protest the fees or other payment identified above 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. D'istrict(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier.. Collector: Attach a copy of county or city plan check application Corm to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting CITY OF LA QUINTA PLAN CHECK CORRECTION LIST October 3•1., 2000 Gouvis Engineering E. Tahquitz Canyon Suite 9 Palm Springs, CA 92262 PLAN CHECK NO.: 0001-006 FINAL CHECK JOB ADDRESS: 79.-360 Stonegate OCCUPANCY: R3/U1 AREA-S.F.- : 6438 TYPE-OF-CONST.: V-N The submitted plans and specifications have been reviewed by VANDORPE CHou ASSOCIATES. It is our professional opinion that the plans are in substantial conformance with the building codes and regulations adopted by the CITY OF LA QUINTAarid the State of California Amendment. APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING APPROVALS/CLEARANCES 'FROM•ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND ASSOCIATIONS: Plans checked by -Dorothy Gordon, P.E. VANDORPE CHOu ASSOCIATES. 295. N Rampart Street, Suite A Orange CA 92868 (714) 978-9780 VCA File No. LQ-11576 1 SPARKS CONSTRUCTION PAGE 01/01 r CITY OFIA QUINTA BUILDING & SAFEYv 01:P4RTMENT 771-7012 INSPECTION REOUE:ST LINE 777-7153 owner` LA QUINTA ORCHARD pA�RTNERS Permit Nu+nber 0001-006 POST ON JOB IN CON PiCUOUS PLACE INSPECTQR MUST SIGN ALL, APPLICABLE SPACE JOB ADDF ESS 79-360 STONEGATE "D-.PERNUT'DOES NOT INCLUDE BLOCK WALL/POOLISPA OR APPROACH nBrL _ TYPE OF INSPECTION DATE INSP. FOUNDATION & SEYBACK FOOTFOOT CNI�� G'1'CCL MAIN C*ROU VO SYSTEM GROUND PLUMS1NCO Oil Pq6 GUNII'a DO NOT PO JR CONCRETE UNTIL ALL ABOVE HAS OLIN SIGNED CONCRETE ,lRO2 S JOISTS 8 GIF ELECTRICAL WORK DONOT POUR OONCAKTE Uwl ALL ABOVE HAS BEEN ROUGH ELECTRIC . RODUGHPLUTABING F1000H 0AS 1 OAS �GBT HEATING $VEINAIC FIRE LACE— R�OF , BOND BEAM _O_K. TO Wn;1GROUT M a8 FRAMING d INSULATION PRE -ROOF COV6p DRYWALL INl EXTERIOR LA' AOM E APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING db6:B0 20 91 oaa