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Home My WebLink About0308-209 (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 Date �✓ f 4 Signature of Contracto / '-40 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). ( ) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I amxempt under.Section B&P."-QCrf�oy this�"reason�f Date :'" 3 r4' Signature of Owner j'! / WORKER'S COMPENSATION DECLARA` TION 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. ( r) I have and will maintain workers' compensation insurance, as required by Se8ion 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier &olicy no. are: Carrier .TA R i�'Ut D Policy No. t'? 0-1C4H13.02 (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 Codeh , I-shall:fo with comply with �th9.S96 oovisions' Date:: Applicant 1 jrt <.,r� 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 f.o Inspection purses. ; Signature (Owner/Agent):6, I'•� eA. ref Date r BUILDING PERMIT PERM'S . DATE VALUATIONLOT !'p TRACT;j'f.1 r JOB SITE 79-9 4 i LTL : � �"�ii��'.� ADDRESS APN i�� J OWNER CONTRACTOR/DESIGNER/EN [NEER 9968 IffBiE T U.aw T, Uf I i1 9968 -PBE T O'1' SMS, 102. SAU DTEGO CeA, 9212-1 &aa�t�pp,L'tL¢¢�K)Fry �:A 92,,''1.3 � } p (VItig)653-.3=5 Alit' 4971 ' F PPERMIT7v USE O�� ty� yry 6AR y, / ' ,5 - t;01 11, P'=Pq 20R. PFRM . K=3 i+iu .tae •e..r��i� i n wmls, fiotx, fm mbiuv XWA1r"APPRO'MT TRACT CONEITRUCTI-1-M 9,F1 Lrom e'ogx OF C0116'111 C011M ill CTION 78E IM -000,418-10M PL AW CP1i.WX 'KIZ 1onw0Z;o.*".ZI�Ooo $1,89.50 ` El.'ECTR1"LYERE . P2ttzMNING & TR ONL'3 F�f.�TIO;l'+� 11`P^�, < 1.9S1V i 0 � -000.241-000 $16.05 ORAFJINO PER 'CJ -000-423.000 s�? �pe �l�Nt4 ��'?`i��•c'�.y. �.yr�q4• �q-+� A�9 t cYt?/� GA Id "i"�,,✓S.E•1Cs �t 'd'1 �31,Cs 4„�'Ca,CdV'1V J!9A"RJ./.i',t.:�i"7' t..f�.Cyi'1r1`� 1�,1 of aYYy�M.i. A^... 2 ��: LEVI., FRIP.-TICialrim $0.00 AUG 2003 CITY OF LA gUINTA FINANCE DEPT. _ . RECEIPT DATE BY/ DATE FINALS INSPECTO .I INSPECTIOWRECORD ` OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings C — 2- Ducts Slab Grade Return Air Steel 7tCombustion Air Roof Deck Exhaust Fans OX to Wrap pA F.A.U. Framing 2 Compressor Insulation 145Z21 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Unes Party Wall Firewall Exterior Lath 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 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: Date 8/26/03 No. 24869 Owner PM Renaissance, LLC Address 9968 Hibert St., Ste. 102 City San Diego Zip 92131 Tract # 29053-1 Type Single Family Residence Lot # No. Street Unit 1 11 79-974 Julee Court Unit 2 Unit 3 Unit 4 Unit 5 CERTIFICATE OF COMPLIANCE �-sert Sands Unified School Distrii . 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8615 APN # Jurisdiction Permit # Study Area No. of Units S.F. Lot # No. 2665 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Comments Certs #24865 thru #24884 for CC #218 05173 in the amount of $118,932.64. C'3v� �Ji 4��FIEDS��o Q' BERMUDA DUNES r RANCHO MIRAGE d INDIAN WELLS PALM DESERT y LA QUINTA �3�INDIO `^ 649-630-034 1 Street S.F. 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 (spaces that do not contain facilities for Irving, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above -named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE .Iis certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 2,665 S.F. or $5,703.10 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/California Bank Trust/Bob Turpin Check No. 218 05173 Name on the check Telephone 760-807-3623 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Espe Lara Payment Recd 1$0.00 CA6n f4A -4, J $5,703.10 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90-day approval period in which you 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 issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting Certificate of Occupancy T4&f ot Building &Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 79-974 JULEE CT. Use classification: S.F.D. Building Permit No.: 0308-209 Occupancy Group: R 3 Type of Construction: V -N Land Use Zone: R L Owner of Building: PM RENAISSANCE LLC Building Offici POST IN A CONSPICUOUS PLACE Address: 9968 HIBERTST STE 102 City, ST, ZIP: SAN DIEGO CA. 92131 By: G. SHOWALTER Date: 03/30/04 L