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Home My WebLink About0305-241 (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.Zate 640,434 I3 ;a / fj5i,' ow •Signature of Contracto,/�l 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 Se bion 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 N A.TIONJU, U14ION Y Policy No. 530 (This section need not be completed if the permit valuation is for $100.00 or less). () I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any mariner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Sectiom3700 of the Labor Code,$ I shall forthwith comply with those' provisions. Date-( / �) 4> Applicant_a 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 additiori 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 tol I 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. UUU I certify that, I have read this application and state that the above informationis (' • 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- {mentiiohed property for Insppection purposes.44 ( 1 Signature'�(Owner/Ageni) t' tYDate S 01 r BUILDING PERMIT PERMIT# DATE VALUATION LOT •-• .TRACT 30013 . JOB SITE ADDRESS Y� QTS ICD mayuRr APN ITC4--2 70-017 OWNER CONTRACTOR / DESIGNER / EN (NEER Xf AHOMFA FOR AC`iTO, ADT37 '13 1kiF-4 HOWLS .60-311 I.XWOY FARKW1. Y . 81.260 L•IW1Ti E- 62 Lt, Qm wiT A CA 62233 :1'111sLRM.AL CA 92883 (909)833-11996 OBIA 6376 USE OF PERMIT SWOU SFO < LOT ISO. PLAN 3311513. PER.MI I)ON i4 Of IXCL U1JE S3L0 i. WAEA POOL, SPA OR DRIVEWAY APPROACH. 75% R1;'IL7Edf"TION'PO'F.LA:N CHECK FEE DUZ T O MULTIPLZ 1'SSiI,F' 14CZOF SA&SE PLAN TYPE, CUSTOM C'•ONSTRUCT1014 1,1121,00 SF 0Akt.s0F1CARP01I'i' 45b.ft0 F x vrn4ATED cosi C)1~ ®mYT ® 1-'3,"J3a2X0 . CONSTRUCTION FEE 101-000-41"00 PLAN CHECK FEE '101-'000-4'39•-31:3 3.166.'x7 MECHANICALFEE 101-000421-000 %ftso . . R1:.ECTRit°A1 Fft 101-000-420-000 $108.36 PLUMBING Fid .x 101 06�=419.000 $124,00 mom 1t6G4vow net,, vztsm 1 Q i -o 0=24 i ••000 , ORADING 'r"r,� f .101-'90tdwi?:?-flili3 $ s.013 1EV1,AR',1hQPAC7" 79F ' 8V_B_T4YrA:.I LiON37. L4L%{.I.l101f Akm MY"1I.?! CIMCK rt"729..50. . 7"CaT,l�1 1" . CiV1t ' iP" ,1 5 ; 8'4 NOW 2.729.50 RECEIPT DATE y y,: 78Yr DATE FI LED IN OR INSPECTION RECORD OPERATION DATE ' INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade —z/-- Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing —I A Compressor Insulation r 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 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 41Pool 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: 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