0310-009 (AR)LICENSED CONTRACTOR DECLARATION
I.6ereby 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 p-/- t-� Signature of Contracf5;O"o % rO_Fl
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.
(A)" 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 STATE FUND Policy No. 044-024N*652
C (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
Code, I shall forthwith comply with those provisions..tet
Date: J/. I- C.' Applicant �'� � �� - i
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 for, inspection purposes.
r
Signature (Owner/Agent) f/�� A` Date
BUILDING PERMIT PERMIT#
0a10-0
DATE VALUATION LOT TRACT
SUMOO 22 26153
/I / i � J
JOB SITE
ADDRESS '�_,�
APN
64.3,430-1V
OWNER
CONTRACTOR / DESIGNER / EN (NEER
KATHY COMEMRD
a17 m W. sLos 1✓'`tt,114C
47-580 VIA MONTANA
PO BOX 1005
LA QL1111TA Ldp 92253
PALM SPIM03
LA. 92263
(760)325,-5028
CRT -4 05352
USE OF PERMIT
I RR=17_MW,AN)MOAZ'
$8 SP 8,IKTHROGM tR.i7DITION.2001 C13C,
d
V1�LIi.P±,,'fI�7�7 COMM L.4 ����
3 Z003
�PINAZCE
QU1NTA
DEPT
EMAIA'i'ED COST DIP CONSi:;Xi1:Tt On
M2:Idn" FEE suhn .R.y
PIAN CHECK PUZ 10'1-000-4.39.318 $52,65
CONS'TRUCTIOM FEE, 101-000-418.000
MECITMICA 1, FEE 101.000.421.000 $14.50
ELRCTRICAL FEJ: 101 -COCA-420-000 1119.30
1'bUNIT3IN0 FF9, • 101-I 00-.419.000 53100
STRONG MOTION FZZ - MESIO 101-000-241-000 x.50
5 -UB -TOTAL CONEMUCNON,aiiND PL.A9 CHEM
$206.25
LESS PIRE-'AW 1MS
$0,00
TOTAL x J1_1.* . WI' Y.0_;S DUENOW
S'206,25
RECEIPT
DATE /
BY
INS
CTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Und ground Ducts
Forms & Footings
fell
ucts /1164 4!L/ onk
Slab Grade
Return Air
Steel
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 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior lath
Drywall - Int. Lath
Final POC
Final
POOLS - SPAS
BLOCKWALL
APPROVAL
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVAL
Gas Test
Electric Final
Waste Lines
Water Piping
i
Heater Final
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 :
COMMENTS:
_
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring i
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm) /
41.
. • ' - LAKE LA� � '; � . � �.. •, ., . . t - .
QUNITA HOMEOWNER ASSOCIATION ,
3 t ',.• C/O J & W MANAGEMENT
'P.O. BOX 1398 PALM DESER'T,, CA 92261` '
z
(.760) 568-0349
May 29,2003 �' • r ; . .
Don Kathy
Comerford -1
1 4 `•
47-580 Via Montana
F La.Quinta Ca 92253 1
Lot # 022
. a.' f
Dear, Don and Kathy
The Architectural, Committee reviewed your request to add a bathroom,to the north side
of the house. -Although the plans'are somewhat `misleading (the -addition as set forth on
the drawing appears to extend far.enough beyond the bedroom window'' to be removed--
t sstateFtheeloca� tionof thew/cTheat.pumps),tThe committee he,
eet
conditioned upon-the-fact�that the setback froIn, eiproperty.hn f 1"ot_# 021=is°in
f
aordance: with�City. Code requir_em_ `encs - ..
- • • The Committee noted that on � , f - shed
t "
the South side of Lot # 022 a metal structure has been
erected on the property. The shed is visible to the front street and Lot # 023. It does not
' appear to be an approved item.' a
• Y
The Committee request you furnish documentation indicating prior,approval for the shed. .
If you have any questions please contact me
Yours truly, ` r
a
zo
.. 8. aa.-- "' V, elf{ � 4'f L{ • �• � I
'Jerry Wells . y t rw • .
Property Manager ell
12 comerford arch,,
� , rr „�� Y -.�y � .�_3iy ! 5i - f,�f f f r ...�._ f , f. _ •
",.t � f � ..*,, . ,mow ` 4 Y , °, � :, - •
CERTIFICATE OF COMPLIANCE ��1FI�sc
Desert Sands Unified School District
47950 Dune Palms Road z M o
q - � Q BERMUDA DUNES
La Quinta, CA 92253 "CnRANCHO MIRAGE t7
Date 11/10/03 INDIAN WELLS
.PALM DESERT
No. 25178 (760) 771-8515 `fid LA QUINTA �V
Owner Kathy Comerford APN # 643-130-022
Address 375_8.0 Via Montana Jurisdiction La Quinta
City La Quinta Zip 92253 Permit # 0310-009
Tract # 26153 Study Area
Type Residential Addition No. of Units .1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 22 47935 Via Nice •38 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9 �.. .
Unit 5 Unit 10
Comments Bathroom Addition.
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 living, 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: -
EXEMPT „
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 38 S.F. or $0.04 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 Exempt - Chris W. Foster t Check No.
Name on the check Telephone 760/325-5028
Funding Exempt
By Dr. Doris Wilson
a
Superintendent
Fee collected /exempted by Sharon MCGilvrdy Payment Recd Iso.00
Over/Under
Signature G
NOTICE: Pursuant to Government Code Section 66020(d)(1), this serve o 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 whi wilding 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
t Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting
�r 1
OFT1
June.21, 2000
Stephanie Eichel
78-411 Hwy 111
La Quinta CA 9225.3
Subject -47-935 Via,Nice
Dear Stephanie:
Pursuant to an inspection conducted on the above date by this Department; it was
determined that the garage at the above mentioned property had been- converted
into liveable space without the proper permits, alnd in violation of. the City's
Building and Zoning Codes. failure to restore -the garage area to its original
intended .use would constitutea violation and would be subject to further legal
action by the City. Please cause the illegal alterations to be removed within 21
days of receipt: of this. letter.
Please call me'to schedule a:re-inspection of the property once the illegal
alterations have been removed.
Sincerely,
Tom Hartung, Director of Building and Safety
May 1, 2000
Stephanie Eichel
78-411 Hwy 1 1 ?
La Quinta CA 9225.3
Subject: 477935 Via Nice ,
Dear Stephanie:
As indicated during our discussion on April 28, 2000, any alterations which may
have occurred, to convert the* garage at.the above mentioned property into liveable
space, have. been done without the proper permits, and in violation'of the City's
Building and Zoning Codes. Failure to restore the garage area to its original
intended use would constitute a violation. and wIould be subject to further legal
action by the City.,
Please contact me if I may be of assistance in this matter. _I would be happy to
inspect the property if there is any question as to the legality of completed
alterations: -
Sincerely,
Tom Hartung, Director of Building and Safety
c: Ms. Eileen Bolen
47-9.40 Via Nice
La Quinta CA 92253